ophtha - sympto, obj&subj exam

Question 0

Subjective signs

Answer 0

1. Pain (orbital pain, headache)

2. Disturbances of vision

Question 1

Objective signs

Answer 1

1. Redness
2. Crust formation
3. Secretion (watery secretions, discharges)
4. Lumps
5. Lid disturbances (malformation,malposition)
6. Eyeball disturbance (abn size, malposition, maldirection, malfixation)

Question 2

Redness localized nasally is due to

Answer 2

Inflammation of lacrimal sac

Question 3

Redness localized in lateral aspect

Answer 3

Inflammation of lacrimal gland

Question 4

Caused by dilatation of superficial conjunctival blood vessels

Answer 4

Conjunctival congestion

Question 5

Caused by dilatation of deeper blood vessels of anterior ciliary artery

Answer 5

Ciliary injection

Question 6

Whitish foamy secretion can be present in

Answer 6

Vit A deficiency

Question 7

Generally, upper lid margin is ___mm below upper limbus, while the lower lid margin is just at level of lower limbus.

Answer 7

2mm

Question 8

The term hypotropia is not used.

Answer 8

Yes. If right eye is lower, it is recorded as left hypertropia.

Question 9

Presence of a fast component denotes a labyrinthine etiology. It is caused by poor central vision.

Answer 9

Ocular nystagmus

Question 10

Foreign body sensation or sharp pain in the eye occurs when

Answer 10

When lid moves

Question 11

It is felt after excessive use of the eyes or when the patient tends to rub the eyes

Answer 11

Itching, smarting or burning sensation

Question 12

Soreness or tenderness is elicited by.

Answer 12

Pressing the eyeball

Question 13

Headaches that are localized in___ regions are ocular in nature.

Answer 13

Frontal and temporal

Question 14

If the headache is unilateral, it is due to ..

Answer 14

Inflam of orbit, lids or eye and glaucoma

Question 15

If the headache is bilateral, it is asso with.

Answer 15

Uncorrected refractive errors or ms imbalances

Question 16

Whirling and swaying sensation is vestibular/ocular in origin and are elicited by a sudden movement of the head.

Answer 16

Vestibular

Question 17

Temporary dimness sensation is vestibular/ocular in origin and are elicited by turning of eyes vertically or horizontally.

Answer 17

Ocular

Question 18

Filipinos at age __ have difficulty reading fine prints at a distance of __cm.

Answer 18

37yrs old

28-30cm

Question 19

Poor near vision

Answer 19

Presbyopia

Question 20

Seeing double with only one eye noted when 2 diff retinal areas of an aye subserve 2 diff images

Answer 20

Monocular diplopia

Question 21

Colored vision

Answer 21

Chromatopsia

Question 22

Rainbow colored halo

Answer 22

Glaucoma

Incipient cataract

Question 23

Red vision

Answer 23

Erythropsia

Question 24

Erythropsia is due to

Answer 24

Vitreous hemorrhage | Aphakia

Question 25

Yellow vision

Answer 25

Xanthopsia

Question 26

Xanthopsia is due to

Answer 26

Jaundice and carbon monoxide poisoning

Question 27

White vision is due to

Answer 27

Digitalis poisoning

Question 28

Blue vision

Answer 28

Cyanopsia

Question 29

Cyanopsia is due to

Answer 29

Initial cataract extraction

Question 30

Green vision

Answer 30

Chloropsia

Question 31

Violet vision

Answer 31

Ianthenopsia

Question 32

Chloropsia and ianthenopsia is due to

Answer 32

Chorio-retinal pathology

Question 33

Sudden/gradual onset of blindness is charac of crao, vitreous hemo, retinal detachment and optic nerve trauma

Answer 33

Sudden onset

Question 34

Sudden/gradual onset of blindness is charac of corneal opacities, cataract, optic atrophy and chronic intraocular inflammation.

Answer 34

Gradual progressive blindness

Question 35

Both eyes may have partial blindness at the same time.

Answer 35

True

Question 36

Defects In the 2 eyes that are equal in size and shape are termed congruous/incongruous.

Answer 36

Congruous

Question 37

Defects In the 2 eyes that are not equal in size and shape are termed congruous/incongruous.

