RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
12/01/23, 12:12 PM
RED EYE AND VISION LOSS LONG
EXAMINATION December 1, 2022 (
SECTION B)
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1
True about hyphema
(1 Point)
glaucomaIt could be as direct consequence of blunt trauma to a normal eye or it could
be spontaneous
it is the presence of inflammatory cells in the anterior chamber
both
neither
2
Cherry-red spot is seen in:
(1 Point)
central retinal vein occlusion
papilledema
central retinal artery oclusion
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
12/01/23, 12:12 PM
central retinal artery oclusion
none of the above
3
True of Giant Cell Arteritis EXCEPT
(1 Point)
Symptoms include headache and pain over the temples
Gold standard for diagnosis is to do biopsy of the temporal artery
None of the above
Treatment is typically with high doses of steroids
4
Red painful eye with purulent discharge and decreased vision, discrete co
rneal opacity seen with penlight
(1 Point)
orbital cellulitis
corneal ulcer
acute angle-closure glaucoma
ruptured globe
5
72 year old male farmer who
has been experiencing chronic
eye redness for 2 years. Wha
t is the most likely diagnosis?
(1 Point)
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
12/01/23, 12:12 PM
Conjunctival squamous cell carcinoma
Pterygium
Conjunctival lymphoma
Pinguecula
6
Trantas dots can be seen in V
ernal Keratoconjunctivitis . Th
ese characteristic cells are co
mposed of:
(1 Point)
neutrophils
lymphocytes
eosinophils
macrophages
7
A hyperacute, hyperpurulent discharge is a clinical manifestation of
(1 Point)
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
12/01/23, 12:12 PM
allergic conjunctivitis
adenoviral conjunctivitis
chlamydial conjunctivitis
gonococcal conjunctivitis
8
Disc swelling, venous engorgement, cotton wool spots, and diffuse retinal
hemorrhages are characteristic findings in
(1 Point)
central retinal artery occlusion
central retinal vein occlusion
papilledema
none of the above
9
hyperpurulent discharge can be seen in
(1 Point)
both
Neisseria gonorrhea
neither
Neissria meningitidis
10
Monocular loss of vision developing over hours to days / no abnormalities
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
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Monocular loss of vision developing over hours to days / no abnormalities
seen in ophthalmic examination associated with pain on movement of ey
es
(1 Point)
retrobulbar neuritis
none of the above
papilledema
optic neuritis
11
The presence of symblepharon can be seen in
(1 Point)
stevens-johnson syndrome
Neither
Both
ocular cicatricial pemphigoid
12
Which of the following is not correct?
(1 Point)
mucopurulent discharge - dry eye syndrome
purulent discharge - bacterial conjunctivitis
scant stringy discharge - allergic conjunctivitis
serous discharge - viral conjunctivitis
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
12/01/23, 12:12 PM
13
An elevation in the intraocular pressure is not necessarily present in the di
agnosis of glaucoma. True or false?
(1 Point)
False
True
14
Causes of acute visual loss, EXCEPT:
(1 Point)
Vitreous hemorrhage
Migraine
Retinitis pigmentosa
central retinal artery occlusion
15
Which of the following statement/s is true?
(1 Point)
Episcleritis is an inflammation of the superficial episcleral ;layer of the eye.
All of the above
Episcleritis blanches with 10% Phenylephrine drops
Episcleritis is relatively common, benign and self limiting
16
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
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16
The effective treatment for Herpes Zoster ophthalmicus is
(1 Point)
artificial tears
acyclovir
natamycin
metronidazole
17
Prolonged use of topical corticosteroids can cause:
(1 Point)
cataract
both
corneal damage
neither
18
A major risk for the development of bacterial keratitis is
(1 Point)
Age
Contact lens wear
diabetes mellitus
none of the above
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
12/01/23, 12:12 PM
19
Indications for excision of pterygium is/are:
(1 Point)
significant astigmatism
when the pterygium is encroaching on the visual axis
bothersome tearing
all of the above
20
A 75 year old male came in d
ue to" salmon patch" appearance in the bulbar conjunctiva
for almost 2 years. Your most
likely diagnosis will be ?
