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Based on the results of the retinal branch vein occlusion (BVO) study, which statement is the MOST CORRECT? | Laser significantly reduces the likelihood of vitreous hemorrhage. | Argon laser photocoagulation is only helpful in the presence of retinal neovascularization. | Argon laser is applied focally to areas with retinal swelling. | Argon laser photocoagulation is only helpful in diabetic retinopathy. | nan | a | Laser significantly reduces the likelihood of vitreous hemorrhage. | Retina & vitreous |
Which statement is most CORRECT in regards to the results of the Endophthalmitis Vitrectomy Study (EVS)? | Intravitreal antibiotics were not of benefit in this study. | If patients presented with hand motions or better acuity, there was no difference in visual outcome with or without an immediate 3 port pars plana vitrectomy | There was an improvement in final visual acuity and media clarity with systemic antibiotics. | Initial vitreous tap/biopsy should generally be sufficient if presenting vision is hand motions or worse | nan | c | There was an improvement in final visual acuity and media clarity with systemic antibiotics. | Retina & vitreous |
The results of the Central Vein Occlusion (CVO) Study MOST supports which of the following statements? | Prophylactic panretinal photocoagulation prevented the development of iris neovascularization in eyes with 10 or more disc areas of retinal capillary nonperfusion confirmed by fluorescein angiography | In the group with macular edema, grid laser did not improve visual acuity in eyes with reduced vision due to macular edema from CVO. | Results of this randomized clinical trial demonstrate that it is not safe to wait for the development of early iris neovascularization and then apply panretinal photocoagulation. | In the patients with macular edema, macular grid photocoagulation was not effective in reducing angiographic evidence of macular edema. | nan | a | Prophylactic panretinal photocoagulation prevented the development of iris neovascularization in eyes with 10 or more disc areas of retinal capillary nonperfusion confirmed by fluorescein angiography | Retina & vitreous |
Which statement is MOST CORRECT in regards to the results of the Early Treatment Diabetic Retinopathy Study (ETDRS)? | Aspirin use increases the progression of retinopathy to the high-risk proliferative stage. | Aspirin increases the risk of vitreous hemorrhage. | Without treatment, the prognosis for patients with proliferative diabetic retinopathy was blindness within 5 years for more than 50 percent of patients | Rates of blindness in ETDRS patients following the development of proliferative retinopathy are slightly lower. | nan | c | Without treatment, the prognosis for patients with proliferative diabetic retinopathy was blindness within 5 years for more than 50 percent of patients | Retina & vitreous |
Which statement is CORRECT in regards to the results of the Diabetic Retinopathy Study (DRS)? | Photocoagulation reduced the risk of severe vision in moderate-risk proliferative diabetic retinopathy | Both argon and xenon photocoagulation reduced the risk of severe visual loss by more than 50 percent. | Only xenon photocoagulation reduced the risk of severe visual loss. | Only argon reduced the risk of severe visual loss. | nan | b | Both argon and xenon photocoagulation reduced the risk of severe visual loss by more than 50 percent. | Retina & vitreous |
Which statement is most CORRECT in regards to the results of the Macular Photocoagulation Study (MPS)? | Eyes with large subfoveal neovascular lesions and good initial visual acuity are good candidates for focal laser photocoagulation. | Extra foveal choroidal neovascular membranes are defined as 100 to 2,500 microns from the center of the foveal avascular zone | Juxta-foveal choroidal neovascular membranes are defined as lesions within 1 to 249 microns from the center of the foveal avascular zone | Eyes receiving direct laser treatment to the fovea for new choroidal neovascular membranes immediately lost more visual acuity than observed eyes. | nan | d | Eyes receiving direct laser treatment to the fovea for new choroidal neovascular membranes immediately lost more visual acuity than observed eyes. | Retina & vitreous |
Snowflake cataract is found in cases with: | Gout | Rheumatoid arthritis | Diabetes mellitus | Hypothyroidism | nan | c | Diabetes mellitus | Systemic diseases |
Bitemporal hemianopia is due to: | Cavernous sinus thrombosis | Pituitary gland tumors | Orbital apex syndrome | Pineal body tumor | nan | b | Pituitary gland tumors | Systemic diseases |
