Neuro-Opth Flashcards

1
Q

What are the dilated pupil disorders?

A

Efferent defect
Adie’s tonic
Pharm pupil
Traumatic

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2
Q

What are the small pupil disorders?

A

Horner’s synd- Unilateral

Argyll robertson- bilateral tonic

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3
Q

What is Adie’s tonic pupil?

A

Doesn’t react to light
Blurred near vision
Benign, idiopathic

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4
Q

What are the features of Horner’s syndrome?

A

Ptosis
Miosis
Anhydrosis
Congenital or acquired: From a pancoast tumor SNS lesion

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5
Q

WHat causes eye color change in kids?

A

SNS stimulation

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6
Q

What is Argyll Robertson pupil?

A

Pupils accommodate but do not react to light
Pupils irregular and small
Bilateral
SYPHILIS, DM, EtOH

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7
Q

What is seen in CN III Paresis?

A

EOM paresis/palsy
Abduction, hor/vert diplopia
Ptosis
Etiology: IC Aneurism, Vasc dis, trauma, brain tumor

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8
Q

What is seen in a CN IV Paresis?

A

Vertical Oblique Diplopia

Compensatory head tilt to opp shoulder

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9
Q

What is seen in MG?

A
AI disease
Ptosis/Diplopia
Fatigability
No pupillary Abnormalities
Mimics EOM problem
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10
Q

What is Nystagmus?

A

Spon, Rhythmic back and Forth movement

Named by fast comp

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11
Q

What is Charicteristic of Optic nerve Defect?

A
Blurred disc
-congenital
-papilledema
-papillitis
Optic Atrophy
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12
Q

What is the Etiology of Pseudopapilledema?

A

Hyperopia
Persistent Hyaloid Remn
Optic n drusen
Myelinated n Fibers

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13
Q

What is Pappiledema?

A

Disc Edema due to Inc ICP

Hyperemia of disc, Tortuosity of vessels, blurring and elev of disc, bilateral, Absence of SVP

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14
Q

What is the Etiology of Papilledema?

A

Brain Tumors
IC HTN
Cerebral Hemor

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15
Q

What is Idiopathic IC HTN?

A
Papilledema
20-40 yo Fe
Obese/wt gain
-Cephalgia
-visial obscur
-pulsile tinnitus
-hor Diplopia
Pain in EOM
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16
Q

What is the Tx of Idiopathic IC HTN?

A

Wt Loss
Carbonic Anhydrase Inhib
CSF shunting
Optic Nerve fenestration

17
Q

What are the features of Optic Neuritis?

A

Unilateral
Dec Vision
Red Desaturation
Visual Field Defects

18
Q

What is the Etiologyu of Optic Neuritis?

A

Multiple Sclerosis

Ischemia

19
Q

WHat is RAPD?

A

Relative Afferent Pupillary Defect

20
Q

What is Optic Atrophy?

A

Pallor of the Optic Nerve

21
Q

What are common causes of Optic Atrophy?

A
Optic Neuritis
Long standing Papilledema
Compression of ON
Glaucoma
Prev ocular/optic N trauma
Toxins: Ethambutol. MeOH
Krabble Dis
22
Q

What is Charles Bonnet Syndrome?

A

Pleasant, interesting Visual Hallucinations

Significant visual loss

23
Q

What is char of Cognitive vision loss?

A

Variant of Alz Dis

Simultagnosia: can’t group letters into words/words into sentances