Optho

Question 1

Down and out eye, ptosis, mydriasis

Answer 1

CN 3

Question 2

Pupillary involving can 3 palsy (or mydriasis) is concerning for?

Answer 2

Aneurysm

Question 3

Ptosis, miosis, anhidrosis

Answer 3

Horner’s syndrome

Question 4

Eye deviated medially and inability to abduct eye

Answer 4

CN VI palsy

Question 5

Yellowish nodule that doesn’t extended into the cornea

Answer 5

Pinguecula

Question 6

Triangular growth that extends into the cornea

Answer 6

Pterygium

Question 7

Nintendo chronic inflammation of the meibomian gland

Answer 7

Chalazion

Question 8

Tender acute inflammation of the meibomian gland

Answer 8

Hordeolum (stye)

Question 9

Preaurucular lymohadenopathy most consistent with what type of conjunctivitis

Answer 9

Viral

Question 10

Conjunctival papillae seen in what type of conjunctivitis?

Treatment?

Answer 10

Allergic

Naphozoline

Question 11

Conjunctivitis 3-5day olds is likely?

Answer 11

Gonoccocal or HSV

Question 12

Conjunctivitis in 24-48hr olds is likely

Answer 12

Chemical

Question 13

Conjunctivitis in contact lens wearers

Answer 13

Pseudomonas

Question 14

Conjunctivitis in 5-14day olds

Answer 14

Chlamydia

Question 15

Cell and flare on slit lamp exam

Answer 15

Anterior uveitis (iritis)

‘Consensual photophobia and pain’

Question 16

Chemical Burns of the eye (which are worse?): alkali or acidic

Answer 16

Alkali

Liquefactive necrosis

Question 17

Hutchinson’s sign

Answer 17

Vesicles at the tip of the nose concerning for herpes zoster ophthalmicus

Question 18

Treatment of pre-septal cellulitis

Answer 18

Augmentin

Question 19

Hazy cornea, fixed, mid-dilated pupil

Answer 19

Acute angle glaucoma

Question 20

Treatment of acute angle closure glaucoma

Answer 20

Beta blocker,acetazolamide, pilocarpine, optho consult

Question 21

Complications of blowout orbital fracture

Answer 21

Injury to infra-orbital nerve (parasthesia)

Inferior recurs and inferior oblique muscle entrapment – diplopia on upward gaze

Question 22

Seidel sign

Answer 22

Globe rupture/penetrating trauma

Bright green stream/waterfall with fluoroscein instillation.

Question 23

Management of globe rupture

Answer 23

Shield the eye and call optho

No IOP check

Question 24

Painless loss of vision with cherry red spot

Answer 24

Central retinal artery occlusion

Needs globe massage, emergent consult, and admission for CVA workup

Question 25

Painless loss of vision with 'blood and thunder', cotton wool spots, and retinal hemorrhages in fundoscopy

Answer 25

Central retinal vein occlusion

Question 26

Diagnosis of temporal arteritis

Answer 26

Temporal artery biopsy