Ophthalmology — UKMLA MCQ
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Correct answer: B — Arrange same-day ophthalmology assessment for infectious keratitis
The best answer is “Arrange same-day ophthalmology assessment for infectious keratitis”. A dendritic lesion suggests herpetic keratitis, but contact-lens use also raises bacterial risk. Both are sight-threatening and need same-day ophthalmic assessment and organism-appropriate treatment; topical corticosteroid without specialist direction can worsen herpetic disease. Corneal sampling may be required before organism-directed antimicrobial treatment.
Reference: Royal College of Ophthalmologists: Clinical guidelines: https://www.rcophth.ac.uk/standards-publications-research/clinical-guidelines/