Ophthalmology

Question 1

Cherry red spot on macula

Answer 1

CRAO

Question 2

Tear drop sign +/- blood level in sinus

Answer 2

Blow-out fracture

Question 3

Failure to adduct

Answer 3

Internuclear opthalmoplegia

Question 4

Pain on eye movement

Answer 4

Optic neuritis

Question 5

Painful loss of vision (1-2 weeks)

Answer 5

Optic neuritis

Question 6

Curtain coming down <5min

Answer 6

Amarosis fugax

Question 7

Curtain partially down >5min

Answer 7

Retinal detachment

Question 8

Flashes and floaters

Answer 8

Retinal detachment

Question 9

Photophobia

Answer 9

Anterior Uveitis

Question 10

Gritty eye

Answer 10

Bacterial conjunctivitis or sub-tarsal foreign body

Question 11

Watery eye, pain and pre-auricular lymph nodes

Answer 11

Viral conjunctivitis

Question 12

Silver/copper wiring

Answer 12

HTN eye disease

Question 13

Loss of red reflex, eye red on opthalmoscopy

Answer 13

Haemmorhage

Question 14

New vessels and haemmorhage

Answer 14

Wet ARMD

Question 15

Follicular conjunctivitis

Answer 15

Chlamydia

Question 16

Pinpoint pupils

Answer 16

Pontine issue

Question 17

Dilated pupils

Answer 17

Trans-calcarine #

Question 18

Different sized pupil

Answer 18

Damage to CN3 or sympathetic chain (Horner’s)

Question 19

Down and out with dilated pupil

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’s syndrome

Question 23

‘Scrambled egg’ macula

Answer 23

Best disease