Medical Surgical Nursing exam
question and answer latest version
2024-2025
13-20 % of population pocess extra blood supply to the eye what is it called and what
area does it supply? - CORRECT ANSWER short posterior ciliary arteries branch
distally from the ophthalmic
artery and supply the choroid.
Cilioretinal
arteries, an anatomic variant
present in 15%
-
30% of the population, branch from the short posterior
ciliary artery. These arteries supply the macula in addition to the
choroidal circulation
acquired causes of optic atrophy? - CORRECT ANSWER •multiple sclerosis
•papilloedema (longstanding)
•raised intraocular pressure (e.g. glaucoma, tumour)
•retinal damage (e.g. choroiditis, retinitis pigmentosa)
•ischaemia
•toxins: tobacco amblyopia, quinine, methanol, arsenic, lead
•nutritional: vitamin B1, B2, B6 and B12 deficiency
Aetiology of bacterial conjunctivitis? - CORRECT ANSWER S.Aureus, Sterp. Pneumo
or H.flu
also STIs chlamydia trachromatis, N.gonnorheae
Anterior uventis is linked to which infectious diseases? - CORRECT ANSWER HSV,
SYphilis, TB & varicella zoster
Anterior uventis is linked to which non infectious diseases? - CORRECT ANSWER -
Ankyolising spondilitis,
-behcet syndrom (ulcers eye,mouth & genitals),
-IBS,
-Juvenile arthritis, sarcoidosis (Granulomatous disease),
-seronegative arthropathy
Appearance of dendritic ulcer on opthalmoscopy? - CORRECT ANSWER - infectious
epithelial keratitis (with characteristic dendritic ulcers)
-neurotrophic keratopathy
-stromal keratitis endotheliitis (classified as disciform, diffuse, or linear)
, Benfits of cataract surgery - CORRECT ANSWER mproved visual acuity. 85-90% of
people will have
6/12 best corrected vision
(This meets the driving requirements in the UK).
However, reading glasses are
usually needed after cataract surgery, and some people may require glasses for
distance vision who did not previously require them
-Improved clarity of vision
- Improved colour vision.
can facial nerve palsy cause ectropions? - CORRECT ANSWER yes, Acute is
consistent with Bell palsy. Chronic, insidious progressive facial nerve palsy may indicate
a mass lesion.
can raised ICP cause strabismus - CORRECT ANSWER yes, y compressing the nerve
that runs between Clivus & briain stem
can the eye cellulitis get? - CORRECT ANSWER yes, Infections of the periorbital and
orbital tissues range in
severity, from relatively minor to potentially
life-threatening, especially to spread
cause of hyphaema ? - CORRECT ANSWER Trauma -blunt or penetrating
•Surgery
•Spontaneous
Sickle cell anaemia
Causes of astigmatism? - CORRECT ANSWER -Hereditary - corneal or lenticular
-Injuries to the cornea, such as infection that scars the cornea
keratoconus & kertoglobus - causes bulgin, thinner and shape change.
Some conditions of the eyelid
others that affect cornea or lense
Causes of Hypopyon - CORRECT ANSWER release of toxins and not by the actual
invasion of pathogens. The toxins secreted by the pathogens mediate the outpouring of
leukocytes that settle in the anterior chamber of the eye
Causes of PACG - CORRECT ANSWER Pupil block is considered to be a key element
in its pathogenesis.
•PAC and PACG are different things
-PAC is generally bilateral.
(≥180 degrees ITC = Elevated IOP and/or Peripheral Anterior Synechiae >
Leading to Optic Nerve damage (PACG)
, Causes of Posterior vitrous detachment? - CORRECT ANSWER Synchysis of the
vitreous humour, leading to a break in the Cortical vitreous -causing vitreal fluid to flow
through
Causes of sudden occular pain? - CORRECT ANSWER Migraine
Optic neuropathy
Uveitis
Corneal pain
Accompanying symptoms are usually decreased visual acuity and reduced colour
vision, and the pain typically is worse with eye movements.
•
Eye pain that may be caused by optic europathy requires immediate attention by an
ophthalmologist and a neurologist
Causes/classification of blephritis? - CORRECT ANSWER Staphylococcal blepharitis
Seborrhoeic blepharitis
Meibomian blepharitis - Meibomian gland dysfunction
charectoristic of senile cataracts? - CORRECT ANSWER -decreased visual acuity
-glare
-Myopia or myopic shift
- monocular diplopia - abnormal curvature of corneal surface , created double vision in 1
eye!
clinical fature of retinal vein occlusion? - CORRECT ANSWER With time retinal
heamorrhage may decreae of resolve:
- macular oedema often chronic
-epiretinal membrane may form
-optocilliar shunt vessels
neovascularisation of disc,etc may results in vitreous hemorhage or tractional retinal
detachment
clinical manifestation of branch retinal artery occlusion ?
and what is seen on PEx - CORRECT ANSWER monocular vision loss (restircted to
part of visual feild)
<50% with BRAO have imparrire Visual aquity
sectorial patten o retinal opacification
retinal emboli and more frequently seen
Clinical manifestations of Of central retinal artery occlusion?
