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Mr. Roberts, a 65-year-old male. presents to the emergency department with sudden onset of severe pain in his right eye. blurred vision, seeing halos around lights, nausea, and vomiting. His right eye is red the cornea appears cloudy, and his intraocular pressure is elevated. What is the most likely diagnosis?

A.

Conjunctivitis

B.

Acute angle-closure glaucoma

C.

Retinal detachment

D.

Migraine with aura

Answer and Explanation

The Correct Answer is B

A. Conjunctivitis. Conjunctivitis generally presents with redness and discharge but does not cause elevated intraocular pressure, severe pain, or visual disturbances like halos.

 

B. Acute angle-closure glaucoma. Acute angle-closure glaucoma is characterized by sudden severe eye pain, blurred vision, halos around lights, nausea, and vomiting, along with elevated intraocular pressure and a cloudy cornea.

 

C. Retinal detachment. Retinal detachment may cause sudden vision loss or flashing lights but typically lacks pain, nausea, or vomiting, and does not affect intraocular pressure.

 

D. Migraine with aura. A migraine with aura may cause visual disturbances but does not present with eye pain, red eye, or elevated intraocular pressure.


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View Related questions

Correct Answer is B

Explanation

A. Conjunctivitis. Conjunctivitis generally presents with redness and discharge but does not cause elevated intraocular pressure, severe pain, or visual disturbances like halos.

B. Acute angle-closure glaucoma. Acute angle-closure glaucoma is characterized by sudden severe eye pain, blurred vision, halos around lights, nausea, and vomiting, along with elevated intraocular pressure and a cloudy cornea.

C. Retinal detachment. Retinal detachment may cause sudden vision loss or flashing lights but typically lacks pain, nausea, or vomiting, and does not affect intraocular pressure.

D. Migraine with aura. A migraine with aura may cause visual disturbances but does not present with eye pain, red eye, or elevated intraocular pressure.

Correct Answer is ["B","C","D","E"]

Explanation

A. Family history. Family history is a non-modifiable risk factor for heart disease, as it is genetic and cannot be changed.

B. Smoking. Smoking is a modifiable risk factor. Quitting smoking can significantly reduce the risk of heart disease.

C. Sedentary Lifestyle. Physical inactivity is a modifiable risk factor. Increasing activity levels can help lower the risk of heart disease.

D. Diabetes. While diabetes itself may be a chronic condition, managing blood sugar through diet, medication, and lifestyle changes can reduce heart disease risk.

E. Hypertension. Hypertension is a modifiable risk factor. Controlling blood pressure through medication, diet, and exercise can reduce heart disease risk.

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