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

FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – NEURO-OPHTHALMOLOGY CHAPTER 4

NEURO-OPHTHALMOLOGY – ANSWER

3.A “pie-in-the-sky” visual field defect is caused by a lesion in the

c. temporal lobe—adjacent to Meyer’s loop which is part of the optic radiations.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – NEURO-OPHTHALMOLOGY CHAPTER 4

NEURO-OPHTHALMOLOGY – ANSWER

4.Which of the following structures is not associated with vertical gaze

b.PPRF—the paramedian pontine reticular formation is the horizontal gaze center.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – NEURO-OPHTHALMOLOGY CHAPTER 4

NEURO-OPHTHALMOLOGY – ANSWER

5.Besides the optic nerve, in which area is it possible to have a lesion that causes a monocular visual field defect

d.primary visual cortex—the temporal crescent in each visual field is only seen by nasal retina of the ipsilateral eye. This area is located most anteriorly in the primary visual cortex, and it may be the only portion of the visual field spared after occipital lobe damage.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – NEURO-OPHTHALMOLOGY CHAPTER 4

NEURO-OPHTHALMOLOGY – ANSWER

6.Nerve fibers in the optic tract are rotated c. 90 degrees—lower fibers lie laterally.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – NEURO-OPHTHALMOLOGY CHAPTER 4

NEURO-OPHTHALMOLOGY – ANSWER

7.A patient with cortical blindness is least likely to have which of the following findings

a. nystagmus—is not a feature of biliateral occipital lobe damage.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – NEURO-OPHTHALMOLOGY CHAPTER 4

NEURO-OPHTHALMOLOGY – ANSWER

8.Which type of nystagmus is correctly paired with its localizing lesion b. dissociated; posterior fossa

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – NEURO-OPHTHALMOLOGY CHAPTER 4

NEURO-OPHTHALMOLOGY – ANSWER

9.Rapid, chaotic, eye movements in all directions is found in which disorder c. opsoclonus

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – NEURO-OPHTHALMOLOGY CHAPTER 4

NEURO-OPHTHALMOLOGY – ANSWER

10.Which of the following syndromes involves a lesion of CN 6 d. Foville’s—the others are all syndromes of CN 3.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – PEDIATRICS/STRABISMUS CHAPTER 5

PEDIATRICS/STRABISMUS

1.The best prophylactic treatment for ophthalmia neonatorum is

a.silver nitrate solution

b.erythromycin ointment

c.sulfacetamide drops

d.viroptic drops

Answer

2.Which of the following statements regarding neuroblastoma is not correct

a.the average age of diagnosis of orbital neuroblastoma is 8 years old

b.Horner’s syndrome may occur in neuroblastoma

c.neuroblastoma may originate in the adrenal gland, mediastinum, or neck

d.15% of childhood deaths are due to neuroblastoma

Answer

3.A 7 year old boy is found to have an ET which measures 20 prism diopters in upgaze, 30 PD in primary gaze, and 45 PD in downgaze. Inferior oblique overaction is confirmed. The best surgical treatment is

a.MR recession with upward transposition

b.MR recession and IO anteriorization

c.LR resection with upward transposition

d.LR recession with IO anteriorization

Answer

4.Goldenhar’s syndrome is not associated with

a.Duane’s syndrome

b.vertebral anomalies

c.hypertelorism

d.eyelid colobomas

Answer

5.A paralytic can be distinguished from a restrictive muscle disorder by

a.forced duction test

b.3-step test

c.double Maddox rod test

d.4 prism diopter test

Answer

FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – PEDIATRICS/STRABISMUS CHAPTER 5

6.Crouzon’s syndrome is associated with all of the following ophthalmic findings except

a.optic atrophy

b.telecanthus

c.nystagmus

d.exotropia

Answer

7.Conditions that cause a chin-up position include all of the following except

a.V pattern XT

b.double elevator palsy

c.bilateral SO palsy

d.A pattern ET

Answer

8.A 5 year old child with an amblyopic left eye is best treated with

a.part time patching of the left eye for 4 weeks

b.atropinization of the right eye for 6 weeks

c.optical degradation of the left eye for 5 weeks

d.full time patching of the right eye for 3 weeks

Answer

9.The most appropriate management of neonatal inclusion conjunctivitis is

a.topical erythromycin ointment only

b.topical erythromycin and oral erythromycin syrup

c.topical erythromycin for the neonate, oral erythromycin for the mother

d.topical erythromycin and oral erythromycin syrup for the neonate, oral doxycycline for the mother

Answer

10.The best procedure to dampen nystagmus in a patient with nystagmus and a head turn is

a.Harado Ito

b.Faden suture

c.Kestenbaum

d.Knapp

Answer