Uveitis

Question 0

Keratoderma blenhoracicum

Answer 0

Reitera

Question 1

Ddx of erythema nodosum (cubs)

Answer 1

Chrons
Ulcerative colitis
Behcets
Sarcoid

Question 2

Hypoyon uveitis

Answer 2

Back hurt in am?
B27
Ankylosing sponylitis
Recurrent alternating uveitis

Question 3

Ddx of heterochromia?

Answer 3

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

Question 4

What are the hla b27 ass uveidities?

Answer 4

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

Question 5

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

Answer 5

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

Question 6

Which uveitic conditions do you need immunomodulators?

Answer 6

So
Vkh
Behcets
Jia

Question 7

Which dz has fusion of sacroilliac joint?

Answer 7

Ankylosing spondylitis

Question 8

Sausage digits

Answer 8

Psoriatic arthritis

Question 9

Signs of fuchs 5

Answer 9

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

Question 10

Phacoanalyactic galucoma

Answer 10

Sp trauma w rupture of capsule inflammation to lens material

Question 11

Kawaskis symtoms and tx

Answer 11

Strawberry tongue
Bulateral conjunctivitis
Kids <5 yo
Fever
Ant uveitis

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

Question 12

Para planitis

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

Answer 12

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

Question 13

Lyme

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

Answer 13

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

Question 14

Ohs triad

Answer 14

1) ppa
2) punched out lesion
3) cnv

Question 15

Bartonella

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

Answer 15

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

Question 16

Dusn

1) acronym
2) worms
3) signs

Answer 16

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

Question 17

Apmppe

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

Answer 17

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

Question 18

Mewds

1) uni or bi
2) pattern on fa

Answer 18

1) uni

2) wreath like pattern

Question 19

Birdshot complication

Answer 19

Cme

Question 20

Serpiginous vision loss

Answer 20

Cnv

Question 21

What other syndrome is mewds ass w?

Answer 21

Amn (acute macular neuroretinipathy)

Enlargement of blind spot and wedge shaped lesion in macula

Question 22

Which 2 wds are on the same spectrum of dz?

Answer 22

Pic and mcp

Both have cnv as compliaction

Question 23

Pic

1) uni or bi?
2) synptoms

Answer 23

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

Question 24

Serpiginius lose vision from

Answer 24

Cnv

Question 25

Retinial phlebitis ddx

Answer 25

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

Question 26

When might lyme be false +?

Answer 26

Hiv or ebv

Question 27

Retinal arteritis ddx

Answer 27

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

Question 28

Sarcoid ros includes

Answer 28

``` Erythema nodosum Lymphadenopathy Lupus pernio (granuloma on face usually next to nose) ```

Question 29

Rx of sarcoid

Answer 29

Steroids and immunosuppressives

Question 30

Bechets ros

Answer 30

``` Oral ulcers Genital ulcers Erythema nodosum Arthritis Gi issues ```

Question 31

How do you test for behcets

Answer 31

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

Question 32

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

Answer 32

Behcets- painful | Reiter- painless

Question 33

Where is the old silk route?

Answer 33

Japan thru asia to mediterrainean | Behcets

Question 34

Who gets vkh?

Answer 34

Asians Native americans Hispanics

Question 35

Which hla for vkh?

Answer 35

Dr4

Question 36

Big difference between so and vkh?

Answer 36

So spares the choriocappillaris

Question 37

Whats the rx of syphillis

Answer 37

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

Question 38

How do u treat syphillis if pcn all?

Answer 38

Doxycycline 200 po bid 15 days

Question 39

What must u do w syphillitic uveitis

Answer 39

Lp bc its neuro syphillis

Question 40

Bamboo spine

Answer 40

Ankylosing spondylitis

Question 41

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

Answer 41

Hadinger brush | Maddox rod orientation

Question 42

Whats the optical principle behind night myopa?

Answer 42

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

Question 43

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

Answer 43

485 sent in | 530 emitted

Question 44

Ddx ring infiltrate | Path

Answer 44

Pseudomonas Acanthombea Topical anesthic abuse Herpes

Question 45

How does retinoscopy work?

Answer 45

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"

Question 46

What devices use the principle of optical doubling?

Answer 46

Goldmann applination Keratometry Pachymetry

Question 47

How does an old fashioned and modern pachyneter work?

Answer 47

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

Question 48

Name 5 ways to eval k topography

Answer 48

``` Keratometer Placido disc Videokeratometry Wavefront analysis Pentacam topography ```

Question 49

How does an applination tonineter work?

Answer 49

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

Question 50

Whats the magnification of the retina using a direct ophthalmosvope?

Answer 50

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

Question 51

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

Answer 51

60/20= 3

Question 52

What can you do if pt has momocular diplopia?

Answer 52

Put up pinhole. It usually makes the siplopia gonaway

Question 53

How can you treat a pt w monocular diplopia?

Answer 53

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

Question 54

Pt unhappy w glasses what should you check?

Answer 54

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

Question 55

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

Answer 55

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

Question 56

What do you want to check for w naion?

Answer 56

``` Disc at risk Ho viagra Smoking Hvf-alt defect Color desat ```

Question 57

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

Answer 57

``` Weight loss Anorexia Fatigue Myalgias Fever Chills ```

Question 58

Amaurosis fugax ddx

Answer 58

``` Gca Iih (tvo) Crao/plaque Hypercoaguabiloty Collagen vasc dz ```

Question 59

Lhon treatment

Answer 59

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

Question 60

How do you test acuity in preverbal child?

Answer 60

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

Question 61

Can cin met?

Answer 61

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

Question 62

What are risk factors for scc of eyelid

Answer 62

Sun exposure Hpv Immunocomp status Arsenic exposure

Question 63

Managemnet of scc of eyelid?

Answer 63

Just like bcc | But rarely can met to orbit

Question 64

Whats the ddx of rp?

Answer 64

Pseudo rp- mellaril use or syphillis Rp Rp syndromes

Question 65

What are the rp syndrome?

Answer 65

``` Bassen kornsweig Kerns sayre Ushers Refsum dz Bardet biedl Lca ```

Question 66

Whats the ddx for rama?

Answer 66

``` Irvan Coats Dr Valsalva Mac tel ```

Question 67

Wu for rama

Answer 67

Fbs Check bp Check lipids