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Herpes zoster ophthalmicus risk — GPhC CRA MCQ

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HardInfectionsHerpes zoster ophthalmicus riskGPhC CRA

A 77-year-old woman asks for treatment for a painful blistering rash on her forehead and the tip of her nose. Her right eye is watering and uncomfortable, and the rash started two days ago. She takes apixaban for AF. What is the most appropriate action?

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Correct answer: D — Refer for same-day urgent ophthalmic assessment

A painful vesicular rash in the ophthalmic distribution, especially involving the tip of the nose, raises concern for herpes zoster ophthalmicus. Eye discomfort makes urgent assessment important to reduce risk of ocular complications. The pharmacist should refer the patient for same-day medical or ophthalmic assessment rather than treating as conjunctivitis.

Reference: NICE CKS; BNF