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 30-year-old woman presents to the emergency department with sudden onset severe pain, redness, and copious purulent discharge from her right eye for the past 24 hours. She also reports blurry vision in the affected eye. The patient is sexually active and recently had unprotected intercourse with a new partner. She denies any history of trauma to the eye, chemical exposure, allergies, or similar past episodes. Visual acuity is 20/50 in the right eye, 20/20 on the left. On physical examination of the right eye there is marked conjunctival injection, chemosis, significant eyelid edema, and profuse purulent discharge. There is tender preauricular lymphadenopathy on the right side. The left eye is within normal limits. Which of the following is the best next step in management?

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Supportive care with artificial tears and cold compresses

Oral antihistamines and topical mast cell stabilizers

Topical antibiotics and follow-up in one week

Nucleic acid amplification testing of eye discharge and systemic antibiotics

Schirmer test to assess tear production