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 - ANSWER

9.A patient with blepharochalasis may exhibit all of the following except a. fat prolapse—this occurs in dermatochalasis, not blepharochalasis.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – ORBIT/LIDS/ADNEXA CHAPTER 6

ORBIT/LIDS/ADNEXA - ANSWER

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

d. myasthenia gravis; neurogenic—myasthenia gravis causes a myogenic ptosis.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

1.A 27 yr old female presents with eye pain and redness, which you suspect may be caused by herpes simplex. HSV is least likely in which situation

a.bilateral conjunctivitis

b.unilateral reduced corneal sensation

c.unilateral iritis and low intraocular pressure

d.unilateral eyelid lesions

Answer

2.Management of a patient’s first episode of HSV epithelial keratitis includes all of the following except

a.topical viroptic

b.oral acyclovir

c.debridement of the involved epithelium

d.topical steroids

Answer

3.Patients with pellucid marginal degeneration

a.Are considered good candidates for LASIK

b.Typically have significant “against-the-rule” astigmatism

c.Exhibit the “Lobster Claw” sign on corneal topography

d.Have an area of steepening in the superior portion of the cornea

Answer

4.BIGH-3 linked corneal dystrophies include all of the following except

a.Granular

b.Avellino

c.Lattice

d.Macular

Answer

5.All of the following corneal dystrophies have an AD inheritance pattern except

a.Meesmann’s

b.Macular

c.Granular

d.Reis-Buckler’s

Answer

FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – CORNEA/EXTERNAL DISEASE CHAPTER 7

6.Which of the following clinical signs is least characteristic of a corneal transplant rejection

a.elevated intraocular pressure

b.corneal edema

c.epithelial rejection line

d.subepithelial infiltrates

Answer

7.Which of the following LASIK flap complications does not preclude continuation of the procedure

a.complete epithelial defect

b.incomplete flap

c.buttonhole flap

d.free cap

Answer

8.PRK and LASEK are similar procedures. The main difference is

a.For LASEK, a microkeratome is used to cut a stromal flap.

b.For LASEK, a sheet of epithelium is preserved.

c.For PRK, 8 incisions are created with a diamond blade.

d.For PRK, astigmatism cannot be corrected.

Answer

9.The most effective treatment for patients with dry eye related to meibomian gland disease is

a.warm compresses and oral minocycline

b.ice packs

c.oral antihistamines

d.topical NSAID drops

Answer

10.The best initial treatment of a 1.5mm corneal perforation is

a.Gunderson flap

b.lamellar keratoplasty

c.cyanoacrylate glue and contact lens

d.penetrating keratoplasty

Answer

FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – CORNEA/EXTERNAL DISEASE CHAPTER 7

CORNEA/EXTERNAL DISEASE – ANSWER

1.A 27 yr old female presents with eye pain and redness, which you suspect may be caused by herpes simplex. HSV is least likely in the following situation:

c.unilateral iritis and low intraocular pressure – typically herpes iritis causes increased IOP.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – CORNEA/EXTERNAL DISEASE CHAPTER 7

CORNEA/EXTERNAL DISEASE – ANSWER

2.Appropriate management of a patient’s first episode of HSV epithelial keratitis includes all of the following except

d. topical steroids

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – CORNEA/EXTERNAL DISEASE CHAPTER 7

CORNEA/EXTERNAL DISEASE – ANSWER

3.Patients with pellucid marginal degeneration

c.exhibit the “Lobster Claw” sign on corneal topography—annular steepening of the inferior cornea

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – CORNEA/EXTERNAL DISEASE CHAPTER 7

CORNEA/EXTERNAL DISEASE – ANSWER

4.BIGH-3 linked corneal dystrophies include all of the following except d. Macular

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – CORNEA/EXTERNAL DISEASE CHAPTER 7

CORNEA/EXTERNAL DISEASE– ANSWER

5.All of the following corneal dystrophies have an AD inheritance pattern except b. Macular—which is AR.

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FRIEDMAN: REVIEW OF OPHTHALMOLOGY

SUPPLEMENTAL QUESTIONS – CORNEA/EXTERNAL DISEASE CHAPTER 7

CORNEA/EXTERNAL DISEASE – ANSWER

6.Which of the following clinical signs is least characteristic of a corneal transplant rejection

a.elevated intraocular pressure—the pressure can be high or low with an acute graft rejection

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