- Flashcards

1
Q
  1. Cotton-wool patches are caused by:
    • A) Macular edema
    • B) Neovascularization
    • C) Retinal infarction
    • D) Lipid exudates
    • E) Other
A
  • C) Retinal infarction
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2
Q
  1. The most common site of ocular metastasis is:
    • A) Choroid
    • B) Iris
    • C) Vitreous
    • D) Cornea
    • E) Other
A
  • A) Choroid
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3
Q
  1. The most common manifestation of temporal arteritis is:
    • A) Embolic central retinal artery occlusion
    • B) Uveitis
    • C) Ischemic optic neuropathy
    • D) Cranial motor nerve paralysis
A
  • C) Ischemic optic neuropathy
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4
Q
  1. The hallmark of malignant hypertension is:
    • A) Cotton-wool patches
    • B) Lipid exudates
    • C) Flame-shaped hemorrhages
    • D) Optic disc swelling
    • E) All of the above
A
  • D) Optic disc swelling
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5
Q
  1. An autoimmune disorder affecting the acetylcholine receptors, causing a conduction defect at the neuromuscular junction is:
    • A) Rheumatoid arthritis
    • B) Hyperthyroidism
    • C) Ankylosing Spondylitis
    • D) Myasthenia Gravis
    • E) Multiple Sclerosis
A
  • D) Myasthenia Gravis
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6
Q
  1. The most common ocular manifestation in patients with connective tissue disorder is:
    • A) Dry Eye Syndrome
    • B) Iritis
    • C) Scleritis
    • D) Peripheral corneal ulceration
    • E) Episcleritis
A
  • A) Dry Eye Syndrome
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7
Q
  1. The most common ocular manifestation of intracranial hypertension is:
    • A) Cotton-wool patches
    • B) Systemic lupus erythematosus
    • C) Papilledema
    • D) Lipid exudates
    • E) Vitreitis
A
  • C) Papilledema
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8
Q
  1. Optic neuritis may be an initial manifestation of:
    • A) Giant cell arteritis
    • B) Systemic lupus erythematosus
    • C) Multiple sclerosis
    • D) Ankylosing spondylitis
    • E) Graves’ disease
A
  • C) Multiple sclerosis
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9
Q
  1. The most common severe manifestation of systemic lupus erythematosus (SLE) is:
    • A) Dysfunctional Tear Syndrome
    • B) Scleritis
    • C) Peripheral corneal ulceration
    • D) Retinopathy and optic neuropathy
    • E) None of the above
A
  • D) Retinopathy and optic neuropathy
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10
Q
  1. A transient ischemic attack involving the ocular circulation is:
    • A) Central retinal vein occlusion
    • B) Amaurosis fugax
    • C) Hypertensive retinopathy
    • D) Optic neuritis
A
  • B) Amaurosis fugax
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11
Q
  1. In the elderly, the most common source of emboli to the ophthalmic or retinal arteries is:
    • A) Calcified heart valves
    • B) Fibrin-platelet or cholesterol-laden carotid plaque
    • C) Fibrin-platelet emboli from mitral valve prolapse
    • D) Talc
A
  • C) Fibrin-platelet emboli from mitral valve prolapse
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12
Q
  1. Central retinal vein occlusion is associated with all of the following EXCEPT:
    • A) Ophthalmoscopic examination revealing intraretinal hemorrhages and cotton-wool spots
    • B) Association with open-angle glaucoma
    • C) Association with neovascularization of the iris and retina
    • D) Sudden painful loss of vision
A
  • D) Sudden painful loss of vision
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13
Q
  1. Retinal vasculitis is present in all of the following EXCEPT:
    • A) Thyroid ophthalmopathy
    • B) Systemic lupus erythematosus
    • C) HIV
    • D) Periarteritis Nodosa
A
  • A) Thyroid ophthalmopathy
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14
Q
  1. A characteristic ophthalmoscopic feature of central retinal artery occlusion is:
    • A) Cotton-wool patches
    • B) Pigment in the shape of a bull’s eye in the macula
    • C) Flame-shaped hemorrhage in the macula
    • D) A cherry-red spot at the macula
A
  • D) A cherry-red spot at the macula
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15
Q
  1. Iritis in juvenile arthritis:
    • A) Is associated with the polyarticular form of the disease
    • B) Correlates well with the severity of the systemic signs
