TMOD practice test 1 | with 100% Correct Answers | Updated & Verified

TMOD practice test 1 | with 100% Correct Answers | Updated & Verified 34 yo WF Sudden onset fixed/dilated right pupil no ptosis/EOM abnormality Most likely diagnosis? What drop should be given to confirm diagnosis? diagnosis = Adie's Tonic Pupil drop = pilocarpine 0.125% pts with Adie's have denervation hypersensitivity of the parasympathetic - sphincter is starved for dilute pilocarpine 58 yo WM Ptosis and miosis OS for past 2 months Heavy smoker Most likely diagnosis? Drop given to confirm diagnosis? diagnosis = Horner's drop = apraclonidine 1.0 % or cocaine 10% pts with Horner's have hypersensitivity of the sympathetic - With enough cocaine (10%) everyone dilates except whores (Horners) - normal pupils are appropriate (aproclonidine) and don't dilate, but whores do dosage of ibuprofen for mild to moderate pain 400 mg PO q4-6h w/ food enough said, shut up and eat! - NSAIDs with food What is less effective Lotedpred or FML? FML 63 yo female symptoms of moderate dry eye TBUT = 4 sec Schirmer = 3 mm Cornea = inferior SPK normal meibum upon expression Would you give doxy to this pt? no, doxy is given for MGD, and this pt has normal meibomian glands