Ocular Physiology - Cornea: Midterm 1

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| By Mchllmijares
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Mchllmijares
Community Contributor
Quizzes Created: 22 | Total Attempts: 14,105
Questions: 20 | Attempts: 717

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Ocular Physiology - Cornea: Midterm 1 - Quiz

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Questions and Answers
  • 1. 

    Na+fluorescein is taken up by damaged epithelial cells.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Na+fluorescein is a fluorescent dye that is commonly used to assess cellular damage. When cells are damaged, their membrane integrity is compromised, allowing the dye to enter the cells. Therefore, if Na+fluorescein is taken up by damaged epithelial cells, it indicates that the cells have been damaged. Hence, the statement "Na+fluorescein is taken up by damaged epithelial cells" is true.

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  • 2. 

    Select the FALSE statements

    • A.

      The cornea is the major refractive element of the eye (+48D)

    • B.

      Corneal curvature and axial length determine power of the eye Corneal curvature and axial length determine power of the eye Corneal curvature and axial length determine power of the eye

    • C.

      Cataract surgery was the first type of refractive surgery

    • D.

      Damage to the corneal endothelium during RK is a minor problem

    • E.

      In the lasik procedure the epithelial layer is also removed completely similarly to PRK

    Correct Answer(s)
    D. Damage to the corneal endothelium during RK is a minor problem
    E. In the lasik procedure the epithelial layer is also removed completely similarly to PRK
    Explanation
    The cornea is not the major refractive element of the eye. It only contributes about 40D to the total refractive power of the eye. The corneal curvature and axial length do determine the power of the eye. Cataract surgery was not the first type of refractive surgery, it is a procedure to remove a cloudy lens. Damage to the corneal endothelium during RK (Radial Keratotomy) is a major problem, not a minor one. In the LASIK procedure, the epithelial layer is not completely removed, only a flap is created. However, in PRK (Photorefractive Keratectomy), the epithelial layer is completely removed.

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  • 3. 

    The epithelium: A. Has superficial cells, wing cells and basal cells B. Three types of collagen (IV, VII, XII) C. Contains MPS, keratocyes D. Is one cell layer thick with tight juntions

    • A.

      A

    • B.

      B

    • C.

      C

    • D.

      D

    Correct Answer
    A. A
    Explanation
    Option B: for the basement membrane of the epithelium
    Option C: Refers to the stroma
    Option D: refers to the endothelium

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  • 4. 

    Desmosomes (where two cells come together) help to prevent the flow of substances b/t cells

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Desmosomes are cell junctions that provide strong adhesion between cells. They consist of proteins that link the cytoskeletons of adjacent cells together. This adhesion helps to prevent the flow of substances between cells, maintaining the integrity and stability of tissues. Therefore, the statement that desmosomes help to prevent the flow of substances between cells is true.

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  • 5. 

    A tight junction is where two cell membranes  fuse together. Also only carbon dioxide, O2 and small ions through

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    A tight junction is a type of intercellular junction where two adjacent cell membranes fuse together, forming a barrier that prevents the passage of molecules and ions between the cells. This barrier is important for maintaining the integrity and selective permeability of tissues. The statement that only carbon dioxide, O2, and small ions can pass through a tight junction is true because these molecules are small enough to pass through the tight junction's narrow channels, while larger molecules and ions are unable to do so.

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  • 6. 

    Gap junction don't allow passage b/t cells. They keep the wing cells and basal cells from becoming electrically coupled

    • A.

      True

    • B.

      False

    Correct Answer
    B. False
    Explanation
    Gap junctions allow for the passage of ions b/t cells, connecting wing cells and basal cells

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  • 7. 

    Select True statements regarding the corneal epithelium

    • A.

      Basal cells undergo mitosis to produce wing cells

    • B.

      In wing cells we see internal degradation of the organelles of the cell

    • C.

      Superficial cells contain only cytoplasm and no debris

    • D.

      The epithelium of the cornea in general is very different in lifecycle and characteristic from the epithelium of the skin.

    • E.

      Like the epithelium of the skin, the epithelium of the cornea excretes keratin

    Correct Answer(s)
    A. Basal cells undergo mitosis to produce wing cells
    B. In wing cells we see internal degradation of the organelles of the cell
    C. Superficial cells contain only cytoplasm and no debris
    Explanation
    Keratin is hydrophobic, would not want that on the cornea

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  • 8. 

    You view the endothelium of the cornea with specular reflection

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Specular reflection is a type of reflection that occurs when light hits a smooth surface and bounces off at the same angle. In the context of viewing the endothelium of the cornea, specular reflection refers to the reflection of light off the smooth surface of the endothelium. This reflection allows for clear visualization of the endothelium and its characteristics. Therefore, the statement "You view the endothelium of the cornea with specular reflection" is true.

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  • 9. 

    Only the corneal endothelium and epithelium have tight junctions.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    The statement is true because the corneal endothelium and epithelium are the only layers of cells in the cornea that have tight junctions. Tight junctions are specialized connections between cells that form a barrier, preventing substances from passing between the cells. This barrier function is important for maintaining the transparency and integrity of the cornea. Other layers of the cornea, such as the stroma and Bowman's layer, do not have tight junctions.

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  • 10. 

    What conditions must be met in order for large particle light scatter to occur? A. An interface with refractive index different from the medium. B. The interface has to be longer than 1 wavelength C. A photon must be lost and energy given off as heat.

    • A.

      A

    • B.

      B

    • C.

      C

    • D.

      A and B

    • E.

      B and C

    Correct Answer
    D. A and B
    Explanation
    Option C : refers to absorption

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  • 11. 

    Major points of reflection include:

    • A.

