sle (ophthalmology) - dr. nizar alhibshi

8/16/2019 SLE (Ophthalmology) - Dr. Nizar Alhibshi

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Mastering SLE CourseOphthalmology

Dr. Nizar Alhibshi


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• This is a Snellen chart, how far should the patient st

a) 3m

b) 6m

c) 9m


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a) 3m

b) 6m

c) 9m


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a) 3m

b) 6m or 20 feet

c) 9m


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• Picture of Snellen chart, 70 year old patient can only read t

line, what is his visual acuity?

a) 20\100

b) 20\70

c) 20\50

d) 20\40


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a) 20\100

b) 20\70

c) 20\50

d) 20\40


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a) 20\100

b) 20\70 or 6/24

c) 20\50

d) 20\40


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a) 20\100

b) 20\70 or 6/24

c) 20\50

d) 20\40

What Does This Mean?


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• This patient see letters at 20 feet, where normally it should

at 70 feet (24m).


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•

Patient with URTI when he coughs or sneezes, he can see “what is the cause?

a) Mechanical stimuli to retina

b) Irritation of optic disc


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•

Patient with URTI when he coughs or sneezes, he can see “what is the cause?

a) Mechanical stimuli to retina

b) Irritation of optic disc

Stimulates the retina photoreceptors and can also be seen as light..


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• Patient came to you complaining of gradual loss of vision & can only identify light. Which of the following is the LEAST ca

his problem:

a) Retinal detachment

b) Central retinal artery occlusion

c) Retinitis pigmentosa

d) Retrobulbar neuritis


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• Patient came to you complaining of gradual loss of vision & can only identify light. which of the following is the LEAST cau

problem:


b) Central retinal artery occlusion

c) Retinitis pigmentosa

d) Retrobulbar neuritis


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• All the following may cause sudden unilateral blindness EX

a) Retinitis pigmentosa.

b) Retro-bulbar neuritis.

c) Retinal detachment.

d) Vitreous hemorrhage.

e) Central retinal artery embolism.


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• All the following may cause sudden unilateral blindness EX

a) Retinitis pigmentosa.

b) Retro-bulbar neuritis.

c) Retinal detachment.

d) Vitreous hemorrhage.

e) Central retinal artery embolism.


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• All of the following cause photosensitivity (photophobia) e

a) Lithium

b) Propranolol

c) Tetracycline

d) Chloropromazine

e) Chloropropamide


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a) Lithium

b) Propranolol

c) Tetracycline

d) Chloropromazine

e) Chloropropamide


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a) Lithium (Used primarily in the treatment of bipolar dis

b) Propranolol

c) Tetracycline

d) Chloropromazine

e) Chloropropamide


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• Which of the following is true regarding red eye:

a) More redness in the corneal-scleral junction (limbus) sugg

b) If associated with fixed mid –dilated pupil suggests anterio

c) In case of glaucoma treatment is mydriatics.


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• Which of the following is true regarding red eye:

a) More redness in the corneal-scleral junction (limbus) sug

b) If associated with fixed mid –dilated pupil suggests anter

c) In case of glaucoma treatment is mydriatics


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• The most serious red eye that needs urgent referral to an

Ophthalmologist .

a) Associated with itching

b) Presence of mucopurulant discharge

c) Bilateral

d) Associated with photophobia


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• The most serious red eye that needs urgent referral to an

Ophthalmologist .

a) Associated with itching

b) Presence of mucopurulant discharge

c) Bilateral

d) Associated with photophobia


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• A child presented with proptosis (exophthalmos), red eye, eye movements, what is the diagnosis:

A. Orbital Cellulitis

B. Conjunctivitis

C. Periorbital CellulitisD. Dacrocystitis


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• A child presented with proptosis (exophthalmos), red eye,eye movements, what is the diagnosis:

A. Orbital Cellulitis

B. Conjunctivitis

C. Periorbital CellulitisD. Dacrocystitis


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• Patient complains of dry eyes, moisturizing eye drops wereprescribed 4 times daily. What is the most appropriate meth

application of these eye drops?

a) 1 drop in the lower fornix

b) 2 drops in the lower fornix

c) 1 drop in the upper fornix

d) 1 drop on the cornea


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b) 2 drops in the lower fornix

c) 1 drop in the upper fornix

d) 1 drop on the cornea


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*If a patient is prescribed both, eye drops and ointment, tdrops are used first

*If more than one type of eye drops are prescribed, the pashould wait five minutes after the first drop before puttingsecond one.


