Chapter 2 Pupillary Assessment

Question 1

Any pupil smaller than what size is considered miotic?
A) 1mm
B) 2mm
C) 3mm
D) 4mm

Answer 1

B- 2mm

Question 2

Constriction of the pupil can be accomplished by any of the following except:
A) shining a bright light into the eye
B) having the patient focus on a near object
C) using Miotics
D) dimming the room lights

Answer 2

D-dimming the room lights

Question 3

When checking consensual pupil responses to light,all of the following should be done except:
A) dim the room lights
B) have the patient look at a distant object
C) shine the light source from the side
D) cover the eye not being tested

Answer 3

D-cover the eye not being tested

Question 4

Each pupil constricts to direct light. This indicates:
A) there is no relative afferent pupillary defect (rapd) present
B) the pupils react equally
C) light is passing through each optic nerve
D) equal reaction to accommodation

Answer 4

C) light is passing through each optic nerve

Question 5

Argyll Robertson pupils are often:
A) unreactive to direct or consensual light
B) unreactive to accommodation
C) reactive to light
D) sluggishly reactive to accommodation

Answer 5

A- unreactive to direct or consensual light

Question 6

Which of the following is associated with ptosis, miosis, and lack of perspiration (anhydrosis) on the affected side?
A) Adies tonic pupil
B) Horner’s syndrome
C) Argyll Robertson Pupil
D) Marcus Gunn Pupil

Answer 6

B-Horner’s syndrome

Question 7

Horner’s syndrome is caused by:
A) nerve damage
B) keratoconjunctivitis
C) syphillis
D) Herpes zoster

Answer 7

A-nerve damage

Question 8

An eye with a RAPD usually has:
A) redness and pain
B) subnormal visual acuity
C) delayed extra ocular muscle responses
D) irregular astigmatism

Answer 8

B- subnormal visual acuity