Deck 5: The Eye

Question 1

A patient presents with eye redness,scant discharge,and a gritty sensation.Your examination reveals the palpable preauricular nodes,which are most likely with:

A) Bacterial conjunctivitis
B) Allergic conjunctivitis
C) Chemical conjunctivitis
D) Viral conjunctivitis

Answer 1

Viral conjunctivitis

Question 2

An Amsler grid is used to evaluate which of the following conditions?

A) Optic neuritis
B) Macular degeneration
C) Amaurosis fugax
D) Retinal detachment

Answer 2

Macular degeneration

Question 3

Macular degeneration is a visual disturbance due to:

A) Sudden head trauma
B) Ischemia of the central retinal artery
C) Elevated intraocular pressure
D) Physiological aging

Answer 3

Physiological aging

Question 4

It is important to not dilate the eye if is suspected.

A) Cataract
B) Macular degeneration
C) Acute closed-angle glaucoma
D) Chronic open-angle glaucoma

Question 5

Which of the following findings should trigger an urgent referral to a cardiologist or neurologist?

A) History of bright flash of light followed by significantly blurred vision
B) History of transient and painless monocular loss of vision
C) History of monocular severe eye pain,blurred vision,and ciliary flush
D) All of the above

Question 6

Which of the following is true concerning adjustment of diopters during funduscopic exam?

A) Moving towards more positive diopters shifts examiner's focus posteriorly
B) Moving towards more negative diopters shifts examiner's focus anteriorly
C) Moving towards more positive diopters broadens the examiner's field of view
D) Moving towards more negative diopters broadens the examiner's field of view

Question 7

A clinician can assess the alignment of the eyes by all except:

A) Checking for a symmetric light reflex
B) Observing eye movements
C) Performing cover/uncover exam
D) Measuring the palpebral gap

Question 8

A Marcus-Gunn effect involves:

A) Abnormal pupillary responses
B) Abnormal visual acuity
C) Abnormal funduscopic findings
D) All of the above

Question 9

While assessing visual acuity,you notice that the patient is turning his head "side-to-side" for an oblique,or peripheral,view of the Snellen chart,raising your suspicion that the patient may suffer from:

A) Glaucoma
B) Cataract
C) Macular degeneration
D) Amaurosis fugax

Question 10

Your patient describes blurry vision as well as halos and glares in response to bright lights or when driving in the dark.There is no pain.These are symptoms of:

A) Glaucoma
B) Macular degeneration
C) Cataracts
D) Diabetic retinopathy

Question 11

The most common type of eye disorder is:

A) Refractive errors
B) Macular conditions
C) Neurological conditions
D) Astigmatisms

Question 12

Your patient with Crohn's Disease complains of eye pain and photophobia.This is likely related to:

A) Symptoms of temporal arteritis
B) Altered pupil response due to uveitis
C) Blurry vision due to bilateral cataracts
D) Subconjunctival hemorrhage

Question 13

Shining a light directly on one pupil should make the other pupil constrict.This is called the:

A) Accommodation response
B) Red reflex
C) Corneal light reflex
D) Consensual pupil response

Question 14

Your patient has been treated for glaucoma for 5 years.Which of the following will provide indication of the level of progression during the funduscopic examination for this patient?

A) Checking the macula
B) Estimating cup-to-disk ratio
C) Verifying a red reflex
D) Extraocular movements

Question 15

The first assessment to complete related to the eyes is:

A) Eye lids
B) Visual acuity
C) Extraocular movements
D) Peripheral vision

Question 16

The most common cause of eye redness is:

A) Conjunctivitis
B) Acute glaucoma
C) Head trauma
D) Corneal abrasion

Question 17

In the following condition,patients often describe a sudden,large flash of light with gradual loss of vision in one eye.

A) Amaurosis fugax
B) Acute glaucoma
C) Temporal arteritis
D) Retinal detachment

Question 18

The fundoscopic examination allows the clinician to directly observe:

A) Cranial nerve I
B) Cranial nerve II
C) Cranial nerve III
D) Cranial nerve IV

Question 19

A patient describes a brief episode of visual impairment where it was as if a dark shade was gradually coming down over one eye.The vision returned a moment later.This is most commonly described in which condition?

A) Glaucoma
B) Cataracts
C) Amaurosis fugax
D) Macular degeneration

Question 20

When examining the six cardinal fields of gaze,the clinician is assessing function of:

A) CN III
B) CN IV
C) CN VI
D) All of the above

Question 21

A 4-day-old newborn presents with redness and tearing of one eye.Slight pressure over the lacrimal sac produces white discharge.The clinician should be aware that the following condition is common in newborns:

A) Conjunctivitis
B) Sinus infection
C) Dacryocystitis
D) Herpes infection

Question 22

A 9-month-old patient presents with fever and large areas of redness and bullae over the trunk,palms,legs,and sole of the feet.There is redness and swelling of the conjunctiva and lips.The clinician should recognize this condition as:

A) Giant cell arteritis
B) Stevens-Johnson syndrome
C) Botulism
D) Myasthenia gravis

Question 23

In assessing the eyes,which of the following is considered a "red flag" finding when associated with eye redness?

A) History of prior red-eye episodes
B) Grossly visible corneal defect
C) Exophthalmos
D) Photophobia

Question 24

Ptosis is commonly the first sign of:

A) Stevens-Johnson syndrome
B) Hyperthyroidism
C) Temporal arteritis
D) Myasthenia gravis

Question 25

Your patient is suffering from herpes zoster along the trigeminal nerve distribution of the face.You should carefully assess for the presence of:

A) Keratitis
B) Uveitis
C) Scleritis
D) Conjunctivitis