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MD2 EXAM STUDY > OUTCOMES OF NOTES > Flashcards

OUTCOMES OF NOTES Flashcards

1
Q

Acute closed angle glaucoma on examination:

A

rock hard, inflamed eye with a fixed, mid dilated pupil and steamy cornea

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2
Q

Floaters and patient reports flashing lights with ‘tobacco dust’ pigmented cells in the anterior chamber?

A

retinal detachment

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3
Q

What is chloramphericol and what is it used for?

A

topical abx for bacterial conjunctivitis

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4
Q

What is acetozolamide and what is it used for?

A

Decrease intra ocular pressure: carbonic anhydrase inhibitor

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5
Q

Normal IOP?

A

12-22 mm Hg

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6
Q

What are the features that define glaucoma?

A

Optic nerve head cupping and visual field loss

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7
Q

Features of anterior uveitis?

A

Ass condition: IBD, sarcoid, ask spond, HLA-E27, toxoplasmosis

Hx: unilateral, pain, redness, visual disturbance, worse with light, dilation of corneal and episcleral vessels, particularly close to corneal limbus.

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8
Q

What is blood in the anterior chamber called?

A

Hyphemia

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9
Q

What is pus in the anterior chamber called?

A

Hypopeon

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10
Q

Central retinal artery occlusion- SS?

A
  • sudden, painless loss of vision
  • RAPD present
  • retinal oedema ( cloudy swelling)
  • cherry red spot at fovea (absence of oedema in thinner retina at fovea)
  • may see an embolus
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11
Q

History of GCA causing anterior ischaemic optic neuropathy?

A
  • unilateral vision loss
  • jaw claudication
  • scalp tenderness
  • headache
  • anorexia
  • malaise
  • WL/ night sweats
  • history of polymyalgia rheumatica (pain and stiffness of the proximal extremities)
  • thickened temporal artery with absent pulse
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12
Q

GCA investigations?

A

ESR: raised
CRP: raised
Temporal artery biopsy

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13
Q

What is metamorphopsia and in what condition is it often seen?

A
  • seeing objects known to be straight look curved

- age related macular degeneration

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14
Q

What are the 4 CAM criteria for delirium?

A
  • Acute onset and fluctuating course
  • inattention
  • disorganised thinking
  • altered state of consciousness
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15
Q

What is psoas sign indicative of?

A

retrocaecal appendix

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16
Q

What is obturator sign indicative of?

A

pelvic appendix

17
Q

DDx RIF pain?

A 
appendicitis
acute mesenteric adenitis
terminal ileitis (Crohn's)
Meckel's diverticulitis
Ectopic pregnancy
Retrograde menstruation
Ruptured ovarial cyst
Ovarian torsion
18
Q

What is seen on slit lamp exam in dry ARMD?

A

Drusen
RPE disturbance and pigment clumping
Pale retinal pigmented epithelium

19
Q

What is seen on slit lamp exam in wet ARMD?

A

Abnormal subretinal choroidal neovascularisation–> can leak and cause subretinal fluid and exudation haemorrhage

MD2 EXAM STUDY (1 decks)

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