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Ophthalmology Review Questions

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197 views3 pages

Ophthalmology Review Questions

Uploaded by

Farah Farah
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© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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OPHTHOBOOK-CHAPTERS

Ophthalmology Review
Questions
Timothy Root, MD 73 Comments

It’s doubtful that you’ll come across many eye


questions on your Step 2 boards, but you might! If
nothing else, this collection of board-style
questions will present this material in a different
perspective. All of the concepts and information
for these questions should be found in the prior
chapters and I’ve attempted to keep this at a
medical-student level.
To save you from excessive page flipping, I’ve
listed the answers after each question. You may
want to put your hand over the answer box as you
work through these problems.

The Questions
1. Which conjunctivitis is least likely to occur
bilaterally?

a. allergic
b. viral
c. bacterial
d. vernal

Answer: The correct answer is (c) bacterial.


Allergies are likely to affect both eyes and present
with itching and watering. Vernal is a type of
seasonal allergy you see in young boys. Viral
conjunctivitis usually starts in one eye, but hops
to the other eye as it is very contagious. Bacterial
conjunctivitis can occur bilaterally, but of the
available choices is most likely to occur in just one
eye.

2. You’re consulted by an intern from the ICU


because his ventilated patient, with a head
injury, has a fixed and dilated pupil. The intern
is concerned for acute glaucoma. What do you
tell him?

a. find a Tono-Pen and check the pressure


b. call his upper-level fellow immediately
c. taper the patient’s benzos
d. increase the PEEP ventilator setting

Answer: Well, you need more history, of course,


but any blown pupil in a trauma-ICU makes me
think of an uncal-herniation and impending death.
Tell him to (b) find his senior resident immediately
and call you back if they still want an eye-consult.

3. Which optic nerve finding is most


concerning for glaucomatous damage?

a. large disk size


b. horizontal cupping
c. vertical cupping
d. disk tilt

Answer: The correct answer is (c) increased


vertical cupping, which would go against the ISNT
rule (the Inferior and Superior neural rim is
normally the thickest). Many patients have large
myopic (near-sighted) eyes with resulting large
optic disks and disk “tilting” from the angle at
which the nerve enters the back of the eye – this
is physiologically normal and not concerning for
glaucoma.

4. A young 23-year-old black man presents


with a hyphema in the right eye after blunt
injury. All of the following are acceptable initial
treatments except?

a. sleep with the head elevated


b. prednisolone steroid eye drops
c. cyclopentolate dilating drops
d. carbonic anhydrase inhibitor pressure drops

Answer: The correct answer is (d). For patients


with hyphema (blood in the eye) advise them to
avoid straining and sleep with their heads
elevated to allow the blood to settle. Use steroids
to decrease the inflammation and a medium-
acting cycloplegic to dilate the eye for comfort
and to keep the inflamed iris from “sticking” to the
lens underneath. If the pressure is high, you can
use pressure drops, but we avoid CAIs in African
Americans as it induces RBC sickling in sickle-cell
patients. You can get a sickle prep if you are
suspicious for this disease.

5. A 7-year-old boy presents with a grossly


swollen eyelid. His mother can’t think of
anything that set this off. What finding is most
characteristic of orbital cellulitis?

a. chemosis
b. warmth and erythema of the eyelid
c. physically taut-feeling eyelid
d. proptosis

The correct answer is (d). With any eyelid


cellulitis, you must determine if the infection is
pre-septal or post-septal (i.e. orbital cellulites).
While chemosis is certainly seen with orbital
infection, proptosis is even more indicative of
orbital infection. Other signs include decreased
eye-movement, pain with eye-movement, and
decreased vision.

6. What location for a retinal detachment


would be most amenable to treatment by
pneumatic retinopexy?

a. inferior rhegamatogenous detachment


b. superior tractional retinal detachment
c. superior rhegamatogenous detachment
d. traumautic macular hole

Answer: This question covers several concepts.


Rhegamatogenous detachments are the classic
detachment occuring from a break in the retina. A
pneumatic retinopexy is the technique of injecting
a gas bubble into the eye that floats and
tamponades the break. Gas bubbles require
careful head-positioning and work best for
superior breaks (patients can’t stand on their
heads for weeks for inferior breaks). The correct
answer is therefore (c).

