Breast cancer suspicion — MRCGP AKT MCQ
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Correct answer: C — Systemic antiviral treatment and urgent eye assessment
The best answer is “Systemic antiviral treatment and urgent eye assessment”. Hutchinson sign indicates nasociliary involvement in herpes zoster ophthalmicus and a greater risk of ocular inflammation. Systemic antiviral therapy is started promptly and urgent eye assessment arranged even before visual loss develops. The alternatives remain plausible in related presentations, but they require different eligibility criteria, use a different care setting, or fail to address the immediate risk identified in this vignette.
Reference: NICE CKS: Shingles: https://cks.nice.org.uk/topics/shingles/