Old Material

Question 1

Once you have one eye injury you are how likely to have another?

Answer 1

3x

Question 2

If someone comes into your office with a penetrating injury, do you take VA’s?

Answer 2

no

Question 3

When should you perform surgery for a blow out fracture?

Answer 3

if the exophthalmos is more than 2 mm difference

Question 4

What is the fracture that is all over the place like after a car accident?

Answer 4

Le Fort

Question 5

What fracture causes hard jaw movement?

Answer 5

Tripod

Question 6

What bone breaks in a tripod fracture?

Answer 6

Zygomatic arch

Question 7

Does a medial wall fracture ever cause muscle entrapment?

Answer 7

No

Question 8

Which wall fracture is most concerning due to brain involvement?

Answer 8

Superior

Question 9

What is the term for tear of the iris root?

Answer 9

Iridodyalysis

Question 10

Do macular holes differ in how they look depending upon the etiology?

Answer 10

NO

Question 11

What is the treatment for a macular hole? What is the main complication of the treatment?

Answer 11

Vitrectomy, cataract

Question 12

What is the max number of years you can have a macular hole and still have a somewhat effective vitrectomy?

Answer 12

2 years

Question 13

What causes a hyphema?

Answer 13

Tear of Ant. CB

Question 14

What is the grading for hyphema?

Answer 14

1. 0-33, 2. 33-50, 50-95, 100 (eight ball)

Question 15

What are the two things that can develop due to fracture?

Answer 15

Orbital cellulitis and RD

Question 16

What should be performed 3-4 weeks after fracture?

Answer 16

Gonio and scleral depression

Question 17

What are the two drugs you should use while you wait for a hyphema to resolves?

Answer 17

Steroid and cycloplege

Question 18

When does a rebleed tend to occur with hyphema?

Answer 18

2-5 days

Question 19

What is the follow up schedule for hyphen patients?

Answer 19

every 24 hours

Question 20

When should you performa a DFE On hyphen patients?

Answer 20

at 1 month

Question 21

an IOP of 50 for how many days with a hyphen requires surgery?

Answer 21

5 days

Question 22

An IOP of 35 for how many days with a hymphema requires surgery

Answer 22

7 days

Question 23

What is the difference between luxated and subluxated?

Answer 23

lactated means that all the zonules broke

Question 24

What is the most common sign of blunt trauma in the choroid?

Answer 24

Concentric scar temporal to disc (esp if hit nasally)

Question 25

What is the main problem of the choroidal concentric scar?

Answer 25

SRNVM

Question 26

Where is the damage usually in the retina from blunt trauma?

Answer 26

SN and IT

Question 27

What is bruising of the retina?

Answer 27

Commotio retinae

Question 28

Treatment for committee retina?

Answer 28

NO

Question 29

How many years after the trauma can a macular hole appear?

Answer 29

MANY

Question 30

What is swelling in commotio retinae?

Answer 30

glial cells

Question 31

What is commotio retinae called if it involves the macula?

Answer 31

Berlin's Edema

Question 32

Are bandage CL used for small or large abrasions?

Answer 32

Small

Question 33

Disturbance to what corneal layer may cause erosions?

Answer 33

Bowman's

Question 34

When is the pain the sharpest in erosions?

Answer 34

Upon waking

Question 35

What do patients with erosions usually have history of?

Answer 35

superficial injury

Question 36

What don't you use in cases of possible corneal melting?

Answer 36

topical steroid

Question 37

What are the two things you must get from patient conversation prior to using alger brush?

Answer 37

Get consent, and inform of risk of scarring

Question 38

Three methods of looking for an intraocular FB?

Answer 38

CT scan, B scan and DFE

Question 39

All CN III palsies are Emergency room until proven otherwise. T or F

Answer 39

T

Question 40

Common CN VI palsies in kids and adults are:

Answer 40

Kids: viral, Adults: ischemic

Question 41

What kind of pupil will you have with a CN III palsy?

Answer 41

DILATED

Question 42

CN IV palsies are usually all due to what?

Answer 42

Trauma

Question 43

What are the two signs of a retinal tear in the vitreous?

Answer 43

pigment and blood

Question 44

If you have a symptomatic PVD when should you follow up with pt?

Answer 44

6 weeks

Question 45

What if your patient has a tear--what should you do?

Answer 45

Refer (even is asymptomatic)

Question 46

What is an opperculated hole due to?

Answer 46

Traction

Question 47

What is an atrophic hole associated with?

Answer 47

Lattice

Question 48

Vitreous clear how much per day?

Answer 48

1%

Question 49

name the different stages of macular holes

Answer 49

1 - yellow dot, VMA; 2 - FT 400; 4 FT with PVD

Question 50

What stage do macular holes begin to be surgical/

Answer 50

Stage two

Question 51

What is the surgery for macular holes stage 2+

Answer 51

Vitrectomy with membrane peel

Question 52

What is Jetrea

Answer 52

In duced PVD in stage 1 of macular holes

Question 53

What are the three factors for high risk PDR?

Answer 53

NVD>1/3, NVD

Question 54

What do you refer for ASAP if you see any high risk PDR symptoms?

Answer 54

PRP

Question 55

What is a taut posterior hyaloid membrane?

Answer 55

It is when a diabetic is non responsive to treatment so they have to perform a vitrectomy with membrane peel

Question 56

What are the three qualifications for CSME?

Answer 56

within 1/3 DD from the fovea, hard exudates within 1/3 DD of fovea with edema, Edema > 1 DD within 1DD of fovea

Question 57

What time frame should you refer for CNVM?

Answer 57

24-72 hours

Question 58

What should you check on a patient with papilledema?

Answer 58

Blood pressure

Question 59

When should you refer to PCP and emergency room with BP >180/120?

Answer 59

with headache- PCP, with end organ damage: emergency

Question 60

When is macular hole prognosis the best?