Eyes

Question 1

Painless decreased visual acuity, with swollen eyelids, proptosis and a swollen optic disc?

Answer 1

Posterior scleritis

Question 2

Complete ptosis and a down and out pupil?

Answer 2

Oculomotor nerve lesion

Question 3

Features of proliferative retinopathy?

Answer 3

Cotton wool spots and cluster haemorrhages

Question 4

Features of background retinopathy?

Answer 4

Microaneurysms (dots) and microhaemorrhages (blots) with no macular involvement

Question 5

Features of hypertensive eye disease?

Answer 5

AV ‘nipping’, flame haemorrhages, hard exudates, retinal infarcts (cotton wool spots), macular oedema and rarely papilloedema

Question 6

Initial treatment for acute glaucoma?

Answer 6

Acetazolamide and pilocarpine eye drops

Question 7

Sudden onset, unilateral, painless loss of vision. Severely affected visual acuity, afferent pupillary defect and fundoscopy reveals a white retina with a red spot on the macula?

Answer 7

Central retinal artery occlusion

Question 8

Squint with eye turning inward?

Answer 8

Esotropia

Question 9

Squint with eye turning outward?

Answer 9

Exotropia

Question 10

Squint with eye turning downward?

Answer 10

Hypotropia

Question 11

Squint with eye turning upward?

Answer 11

Hypertropia

Question 12

Eye disease associated with Charles Bonnet syndrome?

Answer 12

Macular degeneration

Question 13

Cotton wool spots and beading and looping of the vessels in a diabetic?

Answer 13

Non-proliferative diabetic retinopathy

Question 14

Medication with side effect of blue tinged vision?

Answer 14

Viagra (Sildenafil citrate)

Question 15

Most important condition to rule out in a patient with sore watering eye who wears contact lenses?

Answer 15

Corneal ulcer

Question 16

What is a positive Talbot’s test?

Answer 16

Pain exacerbating on converging and accommodating

Question 17

Treatment for iritis?

Answer 17

Steroid and cycloplegic (eg atropine or cyclopentolate) eye drops

Question 18

Fuzziness in the centre of vision with Amsler grid distortion, macular exudates and intact optic disc?

Answer 18

Age related macular degeneration

Question 19

HIV positive patient with blurred vision and floaters. What is the most likely causative organism?

Answer 19

CMV

Question 20

Painful loss of vision with decreased visual acuity. Circumcorneal duskiness?

Answer 20

Acute glaucoma

Question 21

Sudden onset blurred vision with intermittent tingling sensations in different parts of her body over the last few months. Painful left eye movements?

Answer 21

Optic neuritis