Extra Clinical in Opthamology Flashcards

1
Q

What is xerostomia?

A

dry mouth

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2
Q

What is proliferative retinopathy?

A

when fragile new blood vessels grow on retina and vitreoius humour

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3
Q

What is the difference in the defect of the vision when a lesion is the occipital cortex rather than in the optic tract?

A

lesions of occipital cortex are CONGROUS and SPARE THE MACULA, lesions in the optic tract do not

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4
Q

Describe the pathogenesis of diabetic retinopathy.

A

chronic hyperglycaemia - glycolysation of basement membrane - loss of pericytes - microaneurysm - leakage or ischaemia

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5
Q

What is optic neuritis commonly caused by?

A

MS

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6
Q

What is nystagmus?

A

uncontrolled movement of eyes

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7
Q

Which of the nerve palsies carries a ptosis>

A

3rd

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8
Q

What does a painful third nerve palsy suggest?

A

aneurysm

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9
Q

In which direction will a 4th nerve palsy head tilt be?

A

away from affected side

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10
Q

What will a 6th nerve palsy cause?

A

unable to abduct affected eye

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11
Q

Which external oculomotor muscle does the 6th cranial nerve supply?

A

lateral rectus

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12
Q

How can intracranial pressure cause 6th nerve palsy?

A

because 6th cranial nerve hooks around petrous part of temporal bone

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13
Q

What does raised ICP look like on fundoscopy?

A

papilloedema

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14
Q

Which arteritis can cause optic neuropathy?

A

giant cell arteritis

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15
Q

Which other symptom goes along with vision loss in wet macular degeneration?

A

distortion

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16
Q

Treatment for wet macular degeneration?

A

Anti VEGF

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17
Q

Why should the red reflexes of neonates be checked?

A

they may have cataracts caused by intra uterine infection

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18
Q

What type of eye disease is acne rosacea associated with?

A

posterior blepharitis

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19
Q

What type of blephartis is a disease of the meimbonian glands?

A

posterior

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20
Q

What type of blephartis is a disease of the meibonian glands?

A

posterior

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21
Q

1st line for blepharitis?

A

lid hygeine

22
Q

What type of anterior blepharitis causes distortion of lashes?

A

staphylococcal

23
Q

What is chemosis?

A

conjunctival oedema

24
Q

Which lymph nodes will be raised in conjunctivitis?

A

pre auricular

25
Name for a collection of inflammatory cells in anterior chamber of eye?
hypopyon
26
Where would an autoimmune corneal ulcer be?
periphery or cornea
27
Which type of malignancy can cause anterior uveitis?
leukemia
28
What name is given to the condition where the iris adheres to the cornea, causing a small/irregular pupil?
synechiea
29
What are mydriatics?
pupil dilators
30
What eye condition is associated with gout?
episcleritis
31
Which is more serious, episcleritis or scleritis?
scleritis
32
Best test for scleritis?
phenylephrine test
33
In which bone is the superior orbital fissure?
sphenoid
34
Which bone makes up the majority of the roof of the orbit?
frontal bone
35
Which structures protect the eye from direct blows that are from objects larger than the orbit?
superior and inferior orbital margins
36
Which structures are most commonly affected in an orbital blowout fracture?
medial wall or orbit and orbital floor
37
What can a fractured zygoma damage?
infraorbital neurovascular bundle
38
What does damage to the infraorbital neurovascular bundle result in?
general sensory defecit of facial skin
39
Medical term for eyelid?
palpebra
40
What muscle is the sphincter of the eye/eyelid muscle?
orbicularis oculi
41
What do the fibres of the orbicularis oculi SURROUNDING the eye do?
screw up eye
42
What are the fibres of the orbicularis oculi WITHIN the eye for?
blinking
43
What is the name for the fascia attaching to the periphery of the orbital rim?
orbital septum
44
What is the purpose of the orbital septum
Prevents spread of infection from superficial to deep
45
What muscle raised the upper eyelid?
levator palpabre superioris
46
What type of muscle fibres does the levator palpabre superioris contain?
skeletal and smooth
47
Purpose of palpabre ligaments?
attach eyelid to orbital rim
48
Where is the conjunvita reflected off the sclero and onto the internal aspect of the eyelid?
conjunctival fornix
49
Where does the lacrimal gland get its nerve supply?
cranial nerve VII
50
What type of nerve supply is the lacrimal gland's?
parasympathetic
51
What connects the orbit to the lacrimal sac?
lacrimal canaliculi
52
Where is the lacrimal sac?
superior end of nasolacrimal duct