ophtho

Question 1

tx of bacterial conjunctivitis?

Answer 1

topical abx - erythromycin or polymixin B - TMP

Question 2

tx of corneal abrasion?

Answer 2

topical abx, analgesics

Question 3

difference between orbital cellulitis from periorbital cellulitis?

Answer 3

orbital - vision loss, pain with movement of eye, ophthalmoplegia, proptosis

periorbital - no vision loss

Question 4

tx of closed angle glaucoma?

Answer 4

topical timolol, apraclonidine, pilocarpine

iv acetazolamide, mannitol

laser periphiridotomy

Question 5

progressive vision loss in 1 eye with pain worsens with movement. Loss of color vision. only one eye pathway works equally. Dx? study?

Answer 5

optic neuritis - MS

MRI brain/orbits, tx of IV steroids

Question 6

sudden onset of floaters and flashes of light in left eye. Loss of vision described as curtain coming across field of vision. Dx? Management?

Answer 6

retinal detachment

immediate ophtho referral

Question 7

Dx of young woman with painful vision loss in one eye, relative afferent pupillary defect on exam?

Answer 7

optic neuritis

Question 8

Dx of elderly woman with headache, jaw claudication and elevated ESR?

Answer 8

temporal arteritis

Question 9

Dx of acute painless vision loss in one eye, cherry-red spot in macula on funduscopic exam?

Answer 9

central retinal artery occlusion

Question 10

Dx of vision loss preceded by floaters and flashes of light?

Answer 10

retinal detachment

Question 11

Dx of progressive vision loss starting in the periphery, cupping of optic disc on funduscopic exam?

Answer 11

open angle glaucoma

Question 12

Dx of sudden onset of painful red eye with headache, N/V, and blurred vision

Answer 12

acute closed angle glaucoma

Question 13

Dx of gradual vision loss due to opacification of lens/

Answer 13

cataracts