FRCOphth Part 2 Written Practice Questions - Part 2 Written FRCOphth Examination Exam

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A 32-year-old contact lens wearer presents with a painful red eye, a 2 mm central corneal infiltrate with an overlying epithelial defect, and a hypopyon. What is the single most appropriate initial management?

Start topical aciclovir ointment five times daily Corneal scrape for microscopy and culture, then start intensive topical fluoroquinolone monotherapy Prescribe topical dexamethasone to reduce inflammation Patch the eye and review in 48 hours

Correct Answer:

Corneal scrape for microscopy and culture, then start intensive topical fluoroquinolone monotherapy

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