Ophthalmology

Question 1

Tear drop/blood level in sinus

Answer 1

Blow out fracture

Question 2

Failure to adduct

Answer 2

Internuclear ophthalmoplegia - issue with medial longitudinal fasciculus

Question 3

Pain on eye movement

Answer 3

optic neuritis, most commonly caused by MS

Question 4

Painful loss of vision 1-2 weeks

Answer 4

optic neuritis

Question 5

Curtain coming down for less than 5 minutes

Answer 5

Amaurosis fugux

Question 6

Curtain coming down (partial) more than five minutes

Answer 6

Retinal detachment

Question 7

Flashes and floaters

Answer 7

Retinal detachment

Question 8

Photophobia

Answer 8

anterior uveitis (iritis)

Question 9

Gritty

Answer 9

Bacterial conjunctivitis or

Sub-tarsal foreign body

Question 10

Cherry red spot at macula

Answer 10

Central Retinal Artery Occlusion

Question 11

Watery, pain and pre-auricular lymph nodes

Answer 11

viral conjunctivitis

Question 12

silver/copper wiring

Answer 12

Hypertensive eye disease

Question 13

Loss of red reflex, eye red on ophthalmoscope

Answer 13

haemorrhage

Question 14

New vessels and haemorrhage

Answer 14

WET ARMD

Question 15

Follicular conjunctivitis

Answer 15

Chalmydia

Question 16

Pinpoint pupils

Answer 16

pontine issue (relating to pons of the rain i.e. haemorrhage)

Question 17

Dilated pupil

Answer 17

trans calcarine fracture

Question 18

Different sized pupils

Answer 18

Damage to CN3

or damage to sympathetic chain- Horner’s syndrome

Question 19

Down and out, dilated

Answer 19

damage to CN3

Question 20

Down and out, not dilated

Answer 20

diabetes

Question 21

Roth spots

Answer 21

infective endocarditis

Question 22

Brushfield spots

Answer 22

Down syndrome

Question 23

Scrambled egg/ egg yolk appearance at the macula

Answer 23

Best’s disease (aka vitelliform degeneratiin)