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Culture techniques offer nothing diagnostically or therapeutically in staphylococcal blepharoconjunctivitis | TRUE | FALSE | nan | nan | nan | b | FALSE | General Ophthalmology |
A renal transplant patient is diagnosed with CMV retinitis. What is the NEXT STEP in this patient's management? | decrease the dose of oral steroids and wait | obtain a urine culture | give total body irradiation | call the preacher | nan | a | decrease the dose of oral steroids and wait | General Ophthalmology |
Which of the following statements is TRUE? | Hypertriglyceridemia alone, without elevated cholesterol levels, is not associated with significant incidence of coronary disease. | The presence of xanthelasma and corneal arcus in young patients is not associated with dyslipoproteinemia. | Lung cancer is the most common malignancy in women. | The prevalence of tuberculosis has remained unchanged in the United States in the last 10 years. | nan | a | Hypertriglyceridemia alone, without elevated cholesterol levels, is not associated with significant incidence of coronary disease. | General Ophthalmology |
In patients with AIDS, treatment of Pneumocystis carinii pneumonia with sulfamethoxazole-trimethoprim is frequently associated with all the following EXCEPT: | Drug fever | Rash | Bronchospasm | Thrombocytopenia | nan | c | Bronchospasm | General Ophthalmology |
The α-crystallin is expressed in all the following structures EXCEPT the: | kidney. | thymus. | anterior lens. | lens nucleus. | nan | a | kidney. | General Ophthalmology |
The crystallins have all the following functions EXCEPT which one? | They provide stress enhancement properties. | They help ensure lens transparency. | They facilitate the renaturation of chemically denatured proteins. | They help prevent the insolubilization of heat-denatured proteins. | nan | a | They provide stress enhancement properties. | General Ophthalmology |
During phacoemulsification of the lens nucleus, vitreous mixed with nuclear and cortical fragments is noted. All the following are surgical goals under these circumstances EXCEPT: | completing the nuclear phacoemulsification prior to mechanical vitrectomy | maintaining enough capsular rim to implant a posterior chamber lens in the ciliary sulcus | removing formed vitreous from the anterior chamber | removing residual cortical material from the capsular fornices | nan | a | completing the nuclear phacoemulsification prior to mechanical vitrectomy | General Ophthalmology |
Which of the following conditions is NOT associated with retinopathy of prematurity? | Myopia | Pseudoesotropia | Glaucoma | Cataract | nan | b | Pseudoesotropia | General Ophthalmology |
Which of the following organ systems is MOST likely to be the target of toxicity from the polyene class of antifungal agents? | central nervous system (CNS). | cardiovascular. | renal. | hematopoietic. | nan | c | renal. | General Ophthalmology |
Identify the INCORRECT response. | As a rule, contact lenses that invert the fundus view roughly double the spot size. | Whenever laser spot size is changed, power must be adjusted. | Contact lenses giving direct fundus view (e.g., Goldmann three-mirror lens) do not change spot size. | Small spots with high power are necessary for treating lesions in the posterior pole. | nan | d | Small spots with high power are necessary for treating lesions in the posterior pole. | General Ophthalmology |
A patient is tested on the Humphrey automated perimeter. The machine projects a light at his blind spot and the patient presses the button. What does this patient's response represent? | FALSE-positive response | fixation loss | short term fluctuation | FALSE-negative response | nan | b | fixation loss | General Ophthalmology |
Although typically associated with hyperthyroidism, Graves' ophthalmopathy may accompany hypothyroidism or Hashimoto thyroiditis. | TRUE | FALSE | nan | nan | nan | a | TRUE | General Ophthalmology |
Apraclonidine (lopidine), an alpha agonist, has all the following side effects except: | Blanching of conjunctival vessels | Dry mouth | Systemic hypotension | Superior lid retraction | nan | c | Systemic hypotension | General Ophthalmology |
What is the most likely cause of an allergic conjunctivitis in a glaucoma patient? List in order of probability. 1. dorzolamide 2. timolol 3. brimonidine | 1>2>3 | 2>3>1 | 3>2>1 | 3>1>2 | nan | d | 3>1>2 | General Ophthalmology |
