Advanced Optometry - Midterm 1
Have you just started your journey on becoming an ophthalmologist? The first topics we covered were on the basics and introduction. Now that the midterms are near, there is a need to revise to ensure you pass. The quiz below is designed to help you do just that. Give it a try!
- 1.Which of the following is not a characteristic of anesthetic abuse keratopathy?
- A.
Stromal infiltrate
- B.
An increase number of white blood cells in the anterior chamber
- C.
A ring (half or full) shaped opacity
- D.
All are characteristics
- 2.In which situation would you avoid administering a topical anesthetic?
- A.
Bacterial infection
- B.
Patient complains of cluster headaches
- C.
Welding patient gets debris in his eye
- D.
Patient has a corneal epithelial abrasion
- 3.You want to stain your patients eye with NaFl. Which anesthetic would you use with the NaFl and why?
- A.
Proparacaine because it has minimal quenching
- B.
Benoxinate because it has maximal enching
- C.
Proparacaine because it has maximal quenching
- D.
Benoxinate because it has minimal quenching
- 4.Which of the following is not true regarding NaFl?
- A.
It is the dye of choice for evaluating corneal surface integrity
- B.
Its brightness increases with increasing pH (until around pH 8)
- C.
Its brightness increases with increasing concentration (to a certain point)
- D.
Fluoroscein binds to intra and extra cellular structures
- 5.Rose bengal is a vital dye
- A.
True
- B.
False
- 6.If you were to administer pilocarpine, what effect would you expect in your patient? (Select 2)
- A.
Pupillary miosis
- B.
Pupillary mydriasis
- C.
Decreased ability to accommodate
- D.
Ciliary body contraction
- 7.You need to do a complete cycloplegic exam on a 4 year old in order to better assess his esotropia. You want him to have 0 diopters of residual accommodation. Which drug will you give the patient?
- A.
Pilocarpine
- B.
Cyclopentolate
- C.
Tropicamide
- D.
Atropine
- 8.You suspect horners syndrome and give a patient cocaine drops, only the right eye dilates. Which is true? (Select 2)
- A.
Right eye is affected
- B.
Left eye is affected
- C.
The lesion is localized to the 2nd order neuron
- D.
Not enough info to localize the lesion
- 9.You suspect a patient has horners due to no response in the left eye with cocaine test. You then administer hydroxyamphetamine in the left eye. It then dilates. Which is true? (Select 2)
- A.
The left eye is the affected eye
- B.
The right eye is the affected eye
- C.
The problem is with the 3rd order neuron
- D.
The problem is with either the 1st or second order neuron
- 10.Which patient should you further evaluate for possible glaucoma? (Select 2)
- A.
A patient with a lower hysteresis
- B.
A patient with increased cornea thickness
- C.
A patient with an IOP of 18 mmHg OD and 17 mmHg OS using the I Care tonometer
- D.
A patient with a diaton IOP reading of 21 mmHg
- 11.
If this is what the mires look like, what should you do next?- A.
Decrease applination pressure to bring the mires closer together
- B.
Take the IOP reading
- C.
Increase applination pressure to bring the mires closer together
- D.
Rotate axis 43 degrees
- 12.DCT readings are independent of corneal thickness
- A.
True
- B.
False
- 13.Your patient has a soft contact lens that cannot be removed at the moment. Which tonometer should you avoid using?
- A.
Goldman
- B.
Tono Pen
- C.
I Care
- D.
DCT
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