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Ophthalmology · Red eye
Sample itemWhich feature suggests acute angle-closure glaucoma rather than simple conjunctivitis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Severe eye pain with halos, nausea, and a mid-dilated pupil
Acute angle closure causes a rapid rise in intraocular pressure with pain, corneal haze, halos, nausea, and a poorly reactive mid-dilated pupil.
Option by option
A. Itchy bilateral eyes with watery discharge
Itching and watering favour allergic conjunctivitis.
B. Mild foreign-body sensation after dust exposure
Minor irritation has a less dangerous differential.
C. Severe eye pain with halos, nausea, and a mid-dilated pupil (correct)
Correct: painful red eye with systemic symptoms is an ocular emergency.
D. Painless subconjunctival haemorrhage
Subconjunctival haemorrhage is usually painless and benign.
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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