Geriatrics Final Quiz Part I

35 Questions | Total Attempts: 333

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Geriatrics Final Quiz Part I

Ocular Disease in Elderly Part 1


Questions and Answers
  • 1. 
    What does CIGMA stand for in regard to etiologies of necrotizing scleritis?
  • 2. 
    Describe the different treatment options for Herpes Simplex Keratitis
  • 3. 
    Which of the following represents a general ocular change in the geriatric population that could be a sign of kindey/heart failure and thyroid disease.
    • A. 

      Baggy eyelids

    • B. 

      Epiphora

    • C. 

      Orbita fat prolapse

    • D. 

      Enophthalmos

  • 4. 
    Indicate ALL of the following that INCREASE with age.
    • A. 

      Conj thickness

    • B. 

      ATR astigmatism

    • C. 

      WTR astigmatism

    • D. 

      Lens thickness

    • E. 

      IOP

    • F. 

      Myopia

    • G. 

      Aqueous production

  • 5. 
    Indicate ALL of the following structures/physio mechs that do NOT change with age.
    • A. 

      Aqueous composition

    • B. 

      RPE pigmentation

    • C. 

      Phorias

  • 6. 
    Phorias tend to shift to become more EXO.
    • A. 

      True

    • B. 

      False

  • 7. 
    Which of the following types of cataracts would be the worst in conjunction with a miotic pupil?
    • A. 

      Cortical

    • B. 

      NSC

    • C. 

      PSC

  • 8. 
    A patient with normal visual fields should be expected to lose how many degrees per decade?
    • A. 

      1-3

    • B. 

      3-5

    • C. 

      5-7

    • D. 

      7-9

  • 9. 
    Keratoacanthoma is very slow growing which is one way to differentiate it from a squamous cell carcinoma.
    • A. 

      True

    • B. 

      False

  • 10. 
    Which of the following is the most common melanoma on the face?
    • A. 

      Lentigo Maligna

    • B. 

      Lentigo Malignan Melanoma

    • C. 

      Superficial Spreading Melanoma

    • D. 

      Nodular Melanoma

  • 11. 
    Which one of the following skin lesions is found on almost 100% of the elderly Caucasian population?
    • A. 

      Actinic Keratosis

    • B. 

      Cutaneous Horn

    • C. 

      Xanthelasma

    • D. 

      Papilloma

  • 12. 
    Chronic papillary conjunctivitis with SPK is a sign for which condition?
    • A. 

      Floppy Eyelid Syndrome

    • B. 

      Involutional Entropion

    • C. 

      Benign Essential Blepharospasm

    • D. 

      Aponeurotic Ptosis

  • 13. 
    Seborrheic keratosis is the most common benign tumor in the elderly.  It has no malignant potential.
    • A. 

      True

    • B. 

      False

  • 14. 
    BCC is more common than SCC
    • A. 

      True

    • B. 

      False

  • 15. 
    Which of the following treatment for skin lesions produces the lowest recurrence rate?
    • A. 

      Surgical excision

    • B. 

      Cryosurgery

    • C. 

      Radiation

    • D. 

      Mohs Surgery

  • 16. 
    Ocular Pemphigoid is an autoimmune disease.
    • A. 

      True

    • B. 

      False

  • 17. 
    Indicate the 3 signs that are part of the triad for menangiomas
    • A. 

      VF loss from optic atrophy

    • B. 

      Pallor

    • C. 

      Optociliary shunt

    • D. 

      Macular edema

    • E. 

      Ciliary spasms

  • 18. 
    Your elderly pt comes in for a check up.  While performing SLE you notice a build up of tissue in the limbal region.  You are not sure if its a notmal changes due to age or something potentially more serious.  You decide to stain with Rose Bengal and you note diffuse staining around the lesion and the adjacent cornea.  Your differential diagnosis at this point is:
    • A. 

      Pinguecula

    • B. 

      Pterygium

    • C. 

      Conjunctival Intraepithelial Neoplasia

    • D. 

      Corneal Arcus

  • 19. 
    The main difference between scleromalacia perforans and necrotizing scleritis is that in scleromalacia there is NO inflammation
    • A. 

      True

    • B. 

      False

  • 20. 
    Which of the following would you see if you stained a herpes simplex dendrite with RB & NaFl?
    • A. 

      RB stains entire lesion, very little NaFl

    • B. 

      NaFl stains middle, RB stains outside

    • C. 

      RB stains middle, NaFl stains outside

    • D. 

      Herpes simplex dendrites do not stain with these dyes

  • 21. 
    You notice something funky going on with your pt's cornea.  You think it might be Map Dot Dystrophy.  You remember from class that this is very common in older patients and usually only requires monitoring.  What potential complication could arise from this condition?
    • A. 

      Guttata

    • B. 

      Stromal edema

    • C. 

      Recurrent corneal erosion

    • D. 

      Geographic ulcer

  • 22. 
    You notice unilateral corneal arcus on your patient.  What could this be indicative of?
    • A. 

      Very high cholesterol

    • B. 

      Carotid occlusion

    • C. 

      CRAO

    • D. 

      Uncontrolled blood glucose

  • 23. 
    Mooren's Ulcer is a unilateral, painful, inflammatory lesion associated with HIV/AIDS
    • A. 

      True

    • B. 

      False

  • 24. 
    Amiodarone can cause which of the following:
    • A. 

      Whorl keratopathy

    • B. 

      Band keratopathy

    • C. 

      Hudson stahli line

    • D. 

      Crocadile shagreen

  • 25. 
    Which of the following corneal conditions is the result of calcium deposits in the sub-epithelium which creates a 'swiss cheese' apperance
    • A. 

      Band Keratopathy

    • B. 

      Cornea Farinata

    • C. 

      Guttata

    • D. 

      Bullous Keratopathy

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