Answer 37

Incongruous

Question 38

Superior palpebral folds are generally present in the upper lid ___mm above margin

Answer 38

10mm

Question 39

Among Asians the superior PAlpebral fold can be located lower or lost because

Answer 39

Of the absence of cutaneous insertions of elevator palpebral ms

Question 40

The highest limit of the normal value in indentation or schiotz tonometer.

Answer 40

25mmHg or 5 scales reading

Question 41

The highest limit of the normal value in applanation tonometer

Answer 41

20mmHg

Question 42

Minute irregular curvature of cornea can be detected only by ..

Answer 42

Placido disk or keratometer

Question 43

If the iris is pushed forward, the anterior chamber is ...

Answer 43

Shallow

Question 44

If the iris is pushed backward, the anterior chamber is ...

Answer 44

Deep

Question 45

At the peripheral part of the chamber, the iris should be adherent to the cornea

Answer 45

False

Question 46

What do u call the reflex when the light is directed to the pupil of one eye, that the pupil will constrict

Answer 46

Direct light reflex

Question 47

What do u call the reflex when the light is directed to the pupil of one eye, that the pupil will constrict and simultaneously the pupil of other eye will also constrict.

Answer 47

Consensual light reflex

Question 48

The presence of the lens can be verified by the appearance of at least 2 light reflexes in the pupillary area (purkinje images). One reflex coming from,, and the other from...

Answer 48

Anterior lens capsule and posterior lens capsule

Question 49

Ophthalmoscope studies the...

Answer 49

Retina Choroid Optic disk

Question 50

This soln should be placed on the eyes after the examination to avoid an acute attack of glaucoma

Answer 50

Pilocarpine 1%

Question 51

The ophthalmoscope is put on. The lens is set at zero. The examiner directs the light at the patient's eye from a distance of __cm.

Answer 51

5ocm

Question 52

Any black area seen on the reflex in ophthalmoscope means ...

Answer 52

Opacity in ocular media

Question 53

Any gray or bluish area seen on the reflex in ophthalmoscope means ...

Answer 53

Retinal lesion

Question 54

Absence of a reflex occurs when the opacity in the ocular media is

Answer 54

So dense as not to allow the light to penetrate inside

Question 55

The veins are larger in size than arteries. The veins may show pulsation but not the arteries.

Answer 55

True

Question 56

Temporal to the disc is the

Answer 56

Macula

Question 57

The human eye as a sense organ is stimulated adequately by light alone and it sees that portion of energy spectrum whose wavelengths range from..

Answer 57

400-800 millimicra (mu)

Question 58

What color has the shorter wavelength?

Answer 58

Violet

Question 59

What color has the longer wavelength?

Answer 59

Red

Question 60

Visual pigment of cones

Answer 60

Iodopsin

Question 61

Visual pigment of rods

Answer 61

Rhodopsin

Question 62

The cones/rods are anatomically closely packed together and each cones/rods is connected to one ganglion cell.

Answer 62

cones

Question 63

The cones/rods are anatomically more separated and 2-4 cones/rods is connected to one ganglion cell.

Answer 63

Rods

Question 64

Central vision is determined by measuring

Answer 64

Visual acuity | Color perception

Question 65

The peripheral vision is determined by measuring

Answer 65

Visual fields | Dark adaptation

Question 66

Measured by checking the minimum size of a letter that the eye can recognized at a certain distance under daylight illumination.

Answer 66

Visual acuity

Question 67

The most practical way for one to measure the accommodation of a patient is to test his vision for near by what Test?

Answer 67

Jaeger test cards

Question 68

The smallest print can be read by normal individual at a distance of __cm

Answer 68

25cm (13in)

Question 69

The distance between that point and the eye has an equivalent power of accommodation expressed in

Answer 69

Diopter

Question 70

The portion in space wherein objects can be seen when gazing at a certain fixed direction.

Answer 70

Visual field

Question 71

An island of vision surrounded by a sea of blindness.

Answer 71

Visual field

Question 72

Normally a person will start not seeing the colored objects within __sec.

Answer 72

40s. More than this period is abnormal.

Question 73

Pain sensation in the eye can be tested by looking for ..

Answer 73

By looking for Ciliary tenderness and by checking for corneal sensitivity.

Question 74

It is tested by touching the cornea with a wisp of cotton

Answer 74

Corneal sensitivity

Question 75

The second most frequent abnormal neurologic finding in cerebellopontine angle tumor

Answer 75

Diminution of sensation of eyes