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Step 2 Study > Opthalmology > Flashcards

Opthalmology Flashcards

1
Q 
bilateral
watery discharge
easily transmissible
normal vision
itchy
preauricular adenopathy

tx?

A

Viral Conjunctivitis

no specific treatment

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2
Q 
unilateral
purulent, thick discharge
poorly transmissible
normal vision
not itchy
no adenopathy

tx?

A

Bacterial conjuctivitis

tx: Topical antibiotics

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3
Q

autoimmune diseases
photophobia
slit lamp examination

A

Uveitis

tx: topical steroids

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4
Q

Pain
fixed midpoint pupil
tonometry

A

Acute Glaucoma

Tx: acetazolamide, mannitol, pilocarpine, laser trabeculoplasty

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5
Q

Trauma
feels like sand in eyes
fluorescein stain

A

Abrasion

tx: no specific tx, patch not beneficial

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6
Q

elevated ICP

asymptomatic eye

A

chronic glaucoma

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7
Q

Goals of chronic glaucoma treatment

A

decrease production

increase drainage

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8
Q

Tx Glaucoma

A 
Prostaglanding analogues (-prost)
Topical beta blockers (-lol)
Topical carbonic anhydrase inhibitors (-amide)
Alpha 2 agonists (apraclonidine)
Pilocarpine
Laser
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9
Q

painful, red eye hard to palpation
pupil doesn’t react bec it is suck
C to D>0.3

A

Acute Angle Closure Glaucoma

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10
Q

Acute Angle Closure Glaucoma

A

IV acetazolamide
IV mannitol
Pilocarpine and beta blockers
Laser iridotomy

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11
Q

Herpes Keratitis

A

Infection of cornea

Red, swollen, and painful

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12
Q

Test for Herpes Keratitis

A

Fluorescein stain confirms dendritic pattern

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13
Q

Tx Herpes Keratitis

A

oral acyclovir, famciclovir, valacyclovir

Topical trifluridine or idoxuridine

DON’T GIVE STEROIDS

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14
Q

Cataracts?
look?
tx?

A

hazy

tx? surgery

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15
Q

Diabetic Retinopathy
screening?
test?
tx?

A

once a yr chek
Fluorescein angiography
VEGF

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16
Q

Retina Artery occlusion

A

monocular vision loss
pale retina
dark macula

17
Q

Retina vein occlusion

A

monocular vision loss

congestion of the retina with blood

18
Q

Retinal Detachment

A

Trauma, extreme myopia, diabetic retinopathy

tx: surgery, laser, cryotherapy, inject expansive air bubble

19
Q

Macular degeneration

A

MCC of blindness in older persons in the U.S.

Central vision loss

20
Q

Wet macular degeneration

A

more rapid, more severe
new vessels forming
Tx with VEGF

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