Ophthalmology

Question 1

Adie pupil?

Answer 1

Tonically dilated, slow reaction to light, accommodation present.
Due to bacterial/viral infection - affects parasym innervation
More common in women
Absent knee or ankle reflexes

Question 2

Argyll-Robertson pupil?

Answer 2

Accommodates but doesn’t react to light.
Bilaterally small pupils
Can be associated with neurosyphilis or diabetic neuropathy.

Question 3

Optic neuritis causes, symptoms and treatment?

Answer 3

Causes:
Multiple sclerosis
Diabetes
Syphilis

Symptoms
RAPD
Unilateral, decrease in vision acutely (days)
Pain
Red desaturation

Treat
High dose steroids

Question 4

Scleritis and episcleritis associated with what?

Answer 4

Rheumatoid arthritis.
Scleritis - painful
Episcleritis - not painful

Question 5

Main fundoscopy feature of primary open angle glaucoma?

Answer 5

Optic disc cupping

Disc-to-cup ratio >0.7 (normal 0.4-0.7)

Question 6

Ototoxic drugs?

Answer 6

Gentamicin
Quinine
Furosemide
Aspirin
Some Chemotherapy agents

Question 7

Intranuclear ophthalmoplegia?

Answer 7

EG:
Patient looks to left.
Left eye has nystagmus
Right eye can’t fully adduct across.

Pathognomonic of MS