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• Patient is wearing contact lenses for vision correction sinceyears, now complaining of excessive tearing when exposed

light, what will be your advice to him:

a) Wear hat

b) Wear sunglasses

c) Remove the lenses at night

d) Saline eye drops 4 times / day


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• Patient is wearing contact lenses for vision correction sinceyears, now complaining of excessive tearing when exposed

light, what will be your advice to him:

a) Wear hat

b) Wear sunglasses

c) Remove the lenses at night

d) Saline eye drops 4 times / day


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• Gardener has recurrent conjunctivitis. He can’t avoid expoenvironment. In order to decrease the symptoms in the evyou should advise him to:

a) Warm compressions

b) Eye irrigation with Vinegar Solution

c) Contact lenses

d) Antihistamines


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• Gardener has recurrent conjunctivitis. He can’t avoid expoenvironment. In order to decrease the symptoms in the evyou should advise him to:

a) Warm compressions

b) Eye irrigation with Vinegar Solution

c) Contact lenses

d) Antihistamines and cold compressions


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• A 6 weeks old infant presented with yellowish eye dischargpersistent tearing of one eye since birth, all of the followinExcept:

a) Treatment include sulphacetamide ointment daily

b) Advice the mother to do warm massage

c) Can be treated by systemic antibiotics

d) Do probing to bypass the obstruction


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• A 6 weeks old infant presented with yellowish eye discharg persistent tearing of one eye since birth, all of the followinExcept:

a) Treatment include sulphacetamide ointment daily

b) Advice the mother to do warm massage


d) Do probing to bypass the obstruction


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• Patient presents with history of flu like symptoms for manycomplains of peri-orbital edema, DX

a) Viral conjunctivitis

b) Bacterial conjunctivitis

c) Keratitis


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• Patient presents with history of flu like symptoms for manycomplains of peri-orbital edema, DX



c) Keratitis


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• Patient presents with history of flu like symptoms for manyexamination shows pre-auricular lymphadenopathy , DX



c) Keratitis


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• Patient with bilateral eye redness. Discharge and tearing. O

examination, cornea, lens all normal but noted are conjunctfollicles DX:

a) Acute conjunctivitis

b) Allergic Conjunctivitis

c) Contact lens toxicity


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• Patient with bilateral eye redness. Discharge and tearing. O

examination, cornea, lens all normal but noted are conjunct follicles DX:

a) Acute conjunctivitis.

b) Allergic Conjunctivitis

c) Contact lens toxicity

Papillae are usually due to an allergic reaction


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• Patient presented with eye pain and watery discharge. A fl

eye but it was removed. You will give:

a) Topical antibiotic

a) Adenoviruses

b) Streptococcus

c) HSV


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• Patient presented with eye pain and watery discharge. A fl

eye but it was removed. You will give:


a) Adenoviruses

b) Streptococcus

c) HSV


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• 2 year old boy with coryza, cough and red eyes with watery

discharge (a case of measles). Most likely diagnosis of the re

a) Conjunctivitis

b) Blepharitis

c) Keratitis


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• 2 year old boy with coryza, cough and red eyes with watery

discharge (a case of measles). Most likely diagnosis of the re

a) Conjunctivitis

b) Blepharitis

c) Keratitis

Blepharitis is inflammation of the eyelid margins.

Keratitis is inflammation of the cornea.


