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A 67-year-old lawyer comes to your clinic for an annual examination. He denies
any history of eye trauma. He denies any visual changes. You inspect his eyes and
find a triangular thickening of the bulbar conjunctiva across the outer surface of the
cornea. He has a normal pupillary reaction to light and accommodation. Based on
this description, what is the most likely diagnosis?
A) Corneal arcus
B) Cataracts
C) Corneal scar
D) Pterygium - ANSWER-D
Which of the following is a "red flag" regarding patients presenting with headache?
A) Unilateral headache
B) Pain over the sinuses
C) Age over 50
D) Phonophobia and photophobia - ANSWER-C
,A sudden, painless unilateral vision loss may be caused by which of the following?
A) Retinal detachment
B) Corneal ulcer
C) Acute glaucoma
D) Uveitis - ANSWER-A
Sudden, painful unilateral loss of vision may be caused by which of the following
conditions?
A) Vitreous hemorrhage
B) Central retinal artery occlusion
C) Macular degeneration
D) Optic neuritis - ANSWER-D
Diplopia, which is present with one eye covered, can be caused by which of the
following problems?
A) Weakness of CN III
B) Weakness of CN IV
C) A lesion of the brainstem
D) An irregularity in the cornea or lens - ANSWER-D
A patient complains of epistaxis. Which other cause should be considered?
A) Intracranial hemorrhage
B) Hematemesis
C) Intestinal hemorrhage
D) Hematoma of the nasal septum - ANSWER-B
,Glaucoma is the leading cause of blindness in African Americans and the second
leading cause of blindness overall. What features would be noted on funduscopic
examination?
A) Increased cup-to-disc ratio
B) AV nicking
C) Cotton wool spots
D) Microaneurysms - ANSWER-A
Very sensitive methods for detecting hearing loss include which of the following?
A) The whisper test
B) The finger rub test
C) The tuning fork test
D) Audiometric testing - ANSWER-D
Which area of the fundus is the central focal point for incoming images?
A) The fovea
B) The macula
C) The optic disk
D) The physiologic cup - ANSWER-A
A light is pointed at a patient's pupil, which contracts. It is also noted that the other
pupil contracts as well, though it is not exposed to bright light. Which of the
following terms describes this latter phenomenon?
A) Direct reaction
B) Consensual reaction
C) Near reaction
D) Accommodation - ANSWER-B
, A patient is assigned a visual acuity of 20/100 in her left eye. Which of the
following is true?
A) She obtains a 20% correct score at 100 feet.
B) She can accurately name 20% of the letters at 20 feet.
C) She can see at 20 feet what a normal person could see at 100 feet.
D) She can see at 100 feet what a normal person could see at 20 feet. - ANSWER-
C
On visual confrontation testing, a stroke patient is unable to see your fingers on his
entire right side with either eye covered. Which of the following terms would
describe this finding?
A) Bitemporal hemianopsia
B) Right temporal hemianopsia
C) Right homonymous hemianopsia
D) Binasal hemianopsia - ANSWER-C
You note that a patient has anisocoria on examination. Pathologic causes of this
include which of the following?
A) Horner's syndrome
B) Benign anisocoria
C) Differing light intensities for each eye
D) Eye prosthesis - ANSWER-A
A patient is examined with the ophthalmoscope and found to have red reflexes
bilaterally. Which of the following have you essentially excluded from your
differential?
A) Retinoblastoma