      Keratocytes

    • B.

      Mitochondrial reflection

    • C.

      Epithelium - and Bowman's interface

    Correct Answer(s)
    A. Keratocytes
    B. Mitochondrial reflection
    C. Epithelium - and Bowman's interface
    Explanation
    Also air-tear interface, endothelium - aqueous

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  • 12. 

    It is theoretically possible to have small particle light scatter at every collagen fibril.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    In collagen fibrils, small particles of light can scatter. This means that when light passes through collagen fibrils, it can be deflected or redirected in different directions due to the scattering effect caused by the particles. Therefore, it is theoretically possible for small particle light to scatter at every collagen fibril.

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  • 13. 

    Select TRUE statements A. Maurice - perfect lattice hypothesis gives destructive interference B. Perfect lattices are found on electron micrographs C. Benedek and Farrell  stated that the average number of fibrils in an area must not fluctuate too greatly from the overall average for destructive interference to predominate D. In the sclera the collagen fibrils range in size and concentration.

    • A.

      A

    • B.

      B

    • C.

      C

    • D.

      D

    Correct Answer(s)
    A. A
    C. C
    D. D
    Explanation
    The perfect lattice hypothesis suggests that destructive interference occurs in Maurice, which supports statement A. Statement C is supported by Benedek and Farrell's statement that destructive interference predominates when the average number of fibrils in an area does not fluctuate greatly from the overall average. Statement D is supported by the fact that in the sclera, collagen fibrils vary in size and concentration. Statement B is not supported as there is no mention of perfect lattices being found on electron micrographs.

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  • 14. 

    Select false statements:

    • A.

      Stromal swelling pressure is the mechanical load/unit area required to maintain the tissue at a fixed water content

    • B.

      Stroma swells parallel to its surface

    • C.

      Collagen fibrils pull H20 into the cell

    • D.

      GAGS are the origin of swelling pressure

    • E.

      Swelling pressure is reduced over time in contact with aqueous solutions, GAGS lost to the solution

    • F.

      Substances that precipitates GAGS decrease swell pressure

    • G.

      IOP acts as external pressure

    Correct Answer(s)
    B. Stroma swells parallel to its surface
    C. Collagen fibrils pull H20 into the cell
    Explanation
    The stroma does not swell parallel to its surface; instead, it swells perpendicular to its surface. Collagen fibrils do not pull water into the cell; they provide structural support to the tissue. Therefore, these statements are false.

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  • 15. 

    Water added to the stroma only adds to its thickness, not diameter

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Adding water to the stroma of a plant only increases its thickness and not its diameter. This means that the overall size of the stroma remains the same, but it becomes thicker.

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  • 16. 

    The ___________ Hypothesis explains the maintenance of stromal hydration and for that matter transparency.

    Correct Answer
    Pump-leak
    Explanation
    The Pump-leak Hypothesis suggests that the maintenance of stromal hydration and transparency is achieved through a balance between active fluid transport (pumping) and passive fluid movement (leakage) in the stroma. This hypothesis proposes that the endothelial cells of the cornea actively pump fluid out of the stroma, while the epithelial cells create a barrier to prevent excessive leakage. This balance is crucial for maintaining the proper hydration levels and transparency of the cornea.

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  • 17. 

    Both epi and endo pump water, but greater than 905 of the water pumping is provided by the endothelium. Blockingthe endothelium essentially eliminates fluid transport.

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    The explanation for the given correct answer is that both the epi and endo pump water, but the majority of the water pumping, specifically greater than 90%, is provided by the endothelium. Therefore, if the endothelium is blocked, it essentially eliminates fluid transport. This supports the statement that the answer is true.

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  • 18. 

    Which of the following do you need to know in order to calculate the flow across the tissue for a given pressure? A. Flow conductivity B. Thickness of a tissue C. Area of a tissue

    • A.

      A

    • B.

      B

    • C.

      C

    • D.

      All of the above

    Correct Answer
    D. All of the above
    Explanation
    To calculate the flow across the tissue for a given pressure, you need to know the flow conductivity, which determines how easily fluid can flow through the tissue. Additionally, you need to know the thickness of the tissue, as this affects the resistance to flow. Finally, the area of the tissue is also required, as it determines the overall flow capacity. Therefore, all of the options A, B, and C are necessary to calculate the flow across the tissue for a given pressure.

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  • 19. 

    Darcy's law of bulk flow tells us how much water flows through the cornea

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Darcy's law of bulk flow is a principle in fluid dynamics that relates the flow rate of a fluid through a porous medium to the pressure difference across the medium. In the context of the question, it implies that Darcy's law can be used to determine the amount of water that flows through the cornea, which is the clear front surface of the eye. Therefore, the statement is true.

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  • 20. 

    Fluid transport in the cornea requires Na+, Cl- and HCO3-

    • A.

      True

    • B.

      False

    Correct Answer
    A. True
    Explanation
    Fluid transport in the cornea requires Na+, Cl- and HCO3- because these ions play important roles in maintaining the osmotic balance and pH regulation in the cornea. Na+ helps in the active transport of fluid across the corneal endothelium, while Cl- and HCO3- ions are involved in maintaining the electrochemical balance and pH of the corneal stroma. Without these ions, the fluid transport mechanism in the cornea would be disrupted, leading to imbalances in fluid volume and pH, which can affect corneal transparency and function.

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Our quizzes are rigorously reviewed, monitored and continuously updated by our expert board to maintain accuracy, relevance, and timeliness.

  • Current Version
  • Mar 22, 2023
    Quiz Edited by
    ProProfs Editorial Team
  • Sep 26, 2011
    Quiz Created by
    Mchllmijares
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