AKT-2173
A 3-day-old baby develops severe conjunctivitis in both eyes. The eyes are red and the baby is unwell.
Which of the following is the single true statement?
Archives: MRCGP AKT
AKT-2174
A 72-year-old man has a painful erythematous vesicular rash over the right side of his face. It extends over his right eye and forehead and over his scalp on that side. The left side is unaffected. It started approximately 24 hours ago. He is feeling unwell and has a slight temperature and his eye is painful and red.
Select from the list the single correct statement about this condition.
AKT-2175
A 35-year-old man, known to have been referred to ophthalmology and awaiting the appointment for his right pterygium, attends.
He was referred to the ophthalmologist by his Optician because the pterygium is encroaching on his visual axis. He is complaining of constant irritation, but there is no inflammation of the eye. There is no ocular pain or discharge.
What is the best next step of management?
AKT-2176
A 50-year-old labourer comes to you with a complaint of noticing that his conjunctiva has grown onto the cornea at 4 o’clock position in his left eye for the past two weeks. He reports feeling a gritty sensation most of the time, but his vision is unaffected. On examination, you observe that the growth is at the very periphery of the cornea, far away from the pupil visual axis, and the affected eye doesn’t appear inflamed.
What is the most appropriate next step in management?
AKT-2177
A 21-year-old woman presents with a one week history of anisocoria, the right pupil being larger than the left. This was initially noticed by her concerned mother, who insisted that she come to see you for advice.
She also brought with her a recent close-up photograph of herself taken one month ago which showed equal size pupils. She doesn’t complain of any headaches or diplopia or reduced vision. She is otherwise fit and healthy.
On examination, the anisocoria is more pronounced in a well lit room than a dim lit room. The eyes appeared white and not inflamed.
Which one of the following statements best describes the patient’s condition?
AKT-2178
A 21-year-old man visits his General Practitioner complaining of visual disturbance. He experienced a temporary loss of vision for approximately one hour, but his vision has since returned to normal. He did not report any headache. Upon evaluation and examination, the doctor suspects a diagnosis of retinal migraine.
What is a characteristic feature of this condition?
AKT-2179
A 55-year-old man has recently joined the practice after moving with his job from another region. He reports experiencing deteriorating vision and struggles with mobility, particularly at night. He was previously diagnosed with retinitis pigmentosa. During the examination, he wears thick glasses, and his visual acuity is 6/9 in both eyes (meaning he can read most of the Snellen chart). What is the most suitable management option? Choose ONE option only.
AKT-2180
A 55-year-old, seemingly healthy woman presents to your clinic reporting that she was surprised to find her left eye filled with blood when she woke up this morning. She denies any ocular discomfort and states that her vision is unaffected. There is no discharge from the eye and no active bleeding. Upon examination, you note the presence of a subconjunctival hemorrhage.
What is the most appropriate course of action to take next?
AKT-2181
A 60-year-old woman has been recently diagnosed with chronic open-angle glaucoma. The Ophthalmologist also comments that she has mild bilateral cataracts. When light from a pen torch is shone into the left eye, both pupils constrict. When the torch is moved to the right eye, both pupils appear to be more dilated.
Which of the following most correctly identifies the significance of this finding?
AKT-2182
A 75-year-old woman with a history of polymyalgia rheumatica presents to her General Practitioner with a sudden loss of vision in her right eye. For the previous few days, she had been suffering from right-sided temporal headache, muscle aches and tiredness. She also noticed her jaw was getting painful after a few minutes of chewing.
What single investigation would most strongly support the most likely diagnosis?