    • C) Can lead to cataract formation and band keratopathy
    • D) Classically occurs late in the disease and causes few complications
A
  • C) Can lead to cataract formation and band keratopathy
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16
Q
  1. Myasthenia Gravis:
    • A) May present with ptosis and diplopia, especially if variable and worsening with fatigue
    • B) Is associated with thyroid ophthalmopathy
    • C) Is associated with temporal arteritis
    • D) Is associated with cranial nerve I palsy
A
  • A) May present with ptosis and diplopia, especially if variable and worsening with fatigue
17
Q
  1. Acute painful loss of vision in one or both eyes is most commonly caused by:
    • A) Ischemic optic neuropathy
    • B) Central retinal vein occlusion
    • C) Central retinal artery occlusion
    • D) Optic neuritis
A
  • D) Optic neuritis
18
Q
  1. Extraocular muscle enlargement secondary to lymphocytic infiltration is associated with:
    • A) Myasthenia Gravis
    • B) Thyroid Ophthalmopathy
    • C) Rheumatoid Arthritis
    • D) Ankylosing Spondylitis
A
  • B) Thyroid Ophthalmopathy
19
Q
  1. Cotton-wool patches are commonly seen in all of the following EXCEPT:
    • A) Systemic Hypertension
    • B) Diabetes Mellitus
    • C) Rheumatoid Arthritis
    • D) Systemic Lupus Erythematosus
A
  • C) Rheumatoid Arthritis
20
Q
  1. A sign of chronic systemic hypertension resulting from abnormal vascular permeability is:
    • A) Flame-shaped hemorrhages
    • B) Silver-wiring of retinal arterioles
    • C) Optic disc swelling
    • D) Lipid exudates
A
  • D) Lipid exudates
21
Q
  1. Neoplasms arising from uveal tissue give rise to:
    • A) Metastatic carcinoma
    • B) Primary ocular melanoma
    • C) Large cell lymphomas
    • D) Rhabdomyosarcoma
A
  • B) Primary ocular melanoma
22
Q
  1. Neoplasms may have their initial manifestation in the vitreous cavity of elderly individuals, including:
    • A) Primary ocular melanoma
    • B) Retinoblastoma
    • C) Large cell lymphomas
    • D) Metastatic carcinoma
A
  • C) Large cell lymphomas
23
Q
  1. Characterized by active inflammation with redness and severe pain, and can progress to necrosis and subsequent perforation of the eyeball:
    • A) Iritis
    • B) Episcleritis
    • C) Scleritis
    • D) Retinitis
A
  • C) Scleritis
24
Q
  1. An 80-year-old male with complaints of persistent ptosis and diplopia in the left eye noted a few hours prior to consultation. What is your tentative diagnosis?
    • A) Myasthenia Gravis
    • B) Temporal Arteritis
    • C) Multiple Sclerosis
    • D) Periarteritis Nodosa
A
  • A) Myasthenia Gravis
25
Q
  1. A 12-year-old girl with complaints of loss of vision in the left eye. Fundoscopy shows retinal vein dilation, retinal and pre-retinal hemorrhages, and optic disc edema. What is your initial consideration?
    • A) Blood Dyscrasia
    • B) Cataract
    • C) Uveitis
    • D) Central Retinal Vein Occlusion
A
  • D) Central Retinal Vein Occlusion
26
Q
  1. Sudden loss of vision may occur with:
    • A) Cataract
    • B) Uveitis
    • C) Central Retinal Vein Occlusion
    • D) Glaucoma
A
  • C) Central Retinal Vein Occlusion
27
Q
  1. A 55-year-old woman presents with complaints of three episodes of transient visual loss in her eye over the past month. These episodes lasted only a few seconds or minutes and were unassociated with other symptoms. The most likely diagnosis is:
    • A) Ischemic Optic Neuropathy
    • B) Amaurosis Fugax
    • C) Hypertensive Retinopathy
    • D) Giant Cell Arteritis
A
  • B) Amaurosis Fugax
28
Q
  1. The systemic disease she is most likely to have is:
    • A) Carcinoma
    • B) Arteriosclerotic Cardiovascular Disease
    • C) Chronic Obstructive Pulmonary Disease
    • D) Diabetes Mellitus
A
  • B) Arteriosclerotic Cardiovascular Disease
29
Q
  1. Funduscopy of a 58-year-old female with a 10-year history of diabetes mellitus reveals flame-shaped hemorrhages, lipid exudates, and isolated microaneurysms. What is your diagnosis?
    • A) Early Non-Proliferative Diabetic Retinopathy
    • B) Advanced Non-Proliferative Diabetic Retinopathy
    • C) Proliferative Diabetic Retinopathy
    • D) Vitreous Hemorrhage
A
  • A) Early Non-Proliferative Diabetic Retinopathy
30
Q
  1. What is the pathophysiology of her condition?
    • A) Retinal Vascular Leakage
    • B) Macular Edema
    • C) Detachment of the Macula
    • D) Fibrous Proliferation
A
  • A) Retinal Vascular Leakage
31
Q
A