7. A mother brings in her two-year old child


because she is concerned that her baby is
cross-eyed. Which of the following is an
inappropriate statement:

a. the baby may maintain 20/20 vision


b. the esotropia could could lead to permanent
vision loss
c. the esotropia might be corrected with glasses
alone
d. surgical treatment should be delayed until
adolescence

Answer: Answer (d) is the inappropriate


statement. Esotropia (cross-eyed) is a common
finding in the pediatric clinic. There are many
causes, and one of them is poor vision in one eye.
Spectacle vision can help anisometropic eyes
fuse images properly and correct the alignment
problem. This condition should be treated
promptly, via spectacle correction, and possibly
patching the strong eye to avoid amblyopia – if
the crossing doesn’t correct with these measures,
then you procede to surgical options. A child may
maintain good vision in each eye if the kid learns
to cross-fixate (switch eye dominance depending
upon what direction the child is looking). There is
no point in waiting until adolescence – you want to
avoid an amblyopic eye and give the child a
chance to develop good stereopsis at an early
age.

8. Which of the following is the biggest risk


factor for primary open angle glaucoma?

a. Asian ancestry
b. smaller diurnal pressure IOP changes
c. thin corneas
d. large optic disks

Answer: Asians are more likely to develop acute


angle-closure glaucoma, not POAG. Everyone has
diurnal eye pressure changes, and there is some
evidence that glaucomatous patients have larger
shifts in their pressure throughout the day. Large
optic disks aren’t concerning, though large
cupping of a disk could indicate nerve fiber loss
from glaucoma. Thin corneas ARE associated with
glaucoma, as shown by the famous OHTS clinical
trial. We measure every new glaucoma patient’s
corneal thickness with a small ultrasound
pachymeter. The correct answer is (c).

9. A 27-year-old contact lens wearer presents


to the ER complaining of ocular irritation. On
exam he has a small 2mm corneal abrasion.
You should

a. treat with erythromycin ointment


b. treat with ciprofloxacin drops
c. bandage contact lens for comfort and speed
reepitheliazation
d. patch the eye and follow-up in 72 hours

Answer: You need to be concerned for


pseudomonas infection in any contact lens
wearer. Erythromycin is great stuff, but these
higher risk patients should get something
stronger like a fluoroquinolone (cipro). A bandage
contact lens can help with painful abrasions, but
I’d avoid one in this patient as the abrasion isn’t
big, and you typically don’t patch ulcers. Patching
can also be used to help with lubrication and
comfort, but I never patch a potential infection, as
bacteria like to grow in dark warm environments. If
you decide to patch, you need to see daily to
make sure nothing is brewing under that lens. The
most appropriate answer is (b).

10. A woman presents to you complaining of a


red, watering eye for the past two days with
stinging and some photophobia. Her vision has
dropped slightly to 20/30. She has a history of
diabetes and taking drops for glaucoma, but is
otherwise healthy. The most likely cause of her
redness is:

a. angle-closure glaucoma
b. viral conjunctivitis
c. diabetic retinopathy
d. papilledema

This woman probably has a history of POAG


(primary open angle glaucoma) if she is on drops.
If she were to have an acute angle closure, then
her eye would be very painful and the vision would
have gotten much worse from corneal edema.
Diabetic retinopathy is usually a background
finding of leaky vessels in the retina and doesn’t
create this picture. She merits a full eye exam, but
her symptoms are consistant with “pink eye” with
viral conjunctivitis being the most common cause
in an adult. The correct answer is therefore (b).

11. A patient presents after MVA with a


fracture of the orbital floor. What would be the
indication for surgery in the near future?

a. double vision that worsens with upgaze


b. chemosis and moderate proptosis
c. restricted forced ductions
d. decreased extraocular movement

Answer: Floor fractures are very common and


these patients always look impressively bad on
exam, with marked swelling and subconjunctival
bleeding. They can have decreased EOMs and
proptosis from this swelling alone, which
shouldn’t concern you. More worrisome is
entrapment of the inferior rectus muscle in the
orbital floor – this entrapement can only be
determined by forced ductions … grab the limbus
with forceps and tug on the eye to see if
movement is restricted. The correct answer is (c).