Major factors that contribute to intraocular pressure level in the eye include all the following EXCEPT: | Systolic pressure within the long posterior ciliary arteries | Rate of aqueous production | Facility of outflow | Episcleral venous pressure | nan | a | Systolic pressure within the long posterior ciliary arteries | General Ophthalmology |
Systemic side effects of oral carbonic anhydrase inhibitors include all EXCEPT which one of the following? | Paresthesias | Weight loss | Hypokalemia | Metabolic alkalosis | nan | d | Metabolic alkalosis | General Ophthalmology |
Superior fibers of the optic radiations, carrying information from the inferior visual field, run in close relationship to the internal capsule. | TRUE | FALSE | nan | nan | nan | b | FALSE | General Ophthalmology |
Clinical effects of direct-acting muscarinic agents (miotics) include all EXCEPT which one of the following? | Increased myopia | Decreased range of accommodation | Central anterior chamber shallowing | Reduced night vision | nan | b | Decreased range of accommodation | General Ophthalmology |
Lymphocytes which reside in both orbital connective tissue as well as the perimysium of the extraocular muscle are the most likely cells to act as both target and effector cells of the immune process. | TRUE | False | nan | nan | nan | b | False | General Ophthalmology |
Exudative detachments occur in all the following conditions EXCEPT: | VKH | myopia | toxemia of pregnancy | CMV retinitis | nan | b | myopia | General Ophthalmology |
All of the following about retinopathy in shaken baby syndrome are TRUE EXCEPT: | marked by retinal hemorrhages and cotton wool spots | has a poor visual prognosis with complete healing of retinal injuries | may also have vitreous or subretinal blood | similar to CRVO, Purtscher's retinopathy, and Valsalva retinopathy | nan | b | has a poor visual prognosis with complete healing of retinal injuries | General Ophthalmology |
An infant is referred for poor tracking. On examination, the child does not fix or follow; the rest of the ocular exam is otherwise normal. Which one of the following is LEAST likely in the differential? | Achromatopsia | Congenital stationary night blindness | Leber's congenital amaurosis | Ocular albinism | nan | c | Leber's congenital amaurosis | General Ophthalmology |
A patient has congenital hereditary endothelial dystrophy (CHED). Which one of the following statements regarding this disease is TRUE? | This is primarily a unilateral disease. | CHED could be differentiated from congenital hereditary stromal dystrophy (CHSD) by pachymetry | The dominant form is stationary and the recessive form is progressive. | Patients with the dominant form are more likely to demonstrate nystagmus than the recessive form. | nan | b | CHED could be differentiated from congenital hereditary stromal dystrophy (CHSD) by pachymetry | General Ophthalmology |
Which of the following is NOT a remnant of the tunica vasculosa lentis? | Lens coloboma | Epicapsular star | Mittendorf’s dot | Pupillary strand | nan | a | Lens coloboma | General Ophthalmology |
Hypertropia associated with ipsilateral adduction weakness is MOST suggestive of: | decompensated congenital fourth nerve palsy. | dorsal mid-brain syndrome. | "one-and-a-half" syndrome. | skew deviation with internuclear ophthalmoplegia (INO). | nan | d | skew deviation with internuclear ophthalmoplegia (INO). | General Ophthalmology |
Which pattern of nystagmus is MOST localizing? | upbeat nystagmus. | periodic alternating nystagmus. | vestibular nystagmus. | see-saw nystagmus. | nan | d | see-saw nystagmus. | General Ophthalmology |
Which of the following statements about insulin-dependent diabetes mellitus (IDDM) is FALSE? | IDDM is a disorder in which there is immune-mediated destruction of the insulin-secreting beta cells of the pancreas. | Anti-insulin antibodies are frequently found in the serum of these patients. | Certain viruses have been demonstrated to have an association with onset of this disease. | Fewer than 50% of patients with new onset IDDM have demonstrable serum titers of islet-cell antibodies. | nan | d | Fewer than 50% of patients with new onset IDDM have demonstrable serum titers of islet-cell antibodies. | General Ophthalmology |
Functional visual loss is a manifestation of: | A somatoform disorder | An adjustment disorder | Major depression | Schizophrenia | nan | a | A somatoform disorder | General Ophthalmology |
Which of the following concerning keratoconus is FALSE? | It is associated with atopy, Down's syndrome, and Marfan's syndrome. | The earliest histologic change seen is thinning of the epithelium. | Anterior stromal scarring is typically a late finding. | Iron deposition in epithelial basal cells is not uncommon. | nan | b | The earliest histologic change seen is thinning of the epithelium. | General Ophthalmology |
