MKSAP has been trusted by internists since 1967 as the best resource for updating knowledge. MKSAP 18, available in Complete, Digital, and Print packages, consists of 11 comprehensive text chapters with related multiple-choice questions. You'll find 1,200 completely new questions to help you identify learning gaps, stay current, and gain the knowledge you need to provide the best possible patient care. MKSAP 18's original and high-quality questions evolve out of case studies and patient scenarios based on the latest evidence.
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MKSAP 18 Q & A
A 45-year-old woman is evaluated for a 2-day history of deep boring pain in the right eye. She also describes eye redness and photophobia but no recent trauma to the eye. She has a 10-year history of rheumatoid arthritis, treated with etanercept.
On physical examination, vital signs are normal. Diffuse right eye redness is noted, and there is pain on extraocular movement testing. Gentle pressure over the eye with the lid closed results in pain. There is no scleromalacia in either eye. There is diminished visual acuity in the right eye.
Which of the following is the most likely diagnosis?
A: Episcleritis
B: Scleritis
C: Subconjunctival hemorrhage
D: Viral conjunctivitis