Ophthalmology

Front 1

Weakest part of orbit?

Back 1

Orbital floor

Medial wall

Front 2

C/f of open globe injury?

Back 2

1- extrusion of vitreous

2- Dec IOP

3- Eccentric or tear drop pupil

4- RAPD

5- Dec visual acquity

Front 3

Management of open globe injury?

Back 3

1- opthalmic referral

2- eye shield

3- CT scan of eye

4- IV Abx

5- tetanus ppx

Front 4

In absence of clear wound, open globe injury may be inferred from?

Back 4

1- tear drop pupil

2- Inc/Dec ant chamber depth

3- Dec IOP

Front 5

Complications of open globe injury?

Back 5

1-Endophthalmitis

2- post traumatic cataract

3- vision impairment

Front 6

Transient vision loss lasting few seconds with head position changes. Dx?

Back 6

Papilledema

Front 7

Recurrent/persistent chalazion needs r/o?

Back 7

Meibomian gland carcinoma

BCC

Front 8

Rx of Stye?

Back 8

1- 4 warm compresses each for 15 min/day

2- I & D

3- bacitracin/erythromycin ointment

Front 9

Chalazion Rx?

Back 9

1- warm compresses

2- Steroid injection

3- I&D

Front 10

Rx of dacrocystitis?

Back 10

Systemic Abx

1-mild=> oral clindamycin

2- severe=> IV Vanc+ 3rd gen CPS

Front 11

Red flags that suggest dx other than conjunctivitis?

Back 11

1- copious purulent discharge

2- corneal opacity

3- foreign body sensation

4- photophobia

5- ciliary flush

6- fixed/distorted pupil

7- trouble keeping eye open

8- severe HA with nausea

Front 12

Causes of bacterial conjunctivitis in adults?

Back 12

S.aureus

Front 13

Causes of bacterial conjunctivitis in children?

Back 13

H influenza

S. pneumoniae

M.catarrhalis

Front 14

Rx of bacterial conjunctivitis?

Back 14

Front 15

Rx of viral conjunctivitis?

Back 15

Front 16

Rx of allergic conjunctivitis?

Back 16

Front 17

Drops CI in viral conjunctivitis?

Back 17

Prednisolone

Front 18

MCC of contact lens associated keratitis?

Back 18

Pseudomonas

Serratia

Front 19

MCC of corneal blindness ?

Back 19

HSV keratitis

Front 20

P/E in HSV keratitis?

Back 20

Corneal vesicles

Dendritic ulcers

Front 21

Typical px of sympathetic ophthalmia?

Back 21

Anterior uveitis in contralat eye after traumatic injury to other eye

Front 22

Episcleritis associated with?

Back 22

RA

IBD

Front 23

Dd of retinopathy in AIDS?

Back 23

1-HIV retinopathy

2- HSV/VZV retinitis

3- CMV retinitis

4- toxoplasma chorioretinitis

5- syphilitic chorioretinitis

Front 24

Test performed for MD?

Back 24

Grid test

Front 25

Normal IOP?

In glaucoma?

Back 25

1- 8-21 mmhg

2- 40-70 mmhg

Front 26

Rx of acute angle closure glaucoma?

Back 26

Acetazolamide/mannitol can be used alternatively

5- pain control & vomiting control

6- permanent cure=> iridotomy/ iridectomy

Front 27

Drugs CI in acute angle closure glaucoma?

Back 27

Agents that cause mydriasis

1- decongestant

2- anti choli

Front 28

Wu in acute angle closure glaucoma?

Back 28

1- ophth referral

2- gonioscopy=> gold standard

3- tonometry

Front 29

1- Epidemiology of open angle glaucoma?

2- prevention?

Back 29

1- blacks+ fhx of DM & Glaucoma

2- annual exam in high risk population

Front 30

Rx of open angle Glaucoma?

Back 30

1-PGs=> latanoprost, bimatoprost

2- BBs=> Timolol

3- laser trabeculoplasty

4- still sx=> surg trabeculectomy

Front 31

1- Cup to disc ratio in normal?

2- in glaucoma?

Back 31

1- < 0.5

2- > 0.6

Front 32

1- Most imp cause of post traumatic endophthalmitis?

2- MCC in post-operative endophthalmitis?

Back 32

1- B cereus

2- coagulase neg S aureus

Front 33

PE IN post-op endophthalmitis?

Back 33

1- Swollen eyelids+ conjunctiva+ cornea

2- hypopyon

Front 34

1- Endophthalmitis is infection of ?

2- post op version px within?

Back 34

1- inner of eye esp vitreous

2- 6 wks of surg

Front 35

Rx of Endophthalmitis?

Back 35

1- intravitreal Abx

2- vitrectomy

Front 36

Rx of CMV retinitis?

Back 36

1- oral Abx=> valganciclovir

2- if Lesion near fovea or optic N=> add intravitreal injection

Front 37

HIV retinopathy px?

Back 37

Cotton wool spots that are rarely hemorrhagic

Front 38

Retinitis in HIV pt in

1- vascular region

2- non-vascular region

Back 38

1- CMV

2- Toxo

Front 39

MCC of viral conjunctivitis?

Back 39

Adeno virus

Front 40

Normal pupil size?

Back 40

In light => 2-4 mm

In dark=> 4-8 mm

Front 41

1- Causes of corneal abrasion?

2- px?

Back 41

Front 42

Rx of corneal abrasion?

Back 42

Front 43

Painless corneal ulcer/abrasion.

Dx?

Back 43

CN 5 dysfunction due to

1- tumor

2- trauma

3- prior zoster infection

Front 44

Condition associated with?

1- myopia

2- hyperopia

Back 44

1- RD

2- angle closure glaucoma