Other eye problems

Several products contain distilled witch hazel (hamamelis water), obtained from the bark of a shrub, with astringent and anti-inflammatory properties. Naphazoline, a sympathomimetic vasoconstrictor, is included in some ophthalmic preparations to shrink the dilated blood vessels that cause redness. 

A man asks for your advice about his eye, He tells you that he had a stye a couple of months ago, but it had cleared up after a few days following treatment with an over-the-counter eye ointment he had bought in another pharmacy, However, a little lump has now formed on his eyelid where the stye was, It doesn t hurt at all, but it is a bit of a nuisance and he wonders if you can suggest anything to get rid of it, Can you  

Which of the following signs and symptoms, in an adult patient asking for advice about her eyes, would lead you to make immediate referral to a doctor  

Questions 2-4 concern the ophthalmic preparations listed below  

If you suffer from a chronic condition, e.g. migraine, and have an attack that you think has seriously adversely affected your performance during the registration exam, you can ask for your entry to be considered null and void. If granted, your mark in the exam will not be considered by the examiners (even if you have passed) and you will be treated as if you had not sat it. You will, of course, have to sit it again, In order to get consideration for your request, you will need to report your indisposition to an invigilator on the day and provide confirmation from a medical practitioner that you suffer chronically from the condition and had a severe attack during the exam. 

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