ophtho Flashcards

1
Q

when can infants fixate

A

6 weeks

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2
Q

when can infants see color

A

2 months

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3
Q

when can infants converge

A

3 months

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4
Q

when do infants have face/pattern preference

A

4 months

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5
Q

newborn visual acuity

A

20/200

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6
Q

1 yr old visual acuity

A

20/30

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7
Q

best visual acuity assessment tool

A

Lea symbols or HOTV letters

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8
Q

pendular nystagmus, intermittent head tilt, head bobbing

A

spasmus nutans

benign and transient

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9
Q

risk of untreated strabismus

A

amblyopia by age 6

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10
Q

when should infants have normal eye alignment

A

4 months

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11
Q

cover test - good eye or bad eye moves

A

bad eye moves when good eye covered

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12
Q

tearing, excess blinking, redness, enlargement of eye

A

congenital glaucoma

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13
Q

associations with congenital cataracts

A

rubella
CMV
galactosemia

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14
Q

bugs in orbital cellulitis

A

staph aureus, strep pyogenes, peptostreptococcus, bacteroides, H flu

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15
Q

photophobia, tearing, dulled corneal light reflex, irregular red reflex

A

corneal abrasion

tx: topical antibiotics

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16
Q

optic disc pallor, narrow arterioles, pigment deposition on periphery

A

retinitis pigmentosa

17
Q

who needs ROP screening

A

GA < 32 wks
BW < 1500g
or 1500-2000g with unstable course

screen at 31-34wks CGA or 4-6wks after birth

18
Q

biggest risk factors for ROP

A

prematurity, VLBW

19
Q

does erythromycin ointment prevent chlamydia

A

NO

20
Q

tx of neonatal conjunctivitides

A

gonococcal: IV ceftriaxone, saline lavage
Chlamydia: oral erythromycin
HSV: IV acyclovir

21
Q

diffuse/multifocal fluorescein uptake in patient who wears contacts

A

gram neg infection or ulceration of corneal epithelium

refer to ophtho

22
Q

bugs in bacterial conjunctivitis

A
S aureus, S epi
S pneumo
M cat
Pseudomonas
HiB
23
Q

conjunctitis otitis syndrome

A

H flu

tx: amox-clav

24
Q

tx of viral conjunctivitis

A

cool compresses and artifical tears

NO steroid drops or antibiotics

25
Q

hyphema management

A

bed rest and HOB at 30 degrees

eye shield