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oral boards > Uveitis > Flashcards

Uveitis Flashcards

0
Q

Keratoderma blenhoracicum

A

Reitera

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1
Q

Ddx of erythema nodosum (cubs)

A

Chrons
Ulcerative colitis
Behcets
Sarcoid

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2
Q

Hypoyon uveitis

A

Back hurt in am?
B27
Ankylosing sponylitis
Recurrent alternating uveitis

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3
Q

Ddx of heterochromia?

A

Siderosis (darker iris)
Congenital horners
Fuchs
Waardenberg sx (white forelock broad nasal bridge heterochromia)

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4
Q

What are the hla b27 ass uveidities?

A

1) reiters
2) ankylosing sponylitis
3) ibd
4) psoriasis

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5
Q

What does uveitis wu include and what are you looking for?

A

1) cbc
2) esr
3) crp
4) rf - lupus
5) ana- lupus or jia
6) anca- wegeners
7) ace - sarcoid leprosy
8) lysozyme- mirrors sarcoid activity
9) rpr/vdrl
10) fta
11) lyme ab- may be false pos in hiv

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6
Q

Which uveitic conditions do you need immunomodulators?

A

So
Vkh
Behcets
Jia

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7
Q

Which dz has fusion of sacroilliac joint?

A

Ankylosing spondylitis

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8
Q

Sausage digits

A

Psoriatic arthritis

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9
Q

Signs of fuchs 5

A

1) heterochromia
2) amsler sign
3) stellate kp
4) high iop
5) unilateral

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10
Q

Phacoanalyactic galucoma

A

Sp trauma w rupture of capsule inflammation to lens material

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11
Q

Kawaskis symtoms and tx

A 
Strawberry tongue
Bulateral conjunctivitis
Kids <5 yo
Fever
Ant uveitis

Give asa!!!
Do not give steroids can cause coronary artery aneurysm

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12
Q

Para planitis

1) cause
2) uni or bilateral?
3) hla associations
4) symptoms
5) rx

A

1) ideopathic
2) bi
3) hla dr 15
4) floaters snowballs and banks
5) stk

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13
Q

Lyme

1) symptoms
2) diagnostic trst
3) rx systemic
4) rx eye

A 
1) fever 
Malaise
Joint pain
Rash
Bells palsy
Nummular keratitis
Follicular conjunctivitis
2) elisa followed by west blot
3)tetracycline or erythromycin
4) retisert
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14
Q

Ohs triad

A

1) ppa
2) punched out lesion
3) cnv

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15
Q

Bartonella

1) rx
2) ass w what syndrome
3) retinal finding

A

1) tetracycline (ex doxy) or bactrim
2) perinauds oculogladular conjunctivitis- lymph nodes w graulomas and conjunctivitis
3) neuroretinitis

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16
Q

Dusn

1) acronym
2) worms
3) signs

A

1) diffuse unilateral subacute neuroretinitis
2) anklystoma (dog) and bailyascris (racoon)
3) pigmentary retinopathy and optic atrophy

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17
Q

Apmppe

1) uni or bi
2) who and when
3) fa pattern

A

1) acute posterior multifocal placoid pigmenta epitheliopathy
2) bilateral
3) young men and women sp viral illness
4) block early stain late

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18
Q

Mewds

1) uni or bi
2) pattern on fa

A

1) uni

2) wreath like pattern

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19
Q

Birdshot complication

A

Cme

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20
Q

Serpiginous vision loss

A

Cnv

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21
Q

What other syndrome is mewds ass w?

A

Amn (acute macular neuroretinipathy)

Enlargement of blind spot and wedge shaped lesion in macula

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22
Q

Which 2 wds are on the same spectrum of dz?

A

Pic and mcp

Both have cnv as compliaction

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23
Q

Pic

1) uni or bi?
2) synptoms

A

Bilateral (only mewds really uni)
Cnv 1/3
Scotomas or photopsoas
Resolves 4-6 wks

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24
Q

Serpiginius lose vision from

A

Cnv

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25
Q

Retinial phlebitis ddx

A

1) sarcoid
2) lupus
3) eales
4) ms
5) behcets

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26
Q

When might lyme be false +?

A

Hiv or ebv

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27
Q

Retinal arteritis ddx

A

1) arn
2) pan (p anca)
3) sle
4) susacs

28
Q

Sarcoid ros includes

A 
Erythema nodosum
Lymphadenopathy
Lupus pernio (granuloma on face usually next to nose)
29
Q

Rx of sarcoid

A

Steroids and immunosuppressives

30
Q

Bechets ros

A 
Oral ulcers
Genital ulcers
Erythema nodosum
Arthritis
Gi issues
31
Q

How do you test for behcets

A

Pathergy test (prick skin and pustule will form)
Hla b51
Rx cyclosporine

32
Q

Oral ulcers in whom is it painful and in whom is it painless?

