An ophthalmologist is a medical or osteopathic doctor who specializes in eye and vision care. Ophthalmologists differ from optometrists and opticians in their levels of training and in what they can diagnose and treat.
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3-5 YOA
6-18 YOA
40-60 YOA
18-40 YOA
6 months old or younger
61 YOA or older
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True
False
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NOOOOOO!
YUSSSSS!!
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50-70%
15-20%
10%
80-90%
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8mm
14mm
12mm
10mm
0.8mm
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+20.0D
+17.0D
+30.00D
-20.0D
-23.00D
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Decrease plus
Decrease minus
Increase plus
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Jim is way too close
Jim is way too far away
He has dialed up too much power
Jim hasn't dialed in enough power
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Idiopathic intracranial hypertension
Tilted disc
High myopia
ONH drusen
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Degeneration of the short posterior ciliary artery
Degeneration of the long posterior ciliary artery
Degeneration of the anterior ciliary artery
Degeneration of the central retinal artery
Degeneration of the central retinal vein
Degeneration of the choriocapillaris
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Reduced BVCA
APD
VF defect
Color desaturation
Compromised circulation
Ptosis
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OS ONH notch @ 6:00
OD ONH notch @ 6:00
OS ONH notch @ 3:00
OD ONH notch @ 3:00
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The vertical limits
The horizontal limits
The inferior and superior apexes of the "kidney bean" shape
Just call itg glaucoma and send them on their way
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0.3h x 0.3v
0.6h x 0.6v
0.9h x 0.9v
0.1h x 0.3v
True
False
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Hollenhorst plaque; impending stroke
Calcific plaque; impending strokeÂ
Fibrin plaque; impending embolisÂ
Hollenhorst plaque; impending heart attack
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Snorting of talcum powder laced cocaine
Snorting of pure cocaine
Snorting pixie sticks
Using talcum powder on their rump as a weeeee little baby
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Central retinal artery occlusion
Central retinal vein occlusion
Branch retinal vein occlusion
Hypertensive retinopathy
Diabetic macular edema
Cherry red spot
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Fluffier
Sharper
More distinct
More circular
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Perifovea, parafovea, fovea, and foveola
Parafovea, fovea, and foveola
Perifovea, fovea, and foveola
Posterior pole, perifovea, parafovea, fovea, foveola
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0.35
1.5
5.5
2
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Photoreceptor layer
ILM
ONL
IPL
OPL
INL
NFL
GCL
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Option 1
Option 2
Option 3
Option 4
Option 5
Option 1
Option 2
Option 3
Option 4
Option 5
Option 1
Option 2
Option 3
Option 4
True
False
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Yes
No
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Yes
No
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Absolutely
No
Ehhhh maybe she doesnt want to be dilated
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Some patient with glaucoma may have IOP <21mmHg
Some patients with glaucoma have IOP >21mmHg
It is not high enough
It is not low enough
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3.06mm
6.00mm
3.06cm
0.306mm
1.5mm
3.00mm
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Rotate the prism tip so the holder's red line is lined up with the 45o mark on the prism tip
Rotate the prism tip so the holder's white line is lined up with the 45o mark on the prism tip
Rotate the slit lamp oculars to make a 45o angle with the eye
Rotate the prism tip so the 180o mark lines up with the 45o axis of Jim's eye
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Move to the right, and slightly up
Move to left, and slightly up
Move to the left, and slightly down
Move to the right and slightly down
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Diurnal variation
The patient doesn't have glaucoma
The patient is apprehensive
The patient isn't taking their drops regularly
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Lower today
Higher today
The same
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Jim, you suspect Jim may have the early stage primary open angle glaucoma. unfortunately you do not have the appropriate diagnostic equipment at your clinic. you send jim to another physician to have an evaluation for glaucoma with notes for Jim to return to your office for continued care.
Karen, you suspect Karen has advanced exudative age-related macular degeneration. After your conversation with Karen the decision is made to go to a local ophthalmologist for avastin injections every 4 weeks.
Bob has early signs of cataracts. After you explain your findings and the significance, BOB is pissed about the news and decides to go another doctor for a second opinion
Jack has early cataracts. after you explain your findings and significance, Jack respectfully asks for his records and if there is another optometrist in the area that you trust, so he could get a second opinion. you give him the information of a colleague and he explains that he will be back in a year just like always
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Refraction with Rx given to pt
Binocular vision screening
IOP
Anterior segment
Visual fields
Dilation
OCT
Option 8
Diagnostic refraction (no Rx given)
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92015, 92014
92015
92015, 92004
92004
92014, 92014
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OD red and irritated
My right eye is red and irritated
OD InjectionÂ
OD red and irritated x 3 days, intermittent, entire day (when occurs), computer makes it worse, closed eyes help, 8 of 10 pain scale
Problem-focused exam
Complete exam
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4
6
1
3
5
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2dd
5dd
1dd
3dd
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Increasing working distance
Maximizing pupil
Decreasing working distance
Having a myopic patient wear their glasses
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Decrease
Increase
Refractive error plays no part in field of view
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Increase
Decrease
Not change
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78D
90D
60D
20D
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Increase, decrease
Decrease, increase
Increase, increase
Decrease, decrease
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Choroidal melanoma
Retinal nerve fiber layer
Blood vessels
Choroidal nevi
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Up and to the right
Down and to the right
Up and to the left
Down and to the left
Up and towards your nose
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