OPTHA1 Flashcards
What is the blood supply of the optic nerve?
A. Central retinal artery
B. Choriocapillaries
C. Long posterior ciliary artery
D. Short posterior ciliary artery
A. Central retinal artery
Main drainage of the orbit is
A. retinal vein
B. superior orbital vein
C. inferior orbital vein
D. cavernous sinus
B. superior orbital vein
A 34-year-old female sought consult and was diagnosed with Bell’s palsy. Where is the lesion?
A. Oculomotor nerve
B. Trochlear nerve
C. Abducens nerve
D. Facial nerve
D. Facial nerve
A 64-year-old male was diagnosed with Pancoast tumor. He has difficulty breathing with mitosis, ptosis, and loss of ciliospinal reflex. Which of the following innervation was disrupted?
A. Oculomotor nerve
B. Facial nerve
C. Parasympathetic nerve
D. Sympathetic nerve
D. Sympathetic nerve
Anterior boundary of the orbit that prevents contiguous spread of infection into the orbital tissue
A. Orbicularis oculi
B. Orbital septum
C. Medial orbital wall
D. Superior orbital fissure
B. Orbital septum
True of Asian eyes:
A. The insertion of levator into the orbicularis of the upper eyelid crease is less developed
B. Thinner fat pads
C. Tarsal plate tends to be shorter
D. Thicker eyelid skin
A. The insertion of levator into the orbicularis of the upper eyelid crease is less developed
A 70/M came in due to complaints of foreign body sensation. On examination, the ophthalmologist diagnosed him with distichiasis. This means that he has:
A. misdirected eyelashes
B. an accessory row of eyelashes
C. downward drooping of upper eyelid
D. outward protrusion of lower lid
B. an accessory row of eyelashes
Young boy with a 3-month history of painless upper eyelid lesion. This chronic inflammatory granulomatous lesion is most likely from?
A. Meibomian gland
B. Zeiss gland
C. Sweat gland
D. Wolfing’s gland
A. Meibomian gland
A 55-year-old hypertensive female consulted at the ER because of doubling vision. On examination she has grade 2 ptosis and mydriasis on the left eye. The patient has:
A. facial palsy
B. peripheral neuritis
C. oculomotor palsy
D. sympathetic palsy
C. oculomotor palsy
A recurrent bilateral conjunctivitis occurring with the onset of hot weather in young boys with symptoms of blurring, itching, and lacrimation with large flat topped cobblestone papillae raised areas in the palpebral conjunctiva is
A. trachoma
B. mucopurulent conjunctivitis
C. atopic conjunctivitis
D. vernal keratoconjunctivitis
D. vernal keratoconjunctivitis
A young child suffering from fever and sore throat began to complain of lacrimation. On examination, follicles were found in the palpebral conjunctiva with tender preauricular lymph nodes. The most probable diagnosis is
A. Trachoma
B. Staphylococcal conjunctivitis
C. Adenoviral conjunctivitis
D. Phlyctenular conjunctivitis
C. Adenoviral conjunctivitis
A female patient, 18 years old, who has been a contact lens wearer for two years, is complaining of redness, lacrimation, and foreign body sensation on both eyes. On examination, visual acuity was 6/6 with negative fluorescent test. The expected diagnosis can be:
A. acute anterior uveitis
B. giant papillary conjunctivitis
C. bacterial keratitis
D. acute congestive glaucoma
B. giant papillary conjunctivitis
It is the second most common ocular adnexal tumor and generally manifests as a salmon-pink patch on the fornix of the eye:
A. MALT lymphoma
B. HPV carcinoma
C. Melanoma
D. Papilloma
A. MALT lymphoma
HPV strains that cause squamous cell carcinoma
A. HPV 6 & 11
B. HPV 16 & 18
C. HPV 6 & 18
D. HPV 11 & 16
B. HPV 16 & 18
A 58-year-old female came in… It shows a pinkish, triangular tissue growth on the cornea of the eye.
A. Lymphoma
B. Pinguecula
C. Pterygium
D. Conjunctival cyst
C. Pterygium
What is your advice for the patient above?
A. Observe
B. Topical steroids
C. Conjunctival excision with conjunctival autograft
D. Wide excision and topical chemotherapy
C. Conjunctival excision with conjunctival autograft
A 55-year-old female on NSAIDs for years due to back pain sought consult for unilateral pain in the eye. Episcleral vessels were engorged and sclera was inflamed with a small bump. What laboratory test will you order to confirm the diagnosis?