12. A 64-year-old man presents to you with


new onset of “crossed-eyes.” His left eye can’t
move out laterally and he has a chronic mild
headache that he attributes to eyestrain.
Which of the following is least likely the cause
of his condition:

a. hypertension
b. diabetes
c. aneurysm
d. increased intracranial pressure

Answer: The most common causes of all the


ocular nerve palsies are from vasculitic events
secondary to diabetes or hypertension. It sounds
like this patient has a CN6 palsy as he can’t
abduct his eye. With abducens palsy you should
always consider increased intracranial pressure. A
internal carotid aneurysm could hit the 6th nerve
in the cavernous sinus, but you would expect
other findings with these cavernous lesions.
Aneurysms in general cause more third nerve
palsies. Thus, the correct answer is (c).

13. The abducens nucleus would be most


affected by a brainstem lesion at:

a. pons
b. mid-brain
c. medulla
d. foramen magnum

To answer this question you need to know where


the 6th nerve nucleus is located. One useful aid is
the “4-4 Rule,” which states that the bottom four
nuclei (CN 12,11,10,9) are in the medulla, while the
next four nuclei (CN 8,7,6,5) are in the pons. The
correct answer is therefore (a).

14. The pupillary defect that affects the


afferent arm of the pupillary response is the:

a. Marcus Gunn pupil


b. Argyl Robberson pupil
c. Adies pupil
d. Horners pupil

A Marcus Gunn pupil is the classic afferent


pupillary defect (APD) that we check with the
swinging light test. The Argyl Robberson is the
syphilitic pupil that reacts with near vision, but
doesn’t respond to light. Horners and Adies are
disorders of the sympathetic and
parasympathetic efferent pupil response. The
correct answer is (a).

15. Aqueous fluid is produced in which


chamber?

a. anterior chamber
b. vitreous chamber
c. posterior chamber
d. trabecular chamber

There are actually three chambers in the eye.


Aqueous is produced in the posterior chamber
where it flows forward into the anterior chamber
and drains through the trabecular meshwork into
the canal of Schlemm. The vitreous chamber is
the big one in the back that is filled with jelly-like
vitreous humor. The correct answer is therefore
(c).

16. Which orbital bone is most likely to fracture


with blunt trauma to the eye?

a. zygomatic
b. maxillary
c. ethmoid
d. sphenoid

Answer: The orbital floor, which is formed by the


maxillary bone, is the most commonly fractured
wall of the orbit. Orbital fat will commonly herniate
through this bone and muscle can get stuck if the
break acts like a trapdoor. The ethmoidal lamina
papyracea is also often broken because it is the
thinnest, but this occurs less often because of
extensive bolstering. The lateral zygomatic
component of the orbit is rarely broken, nor the
more posterior sphenoid. The correct answer is
(b)

17. When a patient focuses on near objects, the


lens zonules:

a. rotate
b. contract
c. relax
d. twist

Answer: The zonules connect to the lens


periphery and suspend the lens like a trampoline
to the surrounding ciliary muscle. With near
vision, the ciliary body contracts like a sphincter,
causing the zonules to relax, and the lens to get
“rounder.” This rounding of the lens increases its
refractive ability and allows focusing of near
objects. With age, the lens hardens and loses its
ability to round out – a process called presbyopia.
The correct answer here is (c).

18. What is glaucoma?

a. retinal damage from high intraocular pressure


b. optic nerve death caused by mechanical
stretching forces
c. ischemic nerve damage from decreased blood
perfusion gradients
c. none of the above

Answer: The best answer here is probably the last


one, as no one really understands the
pathogenesis of glaucoma. Ultimately, it involves
death of the nerve fibers and it seems associated
with high ocular pressure – this is certainly the
only risk factor that we can treat. However, there
are plenty of patients out there with glaucoma
damage and normal eye pressure, so pressure
isn’t the “ultimate cause.” There are many
mechanical and biochemical theories that explain
glaucoma damage, and each has its merits and
faults.

19. Which condition would result in an


inaccurately high reading with applanation
pressure measurement?

a. thin cornea
b. thick cornea
c. edematous cornea
d. keratoconus

Answer: We measure pressure by pushing the


cornea with a weighted device – a process I
compare to kicking a car tire to determine the air
pressure. Patients with thick “truck-tire corneas”
are going to feel hard when you measure them.
Conversely, people with thin “bicycle-tire”
corneas are going to feel softer. Corneal edema
also makes the eye feel squishy (giving a falsely
low pressure) and patients with keratoconus often
have thin corneas. The correct answer here is (b).