Hyperglycemia may cause: | Index hypermetropia | Index myopia | Axial hypermetropia | Axial myopia | nan | b | Index myopia | Systemic diseases |
Bitot's spots may be caused by: | Vernal keratoconjunctivitis | Vit A deficiency | Vit B deficiency | Trachoma | nan | b | Vit A deficiency | Systemic diseases |
Thyroid orbital myopathy affects: | The lateral rectus then the superior rectus muscles | The inferior rectus then the medial rectus muscles | The medial rectus then the superior rectus muscles | The superior rectus then the lateral rectus muscle | nan | b | The inferior rectus then the medial rectus muscles | Systemic diseases |
Termination of pregnancy in cases of eclampsia is indicated when: | There is microangiopathy | There is Vasodilatation | There is retinal infarction and exudative retinal detachment | There is cataract formation | nan | b | There is Vasodilatation | Systemic diseases |
Scleral show and upper lid retraction may be caused by: | Horner syndrome | Hyperthyroidism | Entropion | Rheumatoid arthritis | nan | b | Hyperthyroidism | Systemic diseases |
Right optic nerve atrophy and left papilledema may be caused by: | Right occipital lobe mass | Left occipital lobe mass | Right frontal lobe mass | Left frontal lobe mass | nan | c | Right frontal lobe mass | Systemic diseases |
The most effective antibiotic for the treatment of P. acnes endophthalmitis is | amikacin | gentamicin | vancomycin | ceftazidime | nan | c | vancomycin | UVEITIS |
For the diagnosis of granulomatous inflammation, which cell type must be present? | Langhans’ cell | lymphocyte | Touton giant cell | epithelioid histiocyte | nan | d | epithelioid histiocyte | UVEITIS |
All of the following are true concerning sarcoidosis except | Touton giant cells are common | lymphocytes surround the granuloma | histiocytes are abundant | necrosis is rare | nan | a | Touton giant cells are common | UVEITIS |
Which of the following is not characteristic of Fuchs’ heterochromic iridocyclitis? | iris neovascularization | cataract | posterior synechiae | vitreous opacities | nan | c | posterior synechiae | UVEITIS |
The most common organism causing endopthalmitis following cataract surgery is | S. pneumoniae | H. influenzae | S. aureus | S. epidermidis | nan | d | S. epidermidis | UVEITIS |
MEWDS can be differentiated from APMPPE by | age of onset | female predilection | paracentral scotomas | viral prodrome | nan | b | female predilection | UVEITIS |
All of the following disorders are correctly paired with their HLA associations except | POHS, B9 | Behçet’s disease, B51 | Birdshot retinochoroidopathy, A29 | Reiter’s syndrome, B27 | nan | a | POHS, B9 | UVEITIS |
Decreased vision in a patient with intermediate uveitis is most likely due to | cataract | macular edema | papillitis | glaucoma | nan | b | macular edema | UVEITIS |
A 71-year-old woman with a 6-month history of fatigue, anorexia, and 10-pound (4 kg) weight loss is found to have left-sided weakness, visual acuity of 20/80 OD and 20/60 OS, and vitreous cells. The most helpful workup is | LP and vitrectomy | ESR and temporal artery biopsy | CBC and lymph node biopsy | PPD and chest X-ray | nan | a | LP and vitrectomy | UVEITIS |
The most common organisms causing endophthalmitis following trauma are | Enterococcus species and S. aureus | Bacillus species and S. epidermidis | Pseudomonas species and S. aureus | S. aureus and S. epidermidis | nan | b | Bacillus species and S. epidermidis | UVEITIS |
All of the following are features common to both sympathetic ophthalmia and Vogt-Koyanagi-Harada syndrome except | serous retinal detachments | Dalen-Fuchs nodules | pathology localized to choroid | vitritis | nan | c | pathology localized to choroid | UVEITIS |
Which disorder is more common in males? | MEWDS | uveal effusion syndrome | APMPPE | Birdshot choroidopathy | nan | b | uveal effusion syndrome | UVEITIS |
EVS findings include all of the following except | vitrectomy was beneficial only in patients with LP vision | intravitreal corticosteroids were helpful | IV antibiotics were not helpful | the most common organism was S. epidermidis | nan | b | intravitreal corticosteroids were helpful | UVEITIS |
Which of the following is not characteristic of MEWDS? | enlargement of the blind spot | bilaterality | flu-like illness | female preponderance | nan | b | bilaterality | UVEITIS |
The most common cause of posterior uveitis is | sarcoidosis | syphilis | CMV | toxoplasmosis | nan | d | toxoplasmosis | UVEITIS |