Which one of the following corneal dystrophies is most likely to be associated with a recurrent erosion syndrome? | granular dystrophy. | Reis-Buckler's dystrophy. | macular dystrophy. | lattice dystrophy. | nan | b | Reis-Buckler's dystrophy. | General Ophthalmology |
A 59-year-old man presents to the emergency room complaining of sudden- onset oscillopsia and diplopia. Examination reveals an alcohol smell on his breath, normal acuity, bilateral abduction deficits, and coarse binocular nystagmus. Appropriate intervention should include: | intravenous glucose. | intravenous naloxone. | intravenous chlordiazepoxide. | intravenous thiamine. | nan | d | intravenous thiamine. | General Ophthalmology |
A lesion that involves both medial longitudinal fasciculi near their junctions with the third nerve nuclei may cause: | INO with skew. | Foville's syndrome. | Walleyed bilateral INO. | Fisher's syndrome. | nan | c | Walleyed bilateral INO. | General Ophthalmology |
A variant of the Guillain-Barre syndrome that involves only the brainstem and cranial nerves is known as: | INO skew. | Foville's syndrome. | walleyed bilateral INO. | Fisher's syndrome. | nan | d | Fisher's syndrome. | General Ophthalmology |
What is the most important factor for determining visual outcome in retinal detachment? | Presence of vitreous hemorrhage | Duration of detachment | Number of retinal breaks | Attachment of the macula | nan | d | Attachment of the macula | General Ophthalmology |
Indications for vitrectomy and membrane peeling in patients with macular epiretinal membrane (ERM) include all the following EXCEPT: | decrease in visual acuity below 20/70 | marked retinal distortion | CNVM | metamorphopsia | nan | c | CNVM | General Ophthalmology |
A person comes in with preauricular adenopathy and past-history of vesicular lip lesions. Which of the following is the MOST logical differential diagnosis? | herpes simplex and adenovirus | herpes simplex, herpes zoster, adenovirus | adenovirus | none of the above | nan | a | herpes simplex and adenovirus | General Ophthalmology |
According to the guidelines from the Cryo-ROP study, cryotherapy or laser therapy should be initiated in patients with which one of the following stages of retinopathy of prematurity? | 5 contiguous clock hours of stage 3 plus | 8 cumulative clock hours of stage 2 plus | 5 contiguous clock hours of stage 1 | 8 cumulative clock hours of stage 1 | nan | a | 5 contiguous clock hours of stage 3 plus | General Ophthalmology |
Which muscle is the primary depressor of the eye when it is abducted 23° from the midline? | Medial rectus | Inferior oblique | Superior oblique | Inferior rectus | nan | d | Inferior rectus | General Ophthalmology |
A tumor resembling an irradiated retinoblastoma is found during a routine ophthalmoscopic examination of a child who had an esotropia. The child had never had a known ocular tumor and was otherwise healthy and normal. The MOST likely diagnosis is: | medulloepithelioma. | incorrect history from the mother. | Coats' disease. | retinocytoma (retinoma). | nan | d | retinocytoma (retinoma). | General Ophthalmology |
Which one of the following statements about uveal malignant melanoma is TRUE? | Its most common site of metastasis is the brain. | Ciliary body origin is most common. | Iris and ciliary body melanomas are equally malignant. | It is the most common primary intraocular malignant neoplasm in adults. | nan | d | It is the most common primary intraocular malignant neoplasm in adults. | General Ophthalmology |
Which one of the following statements about uveal malignant melanoma is TRUE? | It has a cumulative lifetime incidence of about 1 in 20,000 to 30,000 Caucasian individuals. | It is about 10% more common in Caucasians than in blacks. | After the age of about 65 years the annual incidence plateaus. | The average age at detection is about 55 to 60 years. | nan | d | The average age at detection is about 55 to 60 years. | General Ophthalmology |
Which one of the following is NOT considered a risk factor for the development of uveal melanoma? | Intense, sustained, recurrent exposure to sunlight. | Congenital ocular melanocytosis. | Smoking. | Dysplastic nevus syndrome. | nan | c | Smoking. | General Ophthalmology |
Which is the LEAST likely way that a ciliary body or choroidal melanoma may appear clinically? | Asymptomatic, discovered on routine ocular examination. | Blurred vision. | Seminal episcleral blood vessels overlying the region of the uveal melanoma. | Heterochromia. | nan | d | Heterochromia. | General Ophthalmology |
