Question 1

A patient diagnosed with allergic conjunctivitis and prescribed a topical antihistamine-vasoconstrictor medication reports worsening symptoms. What is the provider's next step in managing this patient's symptoms?

A) Consider prescribing a topical mast cell stabilizer.
B) Determine the duration of treatment with this medication.
C) Prescribe a non-sedating oral antihistamine.
D) Refer the patient to an ophthalmologist for further care.

B

Accepted Answer

B

Question 2

A patient who has symptoms of a cold develops conjunctivitis. The provider notes erythema of one eye with profuse, watery discharge and enlarged anterior cervical lymph nodes, along with a fever. Which treatment is indicated?

A) Antihistamine-vasoconstrictor drops
B) Artificial tears and cool compresses
C) Topical antibiotic eye drops
D) Topical corticosteroid drops

B

Accepted Answer

The symptoms described are indicative of viral conjunctivitis, often associated with colds and characterized by watery discharge, erythema, and possibly fever and enlarged lymph nodes. Treatment focuses on relief of symptoms, as there is no specific antiviral treatment for most viral conjunctivitis. Artificial tears and cool compresses can help alleviate discomfort. Antibiotics are not effective against viruses, and corticosteroids can potentially worsen the infection. Antihistamine-vasoconstrictor drops are more suited for allergic conjunctivitis.

Question 3

A patient reports bilateral burning and itching eyes for several days. The provider notes a boggy appearance to the conjunctivae, along with clear, watery discharge. The patient's eyelids are thickened and discolored. There are no other symptoms. Which type of conjunctivitis is most likely?

A) Allergic
B) Bacterial
C) Chemical
D) Viral

A

Accepted Answer

The symptoms and physical exam findings suggest allergic conjunctivitis, which can cause itching, redness, discharge, and swelling of the conjunctivae and eyelids. Bacterial conjunctivitis usually presents with thicker, yellow or green discharge, while viral conjunctivitis can cause redness, tearing, and swelling of the lymph nodes, and chemical conjunctivitis typically results from exposure to irritants or chemicals.

Deck 55: Conjunctivitis