keyword stringclasses 19
values | question stringlengths 6 846 | option_a stringlengths 1 208 | option_b stringlengths 1 160 | option_c stringlengths 1 216 ⌀ | option_d stringlengths 1 226 ⌀ | option_e stringlengths 1 145 ⌀ | answer stringclasses 5
values | answer_text stringlengths 1 226 ⌀ |
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Retina & vitreous | 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. | null | 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 | null | 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. | null | 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. | null | 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. | null | 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. | null | d | Eyes receiving direct laser treatment to the fovea for new choroidal neovascular membranes immediately lost more visual acuity than observed eyes. |
Systemic diseases | Snowflake cataract is found in cases with: | Gout | Rheumatoid arthritis | Diabetes mellitus | Hypothyroidism | null | c | Diabetes mellitus |
Systemic diseases | Bitemporal hemianopia is due to: | Cavernous sinus thrombosis | Pituitary gland tumors | Orbital apex syndrome | Pineal body tumor | null | b | Pituitary gland tumors |
Systemic diseases | Hyperglycemia may cause: | Index hypermetropia | Index myopia | Axial hypermetropia | Axial myopia | null | b | Index myopia |
Systemic diseases | Bitot's spots may be caused by: | Vernal keratoconjunctivitis | Vit A deficiency | Vit B deficiency | Trachoma | null | 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 | null | 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 | null | b | There is Vasodilatation |
Systemic diseases | Scleral show and upper lid retraction may be caused by: | Horner syndrome | Hyperthyroidism | Entropion | Rheumatoid arthritis | null | 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 | null | c | Right frontal lobe mass |
UVEITIS | The most effective antibiotic for the treatment of P. acnes endophthalmitis is | amikacin | gentamicin | vancomycin | ceftazidime | null | c | vancomycin |
UVEITIS | For the diagnosis of granulomatous inflammation, which cell type must be present? | Langhans’ cell | lymphocyte | Touton giant cell | epithelioid histiocyte | null | 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 | null | 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 | null | c | posterior synechiae |
UVEITIS | The most common organism causing endopthalmitis following cataract surgery is | S. pneumoniae | H. influenzae | S. aureus | S. epidermidis | null | d | S. epidermidis |
UVEITIS | MEWDS can be differentiated from APMPPE by | age of onset | female predilection | paracentral scotomas | viral prodrome | null | 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 | null | a | POHS, B9 |
UVEITIS | Decreased vision in a patient with intermediate uveitis is most likely due to | cataract | macular edema | papillitis | glaucoma | null | 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 | null | 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 | null | 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 | null | c | pathology localized to choroid |
UVEITIS | Which disorder is more common in males? | MEWDS | uveal effusion syndrome | APMPPE | Birdshot choroidopathy | null | 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 | null | 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 | null | b | bilaterality |
UVEITIS | The most common cause of posterior uveitis is | sarcoidosis | syphilis | CMV | toxoplasmosis | null | d | toxoplasmosis |
UVEITIS | All of the following are causes of HLA-B27-associated uveitis except | ankylosing spondylitis | ulcerative colitis | Crohn’s disease | psoriasis | null | d | psoriasis |
UVEITIS | Which of the following is not part of the classic triad of findings in Reiter’s syndrome? | iritis | arthritis | conjunctivitis | urethritis | null | 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+ | null | c | RF–, ANA+ |
UVEITIS | Phacoantigenic endophthalmitis is characterized by which pattern of granulomatous inflammation? | zonal | diffuse | discrete | necrotizing | null | 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 | null | 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 | null | b | Bartonella henselae |
UVEITIS | Which is least helpful for the diagnosis of toxocariasis? | ELISA test | AC tap | vitrectomy | stool examination | null | d | stool examination |
UVEITIS | A person living in which area of the US would be most likely to develop POHS? | southwest | northwest | midwest | southeast | null | 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 | null | a | more common in males |
UVEITIS | Which of the following is least commonly associated with Treponema pallidum infection? | interstitial keratitis | chorioretinitis | ectopia lentis | glaucoma | null | d | glaucoma |
UVEITIS | The HLA association for pars planitis with multiple sclerosis is | B8 | B51 | DR4 | DR15 | null | d | DR15 |
UVEITIS | Retinal S antigen is found in | ganglion cells | retinal pigment epithelium | photoreceptors | Mueller cells | null | c | photoreceptors |
UVEITIS | Features of Harada’s disease include all of the following except | vitritis | deafness | serous retinal detachments | Dalen-Fuchs nodules | null | b | deafness |
UVEITIS | Larva cause all of the following infections except | cysticercosis | diffuse unilateral subacute neuroretinitis | onchocerciasis | cat-scratch disease | null | d | cat-scratch disease |
UVEITIS | Which of the following signs of pars planitis is most associated with multiple sclerosis? | subretinal neovascularization | snowbank | periphlebitis | CME | null | c | periphlebitis |
UVEITIS | CSF abnormalities are associated with all of the following disorders except | VKH syndrome | ocular sarcoidosis | APMPPE | pars planitis | null | b | ocular sarcoidosis |
UVEITIS | All of the following can present as uveitis except | retinoblastoma | choroidal hemangioma | leukemia | juvenile xanthogranuloma | null | b | choroidal hemangioma |
UVEITIS | Which of the following is not associated with inflammatory bowel disease? | conjunctivitis | episcleritis | interstitial keratitis | iritis | null | c | interstitial keratitis |
UVEITIS | Anterior vitreous cells are least likely to be found in | retinitis pigmentosa | CMV | serpiginous choroidopathy | chronic cyclitis | null | a | retinitis pigmentosa |
UVEITIS | Gastrointestinal disorders associated with uveitis include all of the following except | ulcerative colitis | Whipple’s disease | diverticulitis | Crohn’s disease | null | c | diverticulitis |
UVEITIS | All of the following may occur in ocular sarcoidosis except | optic disc nodules | pars planitis | CN palsies | low serum gamma globulin | null | d | low serum gamma globulin |
UVEITIS | The choroid is the primary location of the pathologic process in | toxoplasmosis | CMV | Coat’s disease | VKH syndrome | null | 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 | null | 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 | null | c | Behçet’s disease |
UVEITIS | A patient with APMPPE is most likely to have | unilateral involvement | enlarged blind spot | viral prodrome | CNV | null | c | viral prodrome |
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