A 6-year-old child has a 2-month history of a red eye, a visible tan-to-white iris mass, and glaucoma. The child is otherwise normal and healthy. The MOST probable diagnosis is: | amelanotic melanoma. | juvenile xanthogranuloma. | nematode granuloma. | medulloepithelioma. | nan | d | medulloepithelioma. | General Ophthalmology |
A 62-year-old woman has left enophthalmos and mild gaze restriction of the left eye in all directions. Which of the following is the MOST significant part of her medical history? | angioedema | normochromic, normocytic anemia | contact lens wear for high hyperopia | a subtotal mastectomy | nan | d | a subtotal mastectomy | General Ophthalmology |
Which of the following corneal layers do NOT regenerate? | Bowman's layer | Descemet's membrane | endothelium | keratocytes | nan | a | Bowman's layer | General Ophthalmology |
Which of the following is the most common cause of vision loss in intermediate uveitis? | Band keratopathy | Cystoid macular edema | Amblyopia | Optic neuritis | nan | b | Cystoid macular edema | General Ophthalmology |
Gaze evoked-amaurosis is MOST suggestive of which one of the following? | Carotid artery disease | Papilledema | Optic disc drusen | Orbital tumor | nan | d | Orbital tumor | General Ophthalmology |
Sympathetic ophthalmia | Occurs in approximately 1 in 1500 penetrating injuries | Never causes permanent loss of sight | May be avoided by early enucleation of unsalvageable eyes | Does not cause exudative detachment | nan | c | May be avoided by early enucleation of unsalvageable eyes | General Ophthalmology |
Which of the following statements about syphilis and uveitis is NOT correct? | A salt-and-pepper fundus may be seen in congenital syphilis. | Uveitis may be seen in secondary-stage syphilis. | Syphilitic uveitis cannot be cured in patients with AIDS syndrome. | A lumbar puncture should be performed in patients with uveitis and syphilis. | nan | c | Syphilitic uveitis cannot be cured in patients with AIDS syndrome. | General Ophthalmology |
Glaucoma drainage device implantation may be indicated when IOP is uncontrolled in all the following EXCEPT: | Failed trabeculectomy with antifibrotics | Blind painful eye with neovascular glaucoma | Active uveitis | Inadequate limbal conjunctiva | nan | b | Blind painful eye with neovascular glaucoma | General Ophthalmology |
How does hydroxyamphetamine achieve its pharmacologic action on the normal pupil? | blocking the reuptake of norepinephrine into the nerve ending | blocking the metabolism of norepinephrine by monoamine oxidase | blocking the degrading action of catechol-O-methyltransferase | stimulating the release of norepinephrine from the nerve ending | nan | d | stimulating the release of norepinephrine from the nerve ending | General Ophthalmology |
All of the following may be associated with congenital cataracts EXCEPT | Anterior lenticonus | Cerulean cataracts | Aniridia | Siderosis | nan | d | Siderosis | General Ophthalmology |
Following laceration of the cornea and sclera, a 9-year-old boy has endophthalmitis caused by Bacillus cereus. Which of the following is appropriate treatment? | amikacin | moxalactam | gentamicin and clindamycin | penicillin G and gentamycin | nan | c | gentamicin and clindamycin | General Ophthalmology |
Which of the following local anesthetics in the usual dosages will provide the longest duration of action? | procaine | mepivacaine (carbocaine) | lidocaine (Xylocaine) | bupivacaine | nan | d | bupivacaine | General Ophthalmology |
Which vitamin is MOST critical for photoreceptor response to light? | A | B | C | D | nan | a | A | General Ophthalmology |
Functional visual loss is a manifestation of: | A somatoform disorder | An adjustment disorder | Major depression | Schizophrenia | nan | a | A somatoform disorder | General Ophthalmology |
The posterior lamella of the upper eyelid contains all EXCEPT which one of the following? | Levator aponeurosis | Muller's muscle | Orbicularis muscle | Conjunctival lining | nan | c | Orbicularis muscle | General Ophthalmology |
An angle of 45° corresponds to how many prism diopters? | 45 | 22.5 | 90 | 100 | nan | d | 100 | General Ophthalmology |
Compared to CT scanning, MRI scanning provides better | View of bone and calcium | View of the orbital apex and orbitocranial junction | Elimination of motion artifact | Comfort for claustrophobic patients | nan | b | View of the orbital apex and orbitocranial junction | General Ophthalmology |
Which of the following conditions is NOT associated with retinopathy of prematurity? | Myopia | Pseudoesotropia | Glaucoma | Cataract | nan | b | Pseudoesotropia | General Ophthalmology |
