Ant Seg Exam 2

239 Questions

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Photography Quizzes & Trivia

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Questions and Answers
  • 1. 
    Which of the following is an indication for keratoplasty? (4)
    • A. 

      Optical

    • B. 

      Tectonic grafting

    • C. 

      Therapeutic corneal transplantation

    • D. 

      Cosmetic grafting

    • E. 

      Systemic infections

  • 2. 
    Your pt was previously attempting tx for a fungal keratitis and it is persistent and unwavering. what is your tx option?
    • A. 

      Keratoplasty

    • B. 

      LASIK

    • C. 

      Steroid

    • D. 

      More antifungals

  • 3. 
    Your pt was previously attempting tx for a fungal keratitis and it is persistent and unwavering. what is your tx option?
  • 4. 
    Your pt enters with a descematocele. what tx is used for this and why is it an indication for this tx
  • 5. 
    Your pt enters with keratoconus. what tx is used for this and why is it an indication for this tx
  • 6. 
    Your pt enters with a pseudophakic bullous keratopathy. what tx is used for this and why is it an indication for this tx
  • 7. 
    What are the most common indications for keratoplasty
  • 8. 
    What type of keratoplasty is especially used in pseudophakic bullous keratopathy
  • 9. 
    Most common source of enophthalmos
  • 10. 
    Expected result of maxillary carcinoma 
  • 11. 
    What reading is considered proptosis
  • 12. 
    Causes of axial proptosis
  • 13. 
    Obstruction to venous drainage can cause proptosis
    • A. 

      True

    • B. 

      False

  • 14. 
    Inflammation of the SOF and apex may result in
  • 15. 
    Inflammation of the apex
  • 16. 
    What is tolosa hunt syndrome
  • 17. 
    Orbital cellulitis is usually secondary to
  • 18. 
    A defect in what part of the orbit may cause pulsatile proptosis and why
  • 19. 
    What is this a sign of
  • 20. 
    Two conditions leading to ophthalmoplegia (restrictive myopathy)
  • 21. 
    Infants with orbital capillary hemangiomas can be clued to the etiology of their lesion how??????
  • 22. 
    Pulsation is caused by what two things ***************************
  • 23. 
    Which pulsation of of the orbit cause is associated with BRUIT
    • A. 

      Arteriovenous communication (carotid cavernous fistula)

    • B. 

      Orbital roof defect

  • 24. 
    A bruit is a sign of wahhh
  • 25. 
    Major sign of carotid cavernous fistula
  • 26. 
    You apply a stethoscope to ya pts neck and hear a bruit; when you apply pressure to the ipsilateral carotid artery what would happen and why are you hearing the bruit
  • 27. 
    The inital feature of compressive optic neuropathy
  • 28. 
    Optic disc swelling may be the inital feature of
  • 29. 
    Feature of severe compressive optic neuropathy
  • 30. 
    Opticociliary collaterals are a diversion of blood between what vasculature
  • 31. 
    Opticociliary collaterals are a sign of
  • 32. 
    Most common tumor associated with shunts is
  • 33. 
    What is this? what does it indicate?
  • 34. 
    What is this? what it is a sign of
  • 35. 
    What is this? what is this a sign of
  • 36. 
    What is this? what is it a sign of 
  • 37. 
    Pt comes in with a scratch on their eye and an insect bite. what do they likely have
  • 38. 
    Pt comes in w/ tender red lid and periorbital edema. claims to be bit by spider. there is no proptosis or chemosis ON is norm. what is this and what is tx? what if they are allergic to penicillin
  • 39. 
    Pt comes in with warm proptotic eye and pain on EOM CVF. what is this? what could be the tx?
  • 40. 
    Idiopathic orbital inflammatory dz
  • 41. 
    You differentiate that your pt has idiopathic orbital inflammatory dz instead of orbital cellulitis. what is tx 
  • 42. 
    What structure is often inflammed in idiopathic orbital inflammatory dz
  • 43. 
    What pop has a high chance of dacryoadenitis
  • 44. 
    What two things usually cause dacryoadenitis
  • 45. 
    You dx pt w idiopathic orbital inflammatory dz. you notice their lacrimal gland is inflammed as well. what is your tx
  • 46. 
    Tolosa hunt syndrome is a dx of
  • 47. 
    Tolosa hunt syndrome is a dx of exclusion
    • A. 

