D115- ADVANCED
PATHOPHYSIOLOGY TEST
EXAM AND ANSWERS
[Document subtitle]
, Herpes Keratitis - correct ans:-acute onset of severe eye pain, photophobia,
and blurred vision in one eye; diagnosed by using fluorescein dye - will
appear like fernlike lines on the corneal surface
-infection permanently damages corneal epithelium (may result in blindness)
-refer to ED or ophthalmologist STAT; avoid steroid ophthalmic drops
2 types of herpes virus that can infect the eyes - correct ans:1. Herpes
Simplex = Herpes simplex keratitis
2. Herpes Varicella Zoster/Shingles = Herpes Zoster Ophthalmicus
Ophthalmological emergency - correct ans:Acute Angle-Closure Glaucoma
Acute Angle-Closure Glaucoma - correct ans:-acute onset of severe eye pain
accompanied by headache, N/V, halos around lights, and decreased vision
-mid-dilated pupil that is oval shaped
-cloudy cornea
-fundoscopic examination reveals cupping of the optic nerve
-Refer to ED
-TRUE OPHTHALMOLOGICAL EMERGENCY
-increases ICP
Multiple Sclerosis (optic neuritis) - correct ans:-new or intermittent loss of
vision in one eye alone or accompanied by nystagmus or other abnormal eye
movements
- aphasia, abnormal gait, spasticity, paresthesia
-daily fatigue that worsens throughout the day
-heat worsens symptoms
-has recurrent episodes
-refer to neurologist
PATHOPHYSIOLOGY TEST
EXAM AND ANSWERS
[Document subtitle]
, Herpes Keratitis - correct ans:-acute onset of severe eye pain, photophobia,
and blurred vision in one eye; diagnosed by using fluorescein dye - will
appear like fernlike lines on the corneal surface
-infection permanently damages corneal epithelium (may result in blindness)
-refer to ED or ophthalmologist STAT; avoid steroid ophthalmic drops
2 types of herpes virus that can infect the eyes - correct ans:1. Herpes
Simplex = Herpes simplex keratitis
2. Herpes Varicella Zoster/Shingles = Herpes Zoster Ophthalmicus
Ophthalmological emergency - correct ans:Acute Angle-Closure Glaucoma
Acute Angle-Closure Glaucoma - correct ans:-acute onset of severe eye pain
accompanied by headache, N/V, halos around lights, and decreased vision
-mid-dilated pupil that is oval shaped
-cloudy cornea
-fundoscopic examination reveals cupping of the optic nerve
-Refer to ED
-TRUE OPHTHALMOLOGICAL EMERGENCY
-increases ICP
Multiple Sclerosis (optic neuritis) - correct ans:-new or intermittent loss of
vision in one eye alone or accompanied by nystagmus or other abnormal eye
movements
- aphasia, abnormal gait, spasticity, paresthesia
-daily fatigue that worsens throughout the day
-heat worsens symptoms
-has recurrent episodes
-refer to neurologist
