Eent Quiz: Week Four

60 Questions | Total Attempts: 99

SettingsSettingsSettings
Eent Quiz: Week Four - Quiz

Last set of info before the big midterm :)


Questions and Answers
  • 1. 
    Which of the following is strongly associated with demyelinating dieases such as multiple sclerosis, but can also occur with viral infections?
    • A. 

      Optic neuritis

    • B. 

      Papilledema

    • C. 

      Orbital cellulitis

    • D. 

      Ocular trauma

    • E. 

      Ocular pearls

  • 2. 
    You have a 65 year old female patient who comes in complaining of sudden, monocular loss of vision with a blind spot and loss of color vision. She has pain in her eye, particularly with eye movements, and pain on palpation of the globe. What diagnosis do you suspect?
    • A. 

      Conjunctivitis

    • B. 

      Papilledema

    • C. 

      Orbital cellulitis

    • D. 

      Ocular trauma

    • E. 

      Ocular neuritis

  • 3. 
    Since most cases of optic neuritis are retro-bulbar, there are no abnormalities seen when examining the ____________.
    • A. 

      Retina

    • B. 

      Fundus

    • C. 

      Arteries

    • D. 

      Macula

    • E. 

      Fovea

  • 4. 
    In a more serious case of ___________________, the optic nerve is swolen with pallor, and occasionally has flame-shaped peri-papillary hemorrhages. All patients with this condition should be referred urgently for a neuro-ophthalmologic evaluation.
    • A. 

      Conjunctivitis

    • B. 

      Papilledema

    • C. 

      Optic neuritis

    • D. 

      Orbital cellulitis

    • E. 

      Ocular trauma

  • 5. 
    Which of the following describes a swelling of the optic nerve head, usually in association with elevated intracranial pressure and transient changes in vision?
    • A. 

      Optic neuritis

    • B. 

      Chronic glaucoma

    • C. 

      Acute glaucoma

    • D. 

      Papilledema

    • E. 

      Orbital cellulitis

  • 6. 
    When examining your patient with _____________, the optic disc is swollen with a blurred margin, the venules are dilated and tortuous, the optic cup is obscured by the swollen disc, there is flame hemorrhages and infarctions in the nerve fiber layer, and edema in the surrounding retina!!
    • A. 

      Optic neuritis

    • B. 

      Papilledema

    • C. 

      Orbital cellulitis

    • D. 

      Chemical conjunctivitis

    • E. 

      Ocular trauma

  • 7. 
    Papilledema is a __________ process, though it may be slightly asymmetric.
    • A. 

      Bilateral

    • B. 

      Unilateral

    • C. 

      Multilateral

    • D. 

      Multifocal

    • E. 

      Weird

  • 8. 
    Which of the following describes a condition that presents with an abrupt onset of fever, proptosis (protrusion of one or both eyeballs), restriction of extraocular movements, and swelling of the redness of the lids (as shown below)?
    • A. 

      Papilledema

    • B. 

      Optic neuritis

    • C. 

      Orbital cellulitis

    • D. 

      Ocular trauma

    • E. 

      Chemical conjunctivitis

  • 9. 
    What is a central scotoma?
    • A. 

      A change in peripheral vision

    • B. 

      A lesion of the retina

    • C. 

      A black or blind spot in vision

    • D. 

      A symptom of papilledema

    • E. 

      A swelling of the central portion of the optic disc

  • 10. 
    Your patient is the 6 year old daughter PA student. Her mom tells you she has just recovered from a paranasal sinus infection, but is now having eye pain, blurred vision, headache, and a purulent discharge. She has one very swollen, red eyelid, and is unable to move her eye in different directions. What is your diagnosis?
    • A. 

      Optic neuritis

    • B. 

      Papilledema

    • C. 

      Ocular trauma

    • D. 

      Conjunctivitis

    • E. 

      Orbital cellulitis

  • 11. 
    When diagnosing orbital cellulitis, it is important to differentiate between the different types of infections involved. _________________ infection involves only the eyelid with periorbital swelling, but no ocular symptoms. _________________ infection is suspected in the presence of proptosis, decreased VA, retinal venous engorgement, papilledema, and extraocular muscle motility disturbances. _________________ infection manifests with meningeal signs and changes in mental status.
    • A. 

      Orbital, Intracranial, Pre-septal

    • B. 

      Orbital, Pre-septal, Intracranial

    • C. 

      Pre-septal, Orbital, Intracranial

    • D. 

      Pre-septal, Intracranial, Orbital

    • E. 

      Intracranial, Orbital, Pre-septal

  • 12. 
    TRUE OR FALSE?? Children who present with orbital cellulitis can be given antibiotics and sent home.
    • A. 

      True

    • B. 

      False

  • 13. 
    Conjunctival inflammation due to chemical irritants is ______________________.
    • A. 

      Subconjunctival hemorrhage

    • B. 

      Chemical conjunctivitis

    • C. 

      Hyphema

    • D. 

      Bacterial conjunctivitis

    • E. 

      Keratitis

  • 14. 
    The normal pH of the eye is between...
    • A. 

      7.0 and 7.2

    • B. 

      7.2 and 7.5

    • C. 

      7.3 and 7.7

    • D. 

      7.5 and 7.9

    • E. 

      7.6 and 8.0

  • 15. 
    The Morgan Lens is used for what type of procedure?
    • A. 

      Lasik surgery

    • B. 

      Removal of a conjunctival foreign body

    • C. 

      Removal of a corneal foreign body

    • D. 

      Eye irrigation with lactated Ringers' solution

    • E. 

      Corneal abrasion treatment

  • 16. 
    Which of the following is NOT an appropriate part of treatment for chemical conjunctivitis?
    • A. 

      Remove any particulate matter

    • B. 

      15 to 30 minutes of irrigation with lactated Ringers' solution until the pH of the eye reaches 7

    • C. 

      Dilation of the pupil with cyclopentolate to relieve discomfort

    • D. 

      Start prophylactic topical antibiotics

    • E. 

      Neutralization of an acid with an alkali or vice versa

  • 17. 
    TRUE OR FALSE?? Chemical conjunctivitis with acidic agents are more serious and require prolonged irrigation.
    • A. 

      True

    • B. 

      False

  • 18. 
    Which of the following conditions shown below can occur even in trivial situations such as a cough, sneeze or valsalva (lol)?
    • A. 

      Ocular trauma

    • B. 

      Optic neuritis

    • C. 

      Subconjunctival hemorrhage

    • D. 

      Hyphema

    • E. 

      Orbital cellulitis

  • 19. 
    The blood from a subconjunctival hemorrhage, which is usually bright red and appears flat, is limited to the _______________, and stops abruptly at the ______________.
    • A. 

      Bulbar conjunctiva, limbus

    • B. 

      Palpebral conjunctiva, limbus

    • C. 

      Sclera, ciliary body

    • D. 

      Sclera, cornea

    • E. 

      Sclera, limbus

  • 20. 
    It is important to differentiate subconjunctival hemorrhage with bloody ____________, which can occur with scleral rupture!
    • A. 

      Hyphema

    • B. 

      Chemosis

    • C. 

      Hypopyon

    • D. 

      Acute glaucoma

    • E. 

      Pterygium

  • 21. 
    TRUE OR FALSE?? Aside from the disturbing appearance, a subconjuctival hemorrhage does not usually cause the patient pain or loss of visual acuity.
    • A. 

      True

    • B. 

      False

  • 22. 
    If your patient has a subconjunctival hemorrhage involving the extreme lateral portion of the globe following blunt trauma, what type of fracture should be considered?
    • A. 

      Nasal bone

    • B. 

      Superciliary arch

    • C. 

      Frontal bone

    • D. 

      Zygomatic arch

    • E. 

      Lacrimal bone

  • 23. 
    Which of the following describes a condition that is the result of injury to the anterior chamber of the eye, disrupting the vasculature that supports the iris or ciliary body?
    • A. 

      Subconjuntival hemorrhage

    • B. 

      Hyphema

    • C. 

      Optic neuritis

    • D. 

      Bloody chemosis

    • E. 

      Papilledema

  • 24. 
    Your patient comes in with pain, photophobia, blurred vision because of the blood, and nausea and vomiting. Based on the picture below, what is your diagnosis?
    • A. 

      Hyphema

    • B. 

      Blood chemosis

    • C. 

      Subconjunctival hemorrhage

    • D. 

      Ocular trauma

    • E. 

      Orbital cellulitis

  • 25. 
    Which of the following is NOT one of the treatment recommendations for a patient presenting with hyphema?
    • A. 

      Prevention of further hemorrhage

    • B. 

      A fox metal eye shield

    • C. 

      Ophthalmology consultation

    • D. 

      Antiemetics for nausea and pain meds or sedatives

    • E. 

      The patient should be kept supine with the head of the bed completely flat

Back to Top Back to top