      True

    • B. 

      False

  • 48. 
    Tolosa hunt is inflammation of
  • 49. 
    Pt comes in with pulsatile proptosis and bruit; & RADIAL/ TWIRLY TORTUOUS VEINS. what is this likely and how do you tx
  • 50. 
    Removal of the globe
  • 51. 
    Removal of the globe leaving the sclera and EOMS intact
  • 52. 
    Removal of the globe and soft tissues of the orbit
  • 53. 
    If you have an orbital tumor what removal would you do (enucleation, evisceration, exenteration)
  • 54. 
    Removal of the globe
    • A. 

      Enucleation

    • B. 

      Evisceration

    • C. 

      Exenteration

  • 55. 
    Removal of the globe leaving sclera and EOM intact
    • A. 

      Enucleation

    • B. 

      Evisceration

    • C. 

      Exenteration

  • 56. 
    Removal of the globe and soft tissues of the orbit
    • A. 

      Enucleation

    • B. 

      Evisceration

    • C. 

      Exenteration

  • 57. 
    What is this? how can you be sure?
  • 58. 
    What is this?  insidious onset & prolonged duration. worsened over 2-3 days
  • 59. 
    Most common form of episcleritis
    • A. 

      Simple

    • B. 

      Nodular

  • 60. 
    Tx for simple episcleritis
  • 61. 
    What is this? background: 50 yr old female pt woke up with pain and tylenol did not make pain go away
  • 62. 
    What is this? female 60 yr old enters with multiple nodules around her limbus. she says she had HZO 5 years ago.
  • 63. 
    What is this? background: 60 yr old female pt with gradual onset of pain and tylenol did not make pain go away. pain is localized to temple, brow, and jaw. so bad the pt cant sleep.
  • 64. 
    What are the potential causes of anterior necrotizing scleritis with inflammation
  • 65. 
    60 yo pt enters office complaining of gradual onset of pain in both eyes as well as pain in her temple, brow, or jaw. the pain started occuring 3 wks after eye surgery. what is it and what is your next step? (2)
    • A. 

      Anterior necrotizing scleritis with inflammation

    • B. 

      CBC

    • C. 

      Anterior non necrotizing scleritis diffuse

    • D. 

      Anterior non necrotizing scleritis nodular

    • E. 

      Topical antibiotics

    • F. 

      Simple episcleritis

    • G. 

      Scleromalacia perforans

  • 66. 
    Complications of anterior necrotizing scleritis with inflammation
  • 67. 
    Scleritis is commonly associated with
  • 68. 
    What do you ALWAYS test on scleritis pts
  • 69. 
    What do you always test on scleritis pts (5)
    • A. 

      CBC

    • B. 

      Differential blood count

    • C. 

      FTAABS

    • D. 

      RPR

    • E. 

      Chest XRAY

    • F. 

      ANCA

    • G. 

      Antophospholipid antibodies

    • H. 

      ANA

    • I. 

      RF

  • 70. 
    Only non-painful scleritis
  • 71. 
    Pt enters with dry eye sensation and tells you they have hx of rheumatoid arthritis. you also see sclerotic plaques near the limbus. what is this?
    • A. 

      Anterior necrotizing w/o inflammation

    • B. 

      Anterior necrotizing w inflammation

    • C. 

      Anterior nonnecrotizing diffuse

    • D. 

      Anterior nonneoritizing nodular

    • E. 

      Posterior

  • 72. 
    Scleritis with risk of pthisis bulbi. what is pts hx? (2)
    • A. 

      Anterior necrotizing w/o inflammation

    • B. 

      Anterior necrotizing w inflammation

    • C. 

      Anterior nonnecrotizing diffuse

    • D. 

      Anterior nonneoritizing nodular

    • E. 

      Posterior

    • F. 

      Rheumatoid arthritis

    • G. 

      Surgery

    • H. 

