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CLINIC 1 > Patient Case History > Flashcards

Patient Case History Flashcards

1
Q

The problem-oriented medical record system consists of?

A

Defined database
Complete problem list
Initial treatment plans
Progress notes

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2
Q

In defined database, procedures include:

A

Patient history
Preliminary examination
Ocular examination
Refractive examination
Binocular vision examination

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3
Q

Complete problem list includes:

A

List of px’s problem constantly changed
Systemic problem that has a ocular or visual effects/changes
List of problem not only the ones that can be solved by a student or practitioner

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4
Q

It provides information concerning diagnostic workup and management

A

Initial treatment plans

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5
Q

SOAP stands for

A

Symptomatic
Objective
Assessment
Plan

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6
Q

Provides permanent list at subsequent visits

A

Problem list

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7
Q

Provides forms available for use in CL fitting, vision therapy, LV px care

A

Progress visit

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8
Q

Determine the date or how often CL and glasses is prescribed

A

Ocular history

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9
Q

Present state of his or her health and nature of any current or recent illness

A

Health history

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10
Q

Questions concerning family ocular and health history directed mainly toward sight-threatening conditions

A

Family ocular and health hx

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11
Q

Blurred vision that occurs in bright daylight might be due to

A

Nuclear or subcapsular cataract

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12
Q

Blurred vision involving transient or obscuring vision in an older adult could be sign of

A

Temporal arteritis

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13
Q

Blurred vision involving transient loss of vision could be due to

A

Migraine syndrome or multiple sclerosis

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14
Q

High exophoria at near

A

Convergence insufficiency

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15
Q

High exophoria at distance

A

Divergence excess

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16
Q

Esophoric at both distance and near

A

Divergence insufficiency

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17
Q

A difference in the size and shapes of the retinal images for the two eyes

A

Aniseikonia

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18
Q

A type of strabismus wherein there is an adaptation to preexisting refractive or binocular vision problem

A

Functional strab

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19
Q

A type of strab that occur early in life that causes symptoms of eyestrain

A

Paralytic strab

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20
Q

Consists of prodromal visual aura, followed by a unilateral, throbbing HA accompanied by a feeling of nausea

A

Migraine HA

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21
Q

Severe, occurring early in the morning, usually being present in awakening and disappearing at some time during the day

A

Hypertension HA

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22
Q

Also known as histamine cephalgia

A

Cluster HA

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23
Q

Severe, boring, unilateral headache occurring in the temporal region

A

Cluster HA

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24
Q

Also known as tic douloureux

A

Trigeminal Neuralgia

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25
Q

An extremely sharp piercing, knife like pain, of sudden onset in the facial region

A

Trigeminal Neuralgia

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26
Q

An inflammatory process affecting the lid margins

A

Blepharitis

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27
Q

Atopic in form causes symptoms like tearing, redness in the eye along with edema of bulbar conjunctiva

A

Allergic conjunctivitis

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28
Q

Form of allergic conjunctivitis occurring in the spring and summer months

A

Vernal conjunctivitis

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29
Q

Causes irritation and redness, mucopurulent discharge and complains eyes sticking

A

Bacterial conjunctivitis

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30
Q

Triad of light sensitivity

A

Pain, photophobia, lacrimation

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31
Q

Caused by corneal ulcers, acute iritis, and acute glaucoma. Indication of internal condition is present of ciliary injection

A

Deep-seated ocular pain

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32
Q

Highly contagious, behind as an acute follicular conjunctivitis. Photophobia may be marked as symptom

A

Epidemic keratoconjunctivitis

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33
Q

Other term for epidemic keratoconjunctivitis

A

Adenoviral Conjunctivitis

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34
Q

AC/A

A

Accommodative Convergence/ Accommodation

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35
Q

RPE

A

Retinal Pigment Epithelium

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36
Q

AC

A

Anterior Chamber

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37
Q

O.D.

A

Doctor of Optometry

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38
Q

XT

A

Exotropia

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39
Q

KCS

A

Keratoconjunctivitis sicca

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40
Q

NPDR

A

Non-Proliferative Diabetic Retinopathy

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41
Q

PDR

A

Proliferative Diabetic Retinopathy

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42
Q

OU

A

Oculus Uterque

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43
Q

DS

A

Diopter Sphere

44
Q

APD

A

Afferent Pupillary Defect

45
Q

PH

A

Pinhole

46
Q

TBUT

A

Tear Break-Up Time

47
Q

LASIK

A

Laser Assisted In-Situ Keratomileusis

48
Q

MPD

A

Monocular Pupillary Distance

49
Q

IPD

A

Interpupillary Distance

50
Q

HVID

A

Horizontal Visible Iris Diameter

51
Q

VVID

A

Visible Vertical Iris Diameter

52
Q

LP

A

Light Perception

53
Q

LProj

A

Light Projection

54
Q

GPC

A

Giant Papillary Conjunctivitis

55
Q

PSC

A

Posterior Subcapsular Cataract

56
Q

AV

A

Arteriovenous

57
Q

BCVA

A

Best corrected visual acuity

58
Q

HM

A

Hand motion

59
Q

IOP

A

Intraocular pressure

60
Q

OD

A

Oculus dexter

61
Q

OS

A

Oculus sinister

62
Q

External eye symptoms

A

Itching and burning
Pain or FB Sensation
Sensitivity to light
Excessive tearing
A feeling of dryness

