PATHOPHYSIOLOGY FOR THE ADVANCED
EXAMINATION TEST 2026 FULL QUESTIONS
AND CORRECT ANSWERS
◉2 types of herpes virus that can infect the eyes . Answer: 1. Herpes
Simplex = Herpes simplex keratitis
2. Herpes Varicella Zoster/Shingles = Herpes Zoster Ophthalmicus
◉Ophthalmological emergency . Answer: Acute Angle-Closure
Glaucoma
◉Acute Angle-Closure Glaucoma . Answer: -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) . Answer: -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
◉Orbital Cellulitis . Answer: -acute onset of erythematous swollen
eyelid with bulging of the eyeball and eye pain in affected eye
-abnormal extraocular movement exam with pain on eye movement
-look for hx of recent rhinosinusitis or URI
-caused by acute bacterial infection of the orbital contents
-more common in young children
-SERIOUS COMPLICATION
-Refer to ED
◉Retinal Detachment . Answer: -sudden onset of a shower of floaters
associated with "looking through a curtain" sensation with sudden
flashes of light
-refer to ED