      Herpes zoster ophthalmicus

  • 73. 
    Diff bwn scleromalacia perforans plaques and scleral hyaline plaques
  • 74. 
    Risk associated with scleromalacia perforans (ant nec w/o inflammation)
  • 75. 
    Useful to demonstrate increased thickness of sclera
  • 76. 
    Can show proptosis and scleral thickening
  • 77. 
    Can show disc edema, RD, choroidal folds
  • 78. 
    Can show nodules on the sclera and separation of Tenon's capsule from sclera
  • 79. 
    What is this and what condition can it help dx?
  • 80. 
    Topical steroids are ineffective for treating scleral inflammation
    • A. 

      True

    • B. 

      False

  • 81. 
    Eventhough topical steroids are ineffective for treating scleral inflammation, what may they provide
  • 82. 
    Tx for anterior necrotizing scleritis with inflammation
  • 83. 
    What conditions associated with scleritis require cytotoxic agents
  • 84. 
    Tx for scleritis
  • 85. 
    Most common cause of infectious scleritis
    • A. 

      Herpes zoster

    • B. 

      Tuberculous

    • C. 

      Leprosy

    • D. 

      Syphilis

  • 86. 
    Causes of infectious scleritis
  • 87. 
    What causes recurrent corneal erosion syndrome
  • 88. 
    Tx for RCES
  • 89. 
    Dystrophy where mutations in different genes can result in a single phenotype
  • 90. 
    TGFBI encodes for
  • 91. 
    TGFBIP aka
  • 92. 
    Mutant forms of TGFBI protein lead to
  • 93. 
    Dystrophies that result from mutations in TGFBI protein
  • 94. 
    Who classifies stromal dystrophies
  • 95. 
    What are the types of dystrophies according to IC3dD 2015 classification
  • 96. 
    What are the categories for IC3D
  • 97. 
    Some LASIK centers test for most common dystrophies before procedure
    • A. 

      True

    • B. 

      False

  • 98. 
    What was added to IC3d classifications to help with clinical dx
  • 99. 
    Epithelial stromal distrophies
  • 100. 
    Most common dystrophy seen in clinical practice
  • 101. 
    EBMD AKA
  • 102. 
    What is this dystrophy? dot like opacities, microcysts or whorled fingerprint like lines
  • 103. 
    10% of pts with EBMD will have
  • 104. 
    Dystrophy with abnormal BM production with poorly functioning epithelial adhesion complexes
  • 105. 
    Map dot and fingeprint like lesions in EBMD are areas of 
  • 106. 
    What is this
  • 107. 
    What is this
  • 108. 
    What is this
  • 109. 
    What is this
  • 110. 
    Meesman CD is AKA
  • 111. 
    Juvenile hereditary epithelial dystrophy is AKA
  • 112. 
    What is this
  • 113. 
    Child pt with many epithelial cysts OU is likel to have what dystrophy
  • 114. 
    What is this
  • 115. 
    What is this
  • 116. 
    Gelatinous drop like corneal dystrophy AKA
  • 117. 
    Subepithelial AMYLOIDOSIS or primary familial AMYLOIDOSIS is AKA
  • 118. 
    Dystrophy with multiple mulberry shaped nodules that stain with fl. Electron microscopy shows disruption of epithelial tight jxns & presene of amyloid in the basal epithelial layer.
  • 119. 
    Genetics of gelatinous drop like "amyloid" dystrophy
  • 120. 
    What is this
  • 121. 
    What is this
  • 122. 
    What is this
  • 123. 
    AKA corneal dystrophy of bowman layer type 1
  • 124. 
    Reis buckler is AKA
  • 125. 
    Dystrophy with sign of irregular astigmatism
  • 126. 
    What is this
  • 127. 
    What is this
  • 128. 
    W/ PTK for corneal dystrophies what can be used to prevent recurrence
  • 129. 
    How can you distinguish TBCD and RBCD
  • 130. 
    Dystrophies with hyperreflective deposits at bowmans layer on OCT
  • 131. 
    What two dystrophies could result in the following OCT image
  • 132. 
    What is this
  • 133. 
    Thiel behnke corneal dystrophy is AKA
  • 134. 
    Corneal dystrophy of bowman layer type II/ honeycomb shaped corneal dystrophy
  • 135. 
    Dystrophy AKA biber haab dimmer
  • 136. 
    When does lattice CD1 onset
  • 137. 
    What is this
  • 138. 
    What is this
  • 139. 
    What is this
  • 140. 
    What is this
  • 141. 
    AKA CD groenouw
  • 142. 
    What is this
  • 143. 
    What is this
  • 144. 
    Diff bwn type 1 & 2 granular CD
  • 145. 
    Most laser/refractive surgery tend to exacerbate Granular 2
    • A. 

