5/3

Question 1

What is the way to remember reactive arthritis?

What is the name of the rash found on soles/palms?

Answer 1

“can’t see, pee or climb a tree”

See - conjunctivitis/anterior uvietis
Pee - dysuria
Climb a tree - arthritis and keratoderma blenorrghaia

Question 1

BNF recommends adding amoxicillin for listeria cover in bacterial meningitis treatment in what age groups?

Answer 1

<3 mnths
>50 years

Question 2

Define myopia and hypermetropia

Answer 2

Myopia = short-sighted = GOOD at seeing things close up

Hypermetropia = long-sighted = GOOD at seeing things far away

Question 3

Is myopia or hypermetropia associated with open/closed angle glaucoma?

Answer 3

Open - myopia

Closed - hypermetropia

Mimic a gate far away and open towards ur face to remember

Question 4

Described the pathological difference between open and closed angle glaucoma?

Answer 4

Open angle
- increased resistance of aqueous humour through the trabecular network
- increase in pressure in the anterior chamber

Closed angle
- completely blocked and aqueous humour can’t get through to the anterior chamber
- increase in pressure in the posterior chamber

Question 5

Acute red eye with ‘cloudy cornea’

Answer 5

Acute closed angle glaucoma

Question 6

Management of acute closed and open angle glaucoma

Answer 6

Acute closed -
IV acetazolamide
laser zap hole in iris
Pilocarpine - causes pupillary constriction (increases uveal flow)

Open angle
1. latanoprost (reduces IOP)
- causes brown pigmentation of iris
2. B-blockers (reduce aqueous production)

Question 7

Small and fixed pupil with painful loss of vision

Answer 7

Acute uveitis

Question 8

What is the investigation for glaucoma?

Answer 8

Fundoscopy

Gonioscopy (assessment of trabecular network)

Question 9

What cranial nerves are responsible for which optic muscle?

Answer 9

LR6
SO4
AO3