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Ophthalmology
Dr. Nizar Alhibshi
a) 3m
b) 6m
c) 9m
a) 3m
b) 6m
c) 9m
a) 3m
b) 6m or 20 feet
c) 9m
Picture of Snellen chart, 70 year old patient can only read to the 3rd
line, what is his visual acuity?
a) 20\100
b) 20\70
c) 20\50
d) 20\40
Picture of Snellen chart, 70 year old patient can only read to the 3rd
line, what is his visual acuity?
a) 20\100
b) 20\70
c) 20\50
d) 20\40
Picture of Snellen chart, 70 year old patient can only read to the 3rd
line, what is his visual acuity?
a) 20\100
b) 20\70 or 6/24
c) 20\50
d) 20\40
Picture of Snellen chart, 70 year old patient can only read to the 3rd
line, what is his visual acuity?
a) 20\100
b) 20\70 or 6/24
c) 20\50
d) 20\40
What Does This Mean?
Orbital Cellulitis
Conjunctivitis
Periorbital Cellulitis
Dacrocystitis
Orbital Cellulitis
Conjunctivitis
Periorbital Cellulitis
Dacrocystitis
Patient presents with history of flu like symptoms for many days &
complains of peri-orbital edema, DX
a) Viral conjunctivitis
b) Bacterial conjunctivitis
c) Keratitis
Patient presents with history of flu like symptoms for many days &
complains of peri-orbital edema, DX
a) Viral conjunctivitis
b) Bacterial conjunctivitis
c) Keratitis
Patient presents with history of flu like symptoms for many days &
examination shows pre-auricular lymphadenopathy, DX
a) Viral conjunctivitis
b) Bacterial conjunctivitis
c) Keratitis
Patient presented with eye pain and watery discharge. A fly hit his
eye but it was removed. You will give:
a) Topical antibiotic
a) Adenoviruses
b) Streptococcus
c) HSV
Patient presented with eye pain and watery discharge. A fly hit his
eye but it was removed. You will give:
a) Topical antibiotic
a) Adenoviruses
b) Streptococcus
c) HSV
2 year old boy with coryza, cough and red eyes with watery
discharge (a case of measles). Most likely diagnosis of the red eyes is:
a) Conjunctivitis
b) Blepharitis
c) Keratitis
2 year old boy with coryza, cough and red eyes with watery
discharge (a case of measles). Most likely diagnosis of the red eyes is:
a) Conjunctivitis
b) Blepharitis
c) Keratitis
Blepharitis is inflammation of the eyelid margins.
Keratitis is inflammation of the cornea.
b) Viral Infection
c) Allergy
Patient with red eyes for one day with watery discharge, No itching
or pain or trauma there is conjunctival injection, visual acuity 20/20,
what is the management?
a) Antihistamines
b) Topical antibiotics
c) No further management is needed
d) Refer to Ophthalmologist
e) Topical steroids
Patient with red eyes for one day with watery discharge, No itching
or pain or trauma there is conjunctival injection, visual acuity 20/20,
what is the management?
a) Antihistamines
b) Topical antibiotics
c) No further management is needed
d) Refer to Ophthalmologist
e) Topical steroids
Patient with pterygium in one eye, the other eye is normal, what's
correct to tell:
a) It's due to vitaminosis A.
b) It may affect vision.
c) It's a part of a systemic disease.
Patient with pterygium in one eye, the other eye is normal, what's
correct to tell:
a) It's due to vitaminosis A.
b) It may affect vision. (& Its caused by Prolonged Exposure to UV
Light)
c) It's a part of a systemic disease.
DO NOT PATCH
a) Cover the eye with antibiotic ointment and dressing for 24 hours
b) Antibiotic ointment put it in the home without covering the eye
c) Bandage contact lens
d) No treatment necessary, it heals spontaneously
a) Cover the eye with antibiotic ointment and dressing for 24 hrs
b) Antibiotic ointment put it in the home without covering the eye
c) Bandage contact lens
d) No treatment necessary, it heals spontaneously
RA
Sarcoidosis
Behcet disease.
Reiter's syndrome.
Hunters Disease
RA
Sarcoidosis
Behcet disease.
Reiter's syndrome.
Hunters Disease.
RA
Sarcoidosis
Behcet disease.
Reiter's syndrome.
Ankylosing spondylitis.
Sacroiliitis
Psoriasis
Inflammatory bowel disease
Juvenile Idiopathic arthritis
Management of Uveitis
*Corticosteroids are used to reduce inflammation and prevent adhesions in
the eye. They may be given topically, orally, intravenously, intramuscularly, or
by peri-ocular or intra-ocular injection.
*Cycloplegic-mydriatic (pupil dilating) drops are also given to paralyze the
ciliary body. This relieves pain and prevents adhesions between the iris and
lens.
* Antimicrobial drugs are also added in Infectious uveitis (bacterial, viral,
fungal, or parasitic).