20. Gonioscopy overcomes the concept of:

a. angled biomicroscopy
b. spherical abberation
c. total internal reflection
d. specular microscopy

Answer: The trabecular meshwork can’t be


visualized directly because light coming from this
angle bounces off the inner cornea back into the
eye because of Snell’s Law and total internal
reflection. By placing a hard glass lens onto the
eye, the cornea-air interface is broken and light
can escape and be seen through the microscope.
The correct answer is therefore (c).

21. A 32-year-old white man with a history of


type-1 diabetes presents to you complaining of
decreased vision. He has not seen an eye
doctor in years. On exam, you find numerous
dot-blot hemorrhages, hard exudates, and
areas of abnormal vasculature in the retina.
Pan-retinal photocoagulation might be done in
this patient to:

a. kill ischemic retina


b. tamponade retinal tears
c. ablate peripheral blood vessels
d. seal off leaking blood vessels

Answer: PRP is performed to kill areas of


peripheral ischemic retina. By doing so, less VEGF
is produced, leading to cessation and regression
of neovascularization. While it is true that we
sacrifice some of the peripheral retina with PRP, it
is worth it to save important central vision. Lasers
can be used to help peg down retinal tears and to
help with leaking vessels … but this is called “focal
laser therapy.” The correct answer here is (a).

22. Which of the following is a risk factor for


retinal detachment?

a. black race
b. male sex
c. presbyopia
d. myopia

The correct answer is (d) myopia. Myopic (near-


sighted) eyes are large eyes with a stretched-out
retina that is more likely to tear at the periphery.
Neither blacks nor males are at higher risk of RD.
Presbyopic lens hardening doesn’t have anything
to do with the retina.

23. A 57-year-old man complains of flashing


lights and a shade of darkness over his inferior
nasal quadrant in one eye. On exam you find
the pressure a little lower on the affected eye
and a questionable Schaffer’s sign. What
condition would lead you to immediate
treatment/surgery?

a. macula-off rhegmatogenous retinal


detachment
b. epi-retinal membrane involving the macula
c. dense vitreous hemorrhage in the inferior nasal
quadrant
d. mid-peripheral horseshoe tear with sub-retinal
fluid

Answer: Schaffer’s sign is when you see pigment


behind the lens on slit-lamp exam, and occurs
with retinal detachments and the release of
pigment into the vitreous chamber. A macula-off
retinal detachment is unfortunate, but isn’t an
immediate emergency – it certainly needs to be
repaired, but can wait for a few days if necessary,
as the damage to the detached macular
photoreceptors has already occured. Epi-retinal
membranes are common and aren’t an
emergency unless actively creating a tractional
detachment. Vitreous hemorrhages are not
emergencies either, assuming there isn’t a
detachment behind that blood on your ultrasound.
Smaller retinal tears, however, need to be treated
early to make sure they don’t progress and peel
off the macula. The answer is (d).

24. Oral doxycycline helps blepharitis patients


by:

a. therapeutic antibiotic tear secretion


b. changing lipid viscosity
c. inhibiting cytokine release
d. improved lacrimal gland excretion

Doxycycline changes the lipid viscosity of the


meibomian gland secretions, improving oil
secretion from the gland into the tear film. This
superficial lipid layer is needed to keep the tears
from evaporating too quickly. The correct answer
is (b).

25. Put the following retinal layers in order


from inside (next to the vitreous) to outside:

a. Ganglion nerves, photoreceptors, choroid, then


sclera on the outside.
b. Photoreceptors, ganglion nerves, choroid, then
sclera on the outside.
c. Choroid, photoreceptors, ganglion nerves, then
sclera on the outside.
d. Choroid, ganglion nerves, photoreceptors, then
sclera on the outside.

