COMT Practice Exam 2026 – Complete Resource for Exam Prep

Question: 1 / 505

What is Hutchinson's sign indicative of when associated with shingles?

High probability of ocular involvement

Hutchinson's sign refers to the presence of vesicles on the tip of the nose, which is indicative of herpes zoster ophthalmicus (shingles affecting the ophthalmic division of the trigeminal nerve). The significance of Hutchinson's sign lies in its strong correlation with the likelihood of ocular involvement in a patient with shingles. When vesicles are observed in this area, it suggests that the virus may also affect nearby structures, including the eye itself, leading to potential complications such as keratitis, uveitis, or even blindness.

The association of Hutchinson's sign with a higher probability of ocular involvement is critical for timely clinical assessment and intervention. Therefore, recognizing this sign prompts healthcare providers to conduct thorough ocular examinations and possibly initiate preventive or therapeutic measures to protect the patient's vision.

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Presence of systemic infection

Healing lesions on the face

Marginal optical neuropathy

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