Geriatrics Final Quiz Part II

47 Questions | By Tseemore | Last updated: Mar 22, 2022 | Total Attempts: 160

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Ocular Diseases in the Elderly Part II

Questions and Answers

1.

Your pt presents to your office with hyphema in the left eye after being hit in the eye with a football. During your exam of the retina which of the following this are you looking for in particular?
- A.
  
  Commotio retinae
- B.
  
  Macular edema
- C.
  
  Chorodial rupture
- D.
  
  CWS
- E.
  
  Optociliary shunt
2.

Oral aminocaproic acid is a treatment option for which of the following conditions?
- A.
  
  Hyphema
- B.
  
  Iritis
- C.
  
  Asteroid hyalosis
- D.
  
  Neurotrophic keratopathy
3.

Your patient has hyphema-related elevated IOP. You would like to Rx something to control the IOP, which would be the safest option?
- A.
  
  Prostaglandins
- B.
  
  Pilocarpine
- C.
  
  CAI
- D.
  
  Beta Blocker
4.

Which of the following etiologies of iritis will have little to no flare.
- A.
  
  Idiopathic
- B.
  
  Phacolytic
- C.
  
  Laser-induced
- D.
  
  Lens particle
5.

Indicate ALL the statements that are true for Iris Melanomas
- A.
  
  Inferior portion of iris
- B.
  
  Superior portion of iris
- C.
  
  Arises from iris stroma
- D.
  
  Arises from iris pigmented epithelium
- E.
  
  Causes pupil distortion
6.

If you diagnose your pt with an iris melanoma, it is imperative to seek immediate treatment since these lesions have a chance for metastasis
- A.
  
  True
- B.
  
  False
7.

Latanoprost usage is a risk factor/cause for iris cysts.
- A.
  
  True
- B.
  
  False
8.

Indicate ALL the true statement about asteroid hyalosis.
- A.
  
  Calcium soaps
- B.
  
  Cholesterol
- C.
  
  Unilateral mostly
- D.
  
  Bilateral mostly
- E.
  
  Reduced VA if get really dense
9.

Nongeographic atrophy is RPE hypopigmentation where you can see the underlying choroid vessels.
- A.
  
  True
- B.
  
  False
10.

MPOD (macular pigment optical density) and PHP (preferential hyperacuity perimetry) are 2 tests that help you to determine the effectiveness of hypertensive retinopathy treatment
- A.
  
  True
- B.
  
  False
11.

Which of the following can lead to hemmorahgic Pigmented Epithelium Detachments (PED)?
- A.
  
  Serous PED
- B.
  
  Fibrovascular PED
12.

HTN choroidopathy is usually found in Grade 3 & 4
- A.
  
  True
- B.
  
  False
13.

Elschnig's Spots & Siegrit's is found in which condition?
- A.
  
  HTN choroidopathy
- B.
  
  HTN retinopathy
- C.
  
  BRVO/CRVO
- D.
  
  Acute Ophthalmic Artery Obstruction
14.

In the early signs of HTN retinopathy, the arteries are straight.
- A.
  
  True
- B.
  
  False
15.

BRVO/CRVO is typically caused by plaques that obstruct the blood flow.
- A.
  
  True
- B.
  
  False
16.

When differentiating btwn CRVO vs hemi-central CRVO, if the vessels bifurcate before the lamina cribosa it is:
- A.
  
  Hemi-central CRVO
- B.
  
  BRVO
- C.
  
  CRVO
- D.
  
  All of the above possible
17.

To determine if a CRVO is ischemic or non-ischemic, you perform a FA. At what level of capillary dropout will it be considered ischemic?
- A.
  
  > 5 dd
- B.
  
  > 10 dd
- C.
  
  > 20 dd
- D.
  
  > 7 dd
18.

Choose the FALSE statement.
- A.
  
  Acute ophthalmic artery obstruction will have little to no cherry red spot
- B.
  
  CRAO and AOAO both cause opacified retinas, but AOAO is usually worse
- C.
  
  CRAO generally causes larger VA reduction that AOAO
- D.
  
  CRAO will cause an immediate APD
19.

The most common etiology of epiretinal membrane is retinal vascular diseases.
- A.
  
  True
- B.
  
  False
20.

Impendiing macular holes typically resolve 50% of the time, otherwise treat with a vitrectomy and gas bubble
- A.
  
  True
- B.
  
  False
21.

Choose the TRUE statement abut Vitrealmacular Traction Syndrome.
- A.
  
  Aphakia/pseudoaphakia can be protective
- B.
  
  Most require vitrecomy w/ ILP peel
- C.
  
  Present in 25% of pts > 70 yo
- D.
  
  None of the above are true
22.

Choose ALL of the correct statement about Idiopathic Juxtafoveal Telangiectasia.
- A.
  
  Group 3 associated with CNS vasculitis
- B.
  
  Signs associated with area nasal to fovea
- C.
  
  Signs associated with area temporal to fovea
- D.
  
  FA hypofluroescece
- E.
  
  Yellow intra-retinal crystals
- F.
  
  Associated with HTN
23.

Irvine-Gass Syndome refers to what sign of Sickle Cell Ret?
- A.
  
  Salmon patch hemes
- B.
  
  Iridecent spot
- C.
  
  Sunburst spot
- D.
  
  Sea fan neo
- E.
  
  Cystoid macular edema post cataract sx
24.

Which of the following is NOT a s/s of Ocular Ischemic Syndrome?
- A.
  
  Dilated and tortuous vessels
- B.
  
  Neovascularization
- C.
  
  Anterior uveitis
- D.
  
  Lenticular stress leading to true exfoliation
- E.
  
  Ocular angina (dull ache)
25.

The most common cause of Macroanerysms is DM
- A.
  
  True
- B.
  
  False