<prompt> Which of the following is a significant distinguishing feature of viral conjunctivitis?Significant eye painGlobular purulent dischargeClear dischargeEye  <response>: Significant eye pain or decreased visual acuity is not consistent with the diagnosis of viral conjunctivitis. The hallmark of bacterial conjunctivitis is a continuous globular purulent discharge seen at the lid margins and in the corners of the eye. Viral conjunctivitis typically has a clear discharge with occasional scant mucoid discharge. Both may present with a history of the eye matted shut in the morning. Ref: Levsky M.E., DeFlorio P. 2010. Chapter 2. Ophthalmologic Conditions. In K.J. Knoop, L.B. Stack, A.B. Storrow, R.J. Thurman Eds, The Atlas of Emergency Medicine, 3e. 