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Ophthalmology · Corneal disease: abrasion
Sample itemA contact-lens wearer has acute painful red eye, photophobia, tearing, and a fluorescein-staining epithelial defect after minor trauma. What is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Corneal abrasion
Corneal abrasion causes pain, tearing, photophobia, and a fluorescein-positive epithelial defect. Contact-lens wearers require careful assessment for microbial keratitis.
Option by option
A. Subconjunctival hemorrhage
Subconjunctival hemorrhage is usually painless and does not stain with fluorescein.
B. Corneal abrasion (correct)
Correct. Fluorescein staining identifies the epithelial defect.
C. Cataract
Cataract is painless lens opacity.
D. Open-angle glaucoma
Open-angle glaucoma is chronic and usually asymptomatic initially.
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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