IMpact

What is the most likely diagnosis for this painful ocular condition with an acute onset in a contact lens wearer?
A. Acute angle glaucoma
B. Anterior uveitis
C. Cataract
D. Corneal ulcer
E. Hypopyon
| Answer A is incorrect. Try again. |
| Answer B is incorrect. Try again. |
| Answer C is incorrect. Try again. |
|
Correct! Correct Answer: D. Corneal ulcer Educational Objective: Diagnose corneal ulcer. Critique: This eye shows an opaque to white corneal opacity characteristic of corneal ulcer. Note also the presence of an irregular corneal reflex, which is indicative of epithelial disruption. Patients with corneal ulceration usually have pain, a prominent foreign body sensation, and excessive blinking and tearing. Pus may be visible in the anterior chamber (hypopyon). |
| Answer E is incorrect. Try again. |
Match Day 2012: An Exciting Experience
Go behind the scenes at Match Day 2012 at The Perelman School of Medicine at the University of Pennsylvania and hear Dr. Katrina Armstrong, Chief of the Internal Medicine Division at Penn Medicine describe being part of the Match Day experience.
Students: Join ACP for Free
Benefits of Membership for Students: ACP's free Medical Student Membership includes benefits designed especially to meet students' needs.
Join Now: Sign-up today and begin enjoying the benefits of ACP Medical Student Membership.
Find a Residency
Search ACP's Internal Medicine Residency Database for information on all internal medicine residency programs in the U.S. and Canada. (ACP Members only)
Educators: Let Annals assist you with your teaching activities!
![]() |
|
Annals for Educators Alerts include Clinical Practice Points, Quality Improvement, Humanism and Professionalism, and a MKSAP Morning Report question derived from MKSAP 16. Find out more! |
Earn ABIM Practice Assessment Points
ACP now offers a variety of ABIM recertification resources to help you earn ABIM Maintenance of Certification Practice Assessment points!
See the resources on our Webpage.

