Eye exam Flashcards

(35 cards)

1
Q

what is a stye

what glands are affected

what does it look like

A

external hordeolum

zeis and moll

(top of tarsal plate points outward)

tender, red mass near lid margins

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2
Q

what is a xanthelasma

what causes this

what does it look like

benign or malignant

A

yellowish plaque on medial upper eye lid

accumulation of lipid laden macrophages due to increased lipid blood levels

benign

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3
Q

what is blepharitis

what glands are affected

what causes this

symptoms

A

scaling crusting eye lid borders

meibomian glands

bacterial, allergies, inflammation, malfunctioning gland

itching with no vision loss

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4
Q

what is ectropion

symptoms

A

eversion of eye lid

burning and tearing

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5
Q

what is entropion

symptoms

A

inversion of lid

burning and tearing and irritation with blinking

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6
Q

what causes conjunctivitis

symptoms

A

viral, bacterial, allergies

discharge, diffuse injection, minimal pain and minimal vision loss

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7
Q

acute glaucoma is also called

A

closed angle glaucoma

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8
Q

acute glaucoma symptoms

A
severe eye pain 
blurred vision 
circumcorneal injection 
halos 
nausea 
edematous cornea - steamy cornea
IOP increased 
pupil fixed and mid dilated
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9
Q

subconjunctival hemorrhage symptoms

causes

A

hypermeia
painless
no vision change
resolves 1-3 weeks

hypertension, blood dyscrasia, valsalva

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10
Q

what is corneal arcus

A

blue gray ring associated with hyperlipidemia

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11
Q

scleritis and epislceritis occur in what diseases

A

collagen diseases
TB
syphilis
sarcoidosis

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12
Q

what are symptoms of scleritis and episcleritis

A

photophobia
slight vision loss
palpatory tenderness

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13
Q

the red reflex may indicate

A

cataracts
vitreous hemorrhage
retinal detachment

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14
Q

where is optic disc located

A

15-20* nasal to central axis

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15
Q

how many branches come off the central retinal artery

A

4 branches

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16
Q

where is macular area located

A

2 disc diameters lateral to the disc

17
Q

optic atrophy occurs in what

A

MS and chronic glaucoma

18
Q

hyperemic occurs in what

A

papilledema and severe hypertension

19
Q

chronic glaucoma is indicated by what

A

cup to disc ration greater than 50%

20
Q

increased broadening light reflex indicates what

what is normal

A

arteriosclerosis

normal - 1:4

21
Q

what does av nicking suggest

A

arteriosclerosis

22
Q

flame shaped or linear/splinter shaped hemorrhages are seen in what

A

hypertension and diabetes

23
Q

punctate or blot dot hemorrhages are seen in what

A

diabetic retinopathy

24
Q

neovascularization on fundoscopic exam is seen in what

A

proliferative diabetes

25
cotton wool exudates are seen in what
hypertension and diabetes
26
hard exudates are seen in what
hypertension and diabetes
27
optic macula is located where what does it look like
2 disc diameters temporal to optic nerve head or disc no distinct borders, dark area located within the macula
28
where are concentration of rods and cones located
macula
29
what is most sensitive to vision and has the best color vision
fovea centralis/macula lutea
30
what is the central axis of the eye during the fundoscopic exam
optic macula / fovea
31
abnormal pigment or lesions noted in macula
age related macular degeneration
32
vessels are __ as they approach the disc compare arteries and veins
larger arteries larger than veins
33
which lens number on the ophthalmoscope is used for cornea, fundus, and behind the retina
cornea - black 20 fundus - 0 behind retina - red
34
which view or light on the opthalmoscope is used for different situations small light large light green light slit aperture
small light - undilated pupil large light - dilated pupil green light - blood vessels and hemorrhages appear darker slit aperture - determines the elevation of lesions
35
how do you approach your patient on fundoscopic exam
15-30*