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Master the Boards > Ophthalmology > Flashcards

Ophthalmology Flashcards

1
Q

describe a bacterial conjunctivitis

A
  • red eye
  • unilateral
  • thick purulent discharge
  • NO LAD
  • NO itch
  • treated with topical antibiotics
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2
Q

describe a viral conjunctivitis

A
  • red eyes
  • bilaterla
  • watery discharge
  • periauricular LAD
  • itchy
  • no specific tx
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3
Q

red eye and history of trauma

A

abrasion

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4
Q

sand in my eye and red eye

A

abrasion

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5
Q

diagnosis of ocular abrasion

A

fluorescin stain

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6
Q

tx of ocular abrasion

A

no specific tx, ? patch

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7
Q

red eye and pain– what eye findings

A

FIXED MIDPOINT PUPIL– non-reactive to light in glaucoma; hard to palpation

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8
Q

most accurate test for glacuoma

A

tonometry

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9
Q

chronic glaucoma tx

A
  • prostaglandin analogues: latanoprost, travoprost, bimatoprost
  • pilocarpine
  • laser trabeculoplasty
  • alpha blockers: apraclonidine
  • beta blockers: topical– timolol, cartelol, metipranolol, betaxolol, levobunolol
  • carbonic anhydrase inhibitors: dorzolamide, brinzolamide
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10
Q

acute angle closure glaucoma tx

A

AMPI

  • acetazolamide IV
  • mannitol IV
  • pilocarpine, beta blockers, apraclonidine
  • iridiotomy- laser
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11
Q

how does uveitis present

A

red eye+ PHOTOPHOBIA

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12
Q

diagnostic test for uveitis

A

slit lamp exam

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13
Q

what to avoid in herpes keratitis

A

STEROIDS

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14
Q

tx of cataracts

A

surgical removal of lens, and replace with new intraocular lens

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15
Q

most accurate test in diabetic retinopathy

A

fluorescin angiography

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16
Q

non- proliferative diabetic retinopathy tx

A

diabetic control

17
Q

proliferative diabetic retinopathy tx

A

laser photocoagulation

18
Q

acute painless monocular vision loss differential

A

central retinal artery OR vein occlusion

19
Q

retinal exam for retinal artery occlusion

A

cherry red macula, pale retina

20
Q

retinal exam for retinal vein occlusion

A

extravasation of blood into the retina

21
Q

painless unilateral loss of vision– curtain coming down

A

retinal detachment

22
Q

tx of retinal detachment

A

MECHANICAL

  • surgery
  • laser
  • cryotherapy
  • injection of expansile gas– pushes retina back up against globe of eye
23
Q

MCC blindness in elderly

A

macular degen

24
Q

tx of atrophic macular degen

A

NO PROVEN effective tx

25
Q

tx of wet macular degen

26
Q

aflibercept

27
Q

ranibizumab

28
Q

bevacizumab

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