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• A patient complains of 2 days history of stuck together lash

waking up. There is a muco-purulent discharge. Anterior Chaand iris are clear. What is the diagnosis?

a) Bacterial Infection

b) Viral Infection

c) Allergy


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• A patient complains of 2 days history of stuck together lash

waking up. There is a muco-purulent discharge. Anterior Chaand iris are clear. What is the diagnosis?

a) Bacterial Infection

b) Viral Infection Watery Discharge + Pre-auricular

Lymphadenopathy

c) Allergy Watery Discharge + History of Other Allergie


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• Patient with recent history of URTI, develops severe conjunwith redness and tearing, what is the treatment?


b) Topical acyclovir

c) Oral acyclovir

d) Topical steroid


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• Patient with recent history of URTI, develops severe conjunwith redness and tearing, what is the treatment?

a) Topical antibiotic If There is a secondary Bacterial Inf

b) Topical acyclovir

c) Oral acyclovir

d) Topical steroid In Some Advanced Cases

e) Anti-Histamine Dropsf) Lubricating Drops

g) Cold compresses


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• 13 year old otherwise healthy, has bought a cat, now he hacongested eyes and nose with stingy discharge with no enla

lymph nodes:

a) Allergic conjunctivitis

b) Keratoconjuctivitis sicca

c) Cat scratch disease


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•13 year old otherwise healthy, has bought a cat, now he hacongested eyes and nose with stingy discharge with no enla

lymph nodes:

a) Allergic conjunctivitis

b) Keratoconjuctivitis sicca (Dry Eyes)

c) Cat scratch disease (No Lymphadenopathy)


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• Patient with red eyes for one day with watery discharge, Noor pain or trauma there is conjunctival injection, visual acuitywhat is the management?

a) Antihistamines

b) Topical antibiotics

c) No further management is needed

d) Refer to Ophthalmologiste) Topical steroids


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• Patient with red eyes for one day with watery discharge, Noor pain or trauma there is conjunctival injection, visual acuitywhat is the management?

a) Antihistamines

b) Topical antibiotics

c) No further management is needed

d) Refer to Ophthalmologiste) Topical steroids


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• Neonate with mucopurulant eye discharge, and lid swelling

culture positive for gram –ve diplococci, what is the treatme

a) Intravenous Cephalosporins

b) Topical Sulfonamides

c) Oral Fluoroquinolone

d) IM Aminoglycoside


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•Neonate with mucopurulant eye discharge, and lid swelling

culture positive for gram –ve diplococci, what is the treatme

(Gonococcal conjunctivitis)

a) Intravenous Cephalosporinsb) Topical Sulfonamides

c) “Oral” Fluoroquinolones

d) IM Aminoglycoside


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• Patient with pterygium in one eye, the other eye is normalcorrect to tell:

a) It's due to vitaminosis A.

b) It may affect vision.

c) It's a part of a systemic disease.


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• Patient with pterygium in one eye, the other eye is normalcorrect to tell:

a) It's due to vitaminosis A.

b) It may affect vision. (& It’s caused by Prolonged ExposLight)

c) It's a part of a systemic disease.

Treatment Surgery When Vision Could be Affected or foCosmetic Reasons


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• Patient with subconjunctival hemorrhage. What will you d

him/her?

a) Reassurance

b) Send him to the ophthalmologist

c) Topical antibiotics

d) Eye patch


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• Patient with subconjunctival hemorrhage. What will you do for

a) Reassurance

b) Send him to the ophthalmologist

c) Topical antibiotics

d) Eye patch

*None required*Artificial tears

*Elective use of NSAID should be discouraged

*Treat The Cause (eg Hypertension or Bleeding disorder)


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• A patient developed a corneal ulcer in his right eye after tr

what is the management?

a) Topical antibiotic & analgesia

b) Topical steroids

c) Topical Antibiotic, cycloplegia and refer to ophthalmolog


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• A patient developed a corneal ulcer in his right eye after tr

what is the management?