, and whaat is seen on PEx? - CORRECT ANSWER acute vision loss (painless)
- Visuall aquity of hand motion may be normal
- cheery red macular a pale surroundings
CLinical signs of Retinal detachment? - CORRECT ANSWER RAPD ( if extensive)
Haemorrhage in vitreus - tobacco dust
Reduced VA
Cells/ flare in anterior chamber
common causes for sudden painless loss of vision? - CORRECT ANSWER •
ischaemic optic neuropathy (e.g. temporal arteritis or atherosclerosis)
• occlusion of central retinal vein
• occlusion of central retinal artery
• vitreous haemorrhage
• retinal detachment
Common causes of cellultiis (eye) - CORRECT ANSWER Staphylococcus,
Streptococcus
and Haemophilus species
Seen in children under the age of 10
Common causes of contact dermatoconjunctivtis & giant papillary conjunctivitis? -
CORRECT ANSWER Commonly reaction to eye drops of contact lenses
Complication of orbital cellulitis - CORRECT ANSWER cavernous sinus thrombosis as
indicated by neurological signs, visual loss, muscle paresis and papilloedema. Erosion
of orbital bones may result in brain abscess and meningitis.
Complications of Herpes zostr opthalmicus? - CORRECT ANSWER • ocular:
conjunctivitis, keratitis, episcleritis, anterior uveitis
• ptosis
• post-herpetic neuralgia
conditions associated with myopia? - CORRECT ANSWER squint- childhood eyes
point in diff. directions.
lazy eyechildhood, one eye. doesnt develop properly
glaucoma - IOC pressure.
cataracts - develpoment of cloudy atches inside lense.
Retinal detachment - wherby retina pulls awat from the blood vessel that nourish it
conservative treatments in RAO - CORRECT ANSWER occular massage increase
aques outflow vi schlem canal
acetazolamid, mannitol reduce iop
nitroglycerines can dialte artery and dislodge clot more distaly and thus preseve more
vision
95% o2/ 5% co2 : vasodilator and improved 02
question and answer latest version
2024-2025
13-20 % of population pocess extra blood supply to the eye what is it called and what
area does it supply? - CORRECT ANSWER short posterior ciliary arteries branch
distally from the ophthalmic
artery and supply the choroid.
Cilioretinal
arteries, an anatomic variant
present in 15%
-
30% of the population, branch from the short posterior
ciliary artery. These arteries supply the macula in addition to the
choroidal circulation
acquired causes of optic atrophy? - CORRECT ANSWER •multiple sclerosis
•papilloedema (longstanding)
•raised intraocular pressure (e.g. glaucoma, tumour)
•retinal damage (e.g. choroiditis, retinitis pigmentosa)
•ischaemia
•toxins: tobacco amblyopia, quinine, methanol, arsenic, lead
•nutritional: vitamin B1, B2, B6 and B12 deficiency
Aetiology of bacterial conjunctivitis? - CORRECT ANSWER S.Aureus, Sterp. Pneumo
or H.flu
also STIs chlamydia trachromatis, N.gonnorheae
Anterior uventis is linked to which infectious diseases? - CORRECT ANSWER HSV,
SYphilis, TB & varicella zoster
Anterior uventis is linked to which non infectious diseases? - CORRECT ANSWER -
Ankyolising spondilitis,
-behcet syndrom (ulcers eye,mouth & genitals),
-IBS,
-Juvenile arthritis, sarcoidosis (Granulomatous disease),
-seronegative arthropathy
Appearance of dendritic ulcer on opthalmoscopy? - CORRECT ANSWER - infectious
epithelial keratitis (with characteristic dendritic ulcers)
-neurotrophic keratopathy
-stromal keratitis endotheliitis (classified as disciform, diffuse, or linear)
, Benfits of cataract surgery - CORRECT ANSWER mproved visual acuity. 85-90% of
people will have
6/12 best corrected vision
(This meets the driving requirements in the UK).
