Exam (elaborations)
opthalmology practice questions
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practice questions- systems based approach(OPTHAL)
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Ophthalmology1) Which statement about corneal abrasions is 6) Patients with type II diabetes should be
incorrect? initially seen by an ophthalmologist for a
a) Abrasions are accompanied by dilated fundus exam:
photophobia a) Within 5 years of diagnosis
b) Abrasions are painful b) Within a year of diagnosis
c) The eye is often red c) At 10 years
d) Fluorescein will delineate the abraded d) When vision changes
area e) At the time of diagnosis
e) Abrasions often cause scarring
7) Which of the following is false concerning
2) A patient complains of sudden onset herpes zoster ophthalmicus:
flickering lights and a persistent loss of part a) It is more common in elderly and
of the visual field but no pain. This patient immunocompromised patients
likely has: b) Vesicles on the tip of the nose suggest
a) Posterior cerebral artery occlusion involvement of first branch of the fifth
b) Retinal detachment cranial nerve
c) Migraine c) Corneal sensation may be reduced on
d) Optic neuritis testing
d) Early treatment with an antiretroviral
such as Acyclovir is of limited benefit
3) The most common cause of an ISOLATED e) Referral to ophthalmology should be
third cranial nerve palsy with pupil made if ocular involvement is suspected
involvement is:
a) Vascular hypertension
b) Multiple sclerosis 8) Which of the following concerning a
c) Diabetes mellitus chalazion is false?
d) An aneurysm a) Systemic antibiotics are a useful initial
e) A neoplasm treatment
b) It is a chronic granulomatous
inflammation of the meibomian gland
4) A patient with acute angle closure glaucoma c) Hot compresses are of value as initial
can present with all of the following treatment
EXCEPT: d) A recurrent lid mass should be biopsied
a) A fixed, dilated pupil e) Initial treatment with topical antibiotics
b) Nausea and vomiting may be beneficial
c) Complaint of haloes around objects
d) Ocular hypotension
e) A steamy cornea on ocular exam 9) If multiple vertical epithelial lesions are seen
on slit lamp exam, one should suspect:
a) Herpes zoster ophthalmicus
5) Signs of diabetic retinopathy include all of b) Herpes simplex keratitis
the following EXCEPT: c) Foreign body behind the upper lid
a) Dot and blot hemmorhages d) A chalazion
b) Hard exudates e) Dye eye syndrome
c) Venous beading
d) Macroaneurysms
e) Macular Edema
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