Ophthalmology - Abo/okap - Peds

Front 1

Kawasaki's (5)

Back 1

Vasculitis
Uveitis
hands/feet/Mucous membranes
Fever (freqently "of unknown origin")
Treat with asprin (not with steroids)

Front 2

Optically empty vitreous
ID 4 disorders

Back 2

Wagners vitreoretinal distrophy
Sticklers syn
Goldman-Favre
Jansen's Dz

Front 3

1. List common causes of ophthalmia neonatorum
2. Which is the most common?

Back 3

1. Chlamydia, Neisseria gonorrhea, herpes simplex, Staph, Strep, haemophilus
2. Chlamydia

Front 4

Hereditary pattern for anterior megalophthalmos?

Back 4

X-linked recessive

Front 5

Most common cause of neonatal bilateral nuclear cataracts?

Back 5

hereditary autosomal dominant

Front 6

Pisciform flecks of the RPE
Onset first 2 decades
decreased vision, nyctalopia

Back 6

Stargardt's Dz
Also most common hereditary Mac degen, AR > AD, dark choroid on IVF, Bull's-eye maculopathy

Front 7

Abnormal disc with glial proliferation and retinal folds

Back 7

Morning glory disc. Also can have RD

Front 8

What Chromosome is involved with retinoblastoma

Back 8

13q14. Knudsen's Two hit hypothesis.

Front 9

Name five d/o's that cause hyphema in children

Back 9

JXG, PHPV, Coats', RB, leukemia

Front 10

Which is a Low-flow and high-flow vascular hemangiomas?

Back 10

low-flow = cavernous (one way in or out)
high-flow = capillary

Front 11

Describe the Bruckner test

Back 11

red reflex in a DEVIATED eye is brighter than fixated eye

Front 12

When do you give bifocals for esodeviations?

Back 12

1. Pt must be fused at distance with correction (ET with full correction at distance requires surgery).
2. Still ET' with full hyperopic correction.

Front 13

determine a true from a psuedo divergence excess

Back 13

XT>XT'
Patch for 30 min (keep unfused) remeasure. If XT=XT' it is psuedo, if still >10PD difference it is true

Front 14

1. Frequency of high AC/A ratio in true divergence insufficiency?
2. How do you test for this?
3. Why are we concerned about this?

Back 14

1. 60%
2. +3.0 D for near after patching. If XT worsens by >20PD it is a high AC/A
3. Individuals with high AC/A have 75% overcorrection rate with full surgical correction. It's important to warn the patient/parent of the need for subsequent bifocals.

Front 15

During pediatric surgery, tachycardia, increased end-tidal CO2, unstable BP, tachypnea, sweating, and cyanosis occur. Dx?
2. Late sign and Tx?

Back 15

Malignant hyperthermia
2. elevated temperature and Dantrolene

Front 16

Nystagmus that dampens with convergence, increasing slow phase velocity, has reversal of OKN response, no change with covering one eye
What are the associations?
Is there oscillopsia?
Tx?

Back 16

Congenital nystagmus.
1. any d/o causing decreased VA
2. no
3. base out prism

Front 17

1. Nystagmus with head nodding/bobbing & torticollis
2. Describe movement.
3. What must be done in w/u?

Back 17

1. Spasmus Nutans
2. fine rapid monocular or asymmetric eye movements
3. Neuroimaging to r/o tumor.

Front 18

1. Nystagmus with normal vision that worsens when tested individually
2. Associations?
3. null point?

Back 18

1. latent nystgmus
2. DVD, congenital ET
3. null point in adduction1

Front 19

what is the equation to calculate AC/A ratio using the heterphoria method?

Back 19

IPD + [(N - D)/diopt]
IPD is in cm

Front 20

What is the most common congenital infection?

Back 20

CMV

Front 21

which test gives the best dissociation

Back 21

Worth 4 dot

Front 22

1. Describe the normal response to the 4 PD base out test
2. What d/o do we use this test and what are the findings

Back 22

1. eye turns then refixates.
2. Monofixation syndrome.
Placed infront of NL eye: no refixation
Placed infront of abnl eye: no initial eye turn.

Front 23

How do you test for ARC?

Back 23

Afterimage test or bagolini Lenses.

Front 24

In rhabdomyosarcoma
1. Most common
2. worst prognosis
3. best prognosis
4. Least common

Back 24

1. embryonal
2. alveolar
3. pleomorphic
4. pleomorphic

Front 25

Reason for shallow AC in infants

Back 25

relatively large lens

Front 26

What does the Resse- Ellsworth classification identify

Back 26

Visual outcome following Tx for retinoblastoma

Front 27

Classic triad for Hans-Schuller-Christian Dz

Back 27

diabetes insip, lytic skull lesions, proptosis

Front 28

What is the gender preference for myelinated nerve fiber layers?

Back 28

M>F

Front 29

"starry sky" histopath eval
1. Dx?
2. describe the cellular aspect

Back 29

1. Burkitt's Lymphoma
2. histiocytes scatted amidst a monontonous background of lymphocytes

Front 30

Opsoclonus or dancing eyes is associated with which pediatric neoplasm

Back 30

metastatic neuroblastoma

Front 31

Schwannoma
1. Histo
2. Types
3. synonym

Back 31

1. proliferation of schwan cells
2. Antoni A (organized pattern) & B (disorganized pattern)
3. neurilemomas

Front 32

Retinoblastoma:
1. parent with personal h/o bilat RB, what is their chrom makeup and chance of transmision?
2. penatrence of abnormal gene?
3. chance of another child Dx with RB if 1 child has BL RB & nl parents?

Back 32

1. 1 abnl chrom 13, 50% of transmision (40% chance of child with RB)
2. 80%
3. 6%

Front 33

1. Lower lid coloboma, antimongoloid slant, abnormal ears/hearing, narrow jaw & orbital rim defects. Dx?
2. Inheritance?

Back 33

1. Treacher Collins' syndrome
2. AD

Front 34

potential ocular findings in craniosynostoses

Back 34

papilledema, exposure keratitis, tortuous retinal vessels, ONH atrophy

Front 35

Immune abnormalities in ataxia-telangiectasia

Back 35

thymus hypoplasia, IgA deficiency

Front 36

percentage of patients that with Sturge-Weber syndrome with cerebellar hemangioblastomas

Back 36

20%

Front 37

Which system should be probed first in NLDO?

Back 37

Superior. More mobile and less issues if a false passage is created.

Front 38

CHARGE syndrome

Back 38

Coloboma
Heart defects
Atresia choanae
retarded growth
genital anomalies
ear anomalies and deafness

Front 39

conjunctivitis without perilimbal flush

Back 39

Kawasaki's

Front 40

11p syndrome also known as
inheritence

Back 40

WAGR
sporadic

Front 41

small flat discoid lens

Back 41

Lowe's syndrome

Front 42

Hermansky-Pudlak and Chediak - higashi syndromes are Tyrosinase + or -?

Back 42

tyrosinase +

Front 43

Infant with intraocular cartalige in ciliary body

Back 43

Trisomy 13 (patau syn)

Front 44

Describe the relationship between palpebral fissue and muscle surgery on the sup and inferior recti

Back 44

Recession pulls the recti back and widen the PF, resection will pull the recti forward and narrow the PF

Front 45

Eye muscle with the shortest muscle belly

Back 45

SO

Front 46

How many degrees should you abduct the eye to maximize the primary action of the SR or IR?

Back 46

23 degrees