Question 1

A 4-day-old newborn presents with redness and tearing of one eye. Slight pressure over the lacrimal sac produces white discharge. The clinician should be aware that the following condition is common in newborns:

Accepted Answer

A)   Conjunctivitis
B)   Sinus infection
C)   Dacryocystitis
D)   Herpes infectionE) B) and D)
F) A) and D)

Question 2

Ptosis is commonly the first sign of:

Accepted Answer

A)   Stevens-Johnson syndrome
B)   Hyperthyroidism
C)   Temporal arteritis
D)   Myasthenia gravisE) All of the above
F) B) and D)

Question 3

The first assessment to complete related to the eyes is:

Accepted Answer

A)   Eye lids
B)   Visual acuity
C)   Extraocular movements
D)   Peripheral visionE) A) and C)
F) A) and B)

Question 4

A Marcus-Gunn effect involves:

Accepted Answer

A)   Abnormal pupillary responses
B)   Abnormal visual acuity
C)   Abnormal funduscopic findings
D)   Abnormal visual fieldE) B) and D)
F) A) and B)

Question 5

It is important to not dilate the eye if _________________ is suspected.

Accepted Answer

A)   Cataract
B)   Macular degeneration
C)   Acute closed-angle glaucoma
D)   Chronic open-angle glaucomaE) All of the above
F) A) and B)

Question 6

A 9-month-old patient presents with fever and large areas of redness and bullae over the trunk, palms, legs, and soles of the feet. There is redness and swelling of the conjunctiva and lips. The clinician should recognize this condition as:

Accepted Answer

A)   Giant cell arteritis
B)   Stevens-Johnson syndrome
C)   Botulism
D)   Myasthenia gravisE) None of the above
F) C) and D)

Question 7

A patient describes a brief episode of visual impairment as if a dark shade was gradually coming down over one eye. The vision returned a moment later. This is most commonly described in which condition?

Accepted Answer

A)   Glaucoma
B)   Cataracts
C)   Amaurosis fugax
D)   Macular degenerationE) B) and D)
F) A) and D)

Question 8

A clinician can assess the alignment of the eyes by all of the following except:

Accepted Answer

A)   Checking for a symmetric light reflex
B)   Observing eye movements
C)   Performing cover/uncover examination
D)   Measuring the palpebral gapE) B) and C)
F) B) and D) D

Question 9

When examining the six cardinal fields of gaze, the clinician is assessing function of all the following except:

Accepted Answer

A)   Cranial nerve II
B)   Cranial nerve III
C)   Cranial nerve IV
D)   Cranial nerve VIE) None of the above
F) All of the above

Question 10

Macular degeneration is a visual disturbance most commonly due to:

Accepted Answer

A)   Sudden head trauma
B)   Ischemia of the central retinal artery
C)   Elevated intraocular pressure
D)   Physiological agingE) C) and D)
F) B) and C)

Question 11

The most common cause of eye redness is:

Accepted Answer

A)   Conjunctivitis
B)   Acute glaucoma
C)   Head trauma
D)   Corneal abrasionE) B) and D)
F) None of the above

Question 12

While assessing visual acuity, you notice that the patient is turning his head side to side for an oblique, or peripheral, view of the Snellen chart, raising your suspicion that the patient may suffer from:

Accepted Answer

A)   Glaucoma
B)   Cataract
C)   Macular degeneration
D)   Amaurosis fugaxE) A) and B)
F) B) and C) C

Question 13

An Amsler grid is used to evaluate which of the following conditions?

Accepted Answer

A)   Optic neuritis
B)   Macular degeneration
C)   Amaurosis fugax
D)   Retinal detachmentE) A) and B)
F) A) and C)

Question 14

Your patient with Crohn's disease complains of eye pain and photophobia. This is likely related to:

Accepted Answer

A)   Symptoms of temporal arteritis
B)   Altered pupil response due to uveitis
C)   Blurry vision due to bilateral cataracts
D)   Subconjunctival hemorrhageE) All of the above
F) A) and B)

Question 15

In which of the following conditions do patients often describe a sudden, large flash of light with gradual loss of vision in one eye?

