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

FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – ORBIT/LIDS/ADNEXA CHAPTER 6

ORBIT/LIDS/ADNEXA

1.The most common cause for failure of a DCR is obstruction at which site

a.common canaliculus

b.nasolacrimal sac

c.nasolacrimal duct

d.valve of Hasner

Answer

2.The least effective treatment of Kaposi’s sarcoma of the eyelid is

a.chemotherapy

b.cryotherapy

c.radiotherapy

d.surgical excision

Answer

3.A patient with a facial nevus flameus involving the eyelids would be likely to have which eye finding

a.choroidal astrocytic hamartoma

b.choroidal hemangioma

c.retinal angioma

d.retinal cavernous hemangioma

Answer

4.The most common orbital tumor found in children is

a.capillary hemangioma

b.rhabdomyosarcoma

c.neuroblastoma

d.optic nerve glioma

Answer

5.A 37 year old obese man with sleep apnea and a chronic papillary conjunctivitis would benefit most from which procedure

a.tarsorrhaphy

b.dacryocystorhinostomy

c.horizontal eyelid tightening

d.frontalis suspension

Answer

FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – ORBIT/LIDS/ADNEXA CHAPTER 6

6.A patient with Grave’s disease notices a deterioration in her vision. The least likely cause of the altered vision is

a.choroidal folds

b.optic neuropathy

c.corneal ulceration

d.macular edema

Answer

7.Botox injection is least acceptable for the treatment of which condition

a.strabismus

b.blepharospasm

c.myokymia

d.hemifacial spasm

Answer

8.Orbital apex syndrome is most commonly associated with

a.idiopathic orbital inflammation

b.mucormycosis

c.thyroid-related ophthalmopathy

d.Wegener’s granulomatosis

Answer

9.A patient with blepharochalasis may exhibit all of the following except

a.fat prolapse

b.painless edema

c.atrophic changes

d.redundant skin

Answer

10.Which of the following disorders is incorrectly matched with the type of ptosis it causes

a.chronic progressive external ophthalmoplegia; myogenic

b.CN 3 palsy; neurogenic

c.myotonic dystrophy; myogenic

d.myasthenia gravis; neurogenic

Answer

FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – ORBIT/LIDS/ADNEXA CHAPTER 6

ORBIT/LIDS/ADNEXA - ANSWER

1.The most common cause for failure of a DCR is obstruction at which site

a.common canaliculus—DCR failure is usually due to obstruction at the common canaliculus or at the bony ostomy site.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – ORBIT/LIDS/ADNEXA CHAPTER 6

ORBIT/LIDS/ADNEXA - ANSWER

2.The least effective treatment of Kaposi’s sarcoma of the eyelid is b. cryotherapy

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – ORBIT/LIDS/ADNEXA CHAPTER 6

ORBIT/LIDS/ADNEXA - ANSWER

3.A patient with a facial nevus flameus involving the eyelids would be likely to have which eye finding

b.choroidal hemangioma—this is the lesion present in Sturge-Weber syndrome that gives the characteristic “tomato-ketchup” fundus appearance.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – ORBIT/LIDS/ADNEXA CHAPTER 6

ORBIT/LIDS/ADNEXA - ANSWER

4.The most common orbital tumor found in children is a. capillary hemangioma

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – ORBIT/LIDS/ADNEXA CHAPTER 6

ORBIT/LIDS/ADNEXA - ANSWER

5.A 37 year old obese man with sleep apnea and a chronic papillary conjunctivitis would benefit most from which procedure

c.horizontal eyelid tightening—this patient suffers from floppy eyelid syndrome with autoeversion of the upper eyelids during sleep.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – ORBIT/LIDS/ADNEXA CHAPTER 6

ORBIT/LIDS/ADNEXA - ANSWER

6.A patient with Grave’s disease notices a deterioration in her vision. The least likely cause of the altered vision is

d. macular edema—this is not associated with thyroid-related ophthalmopathy.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – ORBIT/LIDS/ADNEXA CHAPTER 6

ORBIT/LIDS/ADNEXA - ANSWER

7.Botox injection is least acceptable for the treatment of which condition

c.myokymia—is an intermittent, self-limited focal muscle fasciculation for which botox is not indicated. The other disorders are all indications for botox injection.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – ORBIT/LIDS/ADNEXA CHAPTER 6

ORBIT/LIDS/ADNEXA - ANSWER

8.Orbital apex syndrome is most commonly associated with

b.mucormycosis—optic nerve compression can occur in IOI and TRO and optic nerve edema can be seen in Wegener’s, but orbital apex syndrome is associated with orbital cellulitis especially mucormycosis.

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