Conjunctival disorders Quiz: Ace Your Exams

Get ready to dominate your medical and nursing exams by using our dynamic quizzes to elevate your knowledge and increase your confidence. Whether you're gearing up for the USMLE®, COMLEX®, or your next in-class assessment, Osmosis quizzes tackle key topics in pathology, diagnostics, and treatment approaches. By honing in on clinical readiness and decision-making, we make sure the knowledge you gain empowers you both in the classroom and in real-world practice. Jump in and supercharge your exam prep!

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A 52-year-old woman presents to the primary care clinic with bilateral eye redness and a gritty sensation in both eyes for the past month. She describes a frequent dry feeling in her eyes, which worsens throughout the day. She denies significant eye pain, photophobia, or discharge. There is no history of recent eye trauma, chemical exposure, or recent upper respiratory infections. She has a past medical history of an overactive bladder and has been taking tolterodine several times daily for the past two months. Vitals are within normal limits. Visual acuity is 20/30 bilaterally. On physical examination, there is bilateral conjunctival injection. Schirmer test is positive. Which of the following is the best next step in management?

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Discontinue tolterodine

Artificial tears and follow-up in one week

Topical antibiotics

Ocular lubricants and follow-up in one week

Topical antihistamines