63
Q

Extreme sensitivity to light and excessive tearing in the first few months or years of life

A

Congenital glaucoma

64
Q

Result of stimulation of the ophthalmic division of the trigeminal nerve

A

Excessive tearing

65
Q

Outward turning of the eyelid margin

A

Ectropion

66
Q

Inward turning of the eyelid margin

A

Entropion

67
Q

Also known as keratoconjunctivitis sicca

A

Aqueous deficiency

68
Q

An absolute or partial deficiency in aqueous tear production

A

Aqueous deficiency

69
Q

Tear film layers:

A

Oil (lipid)
Aqueous
Mucin

70
Q

Chief complaint may be due to to the presence of vitreous floaters

A

Seeing spots

71
Q

Most commonly seen when looking at the sky or at the unconstructed background

A

Vitreous floaters

72
Q

A form of chronic anterior uveitis affecting the pars plana

A

Pars planitis

73
Q

Complaints of seeing red spots may be caused by hemorrhages within the retina

A

Retinal hemorrhages

74
Q

Visual aura followed by a sick HA

A

Migraine scotoma

75
Q

Classic cause is keratoconus

A

Monocular diplopia

76
Q

Who developed the problem oriented optometric records?

A

Laurence Weed

77
Q

Management for convergence insuff

A

Plus lenses

78
Q

Management for convergence insuff

A

Plus lenses

79
Q

Management for divergence excess

A

Base out prism

80
Q

Management for divergence excess

A

Base out prism

81
Q

A vicelike pain in the forehead, a pain located in the occipital area accompanied by muscular stiffness

A

Tension HA

82
Q

Distortion of object size and shape is called

A

Metamorphopsia

83
Q

Blurred vision that accompanies a unilateral change in refraction

A

Nuclear sclerosis

84
Q

In an older patient, blurred vision that is not due to a change in refraction is most likely due to

A

Lens opacities or ARMD

85
Q

Blurred vision occurring in reduced illumination may be due to

A

Night myopia or receptor degeneration

86
Q

Possible cause of unilateral acuity loss

A

Functional amblyopia

87
Q

If a patient has latent hyperopia what procedure should be done?

A

Cycloplegic refraction

88
Q

What are the binocular vision syndromes?

A

Convergence and divergence insuff, convergence and divergence excess

89
Q

Explain LOANER lenses

A

Prescribing a low powered spheres, cylinders, or low-power prisms

90
Q

Management for migraine HA

A

going to bed
Ergotamine tartrate
drinking a cup of black coffee

91
Q

Temporal arteritis often leads to

A

Ischemic optic neuropathy

92
Q

Treatment for blepharitis

A

Washing hair or scalp using a Selsun shampoo
Removing the scales using a cotton applicator

93
Q

Most prominent symptom of allergic conjunctivitis

A

Intense itching

94
Q

Main symptom of vernal conjunctivitis

A

Extreme itching

95
Q

Treatment for allergic conjunctivitis

A

Cold compress
Antihistamines

96
Q

Most prominent symptom of bacterial conjunctivitis

A

Irritation and redness

97
Q

Appearance of spots, strings, cobwebs or rings is called

A

Muscae volitantes

98
Q

Minification of the retinal image

A

Accommodative micropsia

99
Q

Presence of rainbow halos around lights is a classic symptom of

A

Angle closure glaucoma

100
Q

A condition in which one or both inner canthal areas are partly covered by a fold of skin

A

Epicanthus

101
Q

One pupil is larger than the other

A

Essential anisocoria

102
Q

4 color anomalies

A

Protanopia
Deuteranopia
Protanomaly
Deuteranomaly

103
Q

Strabismus that occurs during adult life is a result of

A

Paralysis of an ocular muscle or nerve

104
Q

Functional strab is said to be

A

Concomitant

105
Q

Paralytic strab is usually

A

Incomitant

106
Q

Management for aqueous deficiency

A

Artificial tears

107
Q

Clinical signs of keratoconus

A

Thinning and protrusion of cornea

CLINIC 1 (4 decks)

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