Block 15

Question 1

In several of the case presentations, image #1 (staining photo) was used. Which of the following was the common diagnosis for these patients?

Answer 1

Superficial punctate keratitis (SPK)

Question 2

Once of the group presentations discussed a 25 year old female patient that presented for a routine exam complaining of Head Aches. It was also reported that this patient had not had a physical in the last 10 years. Testing revealed a BP of 160/115mmHg RA seated at 12:30pm. Which of the following would be the most appropriate action to take for this patient?

Answer 2

Get patient to ER

Question 3

One of the groups presented a 16 year old female with entrance acuities of OD 20/40, OS 20/40, and OU 20/40+2. The patient presented with temporal field restriction as shown in image #2 (visual field image). The diagnosis supported by a subsequent MRI was which of the following?

Answer 3

Bi-temporal hemianopsia caused by pituitary tumor

Question 4

Once of the groups presented a case with the fundus photo shown in image #3. They reported that this patient was asymptomatic without subclinical RD and referenced a review of optometry article “Know Your Retinal Breaks Tears and Holes.” Based on that information, which of the following is the most likely diagnosis and treatment plan for this patient?

Answer 4

Horseshoe tear that does not require immediate referral since the patient did not have complaints/symptoms

Question 5

One of the groups presented a patient that had both reduced acuity with both cataracts and AMD. Amsler grid revealed a central metamorphopsia centrally. The concern that was raised regarding the recommendation for cataract surgery for this patient was which of the following? (Select two)

Answer 5

1. Cataract surgery may not improve VA’s due to vision loss caused by macular degeneration.
2. Cataract surgery is considered appropriate if it is determined that the procedure will in face improve acuities

Question 6

One of the groups presented a patient who had Sarcoidosis. Often times systemic or ocular Sarcoidosis is treated with Systemic Steroids. Which of the following should be a monitored frequently when a patient is on long-term steroid treatment? (Select two)

Answer 6

1. Development of sub capsular cataracts

2. Development of open angle glaucoma

Question 7

One of the groups presented a patient who the class diagnosed with convergence insufficiency, Dry Eye Disease, and Hyperthyroidism. The appropriate treatment for this patient would be which of the following?

Answer 7

Refer to endocrinologist

Question 8

One of the groups presented a patient with diagnosed uncontrolled diabetes, Dry Eye Disease, and a myopic shift. Which of the following was part of their plan to address this disease?

Answer 8

Educate the patient about diabetes and how it can affect both their vision and health long term if it is left untreated

Question 9

Which of the four components of a patient centered clinical method are associated with the different roles of patient and or doctor?

Answer 9

Finding common ground

Question 10

Which of the four components of a patient centered clinical method are associated with self-awareness and practical wisdom?

Answer 10

Enhancing the patient-doctor relationship

Question 11

Establishing context for your patients experience falls under which of the four patient centered methodologies?

Answer 11

Understanding the whole person

Question 12

Which of the following is part of the 5 “A’s” found in Evidence Based Medicine?

Answer 12

“Ask”

Question 13

According to Sharing in Health, which of the following is not included in the pneumonic “FIFE” about enhancing a positive illness experience? (Select one).

Answer 13

Intelligence

Question 14

According to NCBI, what is most likely to increase patient compliance?

Answer 14

Education and caring

Question 15

When discovering someone has a life changing disease, what is the best way to tell the patient?

Answer 15

Educate using empathy

Question 16

According to “A new big five: fundamental principles for an integrative science of personalities,” Which of the following is not considered a fundamental principle for an integrative science of personality?

Answer 16

Sleep pattern

Question 17

According to “The Phenomenology of Knowing the Patient,” which of these factors should not be considered when providing care?

Answer 17

Current income levels

Question 18

According to “The Phenomenology of Knowing the Patient,” what is one reason why understanding a patient’s personality and background is important?

Answer 18

Get a feel for the patient’s response pattern

Question 19

According to the article “Are our busy doctors & nurses losing empathy for patients?” Which of the following is does this article consider a lack of communication between doctors and patients? (Select 2)

Answer 19

1. Overuse of technology

2. Lack of empathy

Question 20

According to the article “Patient Centeredness, Cultural Competence and Healthcare Quality,” which of the following principles is not part of the cross-cultural care/patient-centered care theory?

Answer 20

See as many patient’s as possible in your work day

Question 21

Which of the following should you take into account when seeing a patient? (Select 2)

Answer 21

1. Cultural background

2. Economic background

Question 22

According to the article “Compassionate Medical Care Benefits Professionals, Patients, Students and the Bottom Line,” which of the following is an important factor of showing compassionate care?

Answer 22

Attentive listening

Question 23

According to “Patient centered interviewing Part 2: Finding common ground,” when finding common ground, which of the following methods of bargaining is the most ideal when determining the goal of treatment?

Answer 23

Principled negotiation

Question 24

Which of the following are shown to be the important factors involved in the patient’s perception of a positive experience, with respect to treatment? (Select 2)

Answer 24

1. Patient-centered dialog

2. Educating patients on exam findings