1. 45 year old woman presents to your office with a complaint of itching, burning, eyes. She
states that her discomfort started 3 days ago in her left
... [Show More] eye. On examination you note that
there is an injection of both sclera. There a small amount of water drainage. Which of the
following is the most critical to include your physical exam?
a. Extraocular Vision assessment
b. visual acuity assessment
c. ocular pressure assessment
d. prereferral vision assessment
2. 50 year old Carpenter presents to your office with the complaint of feeling as if he has
sand in his right eye. Upon questioning he states that he was operating a table saw
yesterday in might have gotten saw dust in his eye. When you preform a fluorescein test
you note 2 small linear areas of uptake that appear very shallow. You prescribe
tobramycin ointment, half an inch 3 times a day and ask him to return the next day. He
returns the following day and states that his discomfort is worse. Your next course of
action should be?
a. Cipro ophthalmic solution
b. Normal Saline eye wash
c. Urgent referral to opthalmogist
d. Fluoromethylone ointment
3. Ms. Johnson presents with erythema and crusting of her left eye lid margin. Sclera and
conjunctiva are clear. There are no masses, lesion or pustules present on the lid margins,
She also describes an itchy, watery, burning sensation. Denies any visual changes. Ms.
Johnson symptoms are most consistent with?
a. Hordeolum
b. Chalazion
c. Conjunctivitis
d. Blepharitis
4. You diagnose Ms. Pellum with otitis media. She has no significant past medical history
and no allergies. She does not take any medication. You prescribe her Amoxicillin 875
BID x10. Ms. Pellum calls after 3 days of treatment and reports that she continues to have
otalgia, a fever over 101 and a sore throat. What would be your next step in the
management of this patient?
a. Instruct the patient to continue with the Amox for the 10 day course
b. Discontinue [Show Less]