Answer: The correct answer is (a). This question


illustrates a few important concepts. The first is
that the photoreceptor cells lie relatively deep in
the retina, such that light has to pass through
many layers to reach them. One of these layers is
the ganglion layer of nerve fibers that form the
surface of the retina as they travel to the optic
nerve. The choroid is a deeper bed of blood
vessels that nourishes the photoreceptors from
below, while the sclera is the tough collagen
matrix that forms the outer wall of the eye.

26. In the absence of lens accommodation, a


myopic eye focuses images:

a. in front of the lens


b. In front of the retina
c. behind the retina
d. Behind the cornea

Answer: The correct answer is (b). Myopic, or


near-sighted eyes, are typically large eyes that
focus images in the middle of the eye, in front of
the retina within the vitreous chamber. These eyes
require a minus concave-shaped lens in their
glasses – this effectively weakens the overall
refractive power of the eye, allowing images to
focus further back on the retina.

27. A man calls the office complaining of


splashed bleach in his eye. You should instruct
him to:

a. patch the eye and immediately go to the office


b. irrigate the eye for 15 minutes and then go to
the office
c. immediately apply lubricating ointment and
then go to the office
d. immediately wash the eye with contact saline
solution and go to the office if he notices any
change in vision

Answer: The final visual outcome for a chemical


burn is going to depend upon how quickly the
chemical is washed out of the eye, so have your
patient wash out their eye immediately! Chemical
injury is one of the few eye problems that you
treat prior to checking vision. The correct answer
here is (b).

28. What antibiotics would you use in a


newborn with suspected chlamydial
conjunctivitis?

a. Ciprofloxacin drops
b. Erythromycin drops
c. Oral Doxycyline
d. Erythromycin drops and oral erythromycin

Answer: Chlamydia is one cause of conjunctivitis


you should suspect in the newborn. Treatment
involves topical drops such as erythromycin and
systemic coverage because of concurrent
respiratory symptoms these kids can develop (as
chlamydia infects mucous membranes and give a
pneumonitis). You don’t use doxy in children.
Fluoroquinolones might work, but we don’t use
them in children because of theoretical bone
suppression. The correct answer is (d).

29. You are measuring the deviation in a child


with strabismus. The corneal light reflex is
2mm temporal to the pupil in the right eye.
How much deviation would you estimate?

a. 10 diopters esotropia
b. 20 diopters exotropia
c. 30 diopters esotropia
d. 40 diopters exotropia

Answer: You can estimate deviation using the


Hirshburg rule – for every mm the reflex is
decentered, equals 15 diopters of deviation. This
child has 30 diopters of deviation, and an
esotropia, so (c) is the correct answer.

30. Steroids typically induce what kind of


cataract?

a. Nuclear sclerotic
b. Posterior polar
c. Posterior subcapsular
d. Cortical

Answer: Steroids and diabetes are classically


known to cause posterior subcapsular cataracts
on the back surface of the lens. Nuclear sclerotic
cataracts are common and usually from aging.
Posterior polar cataracts are often congenital.
Cortical cataracts are also common and have
many causes. The correct answer is (c).

Timothy Root, MD

Dr. Timothy Root is a


practicing ophthalmologist
and cataract surgeon in
Daytona Beach, Florida. His
books, video lectures, and
training resources can be
found at www.TimRoot.com

73 Comments

swaraj says:

wonderful site dude, seems to be written by


a professional, and for dummies. i think
every book should be like this… so simple to
understand, yet comprehensive…keep it up!

Reply

YAGEN says:

Thank u

Reply

Patricia says:

Wonderful

Reply

vinychy says:

excellent question and answer session.reall


helped me prepare for my exams.Thank
you.

Reply

choysum says:

Super book! Rapid fire revision of Ophthal –


extremely well-presented. Thanks!

Reply

MARK IGA ANTHONY says:

Supperp Questions i like them


MARK IGA ANTHONY

Reply

kanmin xue says:

surely you mean answer is ‘d’ for question


12?

Editors Note: I believe the current answer is


correct. One of the most common reasons
for a sixth nerve palsy is increased
intracranial pressure. Vasculopathic causes
(hypertension and diabetes) also cause
many cranial nerve palsies. A aneurysm
(such as a cavernous sinus aneurysm)
could cause a sixth nerve paralysis, as the
sixth nerve does travel right next to the
internal carotid … but this is relatively rare
compared to the other abducens palsies.

