Eye (Rubin's Audio Q's and review session material) Flashcards

1
Q

eyelid inflammation, often presents with bilateral itching, redness, scleral injection: Diagnosis?
What is specific to this diagnosis?

A

Blepharitis

Specific findings: scales and debris at base of eyelashes (using slit lamp)

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2
Q

Granulomatous inflammation of meibomian glands or glands of Zeis

A

Chalazion

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3
Q

Yellow plaque of lipid filled macrophages (foamy histiocytes) on nasal aspect of eye
*see this with dislipidemias

A

Xanthelasma

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4
Q

what thyroid condition is assoc. with exopthalmous?

A

Graves Disease-induces swelling of extraocular muscles

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5
Q
  • most common infectious cause of blindness
  • fibrosing conjunctivitis
  • passed on by overcrowding and poor hygiene
A

trachoma (chlamydia trachomatis)

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6
Q
  • Yellow conjunctival lump
  • usually nasal to Corneoscleral limbus
  • caused by sun damage
A

Pinguecula (most common conjunctival lump)

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7
Q
  • fold of vascularized conjunctiva that grows horizontally into the cornea
  • insect wing shape
  • from sun damage
  • benign until it begins to obstruct vision
A

Pterygium

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8
Q
  • opacification of crystalline lens
  • common cause of blindness is
  • associated with riboflavin or Trp deficiency, glaucoma, scleroderma, retinitis pigmentosa, congenital rubella, and atopic dermatitis
A

cataract

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9
Q

opaque horizontal band across the superficial central cornea

A

band keratopathy

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10
Q

impairment in vision associated with aging in which the near point of distant vision becomes located farther from the eye?

A

presbyopia

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11
Q

unilateral blurred vision with small retinal emboli

A

amorosis bugax

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12
Q

retinal cotton wool spots are associated with what cardiovascular condition?

A

Hypertension

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13
Q

night blindness + constriction of peripheral visual fields + loss of retinal photoreceptors + pigment accumulation in retina =

A

retinitis pigmentosa

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14
Q

most common cause of reduced vision in US

A

macular degeneration

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15
Q

what is the cause of retinopathy of prematurity

A

Oxygen toxicity

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16
Q

macular lesion associated with lysosomal storage diseases

A

cherry red spot

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17
Q

optic neuropathy with excavation of optic nerve head and progressive loss of visual field sensitivity

A

glaucoma

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18
Q

what type of glaucoma features shallow anterior chamber with abnormally narrow angle?

A

closed angle glaucoma

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19
Q

which refractive ocular abnormality focuses light in front of the retina because of an abnormal longer AP diameter of eye?

A

myopia

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20
Q

malignant tumor originating from melanocytes or nevi in the uvea?

A

malignant melanoma

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21
Q
  • tumor originating from immature neurons of retina
  • most common intraocular malignancy of childhood
  • chalky, white, calicified flecks within yellow necrotic zones
  • leukocoria
A

retinoblastoma

22
Q

most common tumor of orbit

A

metastatic tumor

23
Q

Mrs. Johnson, a 75 year old patient, complains of blurry vision that has been progressively getting worse. Her problem is bilateral. What is the most likely diagnosis?

A

Cataract

24
Q
  • flame hemorrhages
  • cotton wool spots
  • silver wiring (referring to sclerotic vessels)
  • A-V Nicking
A

hypertensive retinopathy

25
Q
  • entire fundus looks ischemic
  • prominent intracellular edema
  • central pallor
  • CHERRY RED SPOT of fovea (from intact choroidal circulation)
  • risk factors for arteriosclerosis; especially carotid artery problems
A

retinal artery occlusion

26
Q
  • Diffuse flame shaped hemorrhages (blood and thunder)
  • Edema of optic nerve head and retina
  • NO cotton wool spots
A

retinal vein occlusion

27
Q

Define uvea

A

iris + ciliary body + choroid

28
Q
  • dot and blot hemorrhages
  • waxy exudates
  • proliferative-macula swells w/ fluid
A

diabetic retinopathy (hemorrhages in deep retina)

29
Q

How do you differentiate between Hordeolum and Chalazion?

A

Hordeolum (stye): acute, painful, self-limited

Chalazion: chronic, painless, recurent, obstruction of meibomian or Zeis glands, lipogranulomatous rxn

30
Q
  • dot and blot hemorrhages
  • waxy exudates
  • proliferative-macula swells w/ fluid
  • Most sx accounted for by retinal ischemia
A

diabetic retinopathy (hemorrhages in deep retina)

31
Q

What type of glaucoma is more common, presents with NO pain, increased IOP and is caused by a blockage distal to the canal of Schlemm?

A

open angle glaucoma

32
Q

posterior synechiae

A

adhesion of iris and lens

33
Q

Unilateral protrusion of eyeball

A

proptosis

34
Q

peripheral anterior synechiae

A

adhesion of iris and anterior chamber angle

35
Q

-Painful, acute inflammatory lesion of eyelid

A

Hordeolum

36
Q
  • blood vessels and lymphocytes invade upper part of cornea

- glycogen rich inclusion bodies and leber cells

A

Trachomatus pannus

37
Q
  • asymptomatic plaques of infected epithelial cells
  • unilateral follicular conjunctivitis
  • may be associated with lymphadenopathy, cold sores and fever
A

Herpes Simplex Virus 1

38
Q
  • White arc due to lipid deposition in peripheral cornea

- reflects abnormal lipid metabolism

A

Arcus Lipoides

39
Q
  • Increased AP diameter

- nearsightedness

A

myopia

40
Q
  • Farsightedness

- Failure of accommodation from aging

A

Presbyopia

41
Q
  • Autoimmune Uveitis
  • response to injury in contralateral eye
  • Granulomatous inflammation after a latent period
A

Sympathetic Opthalmitis

42
Q

Hemorrhage in nerve fiber layer

A

flame shaped

43
Q

Hemorrhage in deep retina

A

round

44
Q
  • HTN
  • Diabetes Mellitus
  • Central retinal vein occlusion
  • bleeding diasthesis
  • trauma
  • shaken baby syndrom
A

causes of retinal hemorrhage

45
Q

Diabetic Retinopathy
Glaucoma
Age Related Maculopathy

A

Leading cause of irreversible blindness

46
Q
  • snowflake cataracts

- increased sorbitol

A

diabetic cataracts

47
Q
  • Blindness in elderly

- central scotoma

A

Macular Degeneration

48
Q

Drussen accumulated in this type of macular degeneration

A

Dry

49
Q

New vessels are stimulated to form by VEGF in this type of macular degeneration

A

Wet

50
Q

most important cause of papilledema (optic nerve head edema)

A

Increased intracranial pressure

51
Q
  • end stage eye caused by trauma or inflammation
  • enucleated, small and hard from ossification
  • intraocular bone formation
A

Phthisis Bulbi