Pupil Evaluations

Question 1

0-4; 4+; 0+

Answer 1

Pupils are measured on a scale from ____ with good constriction recorded as ___ and no pupillary reaction recorded as ____

Question 2

Corectopia

Answer 2

A misplaced pupil

Question 3

Anisocoria

Answer 3

Unequal pupil size

Question 4

Miotic

Answer 4

Small, constricted pupil

Question 5

Mydriatic

Answer 5

Drug classification that dilates to pupil

Question 6

Direct light reflex

Answer 6

Constriction of the pupil to light as observed in the illuminated eye

Question 7

Consensual light reflex

Answer 7

The constriction of the pupil to light as observed in the fellow eye

Question 8

Sphincter muscle

Answer 8

One of the iris muscles responsible for constriction - parasympathetic

Question 9

Dilator muscle

Answer 9

One of the iris muscles responsible for dilation- sympathetic

Question 10

Accommodative/near reflex

Answer 10

The constriction of the pupil in response to accommodation of a near stimulus

Question 11

Marcus Gunn reflex

Answer 11

Paradoxical dilation to a bright light, a sign of optic nerve disease (aka APD)

Question 12

Optic nerve —> optic tract —> pretectal nucleus (midbrain) —> decussate —> Edinburgh Westphal nucleus —> cranial nerve 3 —> ciliary ganglion —>inferior CN 3 —> sphincter

Answer 12

What is the pupillary pathway?

Question 13

Dilator muscle/sympathetic innervation

Answer 13

Increased anisocoria in dim light means one pupil cannot dilate hinting at a problem with ____

Question 14

Sphincter muscle/parasympathetic

Answer 14

Increased anisocoria in bright light means one pupil cannot constrict, hinting at a problem with…

Question 15

Near light dissociation

Answer 15

Pupil constricts at near but not to direct light (neurological— syphilis)

Question 16

Amaurotic pupil

Answer 16

Manifested in an eye with no light perception

Question 17

Argyll-Robertson pupil

Answer 17

“Prostitutes pupil” small, irregular pupils which do not react to light but have a positive accommodation response— cause is CNS syphilis or diabetes, alcoholism, mid-brain tumors

Question 18

Aide’s Tonic Pupil

Answer 18

Benign pupil condition where affected pupil is dilated in bright illumination, shows no immediate response to bright light (slow constriction) and is unilateral presenting in the 3rd-5th decade of life in primarily females

Question 19

Idiopathic and benign

Answer 19

Aide’s is not alarming because it is ____

Question 20

Horner’s syndrome

Answer 20

Ptosis, meiosis, and anhydrosis on one side— pupil will not dilate quickly after bright light exposure— medically significant

Question 21

Marcus-Gunn Pupil

Answer 21

Poorer direct that consensual pupil response, aka APD, sign of optic nerve dysfunction— diseased eye dilates upon light exposure