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

FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – GLAUCOMA CHAPTER 9

GLAUCOMA – ANSWER

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

b.Herpes simplex iridocyclitis–iridocyclitis usually causes reduced intraocular pressure, but HSV is associated with a paradoxical elevated intraocular pressure.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – GLAUCOMA CHAPTER 9

GLAUCOMA – ANSWER

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

d.Trusopt—pilocarpine and carbachol are strong miotic drops, and alphagan causes a milder degree of pupillary constriction.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – GLAUCOMA CHAPTER 9

GLAUCOMA – ANSWER

5.Which topical beta-blocker does not worsen a patient’s serum lipid profile by decreasing the HDL levels

a. carteolol—this drop is the only beta-blocker that increases serum HDL.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – GLAUCOMA CHAPTER 9

GLAUCOMA – ANSWER

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

b.steroid response—it usually takes more than a week for a steroid response to occur.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – GLAUCOMA CHAPTER 9

GLAUCOMA – ANSWER

7.Malignant glaucoma occurs when

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

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – GLAUCOMA CHAPTER 9

GLAUCOMA – ANSWER

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

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – GLAUCOMA CHAPTER 9

GLAUCOMA – ANSWER

9.Which of the following is characteristic of ICE syndrome b. elevated intraocular pressure

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – GLAUCOMA CHAPTER 9

GLAUCOMA – ANSWER

10.Patients with pseudoexfoliation and cataracts should be advised that

a. Pseudoexfoliation is a risk factor for elevated intraocular pressure

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – ANTERIOR SEGMENT CHAPTER 10

ANTERIOR SEGMENT

1.Pigment dispersion syndrome is

a.more common in sedentary, elderly females

b.associated with a 90% chance of progressing to pigmentary glaucoma within 5 years of presentation

c.treated with immediate pepripheral iridectomy to prevent rapid onset of pigmentary glaucoma

d.associated with increased pigment deposition in the angle

Answer

2.A suspicious pigmented iris lesion near the angle appears to have grown over the previous year. The most appropriate management is

a.immediate surgical resection

b.photodocumentation and ultrasonography

c.Nd:YAG laser photodisruption

d.fine needle aspiration

Answer

3.Which of the following statements regarding Marfan’s syndrome is true

a.its inheritance pattern is autosomal recessive

b.it is associated with an increased risk of ectopia lentis with subluxation of the crystalline lens inferiorly

c.it is necessary to have a cardiac examination on a regular basis

d.it is not associated with an increased risk of retinal detachment

Answer

4.Patients with homcystinuria

a.have a normal life expectancy

b.have early loss of accommodation

c.have ectopia lentis in their 40’s

d.have short stature and stubby fingers

Answer

FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – ANTERIOR SEGMENT CHAPTER 10

5.Cohesive viscoelastics offer an advantage over dispersive viscoelastics in which phase of cataract surgery

a.superior maintenance of the anterior chamber during keratome entry

b.better control of the capsulorrhexis with less likelihood of the tear extending peripherally

c.more protection of the corneal endothelial during phacoemulsification

d.easier removal after intraocular lens placement

Answer

6.An expulsive suprachoroidal hemorrhage is most likely to occur during which of the following surgeries

a.Trabeculectomy with mitomycin-C

b.Penetrating keratoplasty

c.Secondary anterior chamber IOL insertion through a 6 mm incision

d.Scleral tunnel phacoemulsification through a 3.5 mm incision

Answer

7.Copper deposition in the lens capsule (chalcosis lentis)

a.does not typically occur in Wilson’s disease

b.may occur in patients with a Kayser-Fleischer ring

c.is not associated with multiple myeloma

d.makes the lens appear copper-colored

Answer

8.Myotonic dystrophy

a.is inherited in an autosomal recessive fashion

b.does not affect the retinal appearance

c.is associated with a Christmas tree cataract

d.is linked to chromosome 13

Answer

9.Weill-Marchesani syndrome is characterized by all of the following except

a.high hyperopia

b.microspherophakia

c.short stature

d.ectopia lentis

Answer