a) Topical antibiotic & analgesia

b) Topical steroids

c) Topical Antibiotic, cycloplegia and URGENT referrel to

ophthalmology

“DO NOT PATCH”


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• 35 year old female patient complaining of acute redness anher Left eye for 2 days, she gives history of visual blurring ancontact lens as well. On examination: fluorescein stain show

dendritic ulcer at the center of the cornea, what is the mostdiagnosis?

a) Corneal abrasion

b) Herpetic ulcer

c) Central lens stress ulcer

d) Acute Episcleritis

e) Acute angle closure glaucoma


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• 35 year old female patient complaining of acute redness anher Left eye for 2 days, she gives history of visual blurring ancontact lens as well. On examination: fluorescein stain show

dendritic ulcer at the center of the cornea, what is the most diagnosis?

a) Corneal abrasion

b) Herpetic ulcer

c) Central lens stress ulcer

d) Acute Episcleritis

e) Acute angle closure glaucoma


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• Patient presents with a corneal abrasion, treatment include

following except:

a) Cover the eye with antibiotic ointment and dressing for

b) Antibiotic ointment put it in the home without covering

c) Bandage contact lens

d) No treatment necessary, it heals spontaneously


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• Patient presents with a corneal abrasion, treatment include

following except :

a) Cover the eye with antibiotic ointment and dressing fo

b) Antibiotic ointment put it in the home without coverin

c) Bandage contact lens

d) No treatment necessary, it heals spontaneously


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• Patient presented with constricted pupil, ciliary flush and aanterior chamber, but there are no abnormalities in eye lids

lacrimal ducts, what is the diagnosis?

a) Uveitis

b) Central vein thrombosis

c) Central artery embolism

d) Acute angle closure glaucoma


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• Patient presented with constricted pupil, ciliary flush and aanterior chamber, but there are no abnormalities in eye lids

lacrimal ducts, what is the diagnosis?

a) Uveitis

b) Central vein thrombosis

c) Central artery embolism

d) Acute angle closure glaucoma


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• Photophobia, blurred vision, keratic precipitates on the corcells in anterior chamber, the best treatment is:

a) Topical antifungal

b) Topical Acyclovir

c) Antibiotic

d) Steroids


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• Photophobia, blurred vision, keratic precipitates on the corcells in anterior chamber, the best treatment is:

a) Topical antifungal

b) Topical Acyclovir

c) Antibiotic

d) Steroids


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• Anterior uveitis is a character of the following except:

a) RA

b) Sarcoidosis

c) Behcet disease.

d) Reiter's syndrome.

e) Hunter’s Disease


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• Anterior uveitis is a character of the following except:

a) RA

b) Sarcoidosis

c) Behcet disease.


e) Hunter’s Disease.


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• Anterior uveitis is associated with the following systemic c

a) RAb) Sarcoidosis

c) Behcet disease.


e) Ankylosing spondylitis.

f) Sacroiliitis

g) Psoriasis

h) Inflammatory bowel disease

i) Juvenile Idiopathic arthritis


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• TB patient suffering from a painful red eye and photophob

the most likely condition:

a) Glaucoma

b) Uveitis

c) Bacterial conjunctivitis

d) Viral conjunctivitis


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• TB patient suffering from a painful red eye and photophob

the most likely condition:

a) Glaucoma

b) Uveitis

c) Bacterial conjunctivitis

d) Viral conjunctivitis


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• How to differentiate between Uveitis and Keratitis in red ey

a) Decrease visual acuity (Blurred vision)

b) Photophobia

c) Peri-orbital edema

d) Cilliary flush


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• How to differentiate between Uveitis and Keratitis in red ey

a) Decrease visual acuity (Blurred vision)

b) Photophobia

c) Peri-orbital edema

d) Cilliary flush

Management of Uveitis


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gare used to reduce inflammation and prevent adhesCorticosteroids*

the eye. They may be given topically, orally, intravenously, intramuscuby peri-ocular or intra-ocular injection.

paralyzegiven todrops are alsodilating)(pupilmydriatic-ycloplegicC*ciliary body. This relieves pain and prevents adhesions between the irlens.

uveitis (bacterial, vare also added in InfectiousAntimicrobial drugs*fungal, or parasitic).

with severe or chronic uveitis may also be givePeopleOther Forms:*systemic (non-corticosteroid) immunosuppressive drugs, laser phototor cryotherapy, or have the vitreous removed surgically (vitrectomy).


