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A 63 year old female presents with complaints of episodic waves
of severe pain
to her left face and mouth. She states it comes on very
quickly, and ends at
random abrupt times. She also notes that yawning seems to
trigger it. What
diagnosis do you suspect? - ANSWER -
Trigeminal neuralgia
What medication is used as first line treatment for
trigeminal neuralgia? -
ANSWER -
Carbamazepine
A mother with a 1 month old child states that she is concerned
that her child's right eye seemed to tear constantly and shows
mild crusting of the lashes on a regular basis. What should you
tell the mother this is? and what suggestions do you give her? -
ANSWER -Dacryostenosis, or an obstruction of the
nasolacrimal tear duct. It is not uncommon, and should resolve
,by 6 months. Massage the nasolacrimal duct at least twice
daily.
At what point should a child with dacryostenosis be referred to
an opthamologist? - ANSWER -if severe obstruction, prior to 6
months. Normal obstructions should get referral beyond 9-12
months
Injected conjunctiva with profuse tearing, mucous
discharge, burning,
concurrent URI, and enlarged preauricular nodes
suggests ______
conjunctivitis. -
ANSWER -Viral
A 2 week old patient presents with profuse ophthalmic exudate
and genitourinary symptoms. What diagnosis do you suspect?
- ANSWER Chlamydial conjunctivitis
A 2 day old patient presents with profuse ophthalmic
exudate. what is the
suspected cause? - ANSWER -Gonococcal
conjunctivitis
What is a first line medication that should be
prescribed for bacterial
conjunctivitis? and how is it taken? - ANSWER -Polytrim
2 drops 4x/day
,Painless appearance of bright red spot in the eye that does not
affect vision... -
ANSWER -Subconjunctival
hemorrhage
What are the two types of blepharitis? - ANSWER -Ulcerative
and Seborrheic
Benign, chronic inflammation of the eyelid caused by
blockage of the
meibomian gland. - ANSWER –
Chalazion
A painless lesion to the eyelid that does not involve the
lashes - ANSWER -
Chalazion
A painful lump on the found on the lid of the eye is most likely
a... - ANSWER -
Hordeolum
What is the preferred management for hordeolum? -
ANSWER -Warm
compress to the eye with gentle lid massage to
allow drainage.
A patient presents stating that he got something in his eye when
working today.
, What is the order of physical examination techniques that
you would use to
evaluate this patient? - ANSWER -Snellen chart to assess
visual acuity,
examination with slit lamp, then
fluorescein staining
A patient presents with suspected chemical burn to bilateral
eyes. What action
would you initiate first? - ANSWER -Eye irrigation with
normal saline for 30
minutes
A patient is diagnosed with a corneal abrasion. What types
of medications
should be prescribed? - ANSWER -Topical antibiotic,
ointment or drops
analgesics for pain, tetanus, topical anesthetic for
evaluation of the eye
A patient presents with a corneal abrasion from foreign body
injury. You note
that upon evaluation the patient demonstrates distorted
vision in the affected
eye. What is the next step in this patients care? - ANSWER
-Referral to
ophthalmologist
Opacification of the lens in the eye - ANSWER -Cataract