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Ophthalmology · Ocular trauma: chemical injury
Sample itemA worker splashes alkali into one eye. What is the first immediate management step?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Copious irrigation immediately
Chemical eye injury is time critical, and immediate prolonged irrigation takes priority over history and formal examination. Alkali can penetrate deeply and cause severe ocular damage.
Option by option
A. Patch the eye tightly
Patching does not remove the chemical.
B. Copious irrigation immediately (correct)
Correct. Immediate dilution and removal of the chemical is essential.
C. Measure visual acuity before any intervention
Visual assessment is important but should not delay irrigation.
D. Wait for ophthalmology before rinsing
Waiting permits continued tissue damage.
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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