Phase 3b Specialities Flashcards

1
Q

Give some features of how dry eye presents?

A

Blurred vision
Irrirating
NOT Painful
NOT red

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2
Q

Are dry eyes red?

A

no

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3
Q

Give several investigations undertaken for sarcoidosis?

A

ACE
LFT
Ca2+
CXR

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4
Q

What is the name for the border between the transparent cornea and opaque sclera?

A

Limbus

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5
Q

What is chemosis?

A

Swelling of the conjunctiva due to oozing of exudate from abnormally permeable capillaries
Non-specific sign of eye irritation

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6
Q

Developmental disorder in which an eye fails to achieve normal visual acuity even with glasses ‘lazy eye’ is termed..?

A

Ambylopia

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7
Q

Conjunctivitis:
Is it red?
Is it painful?

A

Conjunctivitis
Red
NOT painful

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8
Q

Describe bechets syndrome?

A

blood vessel inflammation which causes mouth sores, irits, skin rashes, genital sores

Assoc w/iritis NOT scleritis

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9
Q

What causes corneal ulcers?

A

Usually caused by infection due to small injuries to eye or wearing contact lenses too long

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10
Q

What is the mechanism of action of cycloplegic medications?

A

paralyse ciliary muscles of eye causing loss of accomodation and pupil dilation

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11
Q

Give an example of a cycloplegic drug and a condition which it may be used?

A

Cyclopentonate

Iritis

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12
Q

What is a common viral cause of conjunctivitis?

A

Adenovirus

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13
Q

What are some of the bacterial causes of conjunctivitis?

A

staph/strep

STIs via hand transfer (gonorrhoea/chlamydia)

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14
Q

Patient presents with an acute red eye, mucopurulent discharge which crusts making it difficult to open eyes in morning, likely diagnosis? management?

A

Conjunctivitis
Mucopurulent element suggests bacterial cause

Mx= chloramphenicol

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15
Q

Give 3 systemic diseases which can cause iritis?

A

sarcoidosis, ank spond, IBD, bechet’s syndrome, reiter’s syndrome

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16
Q

What immunological testing would be appropriate for suspected wegner’s granulomatosis?

A

serum ANCA+
Anti-MPO
Anti-PR3

17
Q
S&S of wegner's granulomatosis:
Vascular
Eyes
ENT
Lungs
Kidneys 
Joints 
GU
A
vasculitis 
scleritis / conjunctivitis 
sinusitis / OM 
caviating lesions 
glomerulonephritis / renal failure 
inflammatory arthritis 
haematuria, proteinuria, casts
18
Q

What is the conjuctiva?

A

Thin membrane that covers the sclera

19
Q

Allergic conjunctivitis is likely to be caused by

A

hayfever / dustmites

20
Q

What is the management of iritis?

A

topical steroids

cycloplegics (paralysis of ciliary muscles)

21
Q

Urinalysis of a patient with wegner’s granulomatosis shows…

A

protein
blood
pleasma creatinine

22
Q

Give 1 cause high intraocular pressure and 2 causes of low intraocular pressure?

A
High= glaucoma
Low= blind, cataracts