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Ophthalmology · Cornea
Sample itemWhich contact-lens symptom needs urgent assessment?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Painful red eye with photophobia and reduced vision
Contact-lens wear increases microbial keratitis risk; pain, photophobia, opacity, or visual reduction require same-day eye assessment.
Option by option
A. Stable long-sightedness
Refractive error is not an emergency.
B. Painful red eye with photophobia and reduced vision (correct)
Correct: this combination may indicate sight-threatening keratitis.
C. Mild itch after lens removal
Mild itch is less specific.
D. Occasional eyelid twitch
Eyelid twitch is usually 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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