A patient who has chronic obstructive pulmonary disease is to be given local anesthesia for elective eye surgery. Which of the following measures would be MOST USEFUL in preventing intraoperative CO2 narcosis? | preoperative restriction of fluids | preoperative sedation with an agent that is not a central nervous system depressant | intraoperative administration of IV steroids | intraoperative administration of 4 to 6 L of 02/min via nasal prongs | nan | b | preoperative sedation with an agent that is not a central nervous system depressant | General Ophthalmology |
A renal transplant patient is diagnosed with CMV retinitis. What is the NEXT STEP in this patient's management? | decrease the dose of oral steroids and wait | obtain a urine culture | give total body irradiation | call the preacher | nan | a | decrease the dose of oral steroids and wait | General Ophthalmology |
Enophthalmos in one eye without previous injury is suspicious for which of the following? | orbital malignant melanoma | metastatic breast carcinoma in a woman | orbital cellulitis | all the above | nan | b | metastatic breast carcinoma in a woman | General Ophthalmology |
All the following are very rare primary intraocular neoplasms EXCEPT: | leiomyoma. | neurilemoma. | adenoma and adenocarcinoma of the neuroepithelium (e.g., ciliary epithelium). | intraocular extension of conjunctival carcinoma. | nan | d | intraocular extension of conjunctival carcinoma. | General Ophthalmology |
After a motor vehicle accident, a young man presents with unilateral marked proptosis, diplopia, and prominent episcleral vessels. He complains of a rushing sound in his head. Which one of the following is the MOST LIKELY possibility? | Posteriorly draining dural shunt | Carotid-cavernous fistula | Retro-orbital hemorrhage | Orbital floor fracture | nan | b | Carotid-cavernous fistula | General Ophthalmology |
A patient presents with headache, blurred vision, and a fixed mid-dilated pupil. The opposite pupil is normal. The dilated pupil does not respond to one drop of pilocarpine 1%. What is the MOST LIKELY explanation? | Intracranial aneurysm | Vasculopathic oculomotor nerve (CN III) palsy | Migraine | Pharmacologic mydriasis | nan | d | Pharmacologic mydriasis | General Ophthalmology |
Which one of the following statements about carotid endarterectomy is NOT CORRECT? | It reduces the risk of stroke in symptomatic patients with 70% or greater stenosis. | Stroke reduction and surgical outcomes are not related to the surgical experience of the team at the treating medical center. | Endarterectomy was not beneficial for patients with moderate (50%- 69%) stenosis. | Aspirin may be beneficial in patients with mild carotid occlusive disease. | nan | b | Stroke reduction and surgical outcomes are not related to the surgical experience of the team at the treating medical center. | General Ophthalmology |
What treatment is indicated for the patient in the previous question? | No treatment, but re-evaluation in 2 months | Focal laser photocoagulation if visual acuity is less than 20/40 | Panretinal laser photocoagulation | Focal laser photocoagulation | nan | d | Focal laser photocoagulation | General Ophthalmology |
The temporal retina is vascularized at 36 weeks' gestation, approximately 4 weeks before the nasal retina. | TRUE | FALSE | nan | nan | nan | b | FALSE | General Ophthalmology |
Which of the following descriptions of severity of retinopathy of prematurity (ROP) is CORRECT? | Stage 2: an elevated demarcation line with preretinal fibrovascular proliferation. | Stage 3: a demarcation line having width and height (protruding into the vitreous). | Stage 4: total retinal detachment. | Stage 5: total retinal detachment. | nan | d | Stage 5: total retinal detachment. | General Ophthalmology |
In which of the following would you NOT suspect a viral etiology? | verruca vulgaris | CMV | Newcastle conjunctivitis | trachoma | nan | d | trachoma | General Ophthalmology |
A 60-year-old man develops ipsilateral, multifocal, linear, and punctate, granular corneal epithelial lesions three months after the onset of trigeminal herpes zoster. What is the MOST LIKELY mechanism? | recurrent varicella-zoster virus from the trigeminal ganglion | recurrent varicella-zoster virus from the corneal stroma | superinfection with herpes simplex virus | delayed hypersensitivity reaction to varicella zoster antigen in the anterior stroma | nan | c | superinfection with herpes simplex virus | General Ophthalmology |