A

Behcets- painful

Reiter- painless

33
Q

Where is the old silk route?

A

Japan thru asia to mediterrainean

Behcets

34
Q

Who gets vkh?

A

Asians
Native americans
Hispanics

35
Q

Which hla for vkh?

A

Dr4

36
Q

Big difference between so and vkh?

A

So spares the choriocappillaris

37
Q

Whats the rx of syphillis

A

Pcn g 2-5 mill units iv q4 x 10 days

38
Q

How do u treat syphillis if pcn all?

A

Doxycycline 200 po bid 15 days

39
Q

What must u do w syphillitic uveitis

A

Lp bc its neuro syphillis

40
Q

Bamboo spine

A

Ankylosing spondylitis

41
Q

What 2 techniques use polarization to assess pot acuity in dense catract?

A

Hadinger brush

Maddox rod orientation

42
Q

Whats the optical principle behind night myopa?

A

Spherical abberation

Lights bends differently whether it goes thru center or edge of a lens

43
Q

At what wavelength is light sent into eye in fa and what wavelength is emitted?

A

485 sent in

530 emitted

44
Q

Ddx ring infiltrate

Path

A

Pseudomonas
Acanthombea
Topical anesthic abuse
Herpes

45
Q

How does retinoscopy work?

A

At neutralization the far point of the eye coincides w the peephole of the retinoscope, so the pupil appears to fill with light. When the far point of the eye is in front of or behind the examiner only some of the light returning from the eye goes thru the retinoscope peephole. If the eye has too much plus power, the light is inverted before it reaches the ovserver and it appears as “against” movement”

46
Q

What devices use the principle of optical doubling?

A

Goldmann applination
Keratometry
Pachymetry

47
Q

How does an old fashioned and modern pachyneter work?

A

Old fashioned based on optical doubling and attached to the sl
Newer uses ultrasound

48
Q

Name 5 ways to eval k topography

A 
Keratometer
Placido disc
Videokeratometry
Wavefront analysis
Pentacam topography
49
Q

How does an applination tonineter work?

A

Uses optical doubling principle
Applinated area is 3.06 mm in diameter. Force is read off in dynes and is converted to mm hg.
If theres signif astigmatism you should rotate the prism so the red mark alignes w the axis of the pts minus cylinder

50
Q

Whats the magnification of the retina using a direct ophthalmosvope?

A

15x
Uses eye as simple magnifier
60/4=15

51
Q

Whats the mag of the retina if using a 20D lens?

A

60/20= 3

52
Q

What can you do if pt has momocular diplopia?

A

Put up pinhole. It usually makes the siplopia gonaway

53
Q

How can you treat a pt w monocular diplopia?

A

First do careful refraction
Check for surface irregularities
Can give pilo to reduce spherical aberation

54
Q

Pt unhappy w glasses what should you check?

A 
Sphere
Cyl
Axis
Prism
Base curves w lens clock
Vertex distance
Optical centers
Coatings and tints
55
Q

Whats the ddx for multiple cranial neuropathy? Can have visual disturbance? Poss labile bp

A 
Cc fistula
Cav sinus syndrome
Pit apoplexy- give hydrocort imm
Tolosa hunt
Tumor/met
Mucor
56
Q

What do you want to check for w naion?

A 
Disc at risk
Ho viagra
Smoking
Hvf-alt defect
Color desat
57
Q

What symptoms do you ask about for gca besides jaw claud and scalp tender?

A 
Weight loss
Anorexia
Fatigue
Myalgias
Fever
Chills
58
Q

Amaurosis fugax ddx

A 
Gca
Iih (tvo)
Crao/plaque
Hypercoaguabiloty
Collagen vasc dz
59
Q

Lhon treatment

A

Avoid etoh
Avoid smoking
Co enz q
Ekg bc can get wolf prk white

60
Q

How do you test acuity in preverbal child?

A 
Okn
Ff
Blink to light
Pref looking (teller card)
Hotv matching game
Allen figures
Vep
61
Q

Can cin met?

A

Yes!!!!
To orbit or even met
Image orbit and get met wu

62
Q

What are risk factors for scc of eyelid

A

Sun exposure
Hpv
Immunocomp status
Arsenic exposure

63
Q

Managemnet of scc of eyelid?

A

Just like bcc

But rarely can met to orbit

64
Q

Whats the ddx of rp?

A

Pseudo rp- mellaril use or syphillis
Rp
Rp syndromes

65
Q

What are the rp syndrome?

A 
Bassen kornsweig
Kerns sayre
Ushers
Refsum dz
Bardet biedl
Lca
66
Q

Whats the ddx for rama?

A 
Irvan
Coats
Dr
Valsalva
Mac tel
67
Q

Wu for rama

A

Fbs
Check bp
Check lipids

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