Exam

Question 1

Bacterial conjunctivitis treatment

Answer 1

Chloramphenicol qds

Question 2

Chloramphenicol should be avoided when..

Answer 2

allergy

risk of aplastic anaemia

Question 3

Treatment of bacterial keratitis

Answer 3

Admission- cefuroxime and gentamicin

Question 4

Complication of herpetic keratitis

Answer 4

Dendritic ulcer

Question 5

Consequence of treating herpetic keratitis with steroids

Answer 5

Corneal melt

Question 6

Sources of endopthalmitis

Answer 6

Endogenous (staph epidermidis)

Iatrogenic (e.g. from steroid injections, VEGF)

Question 7

Three layers of the meninges

Answer 7

Dura mater
Arachoid mater
(Subarachnoid space)
Pia mater

Question 8

CSF is produced in…

Answer 8

Choroid plexus of the ventricles

Question 9

Cerebral aqueduct connects…

Answer 9

The 3rd and fourth ventricles

Question 10

“Copper wiring” appearance

Answer 10

Retinal vessels in hypertensive retinopathy

Question 11

Associations of uveitis

Answer 11

juvenile arthritis
sarcoidosis
ank spond
Crohn’s and ulcerative coliti

Question 12

Amaurosis fugax

Answer 12

Transient painless visual loss

Question 13

Occlusion of which arteries leads to iscahemic optic neuropathy

Answer 13

Posterior ciliary arteries

Question 14

Symptoms and signs of vitreous haemorrhage

Answer 14

Floaters, loss of vision, loss of red reflex

Question 15

Symptoms and signs of retinal detachment

Answer 15

Flashes and floaters
Painless loss of vision “like a curtain coming down”
Relative afferent pupillary defect

Question 16

Signs of open angle glaucoma

Answer 16

Optic disc cupping
Increased intra ocular pressure
Visual field defect

Question 17

“Drusen” on fundoscopy and loss of the central portion of vision

Answer 17

Age related macular degeneration

Question 18

Management of acute angle closure glaucoma

Answer 18

Pilocarpine- constrict the pupil
Diuretics
Ocular steroids

Question 19

Mechanism of action of chloramphenicol

Answer 19

Peptidyl transferase inhibitor

Question 20

Carbonic anydrase inhibitors in glaucoma

Answer 20

Systemically promote diuresis, decrease humour secretion in the ey

Question 21

Increase uveoscleral outflow in glaucoma

Answer 21

Prostaglandin analogues e.g. latanoprost

Question 22

6th nerve plasy + papilloedema

Answer 22

Raised ICP compressing abducent nerve

Question 23

Head tilt in a child

Answer 23

Congenital 4th nerve palsy

Question 24

Ptosis, dilated pupil, eye “down and out”

Answer 24

3rd nerve plasy

Question 25

Progressive visual loss, “deep” eye pain and colour desaturation

Answer 25

optic neuritis

Question 26

Congruous and macular-sparing field defects

Answer 26

Occipital cortex lesions