Eye Complaints/Facial Pain

Question 1

Cataracts and retinal detachment are peripheral or central

Answer 1

central vision loss

Question 2

Glaucoma and retinitis pigmentosa are central or peripheral

Answer 2

peripheral

Question 3

vascular or trauma is what type of vision loss

Answer 3

acute vision loss

Question 4

chronic vision loss

Answer 4

M.D. and presbyopia

Question 5

glaucoma, vitreoretinal traction can cause waht

Answer 5

flashes of light

Question 6

what can cause halos around light

Answer 6

glaucoma, corneal disease

Question 7

Amaurosis fugax, MS, and papilledema can cause

Answer 7

transient visual loss

Question 8

catracts and refractive error cause what in the vision

Answer 8

monocular diplopia

Question 9

vascular, tumor, MG, MS can cause monocular or binocular diplopia

Answer 9

binocular diplopia

Question 10

migraines and MD can cause

Answer 10

distorted vision

Question 11

Mandibular, maxillary division pain that is 12/10

Answer 11

trigeminal neuralgia

Question 12

rare, related to swallowing and movement of pharynx

Answer 12

glossopharyngeal neuralgia

Question 13

brain freeze or ice cream headache

Answer 13

sphenopalatine ganglionerualgia

Question 14

Sinusitis can cause what pain

Answer 14

facial pain

Question 15

hyperthyroidism, sjogrens sydnrome can cause

Answer 15

dry/gritty eyes

Question 16

eye pain without visual loss

Answer 16

retro orbital(HA, tumor)
UTI (reiters syndrome

Question 17

severe pian, halos around light, blurred unilateral vision, nausea.vomiting

Answer 17

acute angel glaucoma(blockage of anterior chamber increasing pressure and pain

Question 18

unknown eitology, field of vision has been cut in nasal half

Answer 18

open angle glaucoma

Question 19

Dry, slow developing, painless, central vision loss

Answer 19

dry macular degeneration

Question 20

Wet, sudden, painless loss of vision due to neovascualrization. leading cause of blindness in geriatric population.
Findings include drusen bodies, hemorrhages, exudates

Answer 20

wet macular degeneration

Question 21

affects children and young adults.
decreasing night vision
heriditary condition or rods with peripheral ring scotoma
dark pigmentation of central retina, yellow waxy disc observed
genetic counseling recommended

Answer 21

retinitis pigmentosa

Question 22

50 or older
vision loss unilateral for few minutes at time
usually concuirrent with diabetes, hyptertension, smoking
possible ipsilateral carotid bruit or hypertensive retinopathy seen

Answer 22

amaurosis fugax

Question 23

amaurosis fugax tx

Answer 23

anti platelet therapy

Question 24

Abrupt unilateral central vision loss getting worse over 2 days
inflammtion of optic nerve due to demyelination disroders such as MS of infection (measles, mumps, influenza, varicella, meningitis)

Answer 24

optic neuritis

Question 25

optic neuritis tx

Answer 25

oral prednisone (can increase occurance up to 2x)

Question 26

50 or older with unilateral temporal headache, trunk muscle ache, and sudden vision loss.
vasculitis affecting small and medium sized arteries
jaw claudication, elevated CRP and ESR seen

Answer 26

temporal arteritis

Question 27

temporal arteritis tx

Answer 27

corticosteroids (blindness w/out tx)

Question 28

sudden onset of central vision loss post trauma(floaters or flashing lights in vision common)

Answer 28

retinal detachment

Question 29

genetic deletion of long arm of chromosome 13
deterioration of vision with red or irritated eyes
80% dx before age 3

Answer 29

retinoblastoma

Question 30

retinoblastoma tx

Answer 30

enucleation and/or chemotherapy (95-98% success)

Question 31

facial pain over orbit clustering over days or weeks
30min duration on average
hx of smoking/drinking
nasal lacrimation, horners syndrome, beats head against wall for relief

Answer 31

cluster HA

Question 32

cluster HA tx

Answer 32

lidocaine, 100% o2, reassurance

Question 33

waters view

Answer 33

maxillary

Question 34

caldwell view

Answer 34

ethmoid

Question 35

chamberlain-towne view

Answer 35

frontal