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Ophthalmology · Ocular surface
Sample itemWhich lid condition commonly worsens evaporative dry eye?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
D. Meibomian gland dysfunction
Meibomian gland dysfunction reduces the lipid tear layer, increasing evaporation and causing irritation, fluctuating vision, and lid-margin changes.
Option by option
A. Acute angle closure
Angle closure raises pressure acutely.
B. Retinal detachment
Retinal detachment is posterior segment.
C. Optic neuritis
Optic neuritis affects optic nerve.
D. Meibomian gland dysfunction (correct)
Correct: lipid-layer deficiency increases evaporation.
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.