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Flashcards in Ophthamology Review Deck (57)
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1

What should a primary care provider do for a presumed retinal detachment?

Refer & position patient with head down.

2

In what age range do you expect to most commonly find amaurosis fugax?

Patients older than fifty.

3

What is the #1 cause of retinal artery occlusion?

Carotid atherosclerotic disease.

4

When treating herpes keratitis should you use topical antiviral, topical steroid or both?

Don't use steroids. Topical antiviral and refer!

5

A patient describes his vision loss as a curtain coming down and then going back up. What might the diagnosis be?

Amaurosis fugax

6

A patient presents with a painful, red nodule on the eyelid. What diagnosis should you be thinking of? What treatment should you begin with?

Hordeolum (sty). Warm compress and progress to topical abx if necessary.

7

A fundal exam shows a cherry red spot. What diagnosis should you be thinking of?

Central retinal artery occlusion

8

A college student presents with a little purulent drainage from one eye and nontender preauricular lymphadenopathy. What diagnosis and pathogen should you be thinking of?

Chlamydia conjunctivitis

9

What should a primary care provider do for presumed central retinal artery occlusion?

Ophthalmic emergency! Refer and intermittent pressure and release of the eye.

10

A patient presents with unilateral blurriness developing over a few days. Fundal exam shows a "blood and thunder" pattern. What is the most likely diagnosis?

Central vein occlusion

11

What is appropriate treatment for central vein occlusion?

Typically self limited. Treat underlying disease.

12

Is glaucoma more prevalent in males or females?

Females 3:1

13

Give two risk factors for glaucoma.

African American descent and diabetes

14

What is the yellow, brown fleshy mass on the conjunctiva which usually does not interfere with vision?

Pinguecula

15

A fundal exam shows a cup to disc ratio of >0.5. There are also vessels bending over the disc. What is the most likely diagnosis?

Glaucoma

16

A patient presents saying that he doesn't seem to need his glasses anymore after 30 yrs. What is the most likely diagnosis?

Cataract

17

A patient has metamorphopsia and a central blind spot. What is the most likely diagnosis?

Macular degeneration

18

What is the most likely quadrant for a retinal detachment?

Superior temporal

19

A patient presents with pain in one eye. The cornea is hazy and the pupils are fixed. What is the most likely diagnosis?

Glaucoma

20

What is the most common way of testing for metamorphopsia?

Amsler grid

21

You notice drusen deposits on fundal exam. What is the most likely diagnosis?

Macular degeneration

22

A patient presents with irritated, burning and tearing eyes. You notice some scurf and scales. Where do you begin treatment?

This is blepharitis. Treatment begins with good hygiene and moves on to topical antibiotics if necessary.

23

A patient has a history of multiple stys. He now has a painless nodule on his eyelid and minor conjunctivitis. What is the most likely diagnosis?

Chalazion

24

What are the most common colors lost in color blindness?

Red and green

25

What is the term for eyelids that turn in?

Entropion

26

What is the term for bilateral yellow plaques near the eyes?

Xanthelasma

27

A fundal exam shows an opalescent retina and boxcarring of arterioles. What is the most likely diagnosis?

Central retinal artery occlusion.

28

What is the most common preceding event for orbital cellulitis?

URI

29

Vision loss described as curtain coming down should make you think of what diagnosis?

Retinal detachment

30

You notice a bowing of the iris on exam. What is the most likely diagnosis?

Glaucoma