Chapter 1

Question 1

1 cause of rhegmatagenous RD is…

Answer 1

High myopia

Question 2

Side effect of minocycline

Answer 2

pseudotumor cerebri, blue sclera

Question 3

Abduction = what muscle and what nerve?

Answer 3

LR and CN6

Question 4

The basic blood flow through eye…

Answer 4

eye…to cavernous sinus…to heart…back to eye

Question 5

What CN’s go through the cavernous sinus?

Answer 5

CN 3,4,6,V1 and V2

Question 6

Orbital pseudotumor is bilateral or unilateral?

Answer 6

unilateral, painful, middle aged, chemosis, needs oral steroids

Question 7

If you have a unilateral chemosis and there is no itching think…

Answer 7

idiopathic orbital pseudotumor

Question 8

4 main drugs that cause pseudtumor cerebri..(hint..there is a pneumonic)

Answer 8

CANT
C = contraceptives
A = Acutane
N = naladixic acid
T = tetracyclines

Question 9

Tx for any optic neuritis

Answer 9

oral corticosteroids

Question 10

Pulsatile proptosis, chemosis, ocular bruit

Answer 10

cavernous sinus fistula

Question 11

What is a shiny, dome-shaped, waxy papule with central umbilication?

Answer 11

Molluscum contagiosum

Question 12

Molluscum contagiousum is caused by the_____ virus.

Answer 12

DNA pox virus (patient’s with HIV positive are more likely to have this)

Question 13

Seborrheic keartosis

Answer 13

crusty, greasy and plaque-like lesion, brown, on lid margin

Question 14

Papilloma

Answer 14

skin-tag, peduculated (finger-like), vascular core

Question 15

Xanthelasma

Answer 15

Yellow lesions, bilateral, women, high cholesterol, surgical removal or CO2 therapy

Question 16

Keratocanthoma

Answer 16

large lesion with a central ulceration, sun exposure

Question 17

Malignant melanoma on lid

Answer 17

rapid growth, irregular borders,

Question 18

Squamous cell carcinoma on lid

Answer 18

(malignancy from stratus spinosum layer of the epidermis)second most common eyelid malignancy, erythematous plaque, rough, scaly, ulcerated, lower eyelid margin, associated with UV exposure

Question 19

Basal cell carcinoma is the most common type of skin cancer true or false?

Answer 19

Most common type of skin cancer in US, (90% of all cases)

Question 20

Basal cell carcinoma of eyelid

Answer 20

(from malignancy of basal layer of epidermis) shiny, firm, pearly nodule with rodent ulcer (ulcer in the center that can bleed)

Question 21

Sebaceous gland carcinoma

Answer 21

(results from a malignancy of sebaceous gland), madarosis, tylosis (thickening of eyelashes), resemble chalazion therefore often misdiagnosed

Question 22

Fleischer’s ring is an early sign of_______

Answer 22

Keratoconnus (iron at base of cone)

Question 23

Late signs of keratoconnus include:

1. Vogt’s striae
2. Munson’s sign
3. Aucte Hydrops

Answer 23

1. Vogt’s striae are vertical lines in striae
2. Bulging eye on looking down
3. Acute Hydrops are breaks or tears in descemet’s membrane

Question 24

Treatment for corneal abrasion

Answer 24

1. Topical ophthalmic antibiotic BID to QID
2. Artificial tears Q1H during day
3. Debridement of loose epithelium
4. Cycloplegic in office
5. Topical NSAID (Voltaren, Acular BID 2-3 days)
6. Bandage contact lens

Question 25

Treatment of corneal ulcers

Answer 25

1. Topical ophthalmic antibiotic (flouroquinolone Q1-2H) | 2. See patient every single day until feel better

Question 26

Normal ph of eye..

Answer 26

7.45

Question 27

Are alkali burns of eye worse or acidic burns?

Answer 27

Alkali burns