QUESTIONS AND ANSWERS GRADED A+
An acutely presenting, erythematous, tender lump within the eyelid is called:
a. Blepharitis. c. Chalazion.
b. Hordeolum. d. Iritis. – Answer b. Hordeolum
The clinician is seeing a patient complaining of red eye. The clinician suspects
conjunctivitis. The presence of mucopurulent discharge suggests which type of
conjunctivitis?
a. Viral conjunctivitis c. Bacterial conjunctivitis
b. Keratoconjunctivitis d. Allergic conjunctivitis – Answer c. Bacterial conjunctivitis
Which subtype of cataracts is characterized by significant nearsightedness and a slow
indolent course?
a. Nuclear cataracts c. Posterior cataracts
b. Cortical cataracts d. Immature cataracts – Answer a. Nuclear cataracts
Which of the following statements is true concerning the use of bilberry as a
complementary therapy for cataracts?
a. The body converts bilberry to vitamin A, which helps to maintain a healthy lens.
b. Bilberry blocks an enzyme that leads to sorbitol accumulation that contributes to
cataract formation in diabetes.
c. Bilberry boosts oxygen and blood delivery to the eye.
d. Bilberry is a good choice for patients with diabetes as it does not interact with
antidiabetic drugs. – Answer c. Bilberry boosts oxygen and blood delivery to the eye.
A 65-year-old man presents to the clinician with complaints of increasing bilateral
peripheral vision loss, poor night vision, and frequent prescription changes that started 6
months previously. Recently, he has also been seeing halos around lights. The clinician
suspects chronic open-angle glaucoma. Which of the following statements is true
concerning the diagnosis of chronic open-angle glaucoma?
a. The presence of increased intraocular pressure measured by tonometry is definitive
for the diagnosis of open-angle glaucoma.
b. The clinician can definitively diagnosis open-angle glaucoma based on the subjective
complaints of the patient.
c. Physical diagnosis relies on gonioscopy evaluation of the angle by an
ophthalmologist.
d. Early