Question 1
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)?
Correct Answer:
Presence of overlying fluorescein epithelial staining and significant pain
Question 2
A 32-year-old female presents with acute unilateral deep eye pain, photophobia, and blurred vision in her left eye. Slit lamp examination shows ciliary flush, fine endothelial keratic precipitates (KPs), and 2+ cells in the anterior chamber. Intraocular pressure is 14 mmHg. What is the most likely diagnosis?
Correct Answer:
Acute anterior uveitis
Question 3
A 68-year-old hyperopic female presents to the emergency eye clinic with severe left peri-orbital pain, nausea, and halo vision around lights. On examination, the left cornea is hazy and edematous, the pupil is mid-dilated and unreactive to light, and applanation tonometry records an IOP of 54 mmHg in the left eye. What is the primary underlying anatomical mechanism of this acute presentation?
Correct Answer:
Pupillary block causing iridocorneal contact and trabecular meshwork occlusion
Question 4
A 72-year-old male with hypertension presents with a sudden, painless loss of vision in his right eye occurring 1 hour ago. Visual acuity is reduced to light perception. Ophthalmoscopy shows a pale, edematous retina with a prominent cherry-red spot at the macula and severe arteriolar attenuation. What is the definitive diagnosis?
Correct Answer:
Central retinal artery occlusion (CRAO)
Question 5
A 56-year-old female with long-standing rheumatoid arthritis complains of intense, deep, boring left eye pain that awakens her at night and radiates to her temple. Clinical examination reveals deep dark-red violaceous scleral injection. Instillation of phenylephrine 2.5% eye drops does not blanch the deep vessel plexus. What is the most appropriate diagnosis?
Correct Answer:
Anterior scleritis
Question 1
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Prepare with the TCFA IP Assessment Practice Questions - Therapeutics Common Final Assessment in Independent Prescribing Exam practice quiz. This question bank includes 100 questions covering year-old, presents, topical, right, and corneal. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, topical, right, and corneal. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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