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• Long use of topical corticosteroids can lead to:

a) Increase intra ocular pressure (+ Cataract)

b) Retinal detachment

c) Ptosis

d) Keratoconus


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• Which of the following is not a sign or symptom of central

artery occlusion?

a) Painful loss of vision

b) Painless loss of vision

c) Previous transient loss of vision (amaurosis fugax)

d) Dilated pupil with sluggish reaction to lighte) Cherry Red Spot


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• Which of the following is not a sign or symptom of central

artery occlusion?

a) Painful loss of vision

b) Painless loss of vision

c) Previous transient loss of vision (amaurosis fugax)

d) Dilated pupil with sluggish reaction to light

e) Cherry Red Spot


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• Old diabetic man with sudden unilateral visual loss. There

multiple hemorrhages on the retina with macular edema. the diagnosis?


b) Retinal artery occlusion

c) Retinal vein thrombosis

d) Diabetic retinopathy


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• Old diabetic man with sudden unilateral visual loss. There

multiple hemorrhages on the retina with macular edema. the diagnosis?

a) Retinal detachment (not mentioned in the exam)

b) Retinal artery occlusion (no hemorrhages)

c) Retinal vein thrombosis

d) Diabetic retinopathy (sudden visual loss would be duevitreous hemorrhage)

• Patient complaining of reduction of vision and pain when m


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• Patient complaining of reduction of vision and pain when mthe eye, fundoscopy is normal, what is the diagnosis?

a) Optic neuritisb) Papilledema

c) Early Glaucoma

d) Vitamin A deficiency

• Patient complaining of reduction of vision and pain when m


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• Patient complaining of reduction of vision and pain when mthe eye, fundoscopy is normal, what is the diagnosis?

a) Optic neuritis (Retrobulbar)b) Papilledema

c) Early Glaucoma

d) Vitamin A deficiency

Patient complaining of sudden progressive reduction in the v


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Patient complaining of sudden progressive reduction in the vthe left eye over the last two/three days, associated with pasame eye, on fundoscopy optic disc swelling was noted, wha

diagnosis:

a) Central retinal artery occlusion

b) Central retinal vein occlusion

c) Optic neuritis

d) Macular degeneration

Patient complaining of sudden progressive reduction in the v


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Patient complaining of sudden progressive reduction in the vthe left eye over the last two/three days, associated with pasame eye, on fundoscopy optic disc swelling was noted, wha

diagnosis:

a) Central retinal artery occlusion

b) Central retinal vein occlusion

c) Optic neuritis

d) Macular degeneration


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• Retinal detachment, all true except:

a) More common in hypermetropic patients

b) Flashes of light can occur before it happens

c) Retinal Breaks are a predisposing factor

d) Can be a complication of diabetic retinopathy


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• Retinal detachment, all true except:

a) More common in hypermetropic patients

b) Flashes of light can occur before it happens

c) Retinal Breaks (holes) are a predisposing factor

d) Can be a complication of diabetic retinopathy

e) Can be associated with excessive floatersf) Patients can complain from a “curtain” across the visi


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• 45 year old male presented to the ER with sudden headachburring of vision, excruciating eye pain and frequent vomit

a) Acute glaucoma

b) Acute conjunctivitis

c) Acute iritis

d) Episcleritis

e) Corneal ulceration


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• Patient with acute headache, blurred vision and red eye. Wcause?


