Anterior Segment Cases
Sample Questions:
1. From the time of first skin outbreak to final resolution of herpes zoster skin
involvement, approximately how much time passes?
a.
b.
c.
d.
One day
One week
One month
One year
C
2. Herpes Zoster dermatitis is most closely related to what condition?
a.
b.
c.
d.
Atopic dermatitis
Small pox
Syphilis
Chicken pox
D
3. Anti-depressants and anti-anxiety medications are often given following herpes
zoster dermatitis in order to help treat which of the following complications?
a.
b.
c.
d.
Corneal ulceration
Skin scarring
Post-herpetic neuralgia
Infection
C
4. Which of the following best describes the appearance of a basal cell carcinoma?
a.
b.
c.
d.
Raised, pearly edges with a depressed, bleeding center
White, pus-filled lesion
Elevated lesion filled with overgrowth of blood vessels
Multiple dark-brown skin lesions
A
5. Which of the following best describes how invasive basal cell carcinoma is?
a.
b.
c.
d.
This very malignant tumor quickly spreads throughout the body
This mildly malignant tumor spread to surrounding lymph nodes
This malignant tumor grows deep into the skin but rarely metastasizes.
This completely benign tumor never grows or metastasizes. C
6. Usually how long does a person wait from the time symptoms begin to the time
they call the eye doctor in cases of bacterial conjunctivitis?
a.
b.
c.
d.
One day
Three days
One week
Two weeks
B
7. Usually how long does a person wait from the time symptoms begin to the time
they call the eye doctor in cases of viral conjunctivitis?
a.
b.
c.
d.
One day
Three days
One week
Two weeks
C
8. What is the most common conjunctival injection pattern in cases of bacterial
conjunctivitis?
a.
b.
c.
d.
Red greatest in the fornix and least around the limbus
Red least in the fornix and greatest around the limbus
Uniform pink color around the entire bulbar conjunctiva
A wedge-shaped sector of injection of the bulbar conjucntiva
A
9. What is the most common conjunctival injection pattern in cases of anterior
uveitis?
a.
b.
c.
d.
Red greatest in the fornix and least around the limbus
Red least in the fornix and greatest around the limbus
Uniform pink color around the entire bulbar conjunctiva
A wedge-shaped sector of injection of the bulbar conjunctiva
10. What is the most common symptom of viral conjunctivitis?
a.
b.
c.
d.
Profuse tearing
Eyelids stuck together in the morning
Photophobia
Itching of the eyes
A
B
11. What is the most common symptom of anterior uveitis?
a.
b.
c.
d.
Profuse tearing
Eyelids stuck in the morning
Photophobia
Itching of the eyes
C
12. What is the most common corneal involvement of bacterial conjunctivitis?
a.
b.
c.
d.
Dendritic keratitis
Subepithelial infiltrates
Inferior stippling
Central, infectious corneal ulcer
C
13. Swelling of the pre-auricular lymph node occurs most frequently in cases of:
a.
b.
c.
d.
Viral conjunctivitis
Bacterial conjunctivitis
Allergic conjunctivitis
Anterior uveitis
A
14. Visual acuity reduction in epidemic keratoconjunctivitis is most frequently due to
which of the following?
a.
b.
c.
d.
Profuse tearing
Subepithelial infiltrates
Cells in the anterior chamber
Refractive changes
B
15. White blood cells that stick to the corneal endothelium in cases of anterior uveitis
are known as which of the following?
a.
b.
c.
d.
Hypopyon
Hyphema
Keratic precipitates
Anterior synechiae
C
16. Which of the following is a characteristic of an eye with a corneal ulcer caused by
herpes simplex?
a.
b.
c.
d.
Reduced sensation of the involved eye
Acute painful eye
Purulent discharge from the eye
Eyelids stuck together in the morning
A
17. What medication is NEVER used in cases of dendritic ulcer?
a.
b.
c.
d.
Topical antibiotic
Topical antiviral
Topical steroid
Topical glaucoma medication
C
18. What is the most common complaint associated with posterior capsular haze?
a.
b.
c.
d.
Ocular pain
Blurred vision
Diplopia
Floaters
B
19. Iridodialysis is a condition in which:
a.
b.
c.
d.
The ciliary body separates from its attachment point
The iris separates from trabecular meshwork
The iris developes tears in the sphincter muscle
The lens zonules break
B
20. What is a typical characteristic of Adies’ Tonic pupil?
a.
b.
c.
d.
Mydriasis
Miosis
Afferent papillary defect
Posterior synechiae
A
21. In a patient who presents with anisocoria, which of the following best describes
how to determine which pupil is abnormal?
a. Anisocoria greater in bright illumination means that the dilated pupil is the
abnormal pupil
b. Anisocoria greater in dim illumination means that the dilated pupil is the
abnormal pupil
c. In anisocoria, the dilated pupil is always the abnormal pupil
d. In anisocoria, the miotic pupil is always the abnormal pupil
A
22. In Horner’s syndrome, anisocoria is greater in which of the following room
illuminations?
a.
b.
c.
d.
Dim light
Bright light
Equal in all light illumination
It depends on which eye is involved
A
23. In Adies’ tonic pupil, anisocoria is greater in which of the following room In
cases of Horner’s syndrome, the pupil abnormality is often found associated with
what other clinical sign?
a.
b.
c.
d.
Relative afferent papillary defect
Diplopia
Blurred vision
Ptosis
D
24. Cigarette smoking is a significant historical finding in cases of lung cancer that
causes which of the following pupillary defects?
a.
b.
c.
d.
Parinaud’s syndrome
Argyl Robertson pupil
Horner’s syndrome
Adies’ tonic pupil
C
25. What anatomical structure (s), normally hidden from view, may be visualized
through an iridodialysis?
a.
b.
c.
d.
The optic nerve
The ciliary processes
The scleral spur
The bones of the orbit
B