Eye Example Questions
What physical exam finding defines the difference between periorbital and orbital
cellulitis? - ANS-Pain with EOMS
Orbital cellulitis --> muscles are past the septum so it has to be post septum
What is involved with an internal hordeolum and what is the common pathogen? -
ANS-Meibomian gland. Staph aureus
Peripheral visual loss can be seen with retinopathy. Which physical exam test would
you perform to evaluate a patient who you believe is at risk for having this condition? -
ANS-Confrontation field test
A female presents with acute onset of pain, erythema, and swelling along the medial
canthus of the right eye. On examination, her conjunctiva is injected, and upon
palpation of the medial canthus, a purulent discharge is noted from the puncta. She has
no pain with extraocular eye movements. What is the most likely diagnosis? -
ANS-Dacryocystitis
Where is the medial canthus? - ANS-Medial aspect of the eye
Identifying the type of ectropion is not as important as identifying which secondary
complication? - ANS-Corneal abrasion
What are the lids supposed to do functionally? - ANS-protect your cornea!!
Keratitis is: - ANS-inflammation of the cornea
An 83-year-old man presents complaining of excessive tearing in both of his eyes. On
examination, the sclera is white, the conjunctiva is clear, and it is observed that the
patient has severe lower lid laxity and ectropion bilaterally. Which of the following best
explains his excessive tearing? - ANS-The severe ectropion means the nasolacrimal
punctum is no longer in contact with the eye surface preventing tears from properly
draining
Dot or blot shaped hemorrhages are most common in which condition? - ANS-Diabetes
What is the most common organism associated with a stye? - ANS-Staphylococcus
aureus
What physical exam finding defines the difference between periorbital and orbital
cellulitis? - ANS-Pain with EOMS
Orbital cellulitis --> muscles are past the septum so it has to be post septum
What is involved with an internal hordeolum and what is the common pathogen? -
ANS-Meibomian gland. Staph aureus
Peripheral visual loss can be seen with retinopathy. Which physical exam test would
you perform to evaluate a patient who you believe is at risk for having this condition? -
ANS-Confrontation field test
A female presents with acute onset of pain, erythema, and swelling along the medial
canthus of the right eye. On examination, her conjunctiva is injected, and upon
palpation of the medial canthus, a purulent discharge is noted from the puncta. She has
no pain with extraocular eye movements. What is the most likely diagnosis? -
ANS-Dacryocystitis
Where is the medial canthus? - ANS-Medial aspect of the eye
Identifying the type of ectropion is not as important as identifying which secondary
complication? - ANS-Corneal abrasion
What are the lids supposed to do functionally? - ANS-protect your cornea!!
Keratitis is: - ANS-inflammation of the cornea
An 83-year-old man presents complaining of excessive tearing in both of his eyes. On
examination, the sclera is white, the conjunctiva is clear, and it is observed that the
patient has severe lower lid laxity and ectropion bilaterally. Which of the following best
explains his excessive tearing? - ANS-The severe ectropion means the nasolacrimal
punctum is no longer in contact with the eye surface preventing tears from properly
draining
Dot or blot shaped hemorrhages are most common in which condition? - ANS-Diabetes
What is the most common organism associated with a stye? - ANS-Staphylococcus
aureus
