Pages: 3-4 (Eyes) - 6%

Question 1

Sluggish pupillary reaction to light that is unilateral and caused by a parasympathetic lesion of CN III…?

Answer 1

Adie’s Pupil

Question 2

Unequal pupil size…?

Answer 2

Aniscoria

Question 3

Bilaterally small and irregular pupils that accommodate but do not react to light. Seen with Syphilis (Prostitutes Pupil)…?

Answer 3

Argyll Robertson

Question 4

Sluggish pupillary reaction due to hypo-adrenalism (Addison’s Disease)…?

Answer 4

Arroyo Sign

Question 5

Inflammation of the eyelid seen with seborrhea, staph infection, and inflammatory processes…?

Answer 5

Blepharitis

Question 6

Opacities seen in the lens that are commonly seen with diabetes and in the elderly. Also has an absent red light reflex…?

Answer 6

Cataracts

Question 7

An infection of the meibomian gland causing a nodule, which points inside the lid…?

Answer 7

Chalazion

Question 8

CONJUNCTIVA

Color
A.) Normal: _____?
B.) Anemia: _____?
C.) Infection: _____?

Answer 8

A.) Pink
B.) Pale
C.) Bright Red

Question 9

Affects the veins more than arteries and presents with micro aneurysms, hard exudates, and neovascularization…?

Answer 9

Diabetic Retinopathy

Question 10

Lid is turned outward. Most commonly seen in the elderly…?

Answer 10

Ectropion

Question 11

Lid is turned inward. Most commonly seen in the elderly…?

Answer 11

Entropion

Question 12

Lid lag/failure to cover the eyeball. Can be seen with Graves Disease (bilateral) or Tumor (unilateral)…?

Answer 12

Exophthalmosis

Question 13

Increased intraocular pressure causing cupping of the optic disc (cup to disc ration is greater than 1:2). Patient will notice blurring of their vision especially in the peripheral fields as well as rings around lights. Crescent sign will be present upon tangential lighting of the cornea…?

Answer 13

Glaucoma

Question 14

An infection of the sebaceous glands causing a pimple or boil on the eyelid…?

Answer 14

Hordoleum (sty)

Question 15

Ptosis, Miosis, and Anhydrosis on the same side as an interruption to the cervical sympathetics…?

Answer 15

Horner’s Syndrome

Question 16

Damage to the retinal vessels/background will show these signs: Copper Wire Deformity, Silver Wire Deformity, A-V Nicking, Flame Hemorrhages, and Cotton Wool Soft Exudates…?

Answer 16

Hypertensive Retinopathy

Question 17

Dilated pupil with ptosis and lateral deviation. Doesn’t react to light or accommodation. Seen with Multiple Sclerosis…?

Answer 17

Internal Ophthalmoplegia

Question 18

Inflammation of the iris (colored portion of the eye) seen with Ankylosing Spondylitis…?

Answer 18

Iritis/Uveitis

Question 19

Most common reason for blindness in the elderly, central vision lost…..?

Answer 19

Macular Degeneration

Question 20

Yellow deposits under the retina, which are an EARLY SIGN of Macular Degeneration…?

Answer 20

Drusen

Question 21

Fixed and constricted pupils that react to light and accommodate. Seen with Severe Brain Damage, Pilocarpine Medication, and Narcotic use…?

Answer 21

Miosis

Question 22

Dilated and fixed pupils seen with Anticholinergic Drugs (Atropine/Mushrooms/Death)…?

Answer 22

Mydriasis

Question 23

Swelling of the optic disc due to increased intracranial pressure. NO visual loss. May been seen with a brain tumor or brain hemorrhage…?

Answer 23

Papilledema (aka: Choked Disc)

• Visual loss seen with Optic Neuritis

Question 24

Swelling around the eye seen with Allergies, Myxedema, and Nephrotic Syndrome (HEP)…?

Answer 24

Periorbital Edema

Question 25

A yellowish triangular nodule in the bulbar conjunctiva that is harmless and indicates aging...?

Answer 25

Pinquecula

Question 26

Drooping of the eyelid. Seen with conditions such as Horner's Syndrome, CN 3 Paralysis, Myasthenia Gravis, and Multiple Sclerosis...?

Answer 26

Ptosis

Question 27

Painless sudden onset of blindness described as curtains closing over vision; lightning flashes and floaters are seen prior to visual loss...?

Answer 27

Retinal Detachment

Question 28

SCLERA Color A.) Normal: _____? B.) Jaundice: _____? C.) Osteogenesis Imperfecta: _____?