However, reading glasses are
usually needed after cataract surgery, and some people may require glasses for
distance vision who did not previously require them
-Improved clarity of vision
- Improved colour vision.
can facial nerve palsy cause ectropions? - CORRECT ANSWER yes, Acute is
consistent with Bell palsy. Chronic, insidious progressive facial nerve palsy may indicate
a mass lesion.
can raised ICP cause strabismus - CORRECT ANSWER yes, y compressing the nerve
that runs between Clivus & briain stem
can the eye cellulitis get? - CORRECT ANSWER yes, Infections of the periorbital and
orbital tissues range in
severity, from relatively minor to potentially
life-threatening, especially to spread
cause of hyphaema ? - CORRECT ANSWER Trauma -blunt or penetrating
•Surgery
•Spontaneous
Sickle cell anaemia
Causes of astigmatism? - CORRECT ANSWER -Hereditary - corneal or lenticular
-Injuries to the cornea, such as infection that scars the cornea
keratoconus & kertoglobus - causes bulgin, thinner and shape change.
Some conditions of the eyelid
others that affect cornea or lense
Causes of Hypopyon - CORRECT ANSWER release of toxins and not by the actual
invasion of pathogens. The toxins secreted by the pathogens mediate the outpouring of
leukocytes that settle in the anterior chamber of the eye
Causes of PACG - CORRECT ANSWER Pupil block is considered to be a key element
in its pathogenesis.
•PAC and PACG are different things
-PAC is generally bilateral.
(≥180 degrees ITC = Elevated IOP and/or Peripheral Anterior Synechiae >
Leading to Optic Nerve damage (PACG)
, Causes of Posterior vitrous detachment? - CORRECT ANSWER Synchysis of the
vitreous humour, leading to a break in the Cortical vitreous -causing vitreal fluid to flow
through
Causes of sudden occular pain? - CORRECT ANSWER Migraine
Optic neuropathy
Uveitis
Corneal pain
Accompanying symptoms are usually decreased visual acuity and reduced colour
vision, and the pain typically is worse with eye movements.
•
Eye pain that may be caused by optic europathy requires immediate attention by an
ophthalmologist and a neurologist
Causes/classification of blephritis? - CORRECT ANSWER Staphylococcal blepharitis
Seborrhoeic blepharitis
Meibomian blepharitis - Meibomian gland dysfunction
charectoristic of senile cataracts? - CORRECT ANSWER -decreased visual acuity
-glare
-Myopia or myopic shift
- monocular diplopia - abnormal curvature of corneal surface , created double vision in 1
eye!
clinical fature of retinal vein occlusion? - CORRECT ANSWER With time retinal
heamorrhage may decreae of resolve:
- macular oedema often chronic
-epiretinal membrane may form
-optocilliar shunt vessels
neovascularisation of disc,etc may results in vitreous hemorhage or tractional retinal
detachment
clinical manifestation of branch retinal artery occlusion ?
and what is seen on PEx - CORRECT ANSWER monocular vision loss (restircted to
part of visual feild)
<50% with BRAO have imparrire Visual aquity
sectorial patten o retinal opacification
retinal emboli and more frequently seen
Clinical manifestations of Of central retinal artery occlusion?
, and whaat is seen on PEx? - CORRECT ANSWER acute vision loss (painless)
- Visuall aquity of hand motion may be normal
- cheery red macular a pale surroundings
CLinical signs of Retinal detachment? - CORRECT ANSWER RAPD ( if extensive)
Haemorrhage in vitreus - tobacco dust
Reduced VA
Cells/ flare in anterior chamber
common causes for sudden painless loss of vision? - CORRECT ANSWER •
ischaemic optic neuropathy (e.g. temporal arteritis or atherosclerosis)
• occlusion of central retinal vein
• occlusion of central retinal artery
• vitreous haemorrhage
• retinal detachment
Common causes of cellultiis (eye) - CORRECT ANSWER Staphylococcus,
Streptococcus
and Haemophilus species
Seen in children under the age of 10
Common causes of contact dermatoconjunctivtis & giant papillary conjunctivitis? -
CORRECT ANSWER Commonly reaction to eye drops of contact lenses
Complication of orbital cellulitis - CORRECT ANSWER cavernous sinus thrombosis as
indicated by neurological signs, visual loss, muscle paresis and papilloedema. Erosion
of orbital bones may result in brain abscess and meningitis.
Complications of Herpes zostr opthalmicus? - CORRECT ANSWER • ocular:
conjunctivitis, keratitis, episcleritis, anterior uveitis
• ptosis
• post-herpetic neuralgia
conditions associated with myopia? - CORRECT ANSWER squint- childhood eyes
point in diff. directions.
lazy eyechildhood, one eye. doesnt develop properly
glaucoma - IOC pressure.
cataracts - develpoment of cloudy atches inside lense.
Retinal detachment - wherby retina pulls awat from the blood vessel that nourish it
conservative treatments in RAO - CORRECT ANSWER occular massage increase
aques outflow vi schlem canal
acetazolamid, mannitol reduce iop
nitroglycerines can dialte artery and dislodge clot more distaly and thus preseve more
vision
95% o2/ 5% co2 : vasodilator and improved 02
