Archives: Medical Student Finals

MSFinals-3757

A 20-year-old man visits his GP complaining of a red and irritated left eye with watering and discharge that has been going on for four days. He wakes up in the morning with his eyes stuck together and notices thick yellowish mucoid material. He denies any contact with sick people or exposure to similar symptoms and has not had an upper respiratory tract infection recently. The patient has a medical history of asthma, allergic rhinosinusitis, and eczema, and he takes loratadine, a salbutamol inhaler, a beclomethasone inhaler, and topical emollients. He wears contact lenses. What is the most probable diagnosis?

MSFinals-3758

A 23-year-old woman presents to the emergency department with complaints of hand clumsiness and photophobia that started a day ago. Her colleagues have noticed her struggling to find words for the past two weeks, but she hasn’t noticed it herself. She had a dry cough two weeks ago, which has since resolved. She has no known allergies, no regular medications, and no past medical history.

During the examination, some double vision is observed when assessing the right peripheral visual field. Other than that, there are no significant findings. Due to her photophobia, limited fundoscopy is performed, which reveals blurring of the optic disc margin and venous engorgement.

What further tests or procedures should be conducted at this point?

MSFinals-3759

A 23-year-old nursing student is experiencing intense pain in their left eye after returning from a clinical placement in South America. When asked, they admitted to swimming with their contact lens in freshwater. Upon examination, their left eye appeared slightly red, but no other significant clinical signs were observed. What is the probable organism responsible for their symptoms?

MSFinals-3760

An ophthalmology clinic is treating a 75-year-old man with bilateral primary open-angle glaucoma. Despite using latanoprost eye drops, his intraocular pressures remain high. The ophthalmologist now needs to add a second topical agent to reduce intraocular pressure by decreasing the rate of aqueous humour production. What class of drug should be considered next?

MSFinals-3761

A 68-year-old man with elevated intraocular pressure is prescribed dorzolamide eye drops. What is the mechanism of action of this medication?

MSFinals-3762

A 55-year-old woman with a history of type I diabetes visits her GP complaining of a 4-day decrease in visual acuity on her left side. During the examination, she reports that the object used appears to have a different color when using her left eye compared to her right eye. What is the probable diagnosis?

MSFinals-3763

A 78-year-old male presents to the ophthalmology clinic with a recent complaint of difficulty seeing objects up close, particularly at night. His general practitioner referred him for evaluation. During fundoscopy, the doctor observes distinct red patches. The patient has a medical history of hypertension and is a lifelong smoker. What is the most probable diagnosis, and what is the most suitable treatment?

MSFinals-3764

A 48-year-old man visits his doctor complaining of vision problems. He has been experiencing difficulty while driving for the past few months, as he is unable to see cars approaching him from the sides of his vision. He suspects that this may also be the cause of his occasional headaches, but he does not report any pain around his eyes or any current headache. The patient has a history of peripheral vascular disease, type II diabetes, and short-sightedness, and he often neglects to wear his glasses. What is the most probable diagnosis?

MSFinals-3765

A 27-year-old woman visits her GP with complaints of itchy eyes. She reports a sensation of grittiness in both eyes and observes that they stick together in the morning. The grittiness is most severe upon waking up. She denies experiencing any other symptoms.
What is the probable diagnosis based on her presentation?

MSFinals-3766

A 55-year-old man visits his optometrist for a check-up. He has hyperopia and his current prescription is +3/+3.25 without any astigmatism or myopia. What is the primary eye condition that this patient is susceptible to with his present eye condition?