Uvea: hyphaema management: practice question

A Ophthalmology question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

Try it

Ophthalmology · Uvea: hyphaema management

Sample item

A boy has a hyphaema after a cricket ball injury. Which advice is correct?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

D. Rest with head elevated, avoid aspirin and NSAIDs, and monitor IOP

Hyphaema is managed with bed rest, head elevation to settle blood inferiorly, a shield, cycloplegics and steroids, with IOP monitoring. Aspirin and NSAIDs increase the risk of rebleeding. Sickle cell patients are at risk of raised IOP and optic neuropathy at lower pressures.

Option by option

  • A. Give aspirin for pain

    Aspirin increases the rebleed risk.

  • B. Immediate paracentesis in all cases

    Surgery is for high IOP, total hyphaema or corneal staining.

  • C. Apply a firm pad and encourage activity

    Activity increases the risk of rebleed.

  • D. Rest with head elevated, avoid aspirin and NSAIDs, and monitor IOP (correct)

    Correct. This reduces rebleeding risk.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More Ophthalmology questions

Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is D, Rest with head elevated, avoid aspirin and NSAIDs, and monitor IOP. Hyphaema is managed with bed rest, head elevation to settle blood inferiorly, a shield, cycloplegics and steroids, with IOP monitoring.

Why is "Give aspirin for pain" not the answer?

Aspirin increases the rebleed risk.

Why is "Immediate paracentesis in all cases" not the answer?

Surgery is for high IOP, total hyphaema or corneal staining.

Why is "Apply a firm pad and encourage activity" not the answer?

Activity increases the risk of rebleed.

What concept does this question test?

It tests Uvea: hyphaema management in Ophthalmology. Aspirin and NSAIDs increase the risk of rebleeding. Sickle cell patients are at risk of raised IOP and optic neuropathy at lower pressures.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Uvea: hyphaema management?

Group the red eye by what to examine and what the pupil does. Then use the flashcards and the other Ophthalmology questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.