Ординатура / Офтальмология / Английские материалы / Review of Ophthalmology Supplemental questions_Friedman_2005

FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – UVEITIS CHAPTER 8

UVEITIS – ANSWER

5. Three months after cataract surgery, a patient returns with low grade uveitis. A white plaque is noted on the posterior capsule. The most likely cause of this condition is b. gram-positive anaerobic rod—this scenario is most suggestive of chronic

endopthalmitis due to Proprionibacterium acnes.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – UVEITIS CHAPTER 8

UVEITIS – ANSWER

6. The lesions of multiple evanescent white dot syndrome (MEWDS) are best described as

b. granular retinal appearance with small (100-200 m) white spots at level of

RPE

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – UVEITIS CHAPTER 8

UVEITIS – ANSWER

7. A patient with which of the following intraocular infections has the best prognosis for survival

b. Acute retinal necrosis (ARN)—ARN occurs in healthy individuals while the other infections occur in immunocompromised patients.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – UVEITIS CHAPTER 8

UVEITIS – ANSWER

8. Which of the following conditions that can cause uveitis is not commonly associated with oral lesions

d. Fuchs’ heterochromic iridocyclitis

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – UVEITIS CHAPTER 8

UVEITIS – ANSWER

9.Fuchs’ heterochromic iridocyclitis is

c. characterized by diffuse small white stellate KP

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – UVEITIS CHAPTER 8

UVEITIS – ANSWER

10.The test that would be least helpful in the work-up of a patient with a granulomatous uveitis is

c. HLA-B27—is associated with disorders causing nongranulomatous uveitis.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – GLAUCOMA CHAPTER 9

GLAUCOMA

1.Central corneal thickness is an important measurement for glaucoma patients because

a.Prostaglandin analogues work better in patients with thin corneas

b.Intraocular pressure can appear artificially elevated in thin corneas

c.Intraocular pressure can appear artificially low in corneas with a thickness of 470 microns

d.Thicker corneas respond better to selective laser trabeculoplasty

Answer

2.Chronic use of which medication is most likely to cause a steroid response

a.Fluorometholone 0.1%

b.Loteprednol 0.5%

c.Dexamethasone 0.1%

d.Rimexilone 1%

Answer

3.Elevated intraocular pressure and a red eye is most likely to occur with

a.Pseudomonas corneal ulcer

b.Herpes simplex iridocyclitis

c.Adenovirus conjunctiivits

d.Sarcoid-related uveitis

Answer

4.Which of the following medications is least likely to alter pupil size

a.Pilocarpine

b.Carbachol

c.Alphagan

d.Trusopt

Answer

5.Which topical beta-blocker can worsen a patient’s serum lipid profile by decreasing the HDL levels

a.carteolol

b.timolol

c.optipranolol

d.betaxalol

Answer

FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – GLAUCOMA CHAPTER 9

6.Three days after uncomplicated cataract surgery, a patient is found to have an IOP of 27 mm Hg. The least likely cause of this elevated pressure is

a.malignant glaucoma

b.steroid response

c.retained viscoelastic

d.pupillary block

Answer

7.Malignant glaucoma occurs when

a.patients with malignant melanoma have metastases to the eye

b.patients who undergo intraocular surgery develop misdirection of aqueous flow

c.patients who undergo vitrectomy develop a vitreous hemorrhage

d.patients have an intraocular pressure higher than 50 mm Hg

Answer

8.An increased risk of developing POAG exists in a patient of which race

a.Native American

b.Asian

c.Caucasian

d.African American

Answer

9.Which of the following is characteristic of ICE syndrome

a.typically bilateral

b.elevated intraoclar pressure

c.open angles without PAS

d.more common in men

Answer

10.Patients with pseudoexfoliation and cataracts should be advised that

a.Pseudoexfoliation is a risk factor for elevated intraocular pressure

b.There is a reduced risk of vitreous loss during cataract surgery

c.Cataract surgery will cure the pseudoexfoliation

d.Cataract surgery is considered dangerous and should be avoided

Answer

FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – GLAUCOMA CHAPTER 9

GLAUCOMA – ANSWER

1.Central corneal thickness is an important measurement for glaucoma patients because

c. Intraocular pressure can appear artificially low in corneas with a thickness of 470 microns—less than 550 microns is considered a thinner than normal cornea.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – GLAUCOMA CHAPTER 9

GLAUCOMA – ANSWER

2.Chronic use of which medication is most likely to cause a steroid response c. Dexamethasone 0.1%

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