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Ophthalmology · Lid disorders
Sample itemWhich feature is most typical of a hordeolum (stye)?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Tender acute pustular swelling at the eyelid margin
A hordeolum is an acute painful infection involving an eyelid gland or follicle and commonly presents as a tender localized pustular swelling near the lid margin, unlike a usually painless chalazion.
Option by option
A. Fixed pupil with halos
Fixed pupil with halos suggests acute angle closure.
B. Tender acute pustular swelling at the eyelid margin (correct)
Correct: acute tenderness and a lid-margin pustule fit hordeolum.
C. Diffuse retinal hemorrhages
Retinal hemorrhages are posterior-segment findings.
D. Painless central visual distortion
Central distortion is a macular symptom.
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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