This 36-year-old woman presents with the complaint of dacryorrhea and irritation OS for about 48 hours. She has a thick mucous discharge that sticks the lids together overnight. Vision seems fine except for blurring by mucus. She denies trauma or ocular pathology. No symptoms of URI or allergy. She has no photophobia and has not been around anyone with pinkeye. The conjunctiva (OS) is diffusely hyperemic, and there is chemosis (edema of the conjunctiva) and moderate lid edema. Traces of mucopurulent discharge are evident on the lid. Exam with Pontocaine (local anesthetic) and fluorescein reveals no corneal abrasions or ulceration. No foreign bodies are noted on the palpebral conjunctiva. PERRLA. Ocular fundus is normal. Slit- lamp examination shows no pathology in the cornea, anterior chamber, or lens. Tonometry is deferred. Far point vision testing with the Snellen chart is 20/20 in each eye. Diagnosis is acute bacterial conjunctivitis OS. 1. What are the patient's main symptoms? A. Blurred vision and itchy eyes B. Right eye irritation and excessive tearing C. Left eye irritation and excessive tearing" D. Both eyes are tearing and irritated 2. Where is the eye problem? A. In the cornea of the right eye B. Under the eyelids of both eyes C. In the cornea of the left eye D. The conjunctiva and lid of the left eye* 3. Hyperemic means: A. Not enough blood is flowing to the area B. Too much blood is flowing to an area* C. There is blood and pus in the area D. The conjunctiva is purulent 4. What is the condition of the patient's pupils? A. Pupils were not tested B. No foreign bodies were found in the pupils C. No abrasions or ulcerations noticed D. Pupils equal, round, reactive to light and accommodation *.

1. This 36-year-old woman presents with the complaint of dacryorrhea and irritation OS for about
48 hours. She has a thick mucous discharge that sticks the lids together overnight. Vision seems
fine except for blurring by mucus. She denies trauma or ocular pathology. No symptoms of URI
or allergy. She has no photophobia and has not been around anyone with pinkeye. The
conjunctiva (OS) is diffusely hyperemic, and there is chemosis (edema of the conjunctiva) and
moderate lid edema. Traces of mucopurulent discharge are evident on the lid. Exam with
Pontocaine (local anesthetic) and fluorescein reveals no corneal abrasions or ulceration. No
foreign bodies are noted on the palpebral conjunctiva. PERRLA. Ocular fundus is normal. Slit-
lamp examination shows no pathology in the cornea, anterior chamber, or lens. Tonometry is
deferred. Far point vision testing with the Snellen chart is 20/20 in each eye. Diagnosis is acute
bacterial conjunctivitis OS. 1. What are the patient's main symptoms? A. Blurred vision and
itchy eyes B. Right eye irritation and excessive tearing C. Left eye irritation and excessive
tearing" D. Both eyes are tearing and irritated 2. Where is the eye problem? A. In the cornea of
the right eye B. Under the eyelids of both eyes C. In the cornea of the left eye D. The conjunctiva
and lid of the left eye* 3. Hyperemic means: A. Not enough blood is flowing to the area B. Too
much blood is flowing to an area* C. There is blood and pus in the area D. The conjunctiva is
purulent 4. What is the condition of the patient's pupils? A. Pupils were not tested B. No foreign
bodies were found in the pupils C. No abrasions or ulcerations noticed D. Pupils equal, round,
reactive to light and accommodation *