Eye

Question 1

FB sensation + irritation + burning?

Answer 1

ectropion
entropion
acne rosacea
acute viral conjunctivitis

Question 2

Ectotropion vs endotropion?

Answer 2

ecto- lid is turned out

endo - lid it turned in

Question 3

Ectotropion vs endotropion? - Cx?

Answer 3

ecto - age, BELL PALSY

endo - scarring, trauma

Question 4

Ectotropion and endotropion tx?

Answer 4

tape lid
artificial tears
surgery

Question 5

Keratitis on eyelid?

Answer 5

endotropion

Question 6

FB sensation + irritation + burning + DECREASE IN VISION + BILATERAL?

Answer 6

blepharitis

Question 7

Which blepharitis has highest risk for hordeolum/chalazion?

Answer 7

meibomian

Question 8

Tx for blepharitis - staph and infectious?

Answer 8

HOT compress
staph - bacitracin, erythormycin
infectious - tea tree oil

Question 9

Tx for acne rosacea?

Answer 9

tea tree oil
antifungal - metronidazole
NO ETOH and spicy

Question 10

Hordeolum vs chalazion?

Answer 10

hordeolum HURTS

chalazaion does NOT

Question 11

BLOCKED meibomian gland?

Answer 11

chalazion

Question 12

How does hrodeolum occur?

Answer 12

bugs from s. abscess

Question 13

Tx for hordeolum?

Answer 13

WARM compress

severe - prophylaxi abx (TMP-SMX)

Question 14

Tx for chalazion?

Answer 14

WARM compress

I&D

Question 15

Complications w/ hrodeolum?

Answer 15

periorbital cellulitis

orbital cellulits

Question 16

Pinguecula vs pterygium?

Answer 16

pinguecula does NOT affect cornea

pteryguim AFFECTS cornea

Question 17

Cx of pinguecula and pteryguim?

Answer 17

INCREASE UV RAY EXPOSURE

Question 18

Tx for pinguecula vs ptergyuim?

Answer 18

BOTH: avoid UV
pinguecula - severe: topical corticosteroids
pterygium - surgery

Question 19

Bug for acute viral conjunctivitis?

Answer 19

adenovirus

Question 20

Bugs for bacterial conjunctivitis?

Answer 20

s. aureus
s. epidermidis
s. pneumoniae
h. influenzae

Question 21

What else to check for w/ bacterial conjunctivitis?

Answer 21

ear: AOM and otitis externa

Question 22

How to tx acute viral conjunctivitis?

Answer 22

NOTHING

tears

Question 23

How to tx bacterial conjunctivitis?

Answer 23

fluoroquinolone ophthalmic ointment

tirmethroprim -polymyxin B drops

Question 24

FB sensation + irritation + burning + pruitic?

Answer 24

allergic conjunctivits

Question 25

PE for allergic conjunctivitis?

Answer 25

cobblestoning

Question 26

Edematous lids + burning + PURULENT DISCHARGE?

Answer 26

bacterial conjunctivitis

Question 27

Tx for allergic conjunctivitis?

Answer 27

antihistamines

Question 28

Pt has decrease central vision loss?

Answer 28

cataracts | age related macular degeneration

Question 29

How to differentiate cataracts and ARMD?

Answer 29

cataracts - GLARE when driving, altered red reflex | ARMD - can be WET or DRY

Question 30

Subretinal hemorrhaging + exudates?

Answer 30

wet ARMD

Question 31

Drusen (yellow spots)?

Answer 31

DRY ARMD

Question 32

Tx for cataract?

Answer 32

artificial lens

Question 33

Tx for ARMD?

Answer 33

refer

Question 34

Pt smokes + CVA + obesity + vision loss?

Answer 34

ARMD

Question 35

Pt has SUDDEN vision loss?

Answer 35

closed glaucoma

Question 36

Pt has PERIPHERAL loss?

Answer 36

open glaucoma

Question 37

Patho of glaucoma?

Answer 37

increase of intraocular pressure --> damages optic nerve

Question 38

Which glaucoma is MEDICAL EMERGENCY?

Answer 38

closed glaucoma

Question 39

PE: Changes in optic to disc ration?

Answer 39

open glaucoma

Question 40

What is "lazy eye"?

Answer 40

strabismus | misalginment of the eye

Question 41

How to tx strabismus?

Answer 41

patch to center eye

Question 42

Pt has decrease of acuity and vision after getting hit by ball in the eye?

Answer 42

hyphema

Question 43

Pt has extoropia (cannot look into eye) and paralytic (tilts head)?

Answer 43

strabismus

Question 44

Tx hyphema?

Answer 44

decrease BP bed rest at 30 deg eye shiled pain control and N&V

Question 45

DO NOT MISS IN HYPHEMA?

Answer 45

ORBITAL/GLOBE fracture

Question 46

Pt has decrease in acuity + color + vision + MS?

Answer 46

optic nueritis

Question 47

Tx for optic neuritis?

Answer 47

IV methylprednisolone

Question 48

Imaging for optic neuritis?

Answer 48

MRI

Question 49

Pt has unilateral + PAIN + redness d/t inflammation of lacrimal gland?

Answer 49

dacroadenitis

Question 50

Bugs for dacroadenitis?

Answer 50

bacterial - staph, gonorrhea | viral- EBV, HSV

Question 51

Sx for dacrocystitis?

Answer 51

pain unilateral redness epiphora - a LOT of tears

Question 52

Locations for dacroadenitis and dacrocystitis?

Answer 52

dacroadentitis - supratemporal | dacrocystitis - inframedial

Question 53

Tx for dacrocystitis?

Answer 53

topical steroids

Question 54

Tx for acute dacroadentitis?

Answer 54

augementin - bacterial

Question 55

Tx for chronic dacroadentitis?

Answer 55

acyclovir - viral