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Conjunctivitis – Infective (ALL)
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1. What is the most common cause of infective conjunctivitis?
*
Allergens
Bacteria or viruses
Fungal infection
Dry eyes
2. Which discharge is typical in bacterial conjunctivitis?
*
Watery
Bloody
Thick and purulent
Stringy and clear
3. Which of the following is a key distinguishing sign of viral conjunctivitis?
*
Sticky discharge
Preauricular lymphadenopathy
Corneal opacity
Itching only
4. Which bacteria is a common cause of infective conjunctivitis in adults?
*
Pseudomonas
Staphylococcus aureus
Listeria
Clostridium
5. When is antibiotic treatment appropriate for infective conjunctivitis?
*
In all cases regardless of severity
Only if bacterial cause is suspected or severe symptoms present
Only in viral conjunctivitis
Only in children
6. What is the usual clinical course of uncomplicated infective conjunctivitis?
*
Rapid deterioration and vision loss
Permanent damage to the eye
Progression to orbital cellulitis
Spontaneous resolution in 1–2 weeks
7. Which topical antibiotic is commonly prescribed for bacterial conjunctivitis?
*
Chloramphenicol
Mupirocin
Ciprofloxacin
Acyclovir
8. What hygiene advice should be given to someone with infective conjunctivitis?
*
Avoid washing hands
Share towels
Avoid touching eyes
Rinse eyes with milk
9. Which population is at risk for gonococcal conjunctivitis?
*
Newborns
Sexually active teenagers
Postmenopausal women
Elderly adults
10. What symptom is typically NOT present in infective conjunctivitis?
*
Red eyes
Gritty sensation
Severe photophobia and pain
Discharge
11. Which viral pathogen commonly causes viral conjunctivitis?
*
HIV
HPV
Hepatitis C
Adenovirus
12. Infective conjunctivitis is usually which type of infection?
*
Self-limiting
Rapidly progressive
Rare
Always bilateral
13. When should a person with conjunctivitis avoid work or school?
*
Only with fever
If symptoms are severe or hygiene is poor
Always, regardless of symptoms
Never necessary
14. What should be avoided in viral conjunctivitis unless under specialist advice?
*
Cold compresses
Artificial tears
Topical steroids
Lubricants
15. Which of the following may indicate a more serious underlying cause?
*
Mild itch
Sudden pain and photophobia
Bilateral red-eye
Mild foreign body sensation
16. Which age group commonly develops infective conjunctivitis from Haemophilus influenzae?
*
Infants and children
Teenagers
Pregnant women
Adults over 60
17. When are culture and sensitivity tests indicated in conjunctivitis?
*
In every case
If symptoms are mild
If infection is severe, recurrent, or not responding to treatment
Only in children
18. Which is a potential complication of untreated bacterial conjunctivitis in rare cases?
*
Glaucoma
Orbital cellulitis
Blindness
Macular degeneration
19. Which symptom is most typical in viral over bacterial conjunctivitis?
*
Sticky discharge
Unilateral redness and itch
Pain
Watery discharge with coryza
20. What is the key first step in managing suspected infective conjunctivitis?
*
Prescribe antibiotics immediately
Refer urgently
Prescribe antihistamines
Assess severity and likely cause