Ohp II Mt 1 (Excluding Red Eye)

61 Questions | Total Attempts: 49

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Eye Quizzes & Trivia

Gonio + Lacrimal System + FB (red eye excluded)


Questions and Answers
  • 1. 
    Name the 4 things that must be recorded for gonio.
  • 2. 
    Name the 3 components of the classic triad for pigment dispersion syndrome (PDS).
  • 3. 
    If you give your pt collagen plugs and the report back that their eyes felt WORSE during the last week, what might this indicate?
  • 4. 
    Under what FB conditions would you immediately refer to an OMD?
  • 5. 
    Indicate all of the 'classic signs' of angle closure.
    • A. 

      Pain

    • B. 

      Redness

    • C. 

      Aqueous discharge

    • D. 

      Halos

  • 6. 
    Indicate all the contraindications for gonio.
    • A. 

      Hyphema

    • B. 

      Compromised cornea

    • C. 

      Neovascularization of the iris

    • D. 

      Perforation/lacerations

    • E. 

      Hypopyon

    • F. 

      Hyphema

    • G. 

      Any history of refractive surgery

  • 7. 
    Indicate all the indications for gonio.
    • A. 

      History of blunt trauma

    • B. 

      Evaluation of iris contour changes

    • C. 

      Lacerations

    • D. 

      Determine presence of angle closure or open angle glc

    • E. 

      Rule out neovascularization of the iris

    • F. 

      Ciliary body spasms

  • 8. 
    Compression gonio should NOT be performed on a pt that you suspect has synechiae because the excess force of this procedure could worsen the situation
    • A. 

      True

    • B. 

      False

  • 9. 
    What type of lens and what type of pt is direct gonio most often used for?
    • A. 

      4 mirror; children

    • B. 

      3 mirror; children

    • C. 

      Koeppe Lens; geriatrics

    • D. 

      Koeppe Lens; children

  • 10. 
    How does compression/indentation gonio affect IOP in angle closure attack?
    • A. 

      Lowers IOP

    • B. 

      Raises IOP

    • C. 

      May or may not affect IOP

  • 11. 
    Your pt has a phacomorphic lens and a bowed iris.  You want to evaluate the SUPERIOR angle but your view is very limited.  What would you do to get a better view?
    • A. 

      Tilt/slide lens inferiorly

    • B. 

      Tilt/slide lens superiorly

    • C. 

      Have pt look up

    • D. 

      Have pt look down

    • E. 

      A and c

    • F. 

      B and d

  • 12. 
    The ciliary body is generally _____ wide. 
  • 13. 
    If the ciliary body is wider than normal, what might this indicate?
    • A. 

      Angle closure

    • B. 

      Peripheral synechiae

    • C. 

      Angle recession

    • D. 

      Neovascularization of the CB

  • 14. 
    What structure is considered the filtering portion of the angle?
    • A. 

      Scleral spur

    • B. 

      Non-pigmented trabecular meshwork

    • C. 

      Pigmented trabecular meshwork

    • D. 

      Ciliary body

  • 15. 
    The pigmented trabecular meshwork is more posterior than the non-pigmented
    • A. 

      True

    • B. 

      False

  • 16. 
    Indicate what circumstances will result in DECREASED pigmentation of the trabecular meshwork.
    • A. 

      Aging

    • B. 

      Pregnancy

    • C. 

      Ligher irises

  • 17. 
    Schwalbe's Line can be defined by:
    • A. 

      Termination of Descemet's

    • B. 

      Posterior limit of the angle wall

    • C. 

      Anterior limit of the angle wall

    • D. 

      Aka Sampaolesi's Line

    • E. 

      More than one of the above

  • 18. 
    What is the term for an anteriorly displaced Schwalbe's Line?
    • A. 

      Mackenzie Dase

    • B. 

      Zetmeyer's Line

    • C. 

      Posterior embryotoxin

    • D. 

      Anterior embryotoxin

  • 19. 
    The CB and TM can be differentiated by the fact that the TM has a more homogenous pigmentation
    • A. 

      True

    • B. 

      False

  • 20. 
    Your staff doc wants you to do gonio on your patient and to report back using the Becker-Shaffer grading scale.  The most posterior structure that you see is the anterior TM.  What grade do you give this angle?
    • A. 

      4

    • B. 

      3

    • C. 

      2

    • D. 

      1

    • E. 

      0

  • 21. 
    If you view through the gonio lens is steamy, what is this likely due to?
    • A. 

      Ocular sex per Dr. Sendrowski

    • B. 

      Not enough fluid

    • C. 

      Too much fluid

    • D. 

      Corneal inflammation

  • 22. 
    What central AC depth is a concern for angle closure? ____ mm
  • 23. 
    Indicate what features are at higher risk for angle closure.
    • A. 

      Larger corneal diameter

    • B. 

      Thick lens

    • C. 

      Flat anterior lens

    • D. 

      Short axial lengths

    • E. 

      Hyperopes

  • 24. 
    What angles are the best to evluate for chronic angle closure?
    • A. 

      Superior

    • B. 

      Inferior

    • C. 

      Temporal/nasal

    • D. 

      'corner's (45 deg)

  • 25. 
    Wher does chronic angle closure occur first?
    • A. 

      Superior

    • B. 

      Inferior

    • C. 

      Temporal/nasal

    • D. 

      Corners