A patient undergoes penetrating keratoplasty. Which of the following is the MOST important determinant of reaction to the allograft? | age of the recipient. | age of the donor. | presence or absence of epithelium on the donor cornea. | degree of corneal vascularization. | nan | d | degree of corneal vascularization. | General Ophthalmology |
A 35-year-old obese man has had recurrent bilateral ocular irritation, conjunctival hyperemia, and minimal mucous discharge for six months. Examination reveals excessive laxity of the upper lids, and the patient reports that the upper lids evert spontaneously during sleep. Which of the following will be revealed in exa... | diffuse papillae and hyperemia | diffuse membrane formation | multifocal ulceration and hyperemia | hypertrophic follicles | nan | a | diffuse papillae and hyperemia | General Ophthalmology |
A 37-year-old contact lens intolerant patient who is actively involved in scuba diving and skiing and "hates wearing glasses" is interested in refractive surgery. The refractive error in his right eye is -1.25 +2.50 x 75. The refraction in his other eye is similar. He is highly motivated to have his astigmatism correct... | Refer him to an excimer laser center. | Perform a four-incision radial keratotomy with a 4.0 mm optical zone and two transverse incisions along the 75° axis. | Determine the spherical equivalent before planning his surgery | Perform two arcuate incisions in the 165° axis. | nan | c | Determine the spherical equivalent before planning his surgery | General Ophthalmology |
A 15-year-old boy presents with a two week history of malaise, low-grade fever, and headache. Four days prior to presentation, he developed a severe sore throat and bilateral upper eyelid swelling. Examination shows a mildly ill boy with a temperature of 100.1° F, moderately severe pharyngitis, mildly tender cervical l... | "strep throat" | infectious mononucleosis | sarcoidosis | diphtheria | nan | b | infectious mononucleosis | General Ophthalmology |
The glaucoma seen ipsilateral to facial hemangioma in Sturge-Weber syndrome is due entirely to elevated episcleral venous pressure (EVP). | TRUE | FALSE | nan | nan | nan | b | FALSE | General Ophthalmology |
Subperiosteal abscess of the orbit in adults is MORE likely than in children to | Drain spontaneously | Respond to single antibiotic therapy | Be polymicrobial | Arise from the ethmoid sinus | nan | c | Be polymicrobial | General Ophthalmology |
Which of the following is NOT associated with glucose intolerance? | thiazide diuretic therapy | Dilantin therapy | Friedrich's ataxia | primary hyperparathyroidism | nan | c | Friedrich's ataxia | General Ophthalmology |
Posterior polymorphous dystrophy has all the following attributes EXCEPT: | vesicular, curvilinear, and placoid abnormalities on specular microscopy. | epithelial-like transformation of corneal endothelium. | an association with glaucoma. | an autosomal recessive inheritance pattern. | nan | d | an autosomal recessive inheritance pattern. | General Ophthalmology |
If indicated, prophylactic irradiation following the diagnosis of acute leukemia in childhood should involve both eyes. | TRUE | FALSE | nan | nan | nan | a | TRUE | General Ophthalmology |
Cromolyn sodium is most effective when used prophylactically; however, symptomatic relief may be obtained with intensive administration. | TRUE | FALSE | nan | nan | nan | b | FALSE | General Ophthalmology |
Which one of the following concerning asteroid hyalosis is FALSE? | It is more common with aging. | It is more commonly bilateral. | It is generally associated with no decrease in visual acuity. | The vitreous is otherwise normal. | nan | b | It is more commonly bilateral. | General Ophthalmology |
A scleral support ring (Flieringa ring) during penetrating keratoplasty is most helpful in eyes that are aphakic (or will become so during the procedure). | TRUE | FALSE | nan | nan | nan | a | TRUE | General Ophthalmology |
Which one of the following concerning Coats' disease is FALSE? | TRUE Coats' disease is a disorder of childhood, more often affecting boys. | The condition is more commonly bilateral than unilateral. | Diagnosis of Coats' disease may not be made in the setting of subretinal exudate without obvious abnormal retinal vessels. | Full treatment involves obliteration of the abnormal vessels and subsequent treatment of associated retinal detachment. | nan | b | The condition is more commonly bilateral than unilateral. | General Ophthalmology |
Pigment epithelial detachment (PED) in a patient under the age of 50 years generally has a better prognosis than in a patient over the age of 50 years. | TRUE | FALSE | nan | nan | nan | a | TRUE | General Ophthalmology |
