TCFA IP Assessment Practice Questions - Therapeutics Common Final Assessment In Independent Prescribing Exam

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A 24-year-old soft contact lens wearer presents with a 2-day history of a red, painful right eye. Slit lamp examination reveals a 0.8 mm focal peripheral corneal infiltrate with an overlying epithelial defect that stains with fluorescein. There is mild anterior chamber flare but no hypopyon. Which clinical feature most strongly distinguishes a microbial keratitis from a sterile contact lens-induced peripheral ulcer (CLPU)?

Presence of overlying fluorescein epithelial staining and significant pain Multiple bilateral peripheral anterior stromal infiltrates without pain Clear cornea between the infiltrate and the limbus with no conjunctival hyperaemia Absence of anterior chamber flare or cell reaction

Correct Answer:

Presence of overlying fluorescein epithelial staining and significant pain

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