Pupil Assessment

Question 1

Marcus-Gunn Pupil

A. has diminished pupil reaction to light
B. is fixed and dilated
C. responds slowly to light
D. shows asymptomatic anisocoria

Answer 1

A. has diminished pupil reaction to light

Question 2

When performing the swinging flashlight test on a patient with a relative afferent pupillary defect (Marcus-Gunn pupil) in the left eye, the expected findings would be a(n)

A. constriction of both pupils with direct light OD and dilation of both pupils when the light swings to the OS
B. constriction of both pupils with direct light OD and hippus movement when the light swings to the OS
C. constriction of the left pupil in bright light and dilation of both pupils when the light swings to the OD
D. initial dilation followed by constriction with direct light OD and total dilation OU with the light swings to the OS

Answer 2

A. constriction of both pupils with direct light OD and dilation of both pupils when the light swings to the OS

Question 3

Shining a bright light into one eye normally causes both pupils to constrict equally. The pupillary reaction in the illuminated eye is called

A. indirect light reflex
B. consensual light reflew
C. direct light reflex
D. near light reflex

Answer 3

C. direct light reflex

Question 4

Consensual light reflex in the right eye results in

A. right pupil constriction
B. right pupil dilation
C. left pupil constriction
D. left pupil dilation

Answer 4

A. right pupil constriction

Question 5

What is the term for pupillary constriction?

A. Mydriasis
B. Miosis
C. Cycloplegia
D. Anisocoria

Answer 5

B. Miosis

Question 6

If the amount of light information transmitted from the brain to one eye differs from that of the other eye, the patient has a(n)

A. afferent pupillary defect
B. Adie’s pupil
C. tonic pupil
D. third nerve palsy

Answer 6

A. afferent pupillary defect