Myelinated nerve fibers are more common in boys than in girls. | TRUE | FALSE | nan | nan | nan | a | TRUE | General Ophthalmology |
The triad of adenoma sebaceum, mental retardation, and seizures is considered pathognomonic for: | neurofibromatosis. | Sturge-Weber syndrome. | ataxia-telangiectasia. | tuberous sclerosis. | nan | d | tuberous sclerosis. | General Ophthalmology |
Which of the following is MOST COMMONLY consistent with verticillate corneal dystrophy? | saccular aneurysms of the conjunctiva | spoke-like anterior subcapsular cataract | pigmentary retinopathy | normal examination otherwise | nan | d | normal examination otherwise | General Ophthalmology |
Identify the INCORRECT answer. The Worth four-dot test with red glass over the right eye: | stimulates retinal rivalry for the white light in bifoveal patients. | demands a four-light response at near distance in all binocular patients. | demands a "red light only" response at all testing distances in patients without binocular vision who fixate with the right eye. | can separate monofixators from patients who have anomalous retinal correspondence and suppression. | nan | d | can separate monofixators from patients who have anomalous retinal correspondence and suppression. | General Ophthalmology |
Nodular scleritis is MOST likely to be associated with | Relapsing polychondritis | Multiple sclerosis | Orbital pseudotumor | Graft-versus-host disease following bone marrow transplantation | nan | a | Relapsing polychondritis | General Ophthalmology |
In bifocal design, image jump may be minimized by | Placing the optical center of the segment as close as possible to the top of the segment | Placing the top of the segment as close as possible to the distance optical center | Using a smaller bifocal segment | Using a blended bifocal segment having no visible line of separation | nan | a | Placing the optical center of the segment as close as possible to the top of the segment | General Ophthalmology |
When prescribing bifocal lenses for a myope… | The practitioner should leave the choice of the segment type to the optician. | A round-top segment is preferred because of its thin upper edge, which causes less prismatic effect. | A flat-top segment is preferred because it lessens image jump. | The one-piece shape is indicated for adds greater than +2.00 D. | nan | c | A flat-top segment is preferred because it lessens image jump. | General Ophthalmology |
A non-immunized individual splashed in the eye with blood that is positive for hepatitis B should | Receive hepatitis B immune globulin, followed in 6 months by a full hepatitis B vaccination schedule. | Receive immune globulin, followed by hepatitis B immune globulin in 1 week. | Concurrently receive hepatitis B immune globulin and begin accelerated hepatitis B vaccination schedule. | Concurrently receive hepatitis B vaccination and immune globulin. | nan | c | Concurrently receive hepatitis B immune globulin and begin accelerated hepatitis B vaccination schedule. | General Ophthalmology |
All of the following disorders are pathogenetically linked EXCEPT: | Rheumatoid arthritis | Ankylosing spondylitis | Reiter syndrome | Recurrent acute iridocyclitis | nan | a | Rheumatoid arthritis | General Ophthalmology |
Which of the following groups of antihypertensive agents should be avoided in insulin-dependent diabetes mellitus patients? | Diuretics | Calcium channel blockers | Direct-acting vasodilators | Beta blockers | nan | d | Beta blockers | General Ophthalmology |
Hashimoto thyroiditis… | Is associated with specific HLA antigens. | Is unrelated to other autoimmune diseases. | Presents with symptoms of hyperthyroidism. | Causes eosinophilic infiltration of the thyroid gland. | nan | a | Is associated with specific HLA antigens. | General Ophthalmology |
This nerve to an extraocular muscle does not pass through the muscle cone on entering the orbit: | CN III | CN IV | CN V | CN VI | nan | b | CN IV | General Ophthalmology |
Which is TRUE regarding orbital anatomy? | The lacrimal gland fossa is located within the lateral orbital wall. | The optic canal is located within the greater wing of the sphenoid bone. | The medial wall of the optic canal is formed by the lateral wall of the sphenoid sinus. | The nerve to the inferior rectus muscle travels anteriorly along the medial aspect of the muscle and innervates the muscle on its posterior surface. | nan | c | The medial wall of the optic canal is formed by the lateral wall of the sphenoid sinus. | General Ophthalmology |
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