An 18-Year-Old Previously Healthy Woman Comes to the Office Due

question 138

Multiple Choice

An 18-year-old previously healthy woman comes to the office due to redness and discharge from both eyes for the past several days.  The patient also has itchiness and irritation in the eyes and has awakened with crusting in the morning.  She has had a runny nose and sneezing for the last 4 days but no fever, eye pain, or photophobia.  She does not wear contact lenses and her vision is unchanged.  The patient is visiting her aunt, who has 2 small children; they are not ill but have a pet cat.
Eye examination reveals diffuse bilateral conjunctival erythema and edema with clear discharge.  Pupils are equal and reactive bilaterally.  Vision acuity is normal.  No corneal opacities are present and the anterior chambers appear grossly normal.
Which of the following is the best next step in management of this patient?

• A)Reassurance only
• B)Topical antibiotic
• C)Topical antihistamine
• D)Topical corticosteroid
• E)Topical cyclosporine

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Definitions:

RC Parallel Circuit

An electrical circuit configuration consisting of resistors (R) and capacitors (C) connected in parallel, affecting current and voltage differently.

R

Symbol commonly used to denote resistance in electrical circuits, measured in ohms (Ω).

Power Factor

The ratio of the real power flowing to the load to the apparent power in the circuit, indicating how effectively electrical power is converted into useful work output.

RC Parallel Circuit

An electrical circuit composed of resistors (R) and capacitors (C) connected in parallel, affecting the total impedance seen by an alternating current (AC) source.