YEAR 04 • MAJOR CLINICAL DISCIPLINES

Ophthalmology

20 learning units • 100 chapter sections • 200 explained questions. Assess visual symptoms, recognise sight-threatening disease and plan safe treatment, referral and follow-up.

Original RAHBAR study material for the Year 4 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 04 / 20

Conjunctivitis & Ocular Surface Disease

Assess discharge, irritation and tear-film disease while preserving diagnostic safety.

Answer all 10 questions, then submit to see your score and explanations. This is a self-study exercise; results are not saved.

Question 01. Which discharge pattern commonly accompanies viral conjunctivitis? A. A curtain in the fieldB. A fixed mid-dilated pupilC. Complete absence of any irritation in every caseD. Watery discharge

Question 02. Does mucopurulent discharge alone prove uncomplicated bacterial conjunctivitis? A. Yes, without further examinationB. No, assess vision, cornea and severityC. Yes, even with severe painD. Yes, even in every newborn

Question 03. Which advice helps reduce conjunctivitis transmission? A. Sharing eye dropsB. Continuing contaminated contact-lens wearC. Rubbing both eyes repeatedlyD. Hand hygiene and avoiding shared towels

Question 04. How should contact lenses be handled during active eye infection symptoms? A. Stop wear and obtain appropriate adviceB. Continue overnight wearC. Rinse them with salivaD. Share another person’s lenses

Question 05. Which symptom is typical of allergic conjunctivitis? A. Sudden painless monocular blindnessB. A new relative afferent pupil defectC. Bilateral itch and wateringD. A fixed curtain in vision

Question 06. Why should repeated ocular steroid treatment be monitored? A. It permanently prevents glaucomaB. It can raise pressure and cause other complicationsC. It has no systemic or ocular effectsD. It makes follow-up unnecessary

Question 07. Can dry eye cause watering? A. Yes, reflex tearing may occurB. No, tears exclude drynessC. Only after retinal detachmentD. Only with complete nasolacrimal obstruction

Question 08. What is appropriate for persistent unilateral conjunctival symptoms? A. Re-examine for an alternative causeB. Repeat antibiotics indefinitelyC. Diagnose allergy without examinationD. Ignore failure to improve

Question 09. Which conjunctivitis presentation requires urgent assessment? A. Mild longstanding seasonal itchB. Stable screen-related grittinessC. Marked discharge in a newbornD. Occasional watering in wind

Question 10. What should guide antibiotic choice for conjunctivitis when indicated? A. Likely organism, severity and local guidanceB. Bottle colour aloneC. The same prescription for every patientD. Treatment preference without examination

0 / 10 answered

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

College of Optometrists — Clinical management guidelines

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.