2.0 CORNEA QUESTIONNAIRE (REVIEW CLASS)

Question 1

Which of the following description BEST describes the PHOTO below:

• presence of inflammation on the conjunctiva
• Giant papillary conjunctivitis w/ mucus
• discharge hypersensitivity reaction to dirty contact lens
  o Macropapillae associated with purulent discharge

Answer 1

Giant papillary conjunctivitis w/ mucus

Question 2

Which of the ff BEST describe the PHOTO below: (2 answers)

a. lipid deposition following a chronic inflammation
b. Lipid with vascularization as signs of corneal deep lesion involvement
c. ulceration associated with epithelial defect

Answer 2

a. lipid deposition following a chronic inflammation

b. Lipid with vascularization as signs of corneal deep lesion involvement

Question 3

Which of the ff BEST describe the PHOTO below: (2 answers)

a. lipid deposition following a chronic inflammation
b. Lipid with vascularization as signs of corneal deep lesion involvement
c. ulceration associated with epithelial defect

Answer 3

a. lipid deposition following a chronic inflammation

b. Lipid with vascularization as signs of corneal deep lesion involvement

Question 4

Least TYPE of Herpes simplex keratitis infection affecting the eyes.

• HSV1
• HSV2
• HSV3

Answer 4

HSV2

Question 5

pellucid marginal degeneration

Decreased vision results from lipid deposition

t/f

Answer 5

false

Question 6

pellucid marginal degeneration

Protrusion of the cornea is at the point of maximal thinning.

t/f

Answer 6

false

Question 7

pellucid marginal degeneration?

This is a bilateral condition.

t/f

Answer 7

false

Question 8

pellucid marginal degeneration

Best surgically treated with PRK

t/f

Answer 8

false

Question 9

Corneal sensation is reduced.

t/f

Answer 9

false

Question 10

Resection of the adjacent conjunctiva may be indicated

t/f

Answer 10

true

Question 11

Treatment with a silver nitrate stick is beneficial.

t/f

Answer 11

false

Question 12

A Fox shield at bedtime is helpful

t/f

Answer 12

false

Question 13

A patient comes back with a dramatic decrease in vision and this corneal appearance, What is the best initial treatment?

A) Hypertonic saline
B) Antibiotic drops
C) Corneal transplantation
D) Descemet stripping endothelial keratoplasty
 (DSEK)
D) Skin findings and nerve palsies are

Answer 13

A) Hypertonic saline

Question 13

A patient comes back with a dramatic decrease in vision and this corneal appearance, What is the best initial treatment?

A) Hypertonic saline
B) Antibiotic drops
C) Corneal transplantation
D) Descemet stripping endothelial keratoplasty
 (DSEK)
D) Skin findings and nerve palsies are

Answer 13

A) Hypertonic saline

Question 14

congenital hereditary endothelial dystrophy

The recessive form is nonprogressive, whereas the dominantly inherited form is slowly progressive

t/f

Answer 14

true

Question 15

congenital hereditary endothelial dystrophy

Nystagmus is absent in the recessive form of the disease

t/f

Answer 15

false

Question 16

congenital hereditary endothelial dystrophy

There are usually associated systemic abnormalities.

t/f

Answer 16

false

Question 17

congenital hereditary endothelial dystrophy

corneal clouding is present at birth in both forms of the disease

t/f

Answer 17

false

Question 18

congenital hereditary stromal dystrophy

Symptoms of pain, tearing and photophobia

t/f

Answer 18

false

Question 19

congenital hereditary stromal dystrophy

Autosomal dominant inheritance

t/f

Answer 19

true

Question 20

congenital hereditary stromal dystrophy

Autosomal dominant inheritance

t/f

Answer 20

true

Question 21

congenital hereditary stromal dystrophy

Central anterior stromal flaky, feathery opacity

t/f

Answer 21

true

Question 22

congenital hereditary stromal dystrophy

Cornea of normal thickness

t/f

Answer 22

true

Question 23

Which is the MOST common corneal dystrophies?

A) Lattice stromal dystrophy
B) Macular stromal dystrophy
C) Granular stromal dystrophy
D) Meesmann dystrophy

Answer 23

Lattice stromal dystrophy

Question 24

Lattice Stromal dystrophies

Both of the patient’s siblings are likely affected.

t/f

B) The disease is caused by a defect in the
synthesis of keratan sulfat
C) Epithelial erosions are a frequent, recurring problem.
D) In the majority of cases, only the central cornea is affected.

Answer 24

false

Question 25

Lattice Stromal dystrophies

The disease is caused by a defect in the synthesis of keratan sulfate

t/f

Answer 25

true

Question 26

Lattice Stromal dystrophies

The disease is caused by a defect in the synthesis of keratan sulfate

t/f

Answer 26

true

Question 27

Lattice Stromal dystrophies

Epithelial erosions are a frequent, recurring problem.

t/f

Answer 27

false

Question 28

Lattice Stromal dystrophies

In the majority of cases, only the central cornea is affected.

t/f

Answer 28

false

Question 29

A 27-year-old woman presents with foreign body sensation in her eye,

Initially, deposits are concentrated in the periphery

t/f

Answer 29

false

Question 30

A 27-year-old woman presents with foreign body sensation in her eye,

The corneal findings are best shown by specular reflection.

t/f

Answer 30

false

Question 31

A 27-year-old woman presents with foreign body sensation in her eye,

The deposits are found in the posterior stroma.

t/f

Answer 31

false

Question 32

A 27-year-old woman presents with foreign body sensation in her eye,

Skin findings and nerve palsies are manifestations of systemic involvement.

t/f

Answer 32

true

Question 33

granular corneal dystrophy

the corneal findings precede symptoms by several years.

t/f

Answer 33

true