(1 Point)
conjunctival lymphoma
chalazion
conjunctival squamous papilloma
none of the above
21
An inflammatory adhesion between iris and the peripheral corneal endothelium is termed as
(1 Point)
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
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Peripheral corneal synechia
Posterior synechia
none of the above
hypopyon
22
True about optic neuritis
(1 Point)
treatment is high-dose IV corticosteroids
may be associated with Multiple Sclerosis
All of the above
it is mostly idopathic
23
Culture media for Neisseria gonorrhea:
(1 Point)
both
chocolate agar plate
neither
Thayer-Martin media
24
Damaged to this layer of the cornea following injury, inflammation, high i
ntraocular pressure results in corneal clouding from edema
(1 Point)
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
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ntraocular pressure results in corneal clouding from edema
(1 Point)
descemet's membrane
endothelium
epithelium
bowman's membrane
none of the above
25
Acute painful causes of red eye include/s EXCEPT:
(1 Point)
Scelritis
Corneal abrasion
none of the above
traumatic iritis
26
What can cause defect of the central vision in which the shapes appear di
storted?
(1 Point)
both
diabetic macular edema
age related macular degeneration
neither
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
12/01/23, 12:12 PM
27
Symptom of retinal detachment
(1 Point)
tunneling of vision
wavy vision
curtaining of vision
none of the above
28
A degenerative lesion of the b
ulbar conjunctiva that occurs
adjacent to the limbus in the i
nterpalpebral zone most often
nasally
(1 Point)
phlytenulosis
chalazion
pinguecula
conjunctival granuloma
29
A recurrent bilateral conjunctivitis occurring with the onset of hot weather
in 6 year old boy with symptoms of burning, itching, and lacrimation with
large flat-topped cobblestone papillae raised areas in palpebral conjunctihttps://forms.office.com/Pages/ResponsePage.aspx?id=rkWtJ…37lG4x9MpzaMudgMW2JUQVlCQzM1Q05ZM0tENE5XWjdZN0JFNkNBOS4u
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
12/01/23, 12:12 PM
large flat-topped cobblestone papillae raised areas in palpebral conjunctiva
(1 Point)
phlyctenular conjunctivitis
trachoma
vernal keratoconjunctivitis
none of the above
30
Most frequent etiologic agent of conjunctivitis
(1 Point)
both
adenovirus
neither
herpes simplex
31
Foreign body sensation can be produced by all of the following EXCEPT:
(1 Point)
NONE OF THE ABOVE
Viral conjunctivitis
Contact lens wear
Trichiasis
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
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32
A technique used to differentiate angle closure glaucoma from an open an
gle glaucoma by viewing the anatomical angle formed between the eye's
cornea and iris
(1 Point)
Perimetry
Gonioscopy
Floumetry
Tonometry
33
Eye discharge seen in allergic conjunctivitis is commonly described as:
(1 Point)
watery stringy
none of the above
mucopurulent
reddish
34
An inflammatory adhesion between iris and the anterior surface of the len
s capsule is termed as
(1 Point)
Peripheral corneal endothelium
Posterior synechia
none of the above
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
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none of the above
hypopyon
35
The most common cause of cataract is
(1 Point)
inflammatory
Age-related
idiopathic
Uncontrolled Diabetes Mellitus
36
Which of the following term refers to the presence of red blood cells in th
e anterior chamber?
(1 Point)
kerattis
hypopyon
synechia
hyphema
37
What are the features of anterior uveitis is
(1 Point)
redness
both
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
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both
photophobia
neither
38
Swelling of the disc and visual loss in an older adult could be due to
(1 Point)
neither
primary open angle glaucoma
temporal arteritis
both
39
Ankyloblepharon is an adhesion between
(1 Point)
Bulbar conjunctiva and palpepbral conjunctiva
none of the above
iris and lens
Upper eyelid and lower eyelid
40
Treatment for allergic conjunctivitis
(1 Point)
neither
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
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neither
both
olopatadine eyedrops
cetirizine 10 mg tablet
41
A branch-like lesion( dendritiform) in the cornea is secondary to?
(1 Point)
None of the above
Herpetic Keratitis
Acanthamoeba keratitis
Fungal Keratitis
42
The relative normal intraocular pressure ( mmHg) is?
