eyes

Question 1

name 3 neuralgias that can cause facial pain

Answer 1

trigeminal: V2/V3, suicidal
glossopharyngeal: unilateral - pn with swallowing and movement of the phaynx

sphenoplatatine ganglioneuralgia: brain freeze

Question 2

2 conditions that cause dry eyes

Answer 2

hyperthyroidism

sjorgren’s sx

Question 3

• halo around light, blurred unilateral vision
• nausea/ vomit-medical emergency

PE: redness, cloudy, hyperopic

Answer 3

acute angle closure glaucoma

MTQ: pt had pain after eye dilation –> pn with eye pressure

Question 4

hx of past eye surgery or trauma

- peripheral field of vision loss

Answer 4

open angle glaucomma

Question 5

painless, slowly developing central vision loss

Answer 5

age related Macular degeneration
“dry”

wet: sudden, painless loss of vision

Question 6

fundoscopic findings: drusen, hemorrhages exudate

• sudden, painless loss of vision

Answer 6

“wet” macular degeneration

Question 7

• decr night vision
• hereditary condition
• yellow waxy disc
• genetic counseling recommended
• child

Answer 7

retinitis pigmentosa

Question 8

unilateral vision loss
pop: DM, HT, smoking

PE: hear ipsi carotid bruit

Answer 8

amaurosis fugax

Question 9

ddx btw amaurosis fugaz and MS

Answer 9

MS:

• spinal tap: incr AB
• NVC: decr N conduction

Question 10

central vision loss & demyelination disorders or infection

Answer 10

optic neuritis

Question 11

• trunk M ache (polymyalgia), sudden vision loss
• jaw claudication
• elevated C-reactive protein
• ESR
• unilateral temporal HA

Answer 11

temporal arteritis

Question 12

genetic deletion of chromosome 13

• deteriation of vision
• red/ irritated eyes
• strabismus
• dx under 3 yo

Answer 12

retinoblastoma

Question 13

philedalphia chromosome
incr WBC
splenomegaly

Answer 13

leukemia

Question 14

• nasal lacrimation
• horner’s sx
• pacial pn over the orbit

pop: smokers and alcohol (middle age males)

Answer 14

cluster HA