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Ophthalmology · Conjunctival disorders
Sample itemWhich presentation is most consistent with allergic conjunctivitis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Bilateral itchy watery red eyes
Allergic conjunctivitis is usually bilateral and causes prominent itch, watery discharge, redness, and chemosis after allergen exposure; significant pain or visual loss suggests another diagnosis requiring urgent review.
Option by option
A. Severe unilateral eye pain with reduced vision
Painful reduced vision is not typical and can indicate a corneal or intraocular emergency.
B. A fixed irregular pupil after trauma
An irregular traumatic pupil needs urgent ocular assessment.
C. Bilateral itchy watery red eyes (correct)
Correct: bilateral itch and watery redness fit allergic conjunctivitis.
D. Flashes and a curtain over vision
Flashes with a curtain raise concern for retinal detachment.
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.
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