Clinical Ophthalmology Exam Questions and Answers Latest Update 2025 Already Passed
What are the 3 things you do before calling Ophthalmology? - Answers Check vision, Pupils, and ocular motility
What is a Stye? - Answers Inflammation of the eyelids, caused by glands being pugged up. Treatment is heat, not eye drops
Blepharitis - Answers Old people
Glands are blocked and gunk builds up around eye
Cellulitis Preseptal - Answers Most common
Come from the eye lids or the ethmoid sinus
Tx: Topical and oral antibiotics
Cellulitis Retroseptal (Orbital) - Answers Presents with fever, pain with motility, blurred vision, limited motility, diplopia
Tx: Topical and IV antibiotics
Worried about brain infections
Conjunctivitis - Answers "Pink eye"
Inflammation of the conjunctiva
3 types: Allergic, Bacterial, Viral
Allergic vs Bacterial vs Viral conjunctiva - Answers Allergic: Clear drainage, itching
Bacterial: Mucous discharge Staph, Strep, H. Flu, Chlamydia
Viral: Watery drainage, looks like allergic
Dacryocistitis - Answers Tear duct blocked. Give the baby 6-12 months to open naturally, if they do not open, surgical intervention
Child presents with "Leaky watery" eyes
Episcleritis - Answers Inflammation of the connective tissue between the sclera and conjunctiva
Associated with Autoimmunity
Tx: Steroid drops +/- steroid injections
Cornea injuries - Answers Abrasions, Foreign bodies, Burns, Ulcers
Rule for patching children's eyes - Answers Only patch 1 day/year old. Don't want to ruin vision
Ex) 3 year old can only be patched for 3 days max
Corneal Ulcers - Answers Causes: Exposure keratitis, sleeping in contacts, abrasions
Starts as opening in epithelium of cornea
Signs: Blurred visions, pain, injection, discharge, infiltrate, photophobia
Include fluorescein staining
Tx: Hourly antibiotic drops and then topical steroids
Hyphema - Answers Blood in the anterior chamber of the eye
Iritis/Uveitis - Answers Inflammation of the iris
Signs/Symptoms: Blurred vision, light sensitivity, Eye pain/redness
Can be Anterior, Posterior, or Pan-uveitis
Can lead to Cataracts, Glaucoma, vision loss, retinal detachment
Anterior Iritis/Uveitis - Answers Post trauma, Infectious, Autoimmune
Ankylosing Spondylitis, JRA, HSV
Posterior Iritis/Uveitis - Answers Toxoplasmosis, Cat Scratch Disease, Herpes Zoster, Lyme, Lymphoma, Leukemia
Panuveitis - Answers Viral (CMV, VZV, HSV)
Bacterial (TB)
Parasitic (Toxo)
Autoimmune (SLE, VKH, Polyangitis)
What are the 2 true Ophtho Emergencies? - Answers Alkaline burn, and Angle Closure Glaucoma
Angle Closure Glaucoma - Answers Beefy, red painful eye stuck shut with an unreactive pupil.
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Clinical Ophthalmology Exam Questions and Answers Latest Update 2025 Already Passed
What are the 3 things you do before calling Ophthalmology? - Answers Check vision, Pupils, and ocular
motility
What is a Stye? - Answers Inflammation of the eyelids, caused by glands being pugged up. Treatment is
heat, not eye drops
Blepharitis - Answers Old people
Glands are blocked and gunk builds up around eye
Cellulitis Preseptal - Answers Most common
Come from the eye lids or the ethmoid sinus
Tx: Topical and oral antibiotics
Cellulitis Retroseptal (Orbital) - Answers Presents with fever, pain with motility, blurred vision, limited
motility, diplopia
Tx: Topical and IV antibiotics
Worried about brain infections
Conjunctivitis - Answers "Pink eye"
Inflammation of the conjunctiva
3 types: Allergic, Bacterial, Viral
Allergic vs Bacterial vs Viral conjunctiva - Answers Allergic: Clear drainage, itching
Bacterial: Mucous discharge Staph, Strep, H. Flu, Chlamydia
Viral: Watery drainage, looks like allergic
Dacryocistitis - Answers Tear duct blocked. Give the baby 6-12 months to open naturally, if they do not
open, surgical intervention
Child presents with "Leaky watery" eyes
Episcleritis - Answers Inflammation of the connective tissue between the sclera and conjunctiva
Associated with Autoimmunity
Tx: Steroid drops +/- steroid injections
Cornea injuries - Answers Abrasions, Foreign bodies, Burns, Ulcers