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Ophthalmology · Ocular trauma
Sample itemWhat is the safest immediate action when an open-globe injury is suspected?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Protect the eye with a rigid shield and seek urgent ophthalmic care
Suspected open-globe injury requires protection from further pressure or manipulation using a rigid shield, urgent ophthalmic review, and avoidance of actions that could extrude intraocular contents.
Option by option
A. Protect the eye with a rigid shield and seek urgent ophthalmic care (correct)
Correct: a rigid shield protects a possible open globe until specialist care.
B. Remove protruding material at bedside
Protruding material should not be removed outside a controlled surgical setting.
C. Instill multiple drops and discharge
Discharge after drops is unsafe when globe penetration is possible.
D. Apply pressure directly to the globe
Direct pressure may worsen extrusion of ocular contents.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.
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