Chapter 3 Flashcards

1
Q

Name the 10 general types of disease/injury processes

A

Infectious, inflammatory, allergic, ischemic, metabolic, congenital, developmental, degenerative, neoplastic, and traumatic

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2
Q

Distinguish between a sign, symptom and syndrome.

A

Sign : a change that can be observed by a physician
Symptom : a change experienced by a patient (a sign is usually more objective ; a symptom, more subjective).
Syndrome : a group of signs or symptoms characteristic of a particular condition.

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3
Q

When the orbital volume increases, the resulting protrusion of the eye ball is called ________ or ________.

A

Proptosis, exophthalmos

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4
Q

What alterations in the appearance of the eye or eyelids may be caused by orbital cellulitis?

A

Grossly swollen eyelids, red eyes

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5
Q

Define strabismus and state 3 possible causes.

A

Misalignment of the eyes; greater than normal tissue bulk in orbit, loss of muscle elasticity from scarring, muscle paralysis due to nerve damage, congenital weakness of one or more extraocular muscles.

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6
Q

Match the names of he conditions with their descriptions.

  1. External hordeolum A. Abscess caused by infection of a gland surrounding a lash follicle
  2. Chalazion B. Abscess caused by infection of meibomian gland
  3. Blepharitis C. Nontender solid lump under eyelid
  4. Ectropion D. Red and encrusted eyelid margins
  5. Internal hordeolum E. Inward turning of eyelid margin
  6. Trichiasis F. Globe not completely covered when eyelids are closed.
  7. Ptosis G. Outward turning of eyelid margin
  8. Entropion H. Eyelash(es) rubbing against the eyeball, usually causing irritation
  9. Lagophthalmos I. Droopy upper eyelid
A
  1. A. Abscess caused by infection of a gland surrounding a lash follicle
  2. C. Nontender solid lump under eyelid
  3. D. Red and encrusted eyelid margins
  4. G. Outward turning of eyelid margin
  5. B. Abscess caused by infection of meibomian gland
  6. H. Eyelash(es) rubbing against the eyeball, usually causing irritation
  7. I. Droopy upper eyelid
  8. E. Inward turning of eyelid margin
  9. F. Globe not completely covered when eyelids are closed.
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7
Q

Define keratoconjunctivitis sicca and name the usual treatment

A

Dry eyes; artificial tears in the form of eye drops

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8
Q

Name the condition resulting from resulting from inflammation of the lacrimal sac.

A

Dacryocystitis

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9
Q

Distinguish between the signs and symptoms of bacterial, viral and allergic conjunctivitis

A

Bacterial : mucopurulent discharge.
Viral : watery discharge, palpebral conjunctiva is covered with small bumps.
Allergic : tearing, itching, redness and swelling

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10
Q

Describe a sub conjunctival hemorrhage and its probable cause

A

Rupture of conjunctival blood vessel, allowing blood to flow under the conjunctival tissue; may occur after violent sneezing or coughing

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11
Q

Distinguish between the pinguecula and pterygium with respect to appearance and symptoms

A

Pinguecula : small, benign yellow-white mass of degenerated tissue beneath bulbar conjunctiva that does not cross onto thyroid cornea and that can cause minor eye irritation.
Pterygium : wedge-shaped growth of abnormal tissue on bulbar conjunctiva that can cross onto the cornea and can cause irritation, redness, foreign-body sensation, sensitivity to light.

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12
Q

Name the symptoms and treatment of a bacterial corneal ulcer.

A

Pain, sensitivity to light, tearing; treat with antibiotics

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13
Q

Describe how a corneal ulcer caused by the herpes simplex virus differs from a bacterial or fungal corneal ulcer.

A

Symptoms not severe; dense corneal opacity,branch-shaped figure on cornea

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14
Q

Describe the condition known as keratoconus

A

Center of cornea thins and acquires a cone shape, which affects vision

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15
Q

Describe what happens when drainage of aqueous humor is hindered, and name the resulting pathological condition.

A

Abnormal rise in intraocualr pressure, with eventual damage tot he optic nerve and vision loss; glaucoma

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16
Q

Match the 4 main types of glaucoma with their descriptions

  1. Primary Open-Angle A. Malformation of anterior chamber angle along with other ocular deformities
  2. Primary Angle-closure B. Reduced aqueous drainage resulting from another disease
  3. Secondary C. Reduced aqueous drainage in outflow channels between trabecular meshwork and blood vessels
  4. Congenital D. Blocked drainage because the iris is bowed forward due to a swollen lens
A
  1. C. Reduced aqueous drainage in outflow channels between trabecular meshwork and blood vessels
  2. D. Blocked drainage because the iris is bowed forward due to a swollen lens
  3. B. Reduced aqueous drainage resulting from another disease
  4. A. Malformation of anterior chamber angle along with other ocular deformities
17
Q

Please select all the ones that applies in the aid to establish the diagnosis of glaucoma

A. Family history
B. Vision
C. Intraocular pressure
D. Gonioscopy
E. Visual Field
F. Corneal thickness
G. Optic nerve examination

A

(All of them)
A. Family history
B. Vision
C. Intraocular pressure
D. Gonioscopy
E. Visual Field
F. Corneal thickness
G. Optic nerve examination

18
Q

What principal change occurs in a lens affected by a cataract?

A

Opacification, or loss of transparency

19
Q

Name 4 possible causes of cataracts

A

Aging, injury, disease, congenital

20
Q

What are floaters?

A

Small particles of dead cells and other debris in vitreous and collagen fibers from vitreous degeneration; experienced by patient as spots or cobwebs

21
Q

What is the name of an infection of the vitreous and adjacent tissues?

A

Endophthamlitis

22
Q

What is a Retinal Detachment?

A

Separation of sensory and pigment layers of retina

23
Q

What symptoms do patients experience with a retinal detachment?

A

The patient notices stars or flashes of light at the corner of the eye, followed some hours later by sensation of a curtain moving across the eye and by painless loss of vision.

24
Q

How is the eye function altered as a result of Age Related Macular Degeneration?

A

Sensory cells of macula deteriorate, causing loss of central vision.

25
Q

What is papilledema?

A

Swelling of optic disc with engorged blood vessels, causing enlargement of the normal physiologic blind spot.

26
Q

Name 4 possible causes of damage to the nerve cells of the visual pathway

A

tumor, stroke, trauma, inflammation