SBA Ophthalmological Conditions

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Ophthalmology SBA Questions

A 24-year-old presents with red, watery eyes and a gritty sensation. No visual changes or pain are reported. What is the most likely diagnosis?

  • Allergic conjunctivitis
  • Viral conjunctivitis
  • Bacterial conjunctivitis
  • Uveitis

Answer: Viral conjunctivitis

Viral conjunctivitis often presents with watery discharge and gritty sensation without pain or visual loss.

A 30-year-old patient reports burning and itching around the eyelids with crusting. What is the first-line treatment?

  • Warm compresses and eyelid hygiene
  • Topical antibiotics
  • Oral steroids
  • Lubricating eye drops

Answer: Warm compresses and eyelid hygiene

Blepharitis management starts with good eyelid hygiene and warm compresses.

A 50-year-old outdoor worker has a fleshy growth on the nasal side of the conjunctiva. What is the most likely diagnosis?

  • Pinguecula
  • Pterygium
  • Conjunctivitis
  • Corneal abrasion

Answer: Pterygium

Pterygium is a growth on the conjunctiva commonly seen in people exposed to UV light.

A patient presents with pain, redness, and swelling near the medial canthus with pus discharge. What is the most likely diagnosis?

  • Dacryocystitis
  • Orbital cellulitis
  • Blepharitis
  • Conjunctivitis

Answer: Dacryocystitis

Dacryocystitis is an infection of the lacrimal sac and typically presents with these symptoms.

A 35-year-old reports severe eye pain and photophobia after getting sand in the eye. Fluorescein staining reveals a corneal defect. What is the diagnosis?

  • Corneal abrasion
  • Conjunctivitis
  • Keratitis
  • Uveitis

Answer: Corneal abrasion

Corneal abrasions often result from foreign objects in the eye and cause significant pain.

A child with recent sinusitis presents with a swollen, red eyelid, restricted eye movement, and fever. What is the most likely diagnosis?

  • Orbital cellulitis
  • Dacryocystitis
  • Blepharitis
  • Conjunctivitis

Answer: Orbital cellulitis

Orbital cellulitis requires immediate treatment and often arises from sinus infections.

A contact lens user reports severe eye pain, redness, and blurred vision. Examination shows a corneal ulcer. What is the likely diagnosis?

  • Keratitis
  • Conjunctivitis
  • Blepharitis
  • Cataract

Answer: Keratitis

Keratitis often occurs due to improper contact lens hygiene and may lead to ulcers.

A construction worker presents with the sensation of something in the eye, redness, and tearing. What is the most appropriate next step?

  • Visual inspection and removal of the foreign body
  • Prescribe antibiotics
  • Immediate CT scan
  • Prescribe corticosteroids

Answer: Visual inspection and removal of the foreign body

A foreign body should be identified and removed carefully to avoid further damage.

An elderly patient complains of gradual vision loss and difficulty seeing at night. Slit-lamp examination shows lens opacity. What is the most likely diagnosis?

  • Cataract
  • Glaucoma
  • Macular degeneration
  • Diabetic retinopathy

Answer: Cataract

Cataracts are common in older adults and cause gradual vision impairment.

A 6-year-old presents with an eye that turns inward occasionally. What is the most likely diagnosis?

  • Strabismus
  • Glaucoma
  • Retinal detachment
  • Myopia

Answer: Strabismus

Strabismus in children can cause misalignment of the eyes and requires monitoring.

Total Score: 0/10