Conjunctivitis Flashcards
The conjunctiva is a thin clear membrane lining the sclera that is continuous with the inner lining of both upper and lower lids. There are 3 parts of the conjunctiva, which one is NOT one of these?
1 - eyelid conjunctiva
2 - bulbar conjunctiva
3 - conjunctival fornix
4 - palpebral conjunctiva
1 - eyelid conjunctiva
Which of the following is NOT a cause of conjunctivitis?
1 - Viral
2 - Bacterial
3 - Allergic
4 - Chlamydial
5 - Malignancy
5 - Malignancy
Do patients present with unilateral, bilateral or can be both with conjunctivitis?
- can be all of these
In conjunctivitis, which of the following is NOT normally present?
1 - red eye
2 - gritty/foreign object feeling
3 - severe pin
4 - associated with a cold
3 - severe pin
When comparing the different types of conjunctivitis, which of the following would present with a yellow discharge?
1 - Viral
2 - Bacterial
3 - Allergic
4 - Chlamydial
2 - Bacterial
When comparing the different types of conjunctivitis, which of the following would present with ?
is most likely to present with itchy eyes?
1 - Viral
2 - Bacterial
3 - Allergic
4 - Chlamydial
3 - Allergic
Allergic conjunctivitis is often associated with history of atopy such Asthma or Eczema
When comparing the different types of conjunctivitis, which of the following would present with a mainly watery symptoms?
1 - Viral
2 - Bacterial
3 - Allergic
4 - Chlamydial
1 - Viral
This is very contagious
When comparing the different types of conjunctivitis, which of the following would would NOT typically respond to standard treatments?
1 - Viral
2 - Bacterial
3 - Allergic
4 - Chlamydial
4 - Chlamydial
If non resolving conjunctivitis, a swab needs to be taken.
May see follicles (lymph node aggregates) that look like grains of rice
Patients referred to GU clinic for contact tracing and treatment. This will also treat their eye condition.
In both viral and bacterial conjunctivitis, how long does it take for these to resolve?
1 - 1-5 days
2 - 3-7 days
3 - 10-14 days
4 - 7-21 days
3 - 10-14 days
Lubricating eye drops may be useful to alleviate symptoms
Most cases of viral and bacterial conjunctivitis are self limiting, however, in bacterial conjunctivitis wha eye drops would be give?
1 - Metoclopramide
2 - Chloramphenicol
3 - Chlorpromazine
4 - Cyclizine
2 - Chloramphenicol
4 x day for 10-14 days
Which 2 of the following are most commonly given to treat patients with allergic conjunctivitis?
1 - steroids
2 - lubricating eye drops
3 - olopatadine
4 - vitamin A
2 - lubricating eye drops
3 - olopatadine
- selective histamine H1 antagonist
A weak steroid may be used in severe cases
Ophthalmia neonatorum (neonatal conjunctivitis) is a form of neonatal conjunctivitis causing the eyes to look inflamed with discharge and swollen lids. This typically presents when?
1 - <24h
2 - <1 week
3 - <1 month
4 - <1 year
3 - <1 month
Ophthalmia neonatorum (neonatal conjunctivitis) is a form of neonatal conjunctivitis causing the eyes to look inflamed with discharge and swollen lids. What is the most common cause of this?
1 - infection during vaginal delivery
2 - infected during pregnancy due to chorioamnionitis
3 - congenitally transmitted from mum
4 - all of the above
1 - infection during vaginal delivery
All of the following are common causes of ophthalmia neonatorum, neonatal conjunctivitis, causing the eyes to look inflamed with discharge and swollen lids, EXCEPT which one?
1 - Neisseria gonorrhoea
2 - Chlamydia trachomatis
3 - Escherichia coli
4 - Herpes simplex
3 - Escherichia coli
Of the 3 below, which of these can cause corneal scarring and ulceration and some cases perforation leading to long term visual impairment in ophthalmia neonatorum (neonatal conjunctivitis)?
1 - Neisseria gonorrhoea
2 - Chlamydia trachomatis
3 - Herpes simplex
1 - Neisseria gonorrhoea
