Geriatrics Final Quiz Part II

Lacqure cracks, tilted disc, Fuch's spots, posterior staphaloma are all signs of what disease?

• Degenerative myopia

• Birdshot chorioretinitis

• Amiodarone neuropathy

• Acute ophthalmic artery obstruction

A CN III palsy will result in an eye turn that is down & in

• True

• False

Amiodarone Neuropathy leads to sudden vision loss

• True

• False

Your patient has hyphema-related elevated IOP.  You would like to Rx something to control the IOP, which would be the safest option?

• Prostaglandins

• Pilocarpine

• CAI

• Beta Blocker

MPOD (macular pigment optical density) and pHP (preferential hyperacuity perimetry) are 2 tests that help you to determine the effectiveness of hypertensive retinopathy treatment

• True

• False

Impendiing macular holes typically resolve 50% of the time, otherwise treat with a vitrectomy and gas bubble

• True

• False

The most common cause of Macroanerysms is DM

• True

• False

In the early signs of HTN retinopathy, the arteries are straight.

• True

• False

BRVO/CRVO is typically caused by plaques that obstruct the blood flow.

• True

• False

Irvine-Gass Syndome refers to what sign of Sickle Cell Ret?

• Salmon patch hemes

• Iridecent spot

• Sunburst spot

• Sea fan neo

• Cystoid macular edema post cataract sx

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?

• > 5 dd

• > 10 dd

• > 20 dd

• > 7 dd

Progressive Outer Retinal Necrosis (PORN) is due to:

• Varicella Zoster Virus

• Herpes Virus

• Moraxella Virus

• Ron Jeremy

Which of the following can lead to hemmorahgic Pigmented Epithelium Detachments (PED)?

• Serous PED

• Fibrovascular PED

Nongeographic atrophy is RPE hypopigmentation where you can see the underlying choroid vessels.

• True

• False

A basement membrane disorder of multiple organs in the body describes which condition?

• Pseudoexfoliation Syndrome

• Pigment Dispersion Syndrome

• Progressive Outer Retinal Necrosis

• Charles Bonnet Syndrome

Elschnig's Spots & Siegrit's is found in which condition?

• HTN choroidopathy

• HTN retinopathy

• BRVO/CRVO

• Acute Ophthalmic Artery Obstruction

Latanoprost usage is a risk factor/cause for iris cysts.

• True

• False

ONH drusen is best detected with a ______.

If you diagnose your pt with an iris melanoma, it is imperative to seek immediate treatment since these lesions have a chance for metastasis

• True

• False

The most common etiology of epiretinal membrane is retinal vascular diseases.

• True

• False

What is the appropriate tx for AION?

• Topical steroids

• Oral steroids

• IV steroids

• Tx underlying condition

Pts with Charles Bonnet Syndrome have good intellect, good cognitive ability, no psychiatric disorders, and good vision

• True

• False

Choose the FALSE statement.

• Acute ophthalmic artery obstruction will have little to no cherry red spot

• CRAO and AOAO both cause opacified retinas, but AOAO is usually worse

• CRAO generally causes larger VA reduction that AOAO

• CRAO will cause an immediate APD

Choose the TRUE statement abut Vitrealmacular Traction Syndrome.

• Aphakia/pseudoaphakia can be protective

• Most require vitrecomy w/ ILP peel

• Present in 25% of pts > 70 yo

• None of the above are true

Retinoschisis typically occurs in which area of the retina?

• Superior

• Sup/nasal

• Inf/nasal

• Sup/temporal

• Inf/temporal

Which of the following is NOT a  potential cause of chorodial/chorioretinal folds?

• High hyperopia

• Tumors

• Buckle surgery

• Idiopathic

• Posterior scleritis

• All of the above are potential causes

• 3 of the above are potential causes

Peripheral Senile Pigmentary Degeneration occurs in which quadrant of the retina?

• Nasal

• Temporal

• Superior

• Inferior

When differentiating btwn CRVO vs hemi-central CRVO, if the vessels bifurcate before the lamina cribosa it is:

• Hemi-central CRVO

• BRVO

• CRVO

• All of the above possible

ONH drusen cause what type of VF defect?

• Inferior

• Superior

• Nasal step

• Temporal wedge

Oral aminocaproic acid is a treatment option for which of the following conditions?

• Hyphema

• Iritis

• Asteroid hyalosis

• Neurotrophic keratopathy

Which of the following is NOT a s/s of Ocular Ischemic Syndrome?

• Dilated and tortuous vessels

• Neovascularization

• Anterior uveitis

• Lenticular stress leading to true exfoliation

• Ocular angina (dull ache)

Non-AION & AION involve occlusion of the posterior ciliary arteries.

• True

• False

Indicate ALL the statements that are true for Iris Melanomas

• Inferior portion of iris

• Superior portion of iris

• Arises from iris stroma

• Arises from iris pigmented epithelium

• Causes pupil distortion

What percentage of the population has ONH drusen?

• 1%

• 2%

• 4%

• 5%

Indicate ALL the true statement about asteroid hyalosis.

• Calcium soaps

• Cholesterol

• Unilateral mostly

• Bilateral mostly

• Reduced VA if get really dense

A small disc is a risk factor for AION

• True

• False

Choose ALL of the correct statement about Idiopathic Juxtafoveal Telangiectasia.

• Group 3 associated with CNS vasculitis

• Signs associated with area nasal to fovea

• Signs associated with area temporal to fovea

• FA hypofluroescece

• Yellow intra-retinal crystals

• Associated with HTN

Which of the following etiologies of iritis will have little to no flare.

• Idiopathic

• Phacolytic

• Laser-induced

• Lens particle

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?

• Commotio retinae

• Macular edema

• Chorodial rupture

• CWS

• Optociliary shunt

Indicate ALL of the signs of Non-AION

• APD

• Bilateral

• Occurs in AM usually

• Altitudinal defect (inferior most common)

• Disc edema w/ hemes

• Many systemic symptoms