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

FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – PEDIATRICS/STRABISMUS CHAPTER 5

PEDIATRICS/STRABISMUS – ANSWER

1.The best prophylactic treatment for ophthalmia neonatorum is b. erythromycin ointment

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – PEDIATRICS/STRABISMUS CHAPTER 5

PEDIATRICS/STRABISMUS – 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—the average age of diagnosis is actually 2 years old; rhabdomyosarcoma commonly presents at age 8.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – PEDIATRICS/STRABISMUS CHAPTER 5

PEDIATRICS/STRABISMUS – 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

b.MR recession and IO anteriorization—the correct surgery for the ET is MR recession or LR resection, to fix the V pattern due to oblique overaction the IO muscle is weakened (the rectus muscles are not transposed).

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – PEDIATRICS/STRABISMUS CHAPTER 5

PEDIATRICS/STRABISMUS – ANSWER

4.Goldenhar’s syndrome is not associated with c. hypertelorism

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – PEDIATRICS/STRABISMUS CHAPTER 5

PEDIATRICS/STRABISMUS – ANSWER

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

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – PEDIATRICS/STRABISMUS CHAPTER 5

PEDIATRICS/STRABISMUS – ANSWER

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

b. telecanthus

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – PEDIATRICS/STRABISMUS CHAPTER 5

PEDIATRICS/STRABISMUS – ANSWER

7.Conditions that cause a chin up head posture include all of the following except

c.bilateral SO palsy—patients with this condition usually have IO overaction with a V pattern ET and chin down head position.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – PEDIATRICS/STRABISMUS CHAPTER 5

PEDIATRICS/STRABISMUS – ANSWER

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

d.full time patching of the right eye for 3 weeks—the goal of amblyopia treatment is to force the use of the poorer seeing (amblyopic) eye by limiting the use of the better eye with occlusion or image degradation. The duration of full time occlusion must not exceed 1 week per year of age in order to prevent occlusion (deprivation) amblyopia.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – PEDIATRICS/STRABISMUS CHAPTER 5

PEDIATRICS/STRABISMUS – ANSWER

9.The most appropriate management of neonatal inclusion conjunctivitis is

d.topical erythromycin and oral erythromycin syrup for the neonate, oral doxycycline for the mother—it is important to treat the mother and any sexual partners for chlamydia with oral antibiotics.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – PEDIATRICS/STRABISMUS CHAPTER 5

PEDIATRICS/STRABISMUS – ANSWER

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

c.Kestenbaum—this is a bilateral resection/recession that surgically moves the eyes toward the direction of the head turn to dampen the nystagmus.

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