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PANCE - A > Eye > Flashcards

Eye Flashcards

1
Q

visiual loss over a few days

unilateral

painful

non traumatic

A

Optic Neuritis

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2
Q

Wet Macular Degeneration reffers to:

A

subretinal neovascularization

sburetinal hemorrhages

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3
Q

non vascular

round

yellow mass

A

Pinguecula

non vascular / bloody pinguine

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4
Q

most common cause of viral conjunctivitis is:

A

adenovirus

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5
Q

Preseptal Cellulitis vs Orbital Cellulitis

A

Preseptal - no restriction of eye movement

Orbital - restricted eye movement, painful eye movement

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6
Q
A
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7
Q

conjunctival mass that stops before the cornea

conjunctival mass that extends into the cornea

A

Pinguecula

Pterygium

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8
Q

lids turning outward is:

A

ECtropion

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9
Q

Ulcers on the lid margins are indicataive of:

A

Blepharitis

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10
Q

Sausage links appearance

A
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11
Q

most common organism to cause

bacterial conjunctivitis:

A

Staph aureus

H.influenza

Moraxella

Pseudomonas

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12
Q

Amaurosis fugas is associated with which chronic conditions:

A

A fib

Carotid Artery Dz

Giant Cell arteririts

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13
Q

Painful red nodule / postule on the lid is:

A

Hordeolum

Hordeolum=horible pain

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14
Q

Intraocular pressure (IOP) > 60 is indicative of:

A

Acute Angle Closure Glaucoma

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15
Q

Bilateral conjunctivalredness

Foreign body sensation

A

Dry Eye Syndrome

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16
Q

Curtain of darkness or veil over the field of vission

Sudden visual loss

Floaters

A

Retinal Detachment

Detached curtain

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17
Q

Loss of peripheral vision

Enlargement of physiological cup

A

Glaucoma

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18
Q

itching

excessing tearing

stringy mucoid disarcharge

sings of:

A

Allergic Conjunctivitis

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19
Q

water discharge from the eyes is indicative of:

pain full Pre Auricular adenopathy

A

viral conjunctivitis

H2O painful pre auricular conjunctivits

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20
Q

Sudden painless unilateral loss of vision?

A

Central Artery Occlusion

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21
Q

medication that can cause dry eyes:

A

anticholinergics

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22
Q

important aspect of orbital cellulitis is:

A

restricted / painfull eye movements

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23
Q

Corneal Dendrite with staining is indicative of:

A

Herpes Simplex Keratitis

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24
Q

Yellow deposits form below retina

key word Drusen

A

Macular Degeneration

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25
Q
A
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26
Q

Cherry red spot is seen in:

A

Central Retinal Artery Occlusion

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27
Q

Fixed and dilated pupil is a sign of:

A

Closed Angle Glaucoma

Fixed closed angle

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28
Q

Copper wiring

silver wiring

AV Nicking

are signs of:

A

HTN Retinopathy

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29
Q

tx for Herpse Zoster Ophtalmicus:

A

Topical and IV antivirals

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30
Q

aqueous humor is drained from the anteior chamber through:

A

canal of Schlemm

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31
Q

Bacterial corneal ulcers are often caused by what microrganism?

A

Pseudomonas infection

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32
Q

Allergic Conjunctivitis

A
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33
Q

exudates

cotton wool spots

are signs of

A

Diabetic Retinopathy

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34
Q

Metamorphopsia reffers to:

A

wavy / distorted Amsler grid

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35
Q

a/v nicking

copper wiring

A

HNT Retinopathy

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36
Q

The presence of Drusen bodies suggest:

A

Age related Macular Degeneration

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37
Q

diffuse blurring of the vission

Gradual, painless

Halos around lights

A

Cataract

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38
Q

Medical tx for Open Angle Glaucoma:

A

B blockers - decrease fluid production: Timolol

Carbonic anhydrase inhibidors - decrease fluid production: -mide-

Prostaglandins - promote drainage: - prost-

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39
Q

sudden valsalva or forceful straining may result in:

A

Subconjunctival Hemorrhaging

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40
Q

Transient / temporal unilateral loss of vision

curain descends but then returns to normal

A

Amaurosis fugax

part of TIA

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41
Q

Retinoblastoma

A

loss of red reflex

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42
Q

Glaucoma screening includes:

A

Check anteiro chamber with lateral light for:

boweing of iris

Cup/Disk ratio

>0.5 is worrisome

IntraOcular Pressure (IOP)

>21

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43
Q

On the fundoscopic exam cataract will appear:

A

black

Black Fundascopic Cataract

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44
Q

Chalazion is painfull or not?

