Green 2 Flashcards

1
Q

How many msucle fibres to neurone in EOM motor unit

A

1:2 to 1:7

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2
Q

Where are accessory lacrimal glands of Krause and Wolfirng located?

A

Krause - around the conjunctival fornix

Wolfring - at border of tarsal plate

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3
Q

What does the CRAO supply? Choroidal cirulation?

A

CRAO branches supply inner 2/3 retina
Outer third is choroidal circulation

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4
Q

What does Wieger’s ligament connect

A

Anterior hyaloid face to posteiror lens capsule
Adherence becomes weaker with age

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5
Q

What is the length of lacrimal canaliculi

A

2mm vertical segment, 8mm horizontal segment

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6
Q

Where doe pterygopalatin fossa lie? What are boundaries?

A

Posterior and inferior to orbit

MAxilla nateirorly
Sphenoid poseetiorly
Sphenoid superiorly
Palatine bone inferiorly and medially
Open to infratemporal fossa via pterygomaxillary fissure laterally

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7
Q

Most likely place for globe rupture?

A

Posterior to insertion of rectus musles
Corneoscleral junction
Site of previous surgical incisions

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8
Q

What layer of choroid are permeatble to fluorescin?

A

Diffuse leakage of fluorescein dye seen on angiography occurs from the choriocapillaris due to fenestrated epithelium

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9
Q

What does ELISA use to label?

A

Antibodies or antigens are lablled with an enzyme that induces a colour change in sa substrate when present

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10
Q

describe phototransduction

A
  1. 11-cis retinal (chromophorefrom vitamin A) bound to opsins via lysine residue
  2. Photo absorption convers it to all-trans retinal (photoisomerisation)
  3. All trans retinal coverted to all-trans retinol in photoreceptor outer segment
    4, Transported to RPE cells where it is reconstituted to 11-cis retinal isoform (vit A)
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11
Q

What NT between photoreceptor and bipolar cells

A

Glutamate

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12
Q

What is a property of actin

A

Microfilament that is flexible

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13
Q

What is the order of gamete fusion development

A

Zygote - union of gametes
Morula - mass of cells
Blastocyst - sphere of cells

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14
Q

What sinuses are present at birth?

A

Ethmoid and maxillary

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15
Q

when does the sphenoid sinus develop?

A

2-3 years after birth
Adult size at age 14

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16
Q

When does the hyaloid artery disappear?

17
Q

What does von hippel lindau syndrome lead to?

A

AD chromosome 3
Retinal angiomata - capillary haemangioma

Renal cell cancer
Phaeochromocytoma

18
Q

What are regularoty mechanisms of the complement system

A

Factor H
Factor I
C1 inhibitor
Sialic acid

19
Q

What enzyme enables bacteria to resist phagocytosis?

A

Coagulase

Converts fibrinogen to fibrin which coats bacterium to isolate from immune defeces

20
Q

What are endotoxins

A

Derived from cell wall of gram negative bacteria

Lipopolysaccharieds

Activate alternative complement pathway

HEat stable

21
Q

What immune reaction does toxocara cause

A

IgE mediated immune response

OCa transferred in feline faeces

22
Q

What is visual angle subtended by letter on snellen chart

A

5 minutes of arc

To recognise letter eye must have resolution of 1 minute of arc

23
Q

second vs minute vs degree

A

60 seconds of arc in a minute
60 minutes of arc in a degree

24
Q

Worse prognosis cell type for choroidal melanoma

A

Epithelioid cell

Monosomy 3
Duplication 8q
Older age
Larger tumour
Extrascleral extension

Spindle cell has better prognosis

25
What type of receptor is nAChR
LIgand gated ion channel
26
How does MMC work? How does 5FU work? Which is more toxic to cornea
MMC works by alkylating agent cross linking DNA 5FU is fluorintated pyrimidine anaglogue impedes DNA synethsis 5FU more toxic to cornea
27
What is max spectral sensitivity of rod, and blue green red cones
Rod 500 Blue cone 445 Green cone 545 Red cone 570 (light adapted retina 555)
28
What is afferent limb of oculocardiac reflex?
Trigeminal nerve Efferent is vagus Sensory fibres from EOMs travel via trigmeeinal TRaction on extraocular muscles particularly MR causes vagal mediated sinus bradycardia
29
What is the most common cause of B12 deficiency?
Pernicious anaemia - gastric intrinsic factor loss Absoprtion occurs in terminal ileum - resection
30
What is fucniton of B12
Cofactrosby methionine synthetase to convert homocysteine to methionine so in B12 deficiency there is raised homocysteine
31
What is osmolality
Osmoles per kg of solvent
32
What is osmolarity
Osmoles per litre of solution