*Other Forms: People with severe or chronic uveitis may also be given
systemic (non-corticosteroid) immunosuppressive drugs, laser phototherapy,
or cryotherapy, or have the vitreous removed surgically (vitrectomy).
b) Retinal detachment
c) Ptosis
d) Keratoconus
Old diabetic man with sudden unilateral visual loss. There are
multiple hemorrhages on the retina with macular edema. What is
the diagnosis?
a) Retinal detachment
b) Retinal artery occlusion
c) Retinal vein thrombosis
d) Diabetic retinopathy
Old diabetic man with sudden unilateral visual loss. There are
multiple hemorrhages on the retina with macular edema. What is
the diagnosis?
a) Retinal detachment (not mentioned in the exam)
b) Retinal artery occlusion (no hemorrhages)
c) Retinal vein thrombosis
d) Diabetic retinopathy (sudden visual loss would be due to
vitreous hemorrhage)
Patient with acute headache, blurred vision and red eye. Whats the
cause?
a) Acute conjunctivitis
Patient with acute headache, blurred vision and red eye. Whats the
cause?
a) Acute conjunctivitis
In Acute angle glaucoma, you can use all of the following drugs
except?
a) B blocker
b) Acetazolamide
c) Pilocarpine
d) Dipivefrin
In Acute angle glaucoma, you can use all of the following drugs
except?
a) B blocker
b) Acetazolamide
c) Pilocarpine
d) Dipivefrin (Causes dilatation of the pupil)
Old male presented with cough and SOB. He was treated for a long
time for glaucoma. The most likely cause of his respiratory symptoms:
a) Timolol.
b) Propranolol.
c) Betaxolol.
d) Pilocarpine.
Old male presented with cough and SOB. He was treated for a long
time for glaucoma. The most likely cause of his respiratory symptoms:
a) Timolol. (Non selective B-blocker)
b) Propranolol.
c) Betaxolol. (Can be used as its selective for Beta 1 receptors)
d) Pilocarpine.
a) Refer to ophthalmologist.
b) Give miotic drops before referral
c) Can present with headache.
d) Can present with abdominal pain.
e) Pupil size in acute glaucoma is larger than normal.
a) Refer to ophthalmologist.
b) Give miotic drops before referral
c) Can present with headache.
d) Can present with abdominal pain.
e) Pupil size in acute glaucoma is larger than normal.
Child diagnosed with type 1 DM, when should the first eye exam
take place?:
a) 6 months from the diagnosis
b) 12 months from the diagnosis
c) 2 years from the diagnosis
d) 5 years from the diagnosis
Child diagnosed with type 1 DM, when should the first eye exam
take place?:
a) 6 months from the diagnosis
b) 12 months from the diagnosis
c) 2 years from the diagnosis
d) 5 years from the diagnosis
Child came for an eye exam, during the cover test his left eye moved
spontaneously to the left, the diagnosis is:
a) Strabismus
b) Glaucoma
c) Coloboma
Child came for an eye exam, during the cover test his left eye moved
spontaneously to the left, the diagnosis is:
a) Strabismus
b) Glaucoma
c) Coloboma
Patient has complete ptosis in his right eye. The eye is out and
down, the pupil is fixed and dilated with restricted ocular
movements. What is the diagnosis:
Patient has complete ptosis in his right eye. The eye is out and
down, the pupil is fixed and dilated with restricted ocular
movements. What is the diagnosis:
Patient has complete ptosis in his right eye. The eye is out and
down, the pupil is fixed and dilated with restricted ocular
movements. What is the diagnosis:
Trachoma Prevention:
The World Health Organization has targeted trachoma for elimination
by 2020 through an innovative, multi-faceted public health strategy
known as S.A.F.E.
Surgery to correct the advanced, blinding stage of the disease
(trichiasis)
Antibiotics to treat active infection
Facial cleanliness
Environmental improvements in the areas of water and sanitation to
reduce disease transmission
70 years old female says that while playing with a puzzle, for short
periods she can't play because she develops a headache what will
you will exam her for?
a) Astigmatism
b) Glaucoma
c) Cataract
70 years old female says that while playing with a puzzle, for short
periods she can't play because she develops a headache what will
you will exam her for?
a) Astigmatism (or hyperopia)
b) Glaucoma
c) Cataract
of aqueous humor
b) Obstruction at ciliary body leads to blockage in drainage of Aqueous
Humor.
Aqueous humor is first produced by the ciliary body within the posterior
chamber. After filling the posterior chamber, aqueous moves forward around
the lens and flows through the pupil into the anterior chamber.
As the anterior chamber fills, the aqueous spreads outwards into the angle
formed by the iris and cornea. Within this irido-corneal angle the aqueous
exits the eye by filtering through the trabecular meshwork into the Canal of
Schlemn, where it returns back into the blood circulation
17 years old boy was playing foot ball and he was kicked in his Right
eye. Few hours later he started to complain of double vision &
ecchymosis around the eye, what is the most likely diagnosis?
a) Cellulitis
b) Orbital bone fracture
c) Global eye ball rupture
d) Subconjunctival hemorrhage
17 years old boy was playing foot ball and he was kicked in his Right
eye. Few hours later he started to complain of double vision &
ecchymosis around the eye, what is the most likely diagnosis?
a) Cellulitis
b) Orbital bone fracture
c) Global eye ball rupture
d) Subconjunctival hemorrhage
The End
Wish You All The Best