A

Painless

not painfull=chalazion

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45
Q

Congenital shallow anterior chamber is a risk factor for

A

Acute Angle Closure Glaucoma

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46
Q

Diagnostic study needed after Amaurosis fugax is:

A

Carotid US

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47
Q

Optic Neuritis is associated w. which rheumatiod conditions:

A

RA

JRA

Lupus

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48
Q

Central Retinal Artery occlusion is preceeded by:

A

Amaurosis Fugas

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49
Q

painless acute vision loss

cherry red spot

A

Central Retinal Artery Occlusion

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50
Q

ipsilateral tingling and burning sensation over the eyebrows and lids with rash and postules is ususually a sign of:

A

Herpes Zoster Opthalmicus

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51
Q

most common cause of Blepharitis

A

Staphylococcus

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52
Q

Loss of peripheral vision =

Loss of central vision =

A

Peripheral Glaucoma

Central Macular Degeneration

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53
Q

Central Retinal Vein Occlusion

A

painless

diffuse retinal hemorrhages

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54
Q
A
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55
Q

Red Cherry Spot correpsonds to

A

Central Fovea area with perioveal pallor

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56
Q

Glare at night, reduced color vision

A

Aquired Cataract

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57
Q

Relative Afferent Pupillary Defect is also known as:

A

Marcus Gunn pupils

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58
Q

tx for Hordeolum is:

A

Warm compress

Warm Hordeolum

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59
Q

midication to avoid in glaucoma:

A

Anticholinergic agents

60
Q

Scurf:

A

Dandruff deposts seen in blepharitis

61
Q

immediate step after diagnosing retinal detachement is

A

Supine position

head turned towards side of detached retina

62
Q

Hyperopia requires:

A

convex lenses

Hyperopia=convex

63
Q

important differentiating aspect of cornenal ulcer is:

A

light sensitivity

64
Q

Entropion

A

lids turning ENward

65
Q

sx of acute angle closure glaucoma:

A

Sudden Sever Unilateral Eye Pain

Blurred vision

Photophobia

N/V

Fixed mid-dilated puple

Conjunctival injection

pt are vago/vasal

66
Q

Herpes Zoster

67
Q

Acute Angle Closure

A

Fixed, mid-dilated pupil

68
Q

important microrganism to consider in corneal abrasion is:

A

Pseudomonas

69
Q

drusen are

A

yellow hyaline nodules

deposits in Bruch’s membrane

70
Q

Chalazion and Hordiolum involves which gland?

71
Q

The innermost layer of chorid is:

A

Bruch’s membrane

72
Q

Normal intraocular pressure is:

73
Q

medications that cause optic neuritis:

A

Ethambutal

74
Q

Crusting around the eyes upon awaking

A

Blepharitis

75
Q

Visible pooling of fluorescein is a sign of:

A

Corneal Ulcer

76
Q

most common site for Retinal Detachment is:

A

Superior Temporal

77
Q

blow out fracture requires what diagnostic modality:

78
Q

coupious unilateral eye discharge is usually associated with:

A

Neisseria Conjunctivitis

79
Q

pathophysiology of Drusen bodies:

A

limit nutritional and metaboolic support of retina

80
Q

palpaleble nodule within the lid

81
Q

Central Artery Occlusion is associated with:

A

Carotid artery Dz

A fib.

82
Q

which neurological condition may be linked to optic neuritis?

83
Q

Herpes Zoster Ophthalmicus is:

A

dormant varicella virus

84
Q

Hutchinson’s sign is:

A

seen in Herpes Zoster Ophthalmicus

lesion on tip of the nose:

indicative of occular involvment.

85
Q

vascular

triangular

extends onto the cornea

interferes with vision

A

Pterygium

vascular/bloody pteroductil

86
Q

Hyperopia is

A

Farsightedness

87
Q

tx of conjunctivitis

A

supportive

88
Q

Minimal/scant unilateral discharge with

follicular response in the conjunctiva and non tender preaauricular adenopathy is seen in:

A

Chlamydia Conjunctivitis

89
Q

Dacryocystitis

A

innermost aspect of the lower lid

caused by nasolacrimal duct obstruction

90
Q

Screening for Diabetic Retinopathy in DM I should start:

A

5 years after the initial diagnosis

and

then annually

91
Q

Surgical tx of closed angle glaucoma includes:

A

Ireidectomy

92
Q

blood in the anteior chamber is known as:

93
Q

Keratoconjunctivitis Sicca is known as:

94
Q

Hyphema is usually preceeded by:

A

Blunt trauma

95
Q

Schirmer’s test is:

A

measures tears production

96
Q

most common cause of non traumatic retinal detachment is:

97
Q

Sudden onset of floaters, rings, crescents or other objects are usually indicative of:

A

Vetrous detachment.

