Clinical Exam Eye Chapter

Front 1

What is associated with unilateral headaches?

Back 1

Migrane and cluster headaches

Front 2

Where do tension headaches arise from?

Back 2

Temporal areas

Front 3

Where might cluster headaches be?

Back 3

Retro-orbital

Front 4

Nausea and vomiting are common with what?

Back 4

Migraines, but may also occur with brain tumors

Front 5

Coughing or sneezing can make what worse?

Back 5

Brain tumors and acute sinusitis

Front 6

If a person has chronic daily headaches and is taking symptomatic medications, what is this a sign of?

Back 6

Medication overuse

Front 7

hyperopia

Back 7

farsightedness (hard to see close objects)

Front 8

presbyopia

Back 8

aging vision

Front 9

myopia

Back 9

nearsightedness (hard to see far objects)

Front 10

Sudden unilateral vision loss that is painless

Back 10

Could be vitreous hemorrhage from diabetes or trauma, macular degeneration, retinal detachment, retinal vein occlusion, or central artery occlusion.

Front 11

Sudden painful unilateral vision loss

Back 11

Usually in the cornea and anterior chamber; corneal ulcer, uveitis, traumatic hyphema, and acute glaucoma

Front 12

Sudden bilateral painless vision loss

Back 12

Medications that change refraction such as cholinergics, anticholinergics, and steroids

Front 13

Sudden bilateral painful vision loss

Back 13

Chemical or radiation exposures

Front 14

Gradual bilateral vision loss

Back 14

Cataracts or macular degeneration

Front 15

Slow central loss in visual field

Back 15

Nuclear cataract, macular degeneration

Front 16

Peripheral loss in visual field

Back 16

Advanced open-angle glaucoma

Front 17

One-sided visual field loss

Back 17

Hemianopsia and quadrantic defects

Front 18

Moving specks or strands

Back 18

vitreous floaters

Front 19

Fixed defects

Back 19

Lesions in the retina or visual pathways

Front 20

Flashing or new vitreous floaters

Back 20

Detachment of vitreous from retina

Front 21

Diplopia

Back 21

Arises from a lesion in the brainstem or cerebellum, or from weakness or paralysis of one or more extraocular muscles

Front 22

Horizontal Diplopia

Back 22

Palsy of CN 3 or 6

Front 23

Vertical Diplopia

Back 23

Palsy of CN 3 or 4

Front 24

Diplopia with one eye closed

Back 24

Problem in cornea or lens

Front 25

Fine hair at the eyebrows accompanies what?

Back 25

Hyperthyroidism

Front 26

Coarse hair at the eyebrows is found in what?

Back 26

Hypothyroidism

Front 27

What does 20/200 mean?

Back 27

That at 20 feet, a person could read print that a normal person could read at 200 feet

Front 28

Patient cannot see fingers until they cross gaze

Back 28

Left or Right temporal hemianopsia

Front 29

Loss of right nasal field and left temporal field

Back 29

homonymous hemianopsia

Front 30

Loss of vision on both temporal fields

Back 30

Bitemporal hemianopsia

Front 31

Loss of vision in an upper quadrant

Back 31

Quadrantic Defects

Front 32

Enlarged blind spot

Back 32

Happens in conditions affecting the optic field, such as glaucoma, optic neuritis, and papilledema

Front 33

Abnormal protrusion

Back 33

Graves' disease or ocular tumors

Front 34

Eyebrows are scaly

Back 34

seborrheic dermatitis

Front 35

Red inflamed lid margins, often with crusting

Back 35

Blepharitis

Front 36

What happens when the eyelids can't close?

Back 36

The corneas get exposed to serious damage

Front 37

Increased production of tears

Back 37

conjunctival inflammation, corneal irritation

Front 38

Impaired drainage of tears

Back 38

ectropion, nasolacrimal duct obstruction

Front 39

Yellow sclera

Back 39

Jaundice

Front 40

Local redness in sclera

Back 40

Nodular episcleritis, rheumatoid arthritis, SLE

Front 41

The iris bows abnormally forward; this increases the risk for what?

Back 41

Narrow angle glaucoma

Front 42

Miosis

Back 42

constriction of pupils

Front 43

Mydriasis

Back 43

Dilation

Front 44

Asymmetry of corneal reflection

Back 44

Deviation of normal ocular alignment

Front 45

Poor convergence

Back 45

Hyperthyroidism

Front 46

Contraindications for mydriatic drops

Back 46

Head injury and coma; any suspicion of narrow angle glaucoma

Front 47

Absence of the red reflex

Back 47

Opacity of the lens, or possibly the vitreous; occasionaly detached retina

Front 48

Loss of venous pulsations in the fundoscopic exam in head trauma, meningitis, and mass lesions

Back 48

Early sign of elevated intracranial pressure

Front 49

Macular degeneration types

Back 49

Atrophic (more common and less severe) and wet exudative. Might see drunsen

Front 50

Superficial Retinal hemorrhages are seen in what diseases?

Back 50

Severe hypertension, pailledema, and occlusion of the retinal vein.

Front 51

What might be a cause of a preretinal hemorrhage?

Back 51

Intracranial pressure

Front 52

Microaneurysms can result from what?

Back 52

Diabetic Retinopathy

Front 53

What is neovascularization from?

Back 53

Diabetic Retinopathy