Trauma: open globe: practice question

A Ophthalmology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Ophthalmology · Trauma: open globe

Sample item

A patient with suspected penetrating eye injury has a teardrop pupil and prolapsed uveal tissue. What is the correct first aid?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

A. Place a rigid shield without pressure and give nothing by mouth

Open globe injuries need protection with a shield that does not touch the eye, tetanus and antibiotic cover, and surgery. Pressure or tonometry could extrude intraocular contents.

Option by option

  • A. Place a rigid shield without pressure and give nothing by mouth (correct)

    Correct. A shield avoids pressure on the globe.

  • B. Remove the prolapsed tissue

    Prolapsed tissue should be repaired, not excised.

  • C. Apply a firm pressure pad

    Pressure can extrude contents.

  • D. Check IOP with a tonometer

    Tonometry is contraindicated in open globe.

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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Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is A, Place a rigid shield without pressure and give nothing by mouth. Open globe injuries need protection with a shield that does not touch the eye, tetanus and antibiotic cover, and surgery.

Why is "Remove the prolapsed tissue" not the answer?

Prolapsed tissue should be repaired, not excised.

Why is "Apply a firm pressure pad" not the answer?

Pressure can extrude contents.

Why is "Check IOP with a tonometer" not the answer?

Tonometry is contraindicated in open globe.

What concept does this question test?

It tests Trauma: open globe in Ophthalmology. Pressure or tonometry could extrude intraocular contents.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Trauma: open globe?

Group the red eye by what to examine and what the pupil does. Then use the flashcards and the other Ophthalmology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.