Ophthalmology

Question 1

Cherry red sport at the macula

Answer 1

Central retinal artery occlusion

Question 2

“Tear drop” or “blood level in sinus”

Answer 2

Blow out fracture

Question 3

Failure to adduct past the midline *other eye abducts with nystagmus

Answer 3

Internuclear ophthalmoplegia (caused by issue my medical longitudinal fasiculus)

Question 4

Pain on eye movement

Answer 4

Optic neuritis

Question 5

What is optic neuritis most commonly caused by ?

Answer 5

Multiple Sclerosis

Question 6

Painful loss of vision in 1-2 weeks

Answer 6

Optic neuritis

Question 7

Curtain coming down, lasts less than 5 minutes

Answer 7

Amaurosis fugax

Question 8

Curtain coming down (partial), longer than 5 minutes

Answer 8

Retinal detachment

Question 9

Flashers and floaters

Answer 9

Retinal detachment

Question 10

Photophobia

Answer 10

Anterior uvetitis

Question 11

Gritty

Answer 11

Bacterial conjunctivitis or subtarsal foreign body

Question 12

Watery + pain and preauricular lymph noes

Answer 12

Viral conjunctivitis

Question 13

Silver/copper wiring

Answer 13

Hypertension eye disease

Question 14

Loss of red reflex, red eye on ophthalmoscopy

Answer 14

Haemorrhage

Question 15

New vessles and haemorrhage

Answer 15

Age-related macular degeneration WET

Question 16

Follicular conjunctivitis

Answer 16

Chlamydia

Question 17

Pinpoint pupils

Answer 17

Pontine issue

Question 18

Dilate pupils

Answer 18

Trans-calcarine fracture

Question 19

Different sized pupils

Answer 19

Damage to CNIII (or sympathetic chain as in Horner’s)

Question 20

Down and out dilated

Answer 20

Damage to CNIII

Question 21

Roth spots

Answer 21

Infective endocarditis

Question 22

Brushfield spots

Answer 22

Down’s syndrome

Question 23

“Scrambled egg”/ “egg yolk” appearance of the macula

Answer 23

Best disease

Question 24

Side effect includes iris colour becoming darker

Answer 24

Prostaglandin analogue