Anatomy/Physio Flashcards

(38 cards)

1
Q

Where are the Goblet cells found?

A
Epithelial layer of palpebral conjunctiva.
Inferonasal fornix 
Bulbar conjunctiva. 
Lacrimal sac lining
Nasolacrimal duct.
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2
Q

Which muscle assist with tear drainage?

A

Muscle of Horner (part of Orbiculatis Oculi) contracts the Canaliculi.

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3
Q

Which muscle divides lacrimal sac into upper and lower sections.

A

Muscle of Horner

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4
Q

Which muscles originate from lesser wing of the sphenoid bone?

A

Levator
Superior oblique
Optic canal.

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5
Q

Spiral of Tillaux

A

The line of insertion of recti muscles is called the spiral of Tillaux which is also the line of insertion of posterior Tenon’s capsule

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6
Q

Which muscle lies just below the orbital bone?

A

Levator Muscle and Superior Rectus lies slightly below the Levator muscle.

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7
Q

Tolosa-Hunt syndrome

A

Inflammation of SOF and/or cavernous sinus that’s often affects CN III, IV, V, VI ,
Resulting painful external opthalmoplegia

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8
Q

Carotid Cavernous Fistula is associated with

A
Painful red eye
Chemosis
Orbital bruit
Pulsatile proptosis
elevated IOP
CN 3,4,6 palsies
loss of lid/face sensation ( v1, v2)
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9
Q

Lacrimal artery supplies blood to,

A

LR and lacrimal gland

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10
Q

Dorsal nasal artery supplies blood to,

A

Lacrimal sac
Joins Angular artery
Branches into medial palpebral arteries

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11
Q

CN VII functions

A
Closes the eye
Facial expression 
Reflex tearing
2/3 anterior taste
Dampens sound
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12
Q

Which CN is mostly effected with ICA aneurysm in cavernous sinus?

A

CN VI

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13
Q

Which layers of the cornea will scar?

A

Bowman’s layer ( most anterior portion)

Anterior Stroma

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14
Q

What are the two layers of conjunctiva?

A

1- Stratified non-keratinized epithelial layer
2- Sub mucosa
-Outer lymphoid layer
-Deep fibrous layer

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15
Q

Refractive power of the lens is

A

20D (1/3 the total refractive power of the eye)

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16
Q

Peripheral flattening and a gradient index of refraction, helps

A

Reduce spherical aberration

17
Q

Lens zonules are made from

A

BM of Non-pigmented ciliary epithelium, pars plana

18
Q

Which layer of sclera is highly vascular? Which layer is the innermost layer?

A

Episclera > highly vascular

Lamina fusca > innermost layer and contains elastin fibers and melanocytes

19
Q

Where is the sub-Tenon’s injection?

A

Between Tenon’s and Episclera

Conjunctival epithelium 
Conjunctival stroma 
Tenon's capsule 
Episclera 
Sclera proper
Lamina fusca
20
Q

Schwalbe’s line

A

Represent the termination of Descemet’s membrane

21
Q

Posterior embryotoxin

A

Represents an anteriorly displaced Schwalbe’s line

22
Q

Which type of cells provide nutrients to the retina and aid in glycogen metabolism?

A

Muller cells

  • also maintain alignment of other neurons
  • act as buffer
  • absorb and recycle metabolic waste products
23
Q

The primary source of energy of retina is

A

Glucose produced via anaerobic glycolysis. Excess glucose is converted to glycogen and stored in muller cells

24
Q

What are the Neuroglial cells of the retina ?

A

Muller cells
Astrocytes
Microglial cells

25
CN VI palsy results from
Increased ICP ICA aneurysm within cavernous sinus Pt present with Diplopia and head turn toward affected side
26
Patient with Superior Oblique palsy will present
Tilting head away from the affected side and toward the lesion.
27
A lesio of the right SR sub-nucleus will result in ...
Poor control of the left SR muscle
28
Lesion of the Levator palpebrae subnucleus will result in
Sudden onset of bilateral ptosis
29
What is the secondary and tertiary of SR action
Intorsion | Adduction
30
What is the secondary and tertiary of IR action
Extorsion | Adduction
31
WHY RCE happens
Poor adhesion of corneal epithelial cells and basement membrane
32
Common cause of Neurotrophic Keratitis
Herpes simplex Herpes Zoster Stroke DM
33
What is the primary protein that protects the lens from oxidative damage?
Glutathione
34
What is super high in lens ,aq and vitreous?
Lactic Acid
35
What is vitreous sundress
Process of vitreous liquefaction and condensation | Common cause of PVD
36
The most likely location of tear from PVD is
Ora-Serata which is tightest attachment. Gonioscopy lens to observe.
37
Ocular perfusion pressure
Diastolic BP-IOP | Patients with low OPP are 1.5X more likely to get optic neuropathy secondary to ischemia
38
Two conditions that increase EVP
Sturg-Weber syndrome | Arteriovenous Fistulas