Answer 28

A.) White B.) Yellow C.) Blue

Question 29

Fatty plaques on the nasal surface of the eyelids that may be normal or indicates Hypercholesterolemia...?

Answer 29

Xanthelasma

Question 30

VISION A.) Normal: _____? B.) Nearsighted: _____? C.) Farsighted: _____? D.) Loss of lens elasticity, due to aging: _____?

Answer 30

A.) Emmetropia B.) Myopia C.) Hyperopia D.) Presbyopia

Question 31

Which orthopedic exam will test cranial nerves III, IV, and VI?

Answer 31

Cardinal Field of Gaze

Question 32

What is the most common cause of periorbital edema? a. ) Hypertension b. ) Hypotension c. ) Allergies d. ) Conjunctivitis

Answer 32

c.) Allergies

Question 33

Which of the following conditions has an absent red light reflex? a. ) Diabetic retinopathy b. ) Glaucoma c. ) Macular degeneration d. ) Cataracts

Answer 33

d.) Cataracts

Question 34

This is a sluggish papillary reaction seen in Addison's Disease? a. ) Drusen sign b. ) Crescent sign c. ) Arroyo sign d. ) Tangential sign

Answer 34

c.) Arroyo sign

Question 35

This is a grayish opaque ring around the cornea? a. ) Choked disc b. ) Pinguecula c. ) Corneal arcus d. ) External ophthalmoplegia

Answer 35

c.) Corneal arcus

Question 36

Which of the following signs is seen in Ankylosing Spondylitis? a. ) Blepharitis b. ) Uveitis c. ) Mydriasis d. ) Aniscoria

Answer 36

b.) Uveitis

Question 37

Which of the following is the most common reason for blindness in the elderly? a. ) Glaucoma b. ) Macular degeneration c. ) Cataracts d. ) Retinal detachment

Answer 37

b.) Macular degeneration

Question 38

Which of the following is seen in a patient with Multiple Sclerosis? a. ) Periorbital edema b. ) Papilledema c. ) External ophthalmoplegia d. ) Internal ophthalmoplegia

Answer 38

d.) Internal ophthalmoplegia

Question 39

Which of the following symptoms is seen in a patient with Graves Disease? a. ) Myxedema b. ) Adie's pupil c. ) Exophthalmosis d. ) Periorbital edema

Answer 39

c.) Exophthalmosis

Question 40

Yellow deposits under the retina is seen with which condition? a. ) Diabetic neuropathy b. ) Macular degeneration c. ) Pinquecula d. ) Pterygium

Answer 40

b.) Macular degeneration

Question 41

Hypercholesterolemia is associated with which of the following conditions? a. ) Papilledema b. ) Mydriasis c. ) Presbyopia d. ) Xanthelasma

Answer 41

d. ) Xanthelasma | - fatty plaques on the nasal surface of the eyelids

Question 42

This triangular thickening of the bulbar conjunctiva that grows across the cornea and is brought on by dry eyes? a. ) Pinquecula b. ) Pterygium c. ) Arroyo sign d. ) Exophthalmosis

Answer 42

b.) Pterygium

Question 43

Associated with cranial nerve III paralysis? a. ) Xanthelasma b. ) Mydriasis c. ) Ptosis d. ) Myxedema

Answer 43

c.) Ptosis

Question 44

Characteristics of Diabetic Retinopathy vs Hypertensive Retinopathy?

Answer 44

Diabetic Retinopathy - HARD exudates - Microaneurysms - Neovascularization Hypertensive Retinopathy - SOFT exudate (cotton wool) - Copper wire deformity - Silver wire deformity - A-V nicking - Flaming hemorrhages

Question 45

Increased intraocular pressure is caused by what conditions?

Answer 45

- Glaucoma | - Hypertensive Retinopathy

Question 46

Crescent sign is associated with? a. ) Cataracts b. ) Papilledema c. ) Glaucoma d. ) Macular degeneration

Answer 46

c.) Glaucoma

Question 47

Drusen sign is associated with? a. ) Cataracts b. ) Papilledema c. ) Glaucoma d. ) Macular degeneration

Answer 47

d.) Macular degeneration

Question 48

An absent red light reflex is associated with? a. ) Cataracts b. ) Papilledema c. ) Glaucoma d. ) Macular degeneration

Answer 48

a.) Cataracts

Question 49

Which of the following does not cause loss of vision? a. ) Cataracts b. ) Papilledema c. ) Glaucoma d. ) Macular degeneration

Answer 49

b.) Papilledema

Question 50

When does Papilledema cause loss of vision?

Answer 50

When it occurs with optic neuritis...