Reply

aray saleh says:

thanks for thisnice book

Reply

Phil says:

Great site, thank you very much!! I really


enjoyed the quiz at the end too. However, I
do have one question/concern…for number
29, I learned that 1mm=11 prism dioptres.
Are you sure of your answer because this is
the first time I have ever heard of 1mm=15
prism dioptres as you have in your answer.
My answer would have been (b) since that’s
the closest to 22 pd. Thanks again!

Reply

tim says:

if i remember correctly, the hirschberg


reflex is 0.5 mm nasal in a normal individual
due to the light source being 40 cm away. a
2 mm temporal corneal light reflex would
show that the individual has a 2.5 mm
ESOtropia which comes out to 27.5 pd,
which is closest to (c).

Reply

Ahmed Badawy says:

Truely wonderful to have such simple


illustrative site. I hope success & advance
more for such great sites.

Reply

basaku says:

wonderful fun-to-do questions. thanks a lot

Reply

dr.aslam says:

rely, i got good knowledge from this site.i


wish that it will b helpful for my future and
for others,who seek knowledge.

Reply

Behnam says:

What if an ophtalmology requires an MRI of


the head?

Reply

Erick says:

??? what about it?

Reply

Nicolle says:

Fantastic resource in revising for exams.


Thanks!

Reply

Gisele says:

Great Site…however with regards to


question number 12;in the scenario
described the patient appears to have a
cranial nerve 6th palsy as the cannot
abduct the eye..hence , shouldn’t the
answer be (d)? If there was a third nerve
palsy from an aneurysm, the manifestation
would hav been a lack of adduction of the
eye amongst other things. please clarify.

Editor: The answer is (c). You are correct,


however, in that the question describes a
6th nerve palsy. Some of the common
causes of 6th nerve palsy are vasculitic risk
factors (diabetes, HTN) and increased
intracranial pressure. This leaves (c)
Aneurism as the remaining choice.
Aneurism is a common cause of 3rd nerve
palsy, but we’re not talking about that in
this question. Thanks for commenting!

Reply

zain ikram says:

after going through these video lectures i


want to be a ophthalmologist.really great
work.

Reply

ashish malik says:

simple yet beautiful illustration…thanks

Reply

Cory Steed says:

Great resource! With regards to the


Hirschberg question. I learned that you
don’t know how far the eye is deviated until
you examine the reflex monocularly. That
way you know what’s ‘normal’ for that
patient. Deviation then can be quantified
from that base. As for 10, 11, or 15 diopters
per mm deviation from the norm, why
worry? Get the general idea, then quantify
with prism rack or loose prisms if you need
precision.

Reply

Sravya says:

It’s really wonderful work

Reply

tory says:

can vision be corrected due to use of cialis


?

Reply

dr. mouse says:

Hello there,
I say this to be FUN-Tastic!! lovely… fitting
fitting! tu cha gaya hai! great

thankyou,
come again

Reply

johny says:

hagit u are number 1 !!!!!!

Reply

nana says:

thank u very much


may God bless u

Reply

ria cevangelista says:

concise, yet detailed enough, not to


mention entertaining videos. appreciate
your sincere passion and generosity in all
your efforts to explain Ophtha in the easiest
way for me to understand and retain the
knowledge. A big fan. Please don`t get tired
of doing these. Thank you and God speed.

Reply

Dr Alka B Shah says:

Thank u Veri precise.nicely designed.

Reply

Irshad Ali says:

Wonderfull, Excellent effort


Thank you

Reply

Mohamedabdelazeem
hammad says:

Many thanks

Reply

noga says:

thank you

Reply

Luigi says:

Thank you for this excellent teaching


material!!

Reply

Emily says:

This is the best way I have ever had


opthalmology explained to me! I’m a final
year med student and I now can enjoy
studying the eye, rather than being terrified
by it! Thank you- a life changing resource!

Reply

M ARSHAD RANA says:

A nice site, very suitable for trainees.

Reply

Okwuwa Juliet says:

Thanks dis is wonderful.