A. CBC
B. ESR
C. Rheumatic factor
D. CXR
C. Rheumatic factor
Constitutes the posterior lamella of the lid
A. Skin and orbicularis
B. Tarsal plate and conjunctiva
C. Fat and skin
D. Fat and orbicularis
B. Tarsal plate and conjunctiva
An imaginary ring around the limbus where rectus muscle insert
A. Scleral ring
B. Spiral of Tillaux
C. Orbital apex
D. Orbital rim
B. Spiral of Tillaux
A condition in which the eyelid is inverted
A. Ectropion
B. Entropion
C. Epiblepharon
D. Blepharon
B. Entropion
A 5-year-old child was brought to you because of marked lid edema, and erythema of the right upper lid. On palpation, you noted tenderness and fluctuance. The child has low-grade fever. CBC results show a mild leukocytosis. VA and ocular motility were normal. The patient probably has
A. orbital cellulitis
B. preseptal cellulitis
C. external hordeolum
D. cavernous sinus thrombosis
B. preseptal cellulitis
A fibrous membrane that envelopes the globe from the limbus to the optic nerve
A. Episclera
B. Conjunctiva
C. Tenon’s capsule
D. Sclera
C. Tenon’s capsule
Layer of the cornea that usually sheds off in a patient with recurrent corneal erosion
A. Epithelium
B. Endothelium
C. Descemet’s membrane
D. Stroma
A. Epithelium
A 25 yo male went for consult due to red painful left eye. Dye tests shows branching of epithelial dendrites. What is the etiology?
A. Adenovirus 18, 29
B. Fungi
C. Herpes simplex
D. Gonococcal
C. Herpes simplex
An 80 yo man has a painful lesion on the side of his nose. This raises the suspicion of involvement with a nerve that supplies the cornea is
A. maxillary branch of the trigeminal nerve
B. lacrimal nerve
C. frontal nerve
D. nasociliary branch of the trigeminal nerve
D. nasociliary branch of the trigeminal nerve
The external stye is due to
A. granulomatous inflammation of the Meibomian glands
B. suppurating glands of Zeiss at the base of the eyelashes
C. viral infection of the lacrimal glands
D. corneal abscess
B. suppurating glands of Zeiss at the base of the eyelashes
The primary retractor of the upper eyelid is the
A. orbicularis oculi
B. superior rectus
C. levator muscle
D. procerus
C. levator muscle
A patient presents in your office with a painless, slowly enlarging bump on the eyelid. What is the treatment?
A. Topical antibiotic
B. Oral antibiotic
C. Send to ophthalmologist ASAP
D. Warm compress
D. Warm compress
A young man was brought at the ER after a brawling spree. He has multiple facial hematomas and complained of blurring of vision after he was punched in the face. What is the most common site of perforation after a blunt trauma?
A. Near the…
B. Corneal limbus
C. Corneal apex
D. Near the insertion of the rectus muscle
D. Near the insertion of the rectus muscle
Part of the uveal tract of the eye
A. Cornea
B. Sclera
C. Choroid
D. Retina
C. Choroid
A 21 yo female shows up in your clinic with profuse purulent discharge from both eyes. Cytology reveals the presence of gram-negative cocci in pairs. The treatment of choice is
A. Fortified vancomycin eye drops
B. Tobramycin 80 mg IV
C. Ceftriaxone 1000 mg IM injection
D. Amphotericin B ointment ring
C. Ceftriaxone 1000 mg IM injection
This law says innervation to the yoke muscles are all equal
A. Hering’s law
B. Listing’s law
C. Sherrington’s law
A. Hering’s law
An 82-year-old underwent removal of brunescent cataract on the right eye. After 1 week, he developed severe eye pain, redness, tearing, and loss of vision. He was diagnosed with bullous keratopathy leading to corneal decompensation. What is the most likely explanation for this complication?
A. The epithelium of cornea is eroded due to lack of hemidesmosomes
B. The Bowman’s layer is transected during cataract surgery
C. There is a significant water retention in the corneal stroma
D. The endothelial layer is depleted and aggravated during surgery
D. The endothelial layer is depleted and aggravated during surgery
A 2-year-old male diagnosed with retinoblastoma. He was advised to undergo enucleation. This surgical procedure means
A. Removal of intraocular contents of the eye
B. Removal of the retina
C. Removal of the entire globe of the eye
D. Removal of the orbital contents of the eye
C. Removal of the entire globe of the eye
This allows the examiner to estimate the intraocular pressure of the patient’s eye
A. Confrontation test
B. Digital tonometry
C. Corneal reflex test
D. Swinging flashlight test
B. Digital tonometry
A condition wherein the pupils constrict when an object is brought closer to the eye but don’t react to bright light
A. Light-near dissociation
B. Marcus Gunn pupil
C. RAPD
A. Light-near dissociation
The term used for pupils that are either abnormally small or abnormally large
A. Aniseikonia
B. Anisocytosis
C. Anisocoria
D. Anisometropia
C. Anisocoria
What would be your advice for this patient?
A. Observe
B. Put topical antiglaucoma medications
C. Evisceration
D. Penetrating keratoplasty
D. Penetrating keratoplasty
A 50-year-old female was diagnosed with lung cancer stage IV and has been on chemotherapy for 6 months and was admitted at the ICU for monitoring. She was then referred to you for right eye redness and pain. What is the likely diagnosis?
A. Bacterial keratitis
B. Endogenous endophthalmitis
C. Exogenous endophthalmitis
B. Endogenous endophthalmitis
This finding gives you an idea that the patient has an error of refraction
A. Visual acuity is 20/20 in both eyes
B. Visual acuity is better when the patient wears his glasses than without it
C. Visual acuity is the same after pinhole test
D. Visual acuity is better after controlling blood sugar
B. Visual acuity is better when the patient wears his glasses than without it