(1 Point)
none of the above
5-11
22-30
10-21
43
Trachoma, which is one of the leading causes of preventable irreversible b
lindness in the world is usually caused by:
(1 Point)
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
lindness in the world is usually caused by:
12/01/23, 12:12 PM
(1 Point)
Chlamydia
Neither
Both
Corynebacterium
44
A 53 year old female with a history of recent bronchial asthma attack wok
e up this morning with a red eye and has no other symptoms. Upon examination, you note a temporal sector of the eye that is red without injection of the conjunctival vessels. What is your most likely diagnosis?
(1 Point)
scleritis
Conjunctivitis
Subconjunctival hemorrhage
Pinguecula
45
The color of the fluorescein staining in corneal ulcer is
(1 Point)
Yellow
Green
Magenta
Purple
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
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46
The most common cause of red eye and chronic eye proptosis in an adult
is:
(1 Point)
Thyroid orbitopathy
Orbital tumor
none of the above
Orbital cellulitis
47
All of the following can be caused by chlamydial infection EXCEPT:
(1 Point)
inclusion conjunctivitis
neither
both
trachoma
48
Indication for surgery in this e
ye condition include/s:
(1 Point)
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
12/01/23, 12:12 PM
bothersome epiphora
induced astigmatism
both
neither
49
Sudden painful loss of vision that may be associated with multiple sclerosis could be due to
(1 Point)
both
retinal detachment
optic neuritis
none of the above
50
Which of the following term refers to purulent matter in the anterior cham
ber?
(1 Point)
synechia
hypopyon
hyphema
kerattis
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
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51
Symptom of macular disorder
(1 Point)
tunneling of vision
curtaining of vision
wavy vision
none of the above
52
A 59 year-old asian female presents with a sudden increase of intraocular
pressure to 55 mmHg in the left eye. Gonioscopic examination demonstrates a closed angle with trabecular meshwork obstruction. Which of the
following is NOT a likely presenting symptom in this patient:
(1 Point)
nausea/vomitin
halos around lights
doubling of vision
ocular pain
53
True about Chlamydial conjunctivitis
(1 Point)
One of the recommended treatment medications is Azithromycin
It is often found in conjunction with urethritis or cervicitis
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
12/01/23, 12:12 PM
Can present with a palpable lymphadenopathy
All of the above
54
True about scleritis
(1 Point)
both
neither
blanches with Phenylephrine eyedrops
generally assymptomatic
55
The following may lead to the formation of pterygium EXCEPT:
(1 Point)
frequent exposure to smoke
exposure to ultraviolet rays
living in tropical area
none of the above
56
Ankyloblepharon refers to the adhesion of the bulbar and palpebral conjunctiva. TRUE or FALSE?
(1 Point)
True
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
12/01/23, 12:12 PM
True
False
57
All of the statements are true regarding the aqueous humor outflow :
(1 Point)
Both
Trabecular outflow constitutes majority of the mechanism of how the aqueous humor
exits the eye
Uveoscleral outflow constitutes minority of the mechanism of how the aqueous humor
exits the eye i
Neither
58
Functional disorder is defined as loss of vision with organic basis. TRUE or
FALSE?
(1 Point)
TRUE
FALSE
59
Subconjunctival hemorrhage represents an accumulation of blood underneath the conjunctiva which
(1 Point)
neither
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
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typically ressolves in about 7-10 days
is generally assymptomatic
both
60
Pharyngoconjunctival fever ( conjunctivitis with fever and sore throat) is a
ssociated with what strain/s?
(1 Point)
Adenovirus 3
Adenovirus 11
Neither
Both
61
A 45 year old farmer presents
with a wing-like structure fou
nd at the nasal side of the cor
nea at the palpebral fissure.
What is your diagnosis?
(1 Point)
episcleritis
none of the above
pinguecula
pterygium
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
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pterygium
62
The histology of pterygium include/s:
(1 Point)
precancerous stage
neither
fibrovascular overgrowth of the bulbar conjunctiva
both
63
Vision in a moderate to advanced case of glaucoma could be described as
:
(1 Point)
wavy vision
curtaining of vision
none of the above
tunneling of vision
64
Hollenhorst plaque seen in retinal vein occlusions is a:
(1 Point)
calcific embolus
none of the above
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RED EYE AND VISION LOSS LONG EXAMINATION December 1, 2022 ( SECTION B)
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cholesterol embolus
fibrin embolus
65
Management of central retinal artery occlusion ( CRAO) include the following , EXCEPT:
(1 Point)
ocular massage
neither
both
intravenous acetazolamide
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