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Ophthalmology · Trauma
Sample itemWhich action is appropriate for suspected open globe injury?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Place a rigid shield and avoid pressure on the eye
Open globe injury requires protection with a rigid shield, nil by mouth, urgent ophthalmology review, and avoidance of pressure that may extrude ocular contents.
Option by option
A. Apply a pressure patch tightly
Pressure patches can force contents outward.
B. Remove protruding tissue at bedside
Protruding tissue should not be manipulated outside theatre.
C. Measure intraocular pressure immediately
Tonometry can worsen an open injury.
D. Place a rigid shield and avoid pressure on the eye (correct)
Correct: a rigid shield protects without compressing the globe.
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.