OSCE Conditions in Ophthalmology: Conjunctivitis Symptoms and Treatment
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Questions and Answers

What is the main differentiating symptom between bacterial/viral conjunctivitis and allergic conjunctivitis?

  • Gritty feeling
  • Watery discharge (correct)
  • Mucopurulent discharge
  • Itching

Which type of conjunctivitis usually affects both eyes initially?

  • Bacterial conjunctivitis
  • Allergic conjunctivitis
  • Trauma-induced conjunctivitis
  • Viral conjunctivitis (correct)

What is the recommended treatment for bacterial/viral conjunctivitis in individuals above 2 years old?

  • Antihistamine
  • Chloramphenicol 1% w/v eye drops/ointment (correct)
  • Cool compress
  • Sodium cromoglicate

What should individuals with bacterial/viral conjunctivitis avoid doing during the infection?

<p>Wearing contacts until infection clears (A)</p> Signup and view all the answers

Which symptom indicates the presence of allergic conjunctivitis?

<p>Itching (C)</p> Signup and view all the answers

What should be done if there is no improvement after 48 hours in a patient with conjunctivitis?

<p>Consult an optometrist immediately (D)</p> Signup and view all the answers

What is the recommended treatment for Ringworm caused by dermatophyte trichophyton?

<p>Topical anti-fungal cream (B)</p> Signup and view all the answers

How long should one stay away from school or work when infected with a notifiable disease?

<p>3 days (C)</p> Signup and view all the answers

What is the recommended antibiotic for Henoxymethyl penicillin times a day for ten days or amoxicillin?

<p>Azithromycin (D)</p> Signup and view all the answers

What is the common symptom that appears 5 days before the rash in cases of Ringworm?

<p>Swollen glands in the neck (C)</p> Signup and view all the answers

What does Tinea corporis refer to?

<p>Fungal infection on the body (A)</p> Signup and view all the answers

What is a common symptom of both the common cold and influenza?

<p>Nasal congestion (D)</p> Signup and view all the answers

Which medication mentioned in the text can reduce the severity and duration of flu symptoms?

<p>Oseltamivir (C)</p> Signup and view all the answers

What is a recommended prophylactic measure for the flu, especially for those at high risk or over 65 years old?

<p>Getting a flu vaccine (A)</p> Signup and view all the answers

What is the common complication that may develop following a cold and may require treatment with antibiotics?

<p>Otitis (C)</p> Signup and view all the answers

What should be avoided to prevent dehydration during cold or influenza?

<p>Sharing drinks or cutlery (D)</p> Signup and view all the answers

What is the recommended treatment for fever and malaise during a cold or influenza?

<p>Simple analgesics like paracetamol (C)</p> Signup and view all the answers

What is a common symptom of Influenza infection?

<p>Nausea and vomiting (D)</p> Signup and view all the answers

Which medication is recommended for decongestion in Influenza patients aged 6 or above?

<p>Phenylephrine (C)</p> Signup and view all the answers

What is a common complication of Influenza that can result in pneumonia?

<p>High fever that persists (C)</p> Signup and view all the answers

Which of the following is a recommended self-care measure for a sore throat caused by beta-hemolytic streptococci?

<p>Drinking plenty of fluids (B)</p> Signup and view all the answers

Which age group should avoid systemic sympathomimetics like Phenylephrine or Pseudoephedrine due to potential side effects?

<p>Under 12 years old (D)</p> Signup and view all the answers

What is a distinguishing feature of cough drops administration mentioned in the text?

<p>Tilting head down facing the floor (A)</p> Signup and view all the answers

What is the recommended treatment if the affected area is inflamed for 7 days?

<p>Hydrocortisone cream (B)</p> Signup and view all the answers

What should be avoided to prevent transmission in case of conditions like scabies?

<p>Sharing towels (D)</p> Signup and view all the answers

In case dandruff is still present after using anti-dandruff shampoo for more than a month, what further actions can be taken?

<p>Try permethrin or malathion (C)</p> Signup and view all the answers

What should be done if scabies has been eradicated?

<p>Apply hydrocortisone cream all over the body (C)</p> Signup and view all the answers

For what condition is crotamiton 10% cream used?

<p>Scabies relief (D)</p> Signup and view all the answers

What is the recommended frequency of application for ketoconazole nizoral shampoo in prevention?

<p>Once a week (C)</p> Signup and view all the answers

Which medication is typically used to soothe and hydrate the skin?

<p>Emollients (A)</p> Signup and view all the answers

'Alopecia areata' is a condition associated with what symptom?

<p>'Red, scaly advancing edge' (B)</p> Signup and view all the answers

'Dandruff' often manifests with what characteristic on the scalp?

<p>'Clear central area' (D)</p> Signup and view all the answers

Study Notes

Ophthalmology

  • Bacterial Conjunctivitis:
    • Typically affects both eyes
    • Symptoms include mucopurulent discharge, causing eyes to stick together
    • Treatment: Chloramphenicol 1% w/v eye drops or ointment for 5 days
  • Viral Conjunctivitis:
    • Typically affects one eye initially, then the other
    • Symptoms include watery discharge
    • Treatment: Chloramphenicol 1% w/v eye drops or ointment for 5 days
  • Allergic Conjunctivitis:
    • Affects both eyes
    • Symptoms include itching, foreign body sensation, and watery discharge
    • Treatment: Sodium cromoglicate or antihistamine

Ringworm

  • Caused by dermatophyte trichophyton
  • Symptoms: swollen glands in neck, rash with pink/red lesions, slightly raised, annular/ring-shaped patches
  • Treatment: Terbafine, topical anti-fungal cream

Subconjunctival Haemorrhage

  • Caused by rupture of blood vessel in eye due to trauma, straining, or stress
  • Symptoms: no pain, may cause drowsiness, photophobia
  • Treatment: resolves on its own within 10-14 days

Common Cold and Influenza

  • Common Cold:
    • Symptoms: initial discomfort in eyes, nose, and throat, sneezing, nasal discharge, congestion, mild fever
    • Recovery: 4-10 days
  • Influenza:
    • Symptoms: rapid onset, shivering, headache, myalgia, vertigo, back pain, fever
    • Recovery: 7-10 days
  • Treatment: rest, stay warm, drink plenty of fluids, use disposable tissues, avoid sharing drinks and cutlery

Sore Throat

  • Caused by beta haemolytic streptococci
  • Symptoms: dry throat, pain when swallowing, hoarseness, redness and swelling at back of throat
  • Treatment: painkillers (paracetamol, ibuprofen), lozenges (benzylamine hydrochloride), self-limiting, antibiotics not effective

Dandruff

  • Symptoms: red, scaly, itchy scalp
  • Treatment: salicylic acid, ketoconazole, nizoral application

Scabies

  • Caused by mite Sarcoptes scabei
  • Symptoms: intensely itchy skin rash
  • Treatment: permethrin, malathion

Alopecia Areata

  • Symptoms: patchy hair loss, inflammatory cells attacking hair follicles
  • Treatment: minoxidil, finasteride

Eczema

  • Caused by climate change, pollution, allergies
  • Symptoms: itchy, scaly, red skin
  • Treatment: emollients, hydrocortisone 1%, topical corticosteroids

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Prepare for OSCE scenarios related to ophthalmology by testing your knowledge on bacterial conjunctivitis, viral conjunctivitis, and allergic conjunctivitis. Understand the differences in symptoms, causes, and treatment options for these conditions.

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