b) Acute angle closure glaucoma

c) Cataract


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• Patient with acute headache, blurred vision and red eye. Wcause?


b) Acute angle closure glaucoma

c) Cataract

I A t l l ll f th f ll i d


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• In Acute angle glaucoma, you can use all of the following drexcept?

a) B blocker

b) Acetazolamide

c) Pilocarpine

d) Dipivefrin

I A t l l ll f th f ll i d


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• In Acute angle glaucoma, you can use all of the following drexcept?

a) B blocker

b) Acetazolamide

c) Pilocarpine

d) Dipivefrin (Causes dilatation of the pupil)

• Old male presented with cough and SOB. He was treated ftime for glaucoma The most likely cause of his respiratory


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time for glaucoma. The most likely cause of his respiratory

a) Timolol.

b) Propranolol.

c) Betaxolol.

d) Pilocarpine.


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• In Acute glaucoma, all are true EXCEPT:


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a) Refer to ophthalmologist.

b) Give miotic drops before referral

c) Can present with headache.d) Can present with abdominal pain.

e) Pupil size in acute glaucoma is larger than normal.

• In Acute glaucoma, all are true EXCEPT:


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a) Refer to ophthalmologist.

b) Give miotic drops before referral

c) Can present with headache.d) Can present with abdominal pain.

e) Pupil size in acute glaucoma is larger than normal.

• A diabetic patient wants your advice to decrease the risk odeveloping Diabetic retinopathy:


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p g p y

a) Decrease HTN and obesity

b) Decrease HTN and smokingc) Decrease smoking and obesity


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• Old diabetic patient with mild early cataract and retinalpigmentation with Drusen formation you prescribed anti


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pigmentation with Drusen formation, you prescribed antiwhat do you do next?

a) Urgent ophthalmology appointmentb) Routine ophthalmology referral

c) Cataract surgery

d) See him after One month to detect improvement

• Old diabetic patient with mild early cataract and retinalpigmentation with Drusen formation, you prescribed anti


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pigmentation with Drusen formation, you prescribed antiwhat do you do next?

a) Urgent ophthalmology appointmentb) Routine ophthalmology referral

c) Cataract surgery

d) See him after One month to detect improvement

• Female patient using glasses since 10 years, she was diagnorecently with type 2 DM, she should screen or examine he


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recently with type 2 DM, she should screen or examine heevery:

a) 6 months

b) 12 months

c) 2 years

d) 5 years

• Female patient using glasses since 10 years, she was diagnorecently with type 2 DM, she should screen or examine he


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y yp ,every:

a) 6 months

b) 12 months

c) 2 years

d) 5 years

• Child diagnosed with type 1 DM, when should the first eyetake place?:


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p

a) 6 months from the diagnosis

b) 12 months from the diagnosis

c) 2 years from the diagnosis

d) 5 years from the diagnosis

• Child diagnosed with type 1 DM, when should the first eyetake place?:


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p

a) 6 months from the diagnosis

b) 12 months from the diagnosis

c) 2 years from the diagnosis

d) 5 years from the diagnosis

• Diabetic patient with neovascularization and vitreous hemwhat is the next step?


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what is the next step?

a) Urgent referral to an Ophthalmologist

b) Control glucose levels then refer to an Ophthlmologist

c) Routine referral to an Ophthalmologist


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• Patient with DM and HTN, gradually decreasing vision. Eyeshows maculopathy Treatment:


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shows maculopathy, Treatment:

a) Panretinal photocoagulation

b) Photocoagulation of macular area

c) Surgery

d) Steroids

• Patient with DM and HTN, gradually decreasing vision. Eyeshows maculopathy, Treatment:


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shows maculopathy , Treatment:

a) Panretinal photocoagulation For Proliferative Retin

b) Photocoagulation of macular area (Focal Laser)

c) Surgery

d) Steroids

• Baby born with hemangioma on the right eyelid, when is tappropriate time to operate to prevent ambylopia:


