Ophthalmology Flashcards

1
Q

Cherry red spot at the macula

A

central retinal artery occlusion

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2
Q

Tear drop sign or blood level in the sinus on x-ray

A

orbital blowout fracture

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3
Q

Failure to abduct, nystagmus in abducting eye

A

internuclear ophthalmoplegia = issue with medial longitudinal fasciculus

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4
Q

Pain on eye movement

A

optic neuritis (usually multiple sclerosis)

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5
Q

Painful loss of vision

A

optic neuritis

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6
Q

Curtain coming down <5mins

A

amaurosis fugax

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7
Q

Curtain coming down (partial) >5mins

A

retinal detachment

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8
Q

Flashes and floaters

A

retinal detachment

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9
Q

Photophobia, posterior synechiae, cells in anterior chamber

A

anterior uveitis

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10
Q

Gritty feeling in the eyes

A

bacterial conjunctivitis or subtarsal foreign body

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11
Q

Watery discharge, pre-auricular lymph node

A

viral conjunctivitis

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12
Q

Silver/copper wiring

A

ocular hypertension/HTN eye disease

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13
Q

Loss of red reflex, eye red

A

haemorrhage

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14
Q

New vessels + haemorrhage

A

wet ARMD

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15
Q

Follicular conjunctivitis

A

chlamydial conjunctivitis (usually unilateral)

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16
Q

Pin point pupils

A

pontine issues

17
Q

Dilated pupils

A

trans-calcrine fracture

18
Q

Different sized pupils

A

CNIII damage (or Horner’s)

19
Q

1) Down, out and dilated

2) Down and out not dilated

A

1) CNIII palsy/damage

2) diabetes

20
Q

Roth spots (retinal haemorrhage with pale/white centre)

A

infective endocarditis

21
Q

Brushfield spots

A

Downs syndrome

22
Q

“scrambled egg/egg yolk” appearance of the macula

A

Best disease

23
Q

Drusen

A

Dry ARMD

24
Q

Rays focussed in front of retina (what lens would you use?)

A

myopia/short-sighted = concave lens

25
Q

Rays focussed behind the retina (what lens would you use?)

A

hypermetropia/long-sighted = concave lens