Eyes

Question 1

What is the #1 priority when a patient comes in with an eye complaint?

Answer 1

have to assess visual acuity

Question 2

What does 20/40 vision mean

Answer 2

the patient can see at 20 feet what a normal person can see at 40 ft

Question 3

what is amblyopia?
Cause?

Answer 3

lazy
Strabismus

Question 4

What vision level is considered legally blind?

Answer 4

20 out of 200

Question 5

What test do we perform to assess for colorblindness?

Answer 5

Ishihara test

Question 6

What is CN2
CN3
CN4
CN 6

Answer 6

CN2 = vision (optic)
CN3 = accommodation (oculomotor)
CN4 = downward and inward movement (Trochlear)
CN6 = outward movement (Abducens)

Question 7

Which CN is assessed with the Snellen chart?

Answer 7

CN 2 the optic nerve

Question 8

Which CN is assessed with the Snellen chart?

Answer 8

CN 2 the optic nerve

Question 9

What is a normal fundoscopic exam?

Answer 9

retinal arteries that are thinner and lighter than veins

Question 10

What is papilledema?
Management?

Answer 10

optic disc swelling
REFER

Question 11

Patient comes in with sudden severe eye pain, blurry vision, and their eye feels firm to the touch…
What’s the first thing you do?
The patient has increased interocular pressure…what’s the diagnosis?

Answer 11

Tonometry

Acute angle closure glaucoma.

Question 12

What is the treatment for acute angle closure glaucoma?

Answer 12

ER referral

Question 13

What is the risk with acute angle closure glaucoma?

Answer 13

permanent vision loss

Question 14

Difference between Pterygium
vs
PiNguecula

Answer 14

Pterygium encroaches on actual cornea

PiNguecula does Not

Question 15

With viral conjunctivitis, what are the common lymph nodes to see enlarged?

Answer 15

pre-auricular or submandibular node

Question 16

In allergic conjunctivitis, what lymph nodes are enlarged

Answer 16

cervical chain

Question 17

What is the medical term for pink eye?

Answer 17

adenoviral conjunctivitis

Question 18

An elderly patient comes in and says they are having a alot of symptoms driving at night.
Physical exam = absent red reflex.
Whats the diagnosis?

Answer 18

Cataracts

Question 19

Patient presents with central vision loss…Dx?
Tx?

Answer 19

Macular degeneration; common with aging

Tx: Put things in larger print to read

Question 20

A middle aged person presents saying that their arms seem too short…what vision problem is this?
Tx?

Answer 20

Presbyopia

Tx: Reading glasses

Question 21

Your patient that just had an episode of Bell Palsy did not keep up with their lubricating eye drops…what do they usually get?

Answer 21

corneal abrasion

Question 22

Patient comes in with eye pain, sensitive to light, and not able to see as normal, and entire eye appears red…
Physical Exam = inflamation and swelling of the Iris
Dx?
Tx?

Answer 22

Iritis

Tx: Ophthalmology immediately. Can lead to permanent blindness