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appropriate time to operate to prevent ambylopia:

a) 1 day

b) 1 week

c) 3 months

d) 9 months



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a) 1 day

b) 1 week

c) 3 months

d) 9 months



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a) 1 day

b) 1 week

c) 3 months

d) 9 months

e) None of the above



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a) 1 day

b) 1 week

c) 3 months

d) 9 months

e) None of the above

• In Open globe injury, what is the treatment:


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p g j y,

a) Continuous antibiotic dropsb) Continuous water and NS drops

c) Continuous steroids drops

d) Sterile cover, IV antibiotics and

referral

• In Open globe injury, what is the treatment:


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p g j y,

a) Continuous antibiotic dropsb) Continuous water and NS drops

c) Continuous steroids drops

d) Sterile cover, IV Antibiotics and referral

• Regarding Stye of the lower eyelid, all true except:


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a) Is infection of gland in the lower eye lid

b) Can be treated by topical antibioticsc) Can be treated by systemic antibiotics

d) Needs ophthalmology referral

• Regarding Stye of the lower eyelid, all true except :


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a) Is infection of gland in the lower eye lid (It’s an infectiohair follicle)

b) Can be treated by topical antibiotics


d) Needs ophthalmology referral “though sometimes refeneeded, but it is never the first option”

Child came for an eye exam, during the cover test his left espontaneously to the left, the diagnosis is:


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a) Strabismusb) Glaucoma

c) Coloboma

Child came for an eye exam, during the cover test his left espontaneously to the left, the diagnosis is:


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a) Strabismusb) Glaucoma

c) Coloboma

• Patient came to you after Trauma complaining of loss of thabduction of his (left or right) eye So which cranial nerve a


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abduction of his (left or right) eye. So which cranial nerve a

a) III

b) IV

c) V

d) VI

• Patient came to you after Trauma complaining of loss of thabduction of his (left or right) eye So which cranial nerve a


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abduction of his (left or right) eye. So which cranial nerve a

a) III

b) IV

c) V

d) VI

• Patient has complete ptosis in his right eye. The eye is out down, the pupil is fixed and dilated with restricted ocularmovements What is the diagnosis:


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movements. What is the diagnosis:

a) 3rd cranial nerve palsy.

b) 4th cranial nerve palsy.

c) 3rd and 4th.

d) 6th cranial nerve palsy

• Patient has complete ptosis in his right eye. The eye is out down, the pupil is fixed and dilated with restricted ocularmovements What is the diagnosis:


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a) 3rd cranial nerve palsy.

b) 4th cranial nerve palsy

c) 3rd and 4th

d) 6th cranial nerve palsy

• Patient has complete ptosis in his right eye. The eye is out down, the pupil is fixed and dilated with restricted ocularmovements. What is the diagnosis:


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a) 3rd cranial nerve palsy. (oculomotor nerve)

b) 4th cranial nerve palsy SO Palsy Head Tilt

c) 3rd and 4th

d) 6th cranial nerve palsy LR Palsy Inward Deviatio(Esotropia)

Trachoma Prevention:

The World Health Organization has targeted trachoma for elimby 2020 through an innovative, multi-faceted public health str


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y g , p.S.A.F.Eknown as

Surgery to correct the advanced, blinding stage of the disease(trichiasis)

Antibiotics to treat active infection

Facial cleanliness

Environmental improvements in the areas of water and sanitat

reduce disease transmission

• Patient with hypertensive retinopathy grade 2 with AV nipnormal BP, no decrease in vision, with cupping of optic discwill you do to the patient:


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will you do to the patient:

a) Reassurance, the problem is benignb) Refer him to an ophthalmologist

c) Laser Operation

• Patient with hypertensive retinopathy grade 2 with AV nipnormal BP, no decrease in vision, with cupping of optic discwill you do to the patient:


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will you do to the patient:

a) Reassurance, the problem is benignb) Refer him to an ophthalmologist

c) Laser Operation

A hypertensive patient came to an ophthalmologist and onexamination he had an increased optic disc cup. The patient complain of anything. What is the diagnosis?


