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Ophthalmology · Cornea
Sample itemWhich contact-lens complaint needs same-day assessment for microbial keratitis?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
C. Painful red eye with photophobia and reduced vision
Contact lens wear increases risk of sight-threatening microbial keratitis; pain, photophobia, corneal opacity, or reduced vision require urgent examination.
Option by option
A. Painless eyelid twitching
Eyelid twitching is usually benign muscle fasciculation.
B. Mild itch after removing lenses
Mild itch alone is less specific for keratitis.
C. Painful red eye with photophobia and reduced vision (correct)
Correct: painful visual loss in a lens wearer is a corneal emergency.
D. Stable long-sightedness
Refractive error is not an acute corneal infection sign.
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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