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JSMBS CPM_ Eye Exam (1)

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JSMBS CPM: Eye Exam

Which best describes "papilledema"?

- Cupping of the optic disc with disappearance of blood vessels at the disc margins,
usually caused by increased intraocular pressure

- Lens opacities, usually age-related

- Yellowish exudates on the retina caused by infarction of the nerve layer of the nerve
layer of the retina

- Loss of definition of the disc margins, and dilated retinal veins, caused by increased
intracranial pressure - ANS-Loss of definition of the disc margins, and dilated retinal
veins, caused by increased intracranial pressure

In the normal situation, what should happen to the left pupil when a light is shined in the
right pupil?

- It should dilate

- It should constrict

- It should remain unchanged

- It should become lighter in color - ANS-It should constrict

You are examining the retinas of a 55 year-old obese male. You notice dot hemorrhages
and cotton wool spots. These findings are most likely related to which condition?

- Glaucoma

- Diabetes

- Conjunctivitis

- Macular degeneration - ANS-Diabetes

, What is tested for with the "cover/uncover" test?

- Pupilary reaction to light

- Visual acuity

- Peripheral vision

- Strabismus - ANS-Strabismus

What is tested by the "confrontation" test?

- Pupulary reaction to light

- Visual acuity

- Peripheral vision

- The ability to see during an argument - ANS-Peripheral vision

A patient reports the following; "I was having a coughing fit from my asthma. After the
coughing fit, I looked in the mirror and my eye was red. There is no pain and my vision
is fine". On your exam, you note that the left sclera, from about the 3 to 6 -o'clock
position, is blood- red. This area is fairly well demarcated, and stops at the margin of the
iris. Otherwise, the eye is normal. This is most likely:

- Acute bacterial conjunctivitis

- Glaucoma

- Subconjunctival hemmorhage

- Pterygium - ANS-Subconjunctival hemmorhage

What does "20/200" vision mean?

- The patient is only able to read at 20 feet what the average person can read at 200
feet

- The patient is able read at 200 feet what the average person can only read at 20 feet

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