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complain of anything. What is the diagnosis?

a) Hypertensive retinopathyb) Diabetic neuropathy

c) Acute open angle glaucoma

d) Acute closed angle glaucoma

e) Retinal detachment

A hypertensive patient came to an ophthalmologist and onexamination he had an increased optic disc cup. The patient complain of anything. What is the diagnosis?


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complain of anything. What is the diagnosis?

a) Hypertensive retinopathyb) Diabetic neuropathy

c) Acute open angle glaucoma

d) Acute closed angle glaucoma

e) Retinal detachment

• 70 years old female says that while playing with a puzzle, foperiods she can't play because she develops a headache whyou will exam her for?


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a) Astigmatism

b) Glaucoma

c) Cataract

• 70 years old female says that while playing with a puzzle, foperiods she can't play because she develops a headache whyou will exam her for?


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a) Astigmatism (or hyperopia)

b) Glaucoma

c) Cataract

All are true about congenital squint except:


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a) There is no difference in the angle of deviation betweennear fixation.

b) Asymmetry of corneal light reflex

c) Can be associated with inferior oblique overaction

d) Can be associated with dissociated vertical deviation

e) Usually there are no refractive errors

All are true about congenital squint except:


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a) There is no difference in the angle of deviation betweenear fixation.

b) Asymmetry of corneal light reflex

c) Can be associated with inferior oblique overaction

d) Can be associated with dissociated vertical deviation

e) Usually there are no refractive errors

Patient with decreased vision and a reduction in the periphervision, using a tonometer the pressure in the right eye was 2422mmHg in the left eye. What is the mechanism:


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g y

a) Obstruction in trabecular meshwork leads to reduction ofof aqueous humor

b) Obstruction at ciliary body leads to blockage in drainage o

Humor.

Patient with decreased vision and a reduction in the periphervision, using a tonometer the pressure in the right eye was 2422mmHg in the left eye. What is the mechanism:


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g y

a) Obstruction in trabecular meshwork leads to reduction odrainage of aqueous humor

b) Obstruction at ciliary body leads to blockage in drainage

Humor.

Aqueous humor is first produced by the ciliary body within thechamber. After filling the posterior chamber, aqueous moves fothe lens and flows through the pupil into the anterior chamber


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g p p

As the anterior chamber fills, the aqueous spreads outwards informed by the iris and cornea. Within this irido-corneal angle texits the eye by filtering through the trabecular meshwork intoSchlemn, where it returns back into the blood circulation


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Patient came with trauma to left eye by a tennis ball, examshows anterior chamber hemorrhage you must exclude?


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a) Conjunctivitis

b) Blepharitis

c) Foreign body

d) Keratitis

e) Orbital Fracture


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17 years old boy was playing foot ball and he was kicked ineye. Few hours later he started to complain of double visioecchymosis around the eye, what is the most likely diagnos


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y y y g

a) Cellulitis

b) Orbital bone fracture

c) Global eye ball rupture

d) Subconjunctival hemorrhage

17 years old boy was playing foot ball and he was kicked ineye. Few hours later he started to complain of double visioecchymosis around the eye, what is the most likely diagnos


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a) Cellulitis

b) Orbital bone fracture

c) Global eye ball rupture

d) Subconjunctival hemorrhage

an orbital fracture include:ofSymptoms


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*Decreased vision

*Double vision

*Pain in and around the eye

*Numbness in the eyelids, cheek, side of the nose, upper lip, t

gums*Nausea and vomiting

:includeSigns of an orbital fracture


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*Bruising and swelling of the eyelids and soft tissue around th

*Enophthalmos

*Subconjunctival Hemorrhage

*Trouble moving the eye in one or more directions

The EndWish You All The Be


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sle (ophthalmology) - dr. nizar alhibshi

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