Ophtho

Question 1

Diabetic retinopathy

Answer 1

stage 1 microaneurysms, hem, exudate, edema
stage 2 pre-prolif cotton wool
stage 3 prolif neovasc

Question 2

Cataracts

Answer 2

loss of red reflex

Question 3

Optic neuritis

Answer 3

Central scotoma, dull colors, periph vision, MS get MRI

Question 4

Open angle glaucoma

Answer 4

AA, DM, slow-onset peripheral vision loss–>tunnel vision, cupping of optic disc, tx timolol

Question 5

Closed angle glaucoma

Answer 5

Acute onset dilated pupil tx pilocarpine acetazolamide timolol mannitol NEVER GIVE ATROPINE

Question 6

Retinal detachment

Answer 6

Floaters, flashes of light

Question 7

Central retinal artery occlusion

Answer 7

Cherry red spot, emergency, O2 + orbital massage

Question 8

Ocular rosacea

Answer 8

b/l “dirt” pt w/ rosacea (pustules/telang)

Question 9

Contact lens-associated keratitis

Answer 9

Gram neg psuedomonas (serratia) eye looks TERRIBLE red inflamed exudate, broad spectrum topical abx, throw away contacts

Question 10

Neonatal conjunctivitis

Answer 10

Gonorrhea 2-5d more purulent PO CTX, chlamydia 1-2w not as purulent PO azithro

Question 11

Viral conjunctivitis

Answer 11

Adenovirus, self limiting, tx supportive

Question 12

Nl pupil size

Answer 12

2-4