Accepted Answer

A)   Amaurosis fugax
B)   Acute glaucoma
C)   Temporal arteritis
D)   Retinal detachmentE) A) and B)
F) A) and C)

Question 16

Your patient is suffering from herpes zoster along the trigeminal nerve distribution of the face. You should carefully assess for the presence of:

Accepted Answer

A)   Keratitis
B)   Uveitis
C)   Scleritis
D)   ConjunctivitisE) B) and C)
F) All of the above

Question 17

Which of the following findings should trigger an urgent referral to a cardiologist or neurologist?

Accepted Answer

A)   History of bright flash of light followed by significantly blurred vision
B)   History of transient and painless monocular loss of vision
C)   History of monocular severe eye pain, blurred vision, and ciliary flush
D)   All of the aboveE) A) and D)
F) None of the above

Question 18

In assessing the eyes, which of the following is considered a red flag finding when associated with eye redness?

Accepted Answer

A)   History of prior red-eye episodes
B)   Grossly visible corneal defect
C)   Exophthalmos
D)   PhotophobiaE) All of the above
F) A) and B) B

Question 19

A patient presents with eye redness, scant discharge, and a gritty sensation. Your examination reveals the palpable preauricular nodes, which are most likely present with:

Accepted Answer

A)   Allergic conjunctivitis
B)   Bacterial conjunctivitis
C)   Chemical conjunctivitis
D)   Viral conjunctivitisE) A) and D)
F) B) and C)

Question 20

Shining a light directly on one pupil should make the other pupil constrict. This is called the:

Accepted Answer

A)   Accommodation response
B)   Red reflex
C)   Corneal light reflex
D)   Consensual pupil responseE) A) and D)
F) A) and C)

Exam 5: The Eye

A 4-day-old newborn presents with redness and tearing of one eye. Slight pressure over the lacrimal sac produces white discharge. The clinician should be aware that the following condition is common in newborns:

Correct AnswerverifiedShow Answer

Ptosis is commonly the first sign of:

Correct AnswerverifiedShow Answer

The first assessment to complete related to the eyes is:

Correct AnswerverifiedShow Answer

A Marcus-Gunn effect involves:

Correct AnswerverifiedShow Answer

It is important to not dilate the eye if _________________ is suspected.

Correct AnswerverifiedShow Answer

A 9-month-old patient presents with fever and large areas of redness and bullae over the trunk, palms, legs, and soles of the feet. There is redness and swelling of the conjunctiva and lips. The clinician should recognize this condition as:

Correct AnswerverifiedShow Answer

A patient describes a brief episode of visual impairment as if a dark shade was gradually coming down over one eye. The vision returned a moment later. This is most commonly described in which condition?

Correct AnswerverifiedShow Answer

A clinician can assess the alignment of the eyes by all of the following except:

Correct AnswerverifiedD

When examining the six cardinal fields of gaze, the clinician is assessing function of all the following except:

Correct AnswerverifiedShow Answer

Macular degeneration is a visual disturbance most commonly due to:

Correct AnswerverifiedShow Answer

The most common cause of eye redness is:

Correct AnswerverifiedShow Answer

While assessing visual acuity, you notice that the patient is turning his head side to side for an oblique, or peripheral, view of the Snellen chart, raising your suspicion that the patient may suffer from:

Correct AnswerverifiedC

An Amsler grid is used to evaluate which of the following conditions?

Correct AnswerverifiedShow Answer

Your patient with Crohn's disease complains of eye pain and photophobia. This is likely related to:

Correct AnswerverifiedShow Answer

In which of the following conditions do patients often describe a sudden, large flash of light with gradual loss of vision in one eye?

Correct AnswerverifiedShow Answer

Your patient is suffering from herpes zoster along the trigeminal nerve distribution of the face. You should carefully assess for the presence of:

Correct AnswerverifiedShow Answer

Which of the following findings should trigger an urgent referral to a cardiologist or neurologist?

Correct AnswerverifiedShow Answer

In assessing the eyes, which of the following is considered a red flag finding when associated with eye redness?

Correct AnswerverifiedB

A patient presents with eye redness, scant discharge, and a gritty sensation. Your examination reveals the palpable preauricular nodes, which are most likely present with:

Correct AnswerverifiedShow Answer

Shining a light directly on one pupil should make the other pupil constrict. This is called the:

Correct AnswerverifiedShow Answer

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D

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C

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B

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