98
Q

Granulomatous inflamation of the Meibomian gland is:

99
Q

In optic neuritis, pain is induced / becomes worse with:

100
Q

loss of papillary reaction to light

loss of color wision

are signs of:

A

Optic Neuritis

101
Q

Collarettes

A

scale deposts seen in blepharitis

102
Q

Herpes Simplex Keratitis will produce ______ on staining:

A

Dendritic lesions

103
Q

Herpes Zoster Ophthalmicus

Herpes Simplex Keratitis

midline crossing?

A

Herpes Zoster Ophthalmicus - does not cross the midline, stops at tip of the nose (Hutchinson’s)

Herpes Simplex Keratitis - crosses the midline

104
Q

membrane b/w choroid and retina is known as

A

Bruch’s membrane

105
Q

“blood and thunder” is indicative of:

A

Central Retinal Vein Occlusion

106
Q

cause of Conjunctivitis

A

adenoviral

107
Q

myopia is

A

nearsightedness

108
Q

aqueous humor is produced by:

A

ciliary body

109
Q

opacity of the lense is known as:

110
Q

Screening for Diabetic Retinopathy in DM II should start:

A

right away

and then annually

111
Q

Corneal Ulcer is often caused by:

A

improper contact lens usage

112
Q

Myopia requires:

A

concave lenses

113
Q

Papilledema

A

blurring of the disck margin

114
Q

tender preauricular adenopathy:

non tender preauricular adenopathy:

A

tender = viral conjunctivits

non tender = chlamydial conjunctivitis

115
Q

Herpes Zoster Ophthalmicus involves which crainal nerve:

A

CN V (trigeminal)

116
Q

orbital cellulitis are often preceeded by:

A

chronic URI, sinusitis

117
Q

Hyphema

A

blood in the anterior chamber

often seen in pt with sickle cell disease

118
Q

painless subacute unilateral blurriness / loss of vision is a sign of:

A

Central Retinal Vein Occlusion

119
Q

Pingueculum

120
Q

Most common cause of blindness in African American is:

A

Glaucoma

African American Glaucoma (AAG)

121
Q

Pterygium

122
Q

Dilated torouse retinal veins

Venouse hemorrhages

are signs of:

A

Central Retinal Vein Occlusion

123
Q

Feeling of a drill bore in the eye is usually due to:

A

Angle Closure Glaucoma

124
Q

In open angle glaucoma which vision field becomes impaired?

A

Peripheral

Central vision is intact.

125
Q

Central vision with peripheral sparing

A

Macular Degeneration

Macular=Center

126
Q

dot and blot hemorrhage

cotton-wool spots

A

Diabetic Retinopathy

127
Q

tx for Herpes Simple Keratitis:

A

topical antiviarl

REFER - OCCULAR EMERGENCY

128
Q

Scotoma reffers to:

A

central blind spot

129
Q

Pain, swelling, erythemaof lacrimalsac at medial canthus

A

Dacryocystitis

130
Q

most common source of orbital cellulitis is:

A

ethmoidal sinus

131
Q

persisten recurrent conunctivitis is often caused by

132
Q

Blepharitis tx:

133
Q

in a blow out fracture the which eye movement is restricted:

A

can not look up: restriction of inferior rectus & inferior oblique

painful vertical eye movement.

134
Q

Bell’s palsy is associated with entropion or ectropion?

A

Ectropion

eCtropion=Ceven

135
Q

Dendrites on

A

Herpes Simplex Keratitis

136
Q

rugae are:

A

retinal hydration lines

seen in Retinal Detachment

137
Q

Ectropion may be caused by:

A

7th nerve palsy

138
Q

Dacyoadenitis

A

swelling over the outer one thrid of the upper eyelid

139
Q

in pt with dry eyes, fluoroscein stain will reveal :

A

multiple punctate on cornea from chronic corneal dryness

140
Q

Important complication after central vein occlusion is:

A

Neovascularization

141
Q

Hordeolum(Stye) is:

A

infection of sebaceous gland

142
Q

Retinal Artery Occlusion is painfull or not?

A

Painless

Artery Occlusion = Absences of pain

143
Q

Signs of Macular Degeneration:

A

Scotoma

Metamorphopsia (distortion of Amsler grid)

144
Q

important imaging test in Orbital Cellulitis is:

145
Q

Orbital Cellulits on CT will demonstrate:

A

Broad infiltration of orbital fat

146
Q

Seidel test

PANCE - A (20 decks)

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