      True

    • B. 

      False

  • 146. 
    What is this
  • 147. 
    Least common/most severe corneal dystrophy
  • 148. 
    What type of opacities are seen in macularf corneal dystrophy
  • 149. 
    What is this
  • 150. 
    What is this
  • 151. 
    Another name for schnyder CD
  • 152. 
    Schnyder: central haze and/or tiny white to yellow refractile crystals in superficial central stroma
    • A. 

    • B. 

      23-38

    • C. 

      >38

  • 153. 
    Schnyder: corneal arcus develops associated w/ hyperlipidemia and xanthelasma
    • A. 

    • B. 

      23-38

    • C. 

      >38

  • 154. 
    Schnyder: midperipheral panstromal haze also develops (Entire cornea is hazy)
    • A. 

    • B. 

      23-38

    • C. 

      >38

  • 155. 
    Tx of schnyder corneal dystrophy
  • 156. 
    What is this? what age?
  • 157. 
    What is this? what age?
  • 158. 
    What is this? what age?
  • 159. 
    Indistinguishable from posterior crocodile shagreen degeneration
  • 160. 
    Central cloudy dystrophy of francois is indistinguishable from
  • 161. 
    What IC3D classification is central cloudy dystrophy of francois
    • A. 

      4

    • B. 

      2

    • C. 

      3

    • D. 

      1

  • 162. 
    What is this
  • 163. 
    Fuchs AKA
  • 164. 
    Fuchs classification: early onset
    • A. 

      C1

    • B. 

      C2

    • C. 

      C3

  • 165. 
    Fuchs classification: identified gene loci
    • A. 

      C1

    • B. 

      C2

    • C. 

      C3

  • 166. 
    Fuchs classification: without known inheritance
    • A. 

      C1

    • B. 

      C2

    • C. 

      C3

  • 167. 
    Hallmark of fuchs dystrophy
  • 168. 
    How do corneal guttata appear
  • 169. 
    How can you view guttata
  • 170. 
    Stromal edema on fuchs appears as
  • 171. 
    What edema (stromal/epithelial) appears as diffuse ground glass appearance and microcysts
  • 172. 
    How are bullae formed
  • 173. 
    Guttae alone may not cause corneal edema
    • A. 

      True

    • B. 

      False

  • 174. 
    Mild corneal edema may not result in decreased vision
    • A. 

      True

    • B. 

      False

  • 175. 
    Edema is more likely when cell count drops below
  • 176. 
    What is this
  • 177. 
    Type question here. Example: Practice makes you [Blank]
  • 178. 
    What is this
  • 179. 
    What is this
  • 180. 
    Avoid CAI to lower IOP in fuchs (to reduce edema) bc the pumps are already messed up
    • A. 

      True

    • B. 

      False

  • 181. 
    CAI not to use on fuchs to lower IOP
  • 182. 
    Tx for fuchs
  • 183. 
    Conditions requiring descemet stripping endothelial keratoplasty
  • 184. 
    Why is DSEK (descemet stripping) preferred over PK in fuchs
  • 185. 
    How is DSEK desemet stripping procedure done
  • 186. 
    How soon do most ppl achieve a fxnal level of va after descemet stripping for fuchs
  • 187. 
    Desemet membrane endothelil keratoplast dmek for fuchs
  • 188. 
    Where do you place incision in limbal relaxing incisions/ arcuate keratotomy
  • 189. 
    Three types of corneal inlays
  • 190. 
    Corneal reshaping inlay
    • A. 

      Raindrop

    • B. 

      Flexivue microlens

    • C. 

      Kamra

  • 191. 
    Steepens central cornea
    • A. 

      Raindrop

    • B. 

      Flexivue microlens

    • C. 

      Kamra

  • 192. 
    Refractive
    • A. 

      Raindrop

    • B. 

