HEENT 15 Eye Disorders pt 2

Question 1

Patient complains “something in my eye”

Answer 1

Foreign body

Question 2

H/o trauma to eye
Fingernail, paper, contact lens
C/o of pain, photophobia, tearing, FB sensation

Answer 2

Corneal abrasion

Question 3

Patient complains of “something in my eye” but nothing can be found

Answer 3

Corneal abrasion

Question 4

Drug for Corneal abrasion

Answer 4

Polymyxin-bacitracin ophthalmic ointment

Question 5

Significant ocular trauma. Typically from a metallic object. Photophobia & profuse lacrimation. Significant uveitis

Answer 5

Corneal laceration

Question 6

Blood in front of the iris

Answer 6

Hyphema

Question 7

Kid is hit in the eye with a baseball. of pain, local tenderness and double vision

Answer 7

Blow out fracture

Question 8

Procedure of choice for blow out facture

Answer 8

CT scan

Question 9

Blurry vision developing slowly over years. Gray or yellow opacity (blurring) of the lens

Answer 9

Cataract

Question 10

“web” or “veil” in front of the eye or in the periphery. the vitreous membrane pulls on and creates a tear in the retina. thousands of blood cells being liberated from a tiny blood vessel which has been broken due to the tear

Answer 10

Retinal Detachment

Question 11

Patient is unable to unable to Read, drive a car and even recognize familiar faces. A blind spot in the center of their vision.

Answer 11

Macular degeneration

Question 12

Ophthalmic signs and symptoms. Chronic conjunctival injection. Changes in corneal curvature. Large fluctuations in refraction. Premature cataract formation

Answer 12

Diabetic Retinopathy

Question 13

Long standing poorly controlled diabetes
Hemorrhages
Cotton wool deposits
Hard & soft exudates

Answer 13

Diabetic Retinopathy

Question 14

Patches of blind spots in central vision

Answer 14

Diabetic Retinopathy

Question 15

Optic disc swelling. Patient complains of increased intracranial pressure and glaucoma

Answer 15

Papilledema

Question 16

What disorder contraindicates a lumbar puncture?

Answer 16

Papilledema

Question 17

Sudden, painless, unilateral blindness or visual defect. Caused by embolism from atherosclerotic plaques

Answer 17

Central retinal artery occlusion

Question 18

Sudden or gradual, painless vision loss

Elderly patients

Answer 18

Central retinal vein occlusion

Question 19

Diagnose Central retinal artery and vein occlusions with what?

Answer 19

Funduscopy

Question 20

Complete monocular visual loss – lasting a few minutes

Answer 20

Amaurosis Fugax

Question 21

all peripheral vision will continue to be destroyed to the point where only central or “tunnel” vision remains

Answer 21

Retinitis Pigmentosa