Step1 Question of the Week #4

Weekly USMLE Style Questions

A 47-year-old woman presents to the emergency department with severe pain in her right eye. She was watching a movie in the theatre after which she says the pain in the eye started intensifying. While walking to her car in the parking lot she noticed halos in her line of vision. She also observed a progressive decrease in her vision along with the severe pain in her right eye. She has also been feeling light headed and vomited twice on her way to the hospital. Physical examination reveals a cloudy right pupil and cornea.

Which of the following is the most likely responsible for this patient’s symptoms?

A. Decreased re-absorption of aqueous humour

B. Retinal detachment

C. Latent syphilis infection

D. Blockage of canal of Schlemm

E. Lesion of oculo-sympathetic pathway