      Flexivue microlens

    • C. 

      Kamra

  • 193. 
    Creates multifocal cornea
    • A. 

      Raindrop

    • B. 

      Flexivue microlens

    • C. 

      Kamra

  • 194. 
    Small aperture
    • A. 

      Raindrop

    • B. 

      Flexivue microlens

    • C. 

      Kamra

  • 195. 
    Pinhole effect increases depth of field
    • A. 

      Raindrop

    • B. 

      Flexivue microlens

    • C. 

      Kamra

  • 196. 
    FDA approved
    • A. 

      Raindrop

    • B. 

      Flexivue microlens

    • C. 

      Kamra

  • 197. 
    Amt of cornea necessary to be left intact after LASIK to avoid corneal ectasia
  • 198. 
    Corneal ectasia will occur if how much corneal thickness is left after LASIK
  • 199. 
    What is collagen crosslinking
  • 200. 
    Large pupils are not a limitation
    • A. 

      ICL

    • B. 

      PRK

    • C. 

      LASIK

  • 201. 
    Thin cornea is not a limitation
    • A. 

      ICL

    • B. 

      PRK

    • C. 

      LASIK

  • 202. 
    Cant be done on thin corneas
    • A. 

      ICL

    • B. 

      PRK

    • C. 

      LASIK

  • 203. 
    Pt selection for LASIK
  • 204. 
    LASIK myopic limit
  • 205. 
    Pt selection lasik contact lens
  • 206. 
    Pts that can do LASEK
  • 207. 
    LASEK may improve what corneal condition
  • 208. 
    Major postop complication of LASIK
  • 209. 
    What is interface inflammation in early postop after LASIK
  • 210. 
    What is diffuse lamellar keratitis (sands of sahara)
  • 211. 
    Features of diffuse lamellar keratitis (postop omplication of LASIK)
  • 212. 
    What can diffuse lamellar keratitis lead to
  • 213. 
    Congenital NLD obstruction occurs particulary when
  • 214. 
    What do you need to rule out when you see baby with watery eye (congenital NLD obstruction)
  • 215. 
    DDx of watery eye in bavy
  • 216. 
    Baby enters with watery eye. you touch medial canthus and baby cries. what is your dx
    • A. 

      Acute dacryostitis

    • B. 

      Congenital glaucoma

    • C. 

      Congenital NLD obstruction

    • D. 

      Punctal atresia

  • 217. 
    Baby enters with watery eye. they have an enlarged corneal diameter and optic disc is upped and IOP is high. what is your dx
    • A. 

      Acute dacryostitis

    • B. 

      Congenital glaucoma

    • C. 

      Congenital NLD obstruction

    • D. 

      Punctal atresia

  • 218. 
    Baby enters with watery eye. previously had URI and pressure on lacrimal sac causes pus reflux from puncta. what is your dx
    • A. 

      Acute dacryostitis

    • B. 

      Congenital glaucoma

    • C. 

      Congenital NLD obstruction

    • D. 

      Punctal atresia

  • 219. 
    What is myasthenia gravis
  • 220. 
    How does myasthenia gravis present
  • 221. 
    What is cogan twitch sign and what is it associated with
  • 222. 
    Absent lid crease (congenital/acquired ptosis)
  • 223. 
    Poor levator fxn (congenital/acquired ptosis)
  • 224. 
    Marcus gunn jaw winking (congenital/acquired ptosis)
  • 225. 
    High upper lid crease (congenital/acquired ptosis)
  • 226. 
    Good levator fxn (congenital/acquired ptosis)
  • 227. 
    What is this? 2 potential causes?
  • 228. 
    What is this? what causes it?
  • 229. 
    Caused by fabry dz
  • 230. 
    Vortex keratopathy is caused by
  • 231. 
    What is this?
  • 232. 
    What is this?
  • 233. 
    What is this?
  • 234. 
    What can cause salzmann nodular degeneration
  • 235. 
    How can salzmann nodular degeneration lead to RCES
  • 236. 
    Long standing salzmann nodular degeneration lesions appear how
  • 237. 
    What is this?
  • 238. 
    What is this?
  • 239. 
    Type question here. Example: Practice makes you [Blank]