Reply

Victoria says:

Great site- I was checking it out to try and


figure out a COMLEX step 3 exam question
(from a retired exam for self-assessment). It
had a 52 year old woman with slightly
blurred vision who also experienced ‘vision
loss’ when going from dark to light
environments and accompanied by
headache, mild pain, and mild conjunctival
injection. Asked for the best diagnostic
step, answer choices were: dilated retinal
exam, slit lamp eval., fluorescein drops,
measure intraocular pressure, or visual field
test. Seeing how comprehensive a slit lamp
exam is- I think that is the best answer(?).
Thank you.

Reply

gel says:

i find it helpful

Reply
James Patrice Ibrahim says:

It’s really motivative and helpful to follow


reading career this site is great for me i will
visit for time

Reply

William F Davitt MD says:

GREAT resources, Dr. Root. I host


Emergency and Family Medicine residents
in my clinic, and they ‘meet’ RootAtlas.com
and the OphthoBook on day one. Thanks
for making their rotations so much fun.

Reply

christina manuel says:

very well presented. brings back all the


stuff learnt over the years into memory in a
concise manner. great job!

Reply

Acho says:

Of the truth I tell you; this is the best site


I’ve ever enjoyed on the internet. Great
work! Good skills and ideas. I need more of
this.

Reply

Manoj Abraham says:

I would be happy to do more questions with


you. Its wonderful that you took the time
and pain to compile this.

Reply

marefia says:

it is very fantastic questions.thanx to share


this resource

Reply

Shaaban says:

It is exellant for refreshment of our


khnoledge

Reply

NDEKEZI ALLAN says:

this is really helpful. thnx

Reply

Sanjeer says:

Well presented & specific explanation to the


answers. Good work.

Reply

abdie says:

really usefull THANKS

Reply

abdie says:

its really useful!send me more

Reply

senkadhir says:

Excelnt explntns:-)

Reply

clara says:

Thank you so much. This was very helpful


to me and I am planning on taking the
information back to my clinic so it will
helpful to them as well. Very well done.

Reply

Tarekegn says:

TANKS FOR THESE NICE QUESTIONS!

Reply

Henry Owiny says:

I love the questions and back up of answers

Reply

jeylan says:

Great questions

Reply

Randy says:

My father is 87 years young. He has worn


glasses all of his life. He has muscular
degeneration in one eye. My question is are
there any surgery or treatments that might
improve my fathers sight? Thank you in
advance for your time.

Reply

Owais says:

Nice Info, helped me practice for my


tommorow paper

Reply

Syed Barkat Islam says:

U r the best,,,,Sir

Reply

Mayur Parmar says:

Superb. Very nice explanation to the quizs.


Many a times i was wrong.

Reply

basim says:

nice questions

Reply

Zakaria says:

Thank you guys it’s verry nice, I think I will


solve my exam paper tommorow

Reply

Musinguzi leonard uganda


says:

thank u very much. I appreciate ua great


work. keep it up

Reply

Derrick says:

very easy questions

Reply

Tahir Rasool says:

Nice work and thank you very much.

Reply

Dakurah Menance says:

Really enjoyed every bit of it. Interesting to


know that questions capture essential areas
and practical in nature. This has inspired
me more to learn the basics of
ophthalmology, though not a medical
student. Being a public health student, but I
have tapped useful information from your
website that will help me in my exams and
as a guide when I start to practice. Please,
keep up the hard work.

Reply

PRAHA.J says:

Its’really usefull and very nice


explanation.Thank you.

Reply

Christopher Banda says:

indeed its a great resource. I can now phase


my ocular pathology exams.

Reply

Anastasia says:

Thank you so much!

Reply

dr. rashed says:

great job
& also very much helpful sir.
but I am looking approach to problem
oriented question with differential diagnosis
& finally confirmation of the diagnoses.can
you plse help sir or is there any such site???
thanks in advance.

Reply

theo says:

Comment: this is a wonderful site for


students in ophthalmology, really thanks for
your help

Reply

Ekta says:

Thank u Timothy sir …..it’s really simplified


and helpful.

Reply

Mir J Hussain says:

The answers are so close that it requires


comprehensive knowledge to answer
correctly.
Great Job Professor !!!

Reply

Theo says:

WONDERFUL

Reply

Christian CHristian Duru says:

Well constructed questions and answers.


More of this Tim

Reply

Bruce says:

This is quite helpful simple and clear


explanations

Reply

Gilala kija says:

logic questions and nice explanation

Reply

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