MEDICAL REVIEW OFFICER 400 UPDATED
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS
◉ Rhegmatogenous retinal detachment.
Answer: Due to retinal tears; associated with posterior vitreous
detachment (risk with advanced age, high myopia)
◉ Nonrhegmatogenous retinal detachment.
Answer: Tractional or exudative (fluid accumulation)
◉ Presentation of retinal detachment.
Answer: Sudden painless monocular vision loss, flashes, floaters,
and curtain-like shadow over the visual field
◉ Diagnosis of retinal detachment.
Answer: Fundoscopy: opacification and wrinkling of detached
retina, change in vessel direction
◉ Treatment of retinal detachment.
Answer: Vitrectomy, scleral buckling, or pneumatic retinopexy
,◉ Prepatellar bursitis.
Answer: Inflammation of the prepatellar bursa in front of the knee
cap
◉ Causes of prepatellar bursitis.
Answer: Repeated trauma or pressure from excessive kneeling
◉ Presentation of prepatellar bursitis.
Answer: Anterior knee pain over patella, swelling over kneecap,
ROM preserved
◉ Common infection in prepatellar bursitis.
Answer: S. aureus infection common
◉ Treatment of prepatellar bursitis.
Answer: Rest, ice, compression, NSAIDs; avoid kneeling; aspiration if
concerned for infection
◉ Suprapatellar bursitis.
Answer: Repetitive knee flexion/overuse or trauma
◉ Presentation of suprapatellar bursitis.
,Answer: Pain/swelling above the patella, ROM may be limited due to
effusion
◉ Otitis media.
Answer: Commonly caused by Strep pneumoniae, Haemophilus
influenzae, Moraxella catarrhalis
◉ Risk factors for otitis media.
Answer: Children < 2 yrs, daycare, recent URI, formula feeding,
exposure to tobacco smoke, cleft palate, Down syndrome
◉ Presentation of acute otitis media.
Answer: Fever and ear pulling, bulging, erythematous tympanic
membrane with decreased motility
◉ Diagnosis of acute otitis media.
Answer: Otoscopy shows bulging, erythematous tympanic
membrane
◉ Treatment of acute otitis media.
Answer: Amoxicillin + mandibular drainage
◉ Thoracic outlet syndrome.
, Answer: Compression of lower trunk and subclavian vessels
(brachial plexus, subclavian artery and vein)
◉ Causes of thoracic outlet syndrome.
Answer: Compression may be between anterior and middle
scalenes, clavicle and first rib, pectoralis minor and upper ribs
◉ Presentation of thoracic outlet syndrome.
Answer: Weakness of intrinsic hand muscles, sensory loss in C8-T1
distribution
◉ Diagnosis of thoracic outlet syndrome.
Answer: Positive Adson's test, Wright's test, and costoclavicular
syndrome test
◉ Nephrolithiasis.
Answer: Calcium oxalate stones, hypercalciuria, hyperoxaluria, low
urine volume
◉ Presentation of nephrolithiasis.
Answer: Sudden severe colicky flank pain radiating to the groin,
microscopic hematuria
ACTUAL EXAM QUESTIONS AND CORRECT
ANSWERS
◉ Rhegmatogenous retinal detachment.
Answer: Due to retinal tears; associated with posterior vitreous
detachment (risk with advanced age, high myopia)
◉ Nonrhegmatogenous retinal detachment.
Answer: Tractional or exudative (fluid accumulation)
◉ Presentation of retinal detachment.
Answer: Sudden painless monocular vision loss, flashes, floaters,
and curtain-like shadow over the visual field
◉ Diagnosis of retinal detachment.
Answer: Fundoscopy: opacification and wrinkling of detached
retina, change in vessel direction
◉ Treatment of retinal detachment.
Answer: Vitrectomy, scleral buckling, or pneumatic retinopexy
,◉ Prepatellar bursitis.
Answer: Inflammation of the prepatellar bursa in front of the knee
cap
◉ Causes of prepatellar bursitis.
Answer: Repeated trauma or pressure from excessive kneeling
◉ Presentation of prepatellar bursitis.
Answer: Anterior knee pain over patella, swelling over kneecap,
ROM preserved
◉ Common infection in prepatellar bursitis.
Answer: S. aureus infection common
◉ Treatment of prepatellar bursitis.
Answer: Rest, ice, compression, NSAIDs; avoid kneeling; aspiration if
concerned for infection
◉ Suprapatellar bursitis.
Answer: Repetitive knee flexion/overuse or trauma
◉ Presentation of suprapatellar bursitis.
,Answer: Pain/swelling above the patella, ROM may be limited due to
effusion
◉ Otitis media.
Answer: Commonly caused by Strep pneumoniae, Haemophilus
influenzae, Moraxella catarrhalis
◉ Risk factors for otitis media.
Answer: Children < 2 yrs, daycare, recent URI, formula feeding,
exposure to tobacco smoke, cleft palate, Down syndrome
◉ Presentation of acute otitis media.
Answer: Fever and ear pulling, bulging, erythematous tympanic
membrane with decreased motility
◉ Diagnosis of acute otitis media.
Answer: Otoscopy shows bulging, erythematous tympanic
membrane
◉ Treatment of acute otitis media.
Answer: Amoxicillin + mandibular drainage
◉ Thoracic outlet syndrome.
, Answer: Compression of lower trunk and subclavian vessels
(brachial plexus, subclavian artery and vein)
◉ Causes of thoracic outlet syndrome.
Answer: Compression may be between anterior and middle
scalenes, clavicle and first rib, pectoralis minor and upper ribs
◉ Presentation of thoracic outlet syndrome.
Answer: Weakness of intrinsic hand muscles, sensory loss in C8-T1
distribution
◉ Diagnosis of thoracic outlet syndrome.
Answer: Positive Adson's test, Wright's test, and costoclavicular
syndrome test
◉ Nephrolithiasis.
Answer: Calcium oxalate stones, hypercalciuria, hyperoxaluria, low
urine volume
◉ Presentation of nephrolithiasis.
Answer: Sudden severe colicky flank pain radiating to the groin,
microscopic hematuria
