Ophthalmology, ENT and Child Health

Question 1

cherry red spots 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

Answer 3

internuclear ophthalmoplegia - issue with medial longitudinal fasciculus

Question 4

pain on eye movement

Answer 4

optic neuritis - most commonly caused by MS

Question 5

painful loss of vision 1-2 weeks

Answer 5

optic neuritis

Question 6

curtain coming down <5 mins

Answer 6

amaurosis fugax - TIA

Question 7

curtain coming down (partial) longer than 5 mins

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 + pain + pre-auricular lymph nodes

Answer 11

viral conjunctivitis

Question 12

silver/copper wiring

Answer 12

hypertension eye disease

Question 13

loss of red reflect, red eye on ophthalmoscopy

Answer 13

haemorrhage

Question 14

new vessels and haemorrhage

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-calcerine fracture

Question 18

different sized pupil

Answer 18

damage to CN3 (or sympathetic chain as in Horners)

Question 19

down out dilated

Answer 19

damage to CN3

Question 20

down out not dilated

Answer 20

diabetes

Question 21

roth spots

Answer 21

infective endocarditis

Question 22

brushfield spots

Answer 22

Downs syndrome

Question 23

fluid level behind ear drum
retracted drum
dull colour

Answer 23

otitis media with effusion

Question 24

difficulty at school + having to shout loudly to hear

Answer 24

OME with hearing loss

Question 25

feeling of fullness in the ear

Answer 25

Meniere’s disease

Question 26

loss of corneal reflex
sensorineural hearing loss
vertigo
tinnitus
- what is this condition associated with?

Answer 26

acoustic neuroma (vesticular Schwannoma)
- associated with neurofibromatosis type II

Question 27

vertigo on rotational movement of the head

Answer 27

BPPV

Question 28

battle sign

Answer 28

bruising on the skull

very specific to mastoid process of temporal bone fractures

Question 29

pearly white on otoscopy and foul, cheesy discharge

Answer 29

cholesteatoma

Question 30

chromosome 18

Answer 30

Edward’s

Question 31

chromosome 13

Answer 31

Patau

Question 32

chromosome 21

Answer 32

Down’s

Question 33

ADHD triad

Answer 33

hyperactivity
inattentive
impulsive

Question 34

ADHD treatment

Answer 34

methylphenidate

or atomoxetine

Question 35

autism triad

Answer 35

social communication
language
repetitive behaviour

Question 36

Aspergers definition

Answer 36

form of autism where there is no problem with social communication