Ophthalmology

Question 1

If a patient has floaters what are we concerned about?

Answer 1

Retinal Detachment

Question 2

Eye Pain, Redness, Sensitivity to bright lights, no discharge, what should I think about?

Answer 2

iritis/anterior uveitis

Question 3

Eye discomfort that spreads to the other eye with morning crusting, watery discharge, and preauricular adenopathy is suggestive of what?

Answer 3

Viral Conjunctivitus

Question 4

Unilateral Redness, discharge, foreign body sensation, and light sensitivity, contacts, has not changed them recently, what is this disease?

Answer 4

Bacterial Corneal Ulcer, need emergent eye doctor evaluation

Question 5

Severe Unilateral Eye pain, sectoral hyperemia, no trauma, is what?

Answer 5

Scleritis, patient should be evaluated for Rheumatoid Arthritis
No visual changes or photophobia

Question 6

Episcleritis vs scleritis is what?

Answer 6

Scleritis has severe pain, episcleritis does not

Question 7

Infection of the upper eye, acute onset of localized, painful swelling via an infected eyelash follicle, usually is what?

Answer 7

Hordeolum, style

Crusting is common

Question 8

What is a Pterygium?

Answer 8

Irritation, foreign body

Question 9

Morning crusting and discharge, foreign body sensation, vision unaffected is what?

Answer 9

Blepharitis

Question 10

What is a non-infective blockage of the Meibomian gland orifice that causes the gland to rupture inside the tarsal plate?

The resultant foreign body reaction causes a rubbery, palpable nodule, it is rarely tender and does not cause lid or conjunctival erythema.

Answer 10

Chalazion

Question 11

What is an accumulation of white blood cells that may be grossly visible in the inferior part of the anterior chamber?

Answer 11

Hypopyon

Question 12

If a young female is engaged in unprotected sexual activities and has ocular concerns, what is the result?

Answer 12

Adult Inclusion Conjunctivitis

Question 13

Ptosis, Anhidrosis, and Miosis is seen when what nerve lesion is seen?

Answer 13

A lesion along the sympathetic Nerve chain, in the neck

Horner’s Syndrome

Question 14

Vision changes that are concerning for a TIA, what medication should be given?

Answer 14

Aspirin

Question 15

What are Hollenhorst plaqes?

Answer 15

Cholesterol Emboli within retinal blood vessels

Question 16

A patient has allergic conjunctivitus and olopatadine is prescribed. What does this medication do?

Answer 16

Mast Cell stabilizer

Question 17

What is seen? Let’s assume the patient frequently wears contacts

Answer 17

Corneal ulcer 2/2 Pseudomonas Aerginosa. Patient should be given Gatifloxacin Drops

Question 18

Episcleritis patient is given phenylephrine drops, what will happen?

Answer 18

Blanching and improvement of ocular erythema

Question 19

Anterior Scleritis patient is given phenylephrine drops, what happens?

Answer 19

No blanching

Question 20

Anterior Scleritis affects the superficial and episcleral plexus. What three symptoms will the patient have?

Answer 20

Severe Pain
Decreased Vision
Increasing Tearing