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Ophthalmology · Red eye: conjunctivitis
Sample itemA patient has bilateral itchy red eyes with watery discharge and chemosis during pollen season. What is most likely?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Allergic conjunctivitis
Allergic conjunctivitis causes bilateral itch, tearing, conjunctival edema, and seasonal symptoms. Pain, photophobia, or reduced vision should prompt consideration of more serious alternatives.
Option by option
A. Anterior uveitis
Uveitis causes deep pain and consensual photophobia.
B. Allergic conjunctivitis (correct)
Correct. Itch is the key symptom of allergic conjunctivitis.
C. Acute angle-closure glaucoma
Angle closure causes severe pain, nausea, and a fixed mid-dilated pupil.
D. Bacterial keratitis
Keratitis causes pain, photophobia, and corneal abnormality.
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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