EYES

Question 1

medication can increase intraocular pressure

Answer 1

steroids

Question 2

most likely cause of painful loss of vision in a young woman with RAPD

Answer 2

optic neuritis

Question 3

acute painful red eye (ciliary injection), with the associated visual loss and photophobia and headache

Answer 3

acute iritis

Question 4

headache and insidious-onset visual field defect in young obese women.

Answer 4

Benign intracranial hypertension

Question 5

What is the MINIMUM corrected visual acuity at which DVLA permits patients to drive

Answer 5

6/12

Question 6

SINGLE MOST likely eye disease associated with smoking

Answer 6

Age-related macular degeneration

Question 7

corneal abrasion treatment

Answer 7

topical chloramphenicol

Question 8

lesion on eyelid, non painful but can get inflamed and point inside the lid

Answer 8

chalazia

Question 9

eyelid lesion, point on the lid margin

Answer 9

stye or hordeola

Question 10

difference between chalazia and stye

Answer 10

chalazia non painful points inside the lid and chronic (does not resolve without intervention, stye is acute and self limiting

Question 11

Normal binocular coordination becomes evident at what age and any persistent strabismus after this age is significant.

Answer 11

3 months

Question 12

SINGLE MOST likely condition to be associated with chronic open angle glaucoma

Answer 12

Type 2 diabetes

Question 13

Fluorescein shows a central patch of irregular uptake of stain

Answer 13

dendritic ulcer

Question 14

dendritic ulcer treatment

Answer 14

3% aciclovir eye ointment + urgent referral to ophthalmology

Question 15

painless loss of vision, pale retina, afferent pupilary defect

Answer 15

retinal artery occlusion

Question 16

drug that can cause characteristic staining on contact lenses

Answer 16

sulfasalazine

Question 17

can cause ulceration of the cornea which can be sight threatening due to scarring if not treated rapidly

Answer 17

keratitis

Question 18

presents with severe, boring ocular pain which may also involve the adjacent head and facial regions with marked vasodilation of the vessels all over the white of the eye

Answer 18

scleritis

Question 19

Most patients taking amiodarone will develop what eye condition

Answer 19

corneal microdeposits

Question 20

circumlimbial’ pattern of injection, eye pain, reduction in visual acuity and pupillary change

Answer 20

acute iritis

Question 21

causes of secondary glaucoma, 4x

Answer 21

uveitis, eye trauma, medication (especially steroids) and cataracts

Question 22

isual acuity threshold would qualify this patient to be registered as severely sight impaired (formerly blind)

Answer 22

3/60

Question 23

common cause of blindness in the UK

Answer 23

Macular degeneration

Question 24

sudden loss of visin can occur in temporal arteriyis due to?

Answer 24

ischaemic optic neuropathy

Question 25

patient frequently presents with sudden unilateral painless loss of vision or blurred vision, often starting on waking. There are widespread dot-blot and flame haemorrhages throughout the fundus associated with disc oedema

Answer 25

Central retinal vein occlusion

Question 26

loss of vision for 45 mins fully recovered

Answer 26

Amaurosis fugax

Question 27

associated with TIA (eye condition)

Answer 27

Amaurosis fugax

Question 28

REDUCES intraocular pressure by increasing uveoscleral outflow

Answer 28

Latanoprost (PGA analogue)

Question 29

allergic conjunctivitis treatment

Answer 29

Sodium cromoglicate

Question 30

eyedrop that can can aggravate coronary insufficiency

Answer 30

Brimonidine

Question 31

first line treatment for glaucoma

Answer 31

Latanoprost

Question 32

immediate management for acute closure glaucoma if immediate referral is not possible (drugs + measures)

Answer 32

500mg acetazolamide + pilocarpine drops (2%bue eyes, 4% brown eyes) + lie flat

Question 33

Far away objects appear blurred and near objects appear clearly

Answer 33

myopia

Question 34

causes difficulties in seeing fine detail, and in some cases vertical lines (e.g. walls) may appear to the patient to be tilted.

Answer 34

Astigmatism

Question 35

caused by either no transmission or poor transmission of the visual stimulation through the optic nerve to the brain for a sustained period or during early childhood, resulting in poor or dim vision. USUALLY AFFECTS ONLY ONE EYE

Answer 35

Amblyopia

Question 36

defect of vision caused by an imperfection where the eyeball is too short, or the lens cannot become round enough, causing difficulty focusing on near objects.

Answer 36

Hypermetropia

Question 37

condition where the eye exhibits a PROGRESSIVELY diminished ability to focus on near objects with age

Answer 37

Presbyopia

Question 38

eyedrops preferred for soft contact lens wearers

Answer 38

Preservative-free products coming in single-dose

Question 39

For nasolacrimal duct obstruction in babies, refer to a paediatric ophthalmologist if it fails to clear by

Answer 39

one year

Question 40

most common post-surgical complication seen in cataract surgery

Answer 40

Posterior capsular thickening

Question 41

progressive loss of central vision. People retain some peripheral vision, but the ability to see well enough to recognise faces, drive and read is affected, and vision can deteriorate rapidly.

Answer 41

age-related macular degeneration

Question 42

painless loss of vision, loss of peripheral vision

Answer 42

Primary (chronic) open-angle glaucoma

Question 43

here is an obvious fluid level in the inferior anterior chamber, eye condition?

Answer 43

hypopyon/uvveitis or endophtalmitis