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ER CAQ Review > Optho > Flashcards

Optho Flashcards

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1
Q

Down and out eye, ptosis, mydriasis

A

CN 3

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2
Q

Pupillary involving can 3 palsy (or mydriasis) is concerning for?

A

Aneurysm

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3
Q

Ptosis, miosis, anhidrosis

A

Horner’s syndrome

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4
Q

Eye deviated medially and inability to abduct eye

A

CN VI palsy

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5
Q

Yellowish nodule that doesn’t extended into the cornea

A

Pinguecula

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6
Q

Triangular growth that extends into the cornea

A

Pterygium

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7
Q

Nintendo chronic inflammation of the meibomian gland

A

Chalazion

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8
Q

Tender acute inflammation of the meibomian gland

A

Hordeolum (stye)

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9
Q

Preaurucular lymohadenopathy most consistent with what type of conjunctivitis

A

Viral

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10
Q

Conjunctival papillae seen in what type of conjunctivitis?

Treatment?

A

Allergic

Naphozoline

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11
Q

Conjunctivitis 3-5day olds is likely?

A

Gonoccocal or HSV

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12
Q

Conjunctivitis in 24-48hr olds is likely

A

Chemical

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13
Q

Conjunctivitis in contact lens wearers

A

Pseudomonas

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14
Q

Conjunctivitis in 5-14day olds

A

Chlamydia

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15
Q

Cell and flare on slit lamp exam

A

Anterior uveitis (iritis)

‘Consensual photophobia and pain’

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16
Q

Chemical Burns of the eye (which are worse?): alkali or acidic

A

Alkali

Liquefactive necrosis

17
Q

Hutchinson’s sign

A

Vesicles at the tip of the nose concerning for herpes zoster ophthalmicus

18
Q

Treatment of pre-septal cellulitis

A

Augmentin

19
Q

Hazy cornea, fixed, mid-dilated pupil

A

Acute angle glaucoma

20
Q

Treatment of acute angle closure glaucoma

A

Beta blocker,acetazolamide, pilocarpine, optho consult

21
Q

Complications of blowout orbital fracture

A

Injury to infra-orbital nerve (parasthesia)

Inferior recurs and inferior oblique muscle entrapment – diplopia on upward gaze

22
Q

Seidel sign

A

Globe rupture/penetrating trauma

Bright green stream/waterfall with fluoroscein instillation.

23
Q

Management of globe rupture

A

Shield the eye and call optho

No IOP check

24
Q

Painless loss of vision with cherry red spot

A

Central retinal artery occlusion

Needs globe massage, emergent consult, and admission for CVA workup

25
Q

Painless loss of vision with ‘blood and thunder’, cotton wool spots, and retinal hemorrhages in fundoscopy

A

Central retinal vein occlusion

26
Q

Diagnosis of temporal arteritis

A

Temporal artery biopsy

ER CAQ Review (3 decks)

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