All of the following are causes of HLA-B27-associated uveitis except | ankylosing spondylitis | ulcerative colitis | Crohn’s disease | psoriasis | nan | d | psoriasis | UVEITIS |
Which of the following is not part of the classic triad of findings in Reiter’s syndrome? | iritis | arthritis | conjunctivitis | urethritis | nan | a | iritis | UVEITIS |
Which of the following laboratory tests is most commonly found in JRA-related iritis? | RF–, ANA– | RF+, ANA– | RF–, ANA+ | RF+, ANA+ | nan | c | RF–, ANA+ | UVEITIS |
Phacoantigenic endophthalmitis is characterized by which pattern of granulomatous inflammation? | zonal | diffuse | discrete | necrotizing | nan | a | zonal | UVEITIS |
Which combination of findings is least likely to occur in rubella? | retinopathy and cataract | glaucoma and cataract | glaucoma and retinopathy | cataract and deafness | nan | b | glaucoma and cataract | UVEITIS |
A 35-year-old man with decreased vision OD is found to have optic nerve edema and a macular star. The causative organism most likely is | Onchocerca volvulus | Bartonella henselae | Treponema pallidum | Borrelia burgdorferi | nan | b | Bartonella henselae | UVEITIS |
Which is least helpful for the diagnosis of toxocariasis? | ELISA test | AC tap | vitrectomy | stool examination | nan | d | stool examination | UVEITIS |
A person living in which area of the US would be most likely to develop POHS? | southwest | northwest | midwest | southeast | nan | c | midwest | UVEITIS |
All of the following are true of birdshot choroidopathy except | more common in males | usually bilateral | CME is common | associated with HLA-A29 | nan | a | more common in males | UVEITIS |
Which of the following is least commonly associated with Treponema pallidum infection? | interstitial keratitis | chorioretinitis | ectopia lentis | glaucoma | nan | d | glaucoma | UVEITIS |
The HLA association for pars planitis with multiple sclerosis is | B8 | B51 | DR4 | DR15 | nan | d | DR15 | UVEITIS |
Retinal S antigen is found in | ganglion cells | retinal pigment epithelium | photoreceptors | Mueller cells | nan | c | photoreceptors | UVEITIS |
Features of Harada’s disease include all of the following except | vitritis | deafness | serous retinal detachments | Dalen-Fuchs nodules | nan | b | deafness | UVEITIS |
Larva cause all of the following infections except | cysticercosis | diffuse unilateral subacute neuroretinitis | onchocerciasis | cat-scratch disease | nan | d | cat-scratch disease | UVEITIS |
Which of the following signs of pars planitis is most associated with multiple sclerosis? | subretinal neovascularization | snowbank | periphlebitis | CME | nan | c | periphlebitis | UVEITIS |
CSF abnormalities are associated with all of the following disorders except | VKH syndrome | ocular sarcoidosis | APMPPE | pars planitis | nan | b | ocular sarcoidosis | UVEITIS |
All of the following can present as uveitis except | retinoblastoma | choroidal hemangioma | leukemia | juvenile xanthogranuloma | nan | b | choroidal hemangioma | UVEITIS |
Which of the following is not associated with inflammatory bowel disease? | conjunctivitis | episcleritis | interstitial keratitis | iritis | nan | c | interstitial keratitis | UVEITIS |
Anterior vitreous cells are least likely to be found in | retinitis pigmentosa | CMV | serpiginous choroidopathy | chronic cyclitis | nan | a | retinitis pigmentosa | UVEITIS |
Gastrointestinal disorders associated with uveitis include all of the following except | ulcerative colitis | Whipple’s disease | diverticulitis | Crohn’s disease | nan | c | diverticulitis | UVEITIS |
All of the following may occur in ocular sarcoidosis except | optic disc nodules | pars planitis | CN palsies | low serum gamma globulin | nan | d | low serum gamma globulin | UVEITIS |
The choroid is the primary location of the pathologic process in | toxoplasmosis | CMV | Coat’s disease | VKH syndrome | nan | d | VKH syndrome | UVEITIS |
Which of the following is least likely to be found in a patient with sympathetic ophthalmia? | onset after a latent period of 40 years | granulomatous nodules in the retina | history of evisceration of the traumatized eye | iris nodules in the sympathizing eye | nan | b | granulomatous nodules in the retina | UVEITIS |
Band keratopathy is least likely to occur in a patient with | sarcoidosis | JRA | Behçet’s disease | multiple sclerosis | nan | c | Behçet’s disease | UVEITIS |
A patient with APMPPE is most likely to have | unilateral involvement | enlarged blind spot | viral prodrome | CNV | nan | c | viral prodrome | UVEITIS |
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