Ophtho

Question 1

classic exam finding in endophthalmitis

Answer 1

hypopon

Question 2

orbital cellulitis + oculomotor nerve palsy

Answer 2

cavernous sinus thrombosis

Question 3

treatment of orbital cellulits

Answer 3

vanc/zosyn

Question 4

painless vision loss with flashes/floaters, curtain falling down

Answer 4

retinal detachment

Question 5

pale retina with cherry red macula

Answer 5

CRAO

Question 6

laceration to the eye where you put in fluorsecein away from the lac and comes through the wound

Answer 6

damage medial to either punctum (damages lacrimal duct system which drains tears from the lacrimal duct)

Question 7

What differentiates a pterygium from a pinguecula

Answer 7

pterygium extends into corneum while pinguecula does not

Question 8

treatment for UV keratitis

Answer 8

pain control, ?abx and cycloplegics

Question 9

f/u for UV keratitis

Answer 9

follow up with ophtho in 1-2 days

Question 10

treatment for corneal ulcer

Answer 10

topical ciprofloxacin

Question 11

ulceration with a hazy base and possible limbic injection/ciliary flush

Answer 11

corneal ulcer with secondary iritis

Question 12

boxcar/cherry red macula

Answer 12

CRAO

Question 13

treatment of CRAO

Answer 13

orbital massage
vasodilators (nitroglycerin, pentoxyfilline)
reduction of IOP (acetazolamide, mannitol)
anterior chamber paracentesis

Question 14

compare chalazion and hordeolum

Answer 14

chalazion is firm painless bump usually on upper eyelid and hordeolum is painful usually on lower eyelid near eyelash

Question 15

hyphema in sickle cell- drug to avoid

Answer 15

carbonic anhydrase inhibitor

Question 16

posterior nosebleed associated with what artery

Answer 16

sphenopalatine

Question 17

ptosis, miosis, facial anhidrosis

Answer 17

horner’s syndrome (due to insult or deficiency of facial sympathetic innervation)

Question 18

anterior uveitis is also called

Answer 18

iritis

Question 19

decreased visual acuity, ciliary flush, and a deep ache that is not relieved by topical anesthetic drops

Answer 19

anterior uveitis (iritis)

Question 20

mid-dilated pupil that is sluggishly reactive

Answer 20

acute angle closure glaucoma

Question 21

when is bleeding of a hyphema most likely to recur

Answer 21

within 72 hours

Question 22

medication to avoid in SCD and hyphema

Answer 22

carbonic anhydrase inhibitor

Question 23

treatment of HSV keratitis

Answer 23

topical trifluridine

Question 24

treatment of CRVO

Answer 24

anti-VEGF, dexamethasone implant, intravitreal triamcinolone

Question 25

surgery most likely to be complicated by endophthalmitis

Answer 25

cataract surgery

Question 26

abx treatment for dacryocystitis

Answer 26

clindamycin mild, vancomycin if more severe

Question 27

most common complication of dacryocystitis

Answer 27

orbital cellulitis

Question 28

Most common vision loss from retinal vascular disease

Answer 28

Diabetic retinopathy

Question 29

Bell’s palsy + CN VI palsy=

Answer 29

Get CT scan, high risk for stroke

Question 30

MCC CNVI palsy

Answer 30

Microvascular ischemia from diabetes or HTN

Question 31

Oculomotor nerve palsy (CN3)

Answer 31

Down and out

Question 32

Consensual photophobia is most associated with

Answer 32

Iritis

Question 33

Treatment of iritis

Answer 33

Cyclopegics, steroidsq

Question 34

Treatment of preseptal cellulitis

Answer 34

Oral clindamycin (includes MRSA coverage)