Er: Ocular Emergencies

73 Questions | Total Attempts: 216

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Er: Ocular Emergencies

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Questions and Answers
  • 1. 
    If glaucoma is not treated immediately, it will result in permanent damage to the _____, causing irreversible ______.
    • A. 

      Optic nerve and retina, blindness

    • B. 

      Optic nerve, blindness

    • C. 

      Retina blindness

    • D. 

      Aqueous humor, intraocular pressure

  • 2. 
    Increased intraocular pressure in a healthy eye results in _____.
    • A. 

      Primary glaucoma

    • B. 

      Secondary glaucoma

    • C. 

      Chronic

    • D. 

      Using a tonopen

  • 3. 
    Increased intraocular pressure due to disease or injury to the eye. 
    • A. 

      Secondary glaucoma

    • B. 

      Primary glaucoma

    • C. 

      Goniodysgenesis

    • D. 

      Narrow-angle glaucoma

  • 4. 
    What is goniodysgenesis?
    • A. 

      Abnormalities in the drainage angle

    • B. 

      A type of glaucoma

    • C. 

      The production of goniodys

    • D. 

      A sect that worships Lord Gonios

  • 5. 
    Select the signs of acute glaucoma.
    • A. 

      Red painful eye

    • B. 

      +/- generalized corneal edema

    • C. 

      Mydriasis

    • D. 

      Abnormal PLR and menace response

    • E. 

      Vision impairment/loss

    • F. 

      Cataracts

    • G. 

      Optic nerve atrophy

  • 6. 
    Select the signs of chronic glaucoma.
    • A. 

      All signs of acute glaucoma visible

    • B. 

      Buphthalmos

    • C. 

      Corneal striae

    • D. 

      Lens sublaxation

    • E. 

      Cataracts

    • F. 

      Optic nerve atrophy

  • 7. 
    ________ is the acute cranial displacement of the eye beyond the orbit and eyelids. 
    • A. 

      Proptosis

    • B. 

      Entropion

    • C. 

      Ectropion

    • D. 

      Glaucoma

  • 8. 
    A pug comes into your clinic presenting with uveitis, blindness, scleral hemorrhage, chemosis, corneal desiccation and ulceration. What do you suspect?
    • A. 

      Proptosis

    • B. 

      Glaucoma

    • C. 

      Entropion

    • D. 

      Cataracts

  • 9. 
    Which muscle is usually damaged in patients with proptosis?
    • A. 

      Medial rectus

    • B. 

      Lateral rectus

    • C. 

      Rectus ocularis

    • D. 

      Sternocleidomastoid

  • 10. 
    What is the best treatment option in a patient with proptosis if the optic nerve is ruptured, the eye is ruptured, or more than 3 extraocular muscles are ruptured?
    • A. 

      Enucleation

    • B. 

      Surgical repositioning of the globe

    • C. 

      Eye drops

    • D. 

      Euthanasia

  • 11. 
    ______ is hemorrhage within the ______ .
    • A. 

      Hyphema, anterior chamber

    • B. 

      Hyphema, posterior chamber

    • C. 

      Glaucoma, cornea

    • D. 

      Uveitis, sclera

  • 12. 
    Hyphema is usually accompanied by a moderate to severe _____.
    • A. 

      Uveitis

    • B. 

      Glaucoma

    • C. 

      Cataract

    • D. 

      Proptosis

  • 13. 
    Select the signs of hyphema.
    • A. 

      Red eye

    • B. 

      Anterior chamber partially/fully filled with fresh, bright red blood

    • C. 

      Chronic case: Blood is dark red and a clot may form

    • D. 

      Intraocular fibrin, aqueous flare and miotic pupil

    • E. 

      No intraocular structures can be identified

    • F. 

      Loss of vision

  • 14. 
    It is okay for patients with hyphema to exercise. 
    • A. 

      True

    • B. 

      False

  • 15. 
    Select the possible treatments/care of hyphema. 
    • A. 

      Treat secondary uveitis

    • B. 

      Treat underlying causes (Trauma, infection, neoplasia, coagulation)

    • C. 

      Monitor intraocular pressure for signs of increase

    • D. 

      Eye drops in case of increased IO pressure

    • E. 

      Enucleation

  • 16. 
    Uveitis is the inflammation of the _______.
    • A. 

      Iris and anterior chamber

    • B. 

      Cornea and anterior chamber

    • C. 

      Iris and posterior chamber

    • D. 

      Uvula

  • 17. 
    Anterior uveitis can be caused by _______, ______, and systemic inflammatory/infectious diseases. 
    • A. 

      Trauma, neoplasia

    • B. 

      Strangulation, hypoplasia

    • C. 

      Old age, neoplasia

    • D. 

      Santa claus, superman

  • 18. 
    Select the signs of anterior uveitis.
    • A. 

      Blepharospasm

    • B. 

      Aqueous flare

    • C. 

      Miotic pupil +/- cloudy cornea (edema)

    • D. 

      +/- hyphema

    • E. 

      Fibrin in the anterior chamber

    • F. 

      Walking into objects

    • G. 

      Intense urge to binge eat cake

  • 19. 
    ______ is a result of _____ and cell leakage from uveal blood vessels. 
    • A. 

      Aqueous flare, protein

    • B. 

      Viterous flare, protein

    • C. 

      Aqueous glare, protein

    • D. 

      Call the plumber, water

  • 20. 
    You can see floating particles in the fluid of the anterior chamber when examining a patient with ______.
    • A. 

      Aqueous flare

    • B. 

      Chamber floatation syndrome

    • C. 

      Glaucoma

    • D. 

      Ocular flare

  • 21. 
    If protein is not present in the anterior chamber, the ophthalmoscope's beam is broken apart and the chamber appears _____.
    • A. 

      Black

    • B. 

      White

    • C. 

      Red

    • D. 

      Invisible

  • 22. 
    Diagnosis of uveitis: IOP is often _____. Assessing for underlying conditions involves _____, Schrimer's, bloodwork, xrays. 
    • A. 

      Reduced, Fluroscein

    • B. 

      Increased, Fluroscein

    • C. 

      Reduced, tonopen

    • D. 

      Increased, tonopen

  • 23. 
    The treatment of uveitis is similar to the treatment of hyphema. 
    • A. 

      True

    • B. 

      False

  • 24. 
    Lid injuries are associated with.... (Select all that apply)
    • A. 

      Swelling

    • B. 

      Edema

    • C. 

      Hemorrhage

    • D. 

      Loss of lid margins

    • E. 

      Cleft eyelid

    • F. 

      Chemosis

  • 25. 
    Lid injuries are most commonly caused by _______.
    • A. 

      Lacerations and bite wounds

    • B. 

      Lacerations and strangulation

    • C. 

      Bite and scratch wounds

    • D. 

      Being careless with your pet. SHAME ON YOU.