Eye Pain and Visual Change 491447.A 72-year-old man presents with right eye pain for 1 day. The patient
has a history of diabetes, hypertension, and “some type of eye problem.” He
does not recall the name of his eye problem or the name of his ophthalmic
medication. However, he does remember that the eye drop has a yellow cap.
Which class of ophthalmic medication is the patient taking?
a. Antibiotic
b. β-Blocker
c. Mydriatic/cycloplegic agent
d. Miotic
e. Anesthetic
448.A 35-year-old woman presents with a right-sided red eye for 3 days.
She denies pain and notes that she has watery discharge from the eye. She has
been coughing and congested for the past 5 days. On examination, the patient
has a temperature of 98.4°F, HR of 72 beats per minute, BP of 110/70 mm Hg,
and RR of 14 breaths per minute. Her visual acuity is 20/20. On inspection,
the conjunctiva is erythematous with minimal chemosis and clear discharge.
The slit-lamp, fluorescein, and funduscopic examinations are otherwise unre-
markable. The patient has a nontender, preauricular lymph node and enlarged
tonsils, without exudates. What is the most likely diagnosis?
a. Gonococcal conjunctivitis
b. Bacterial conjunctivitis
c. Viral conjunctivitis
d. Allergic conjunctivitis
e. Pseudomonal conjunctivitis