Ocular trauma: globe rupture: 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.

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Ophthalmology · Ocular trauma: globe rupture

Sample item

After high-velocity eye trauma, a patient has reduced vision, irregular pupil, and extrusion of ocular contents. What is the appropriate action?

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

The answer and the reasoning

C. Shield the eye and arrange urgent surgical ophthalmology care

Suspected open-globe injury requires protection with a rigid shield, avoidance of pressure, antiemetic and analgesic care as appropriate, and urgent ophthalmic surgery. Manipulation can worsen extrusion.

Option by option

  • A. Instill fluorescein and send home

    This is not a minor abrasion suitable for discharge.

  • B. Apply pressure to examine the globe

    Pressure on a ruptured globe can worsen injury.

  • C. Shield the eye and arrange urgent surgical ophthalmology care (correct)

    Correct. Shielding avoids further pressure-related damage before surgery.

  • D. Remove any protruding tissue

    Protruding tissue should not be removed outside specialist surgery.

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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Questions about this Ophthalmology question

What is the answer to this Ophthalmology question?

The best answer is C, Shield the eye and arrange urgent surgical ophthalmology care. Suspected open-globe injury requires protection with a rigid shield, avoidance of pressure, antiemetic and analgesic care as appropriate, and urgent ophthalmic surgery.

Why is "Instill fluorescein and send home" not the answer?

This is not a minor abrasion suitable for discharge.

Why is "Apply pressure to examine the globe" not the answer?

Pressure on a ruptured globe can worsen injury.

Why is "Remove any protruding tissue" not the answer?

Protruding tissue should not be removed outside specialist surgery.

What concept does this question test?

It tests Ocular trauma: globe rupture in Ophthalmology. Manipulation can worsen extrusion.

How hard is this question?

We tag it as a multi-step question: it asks you to combine more than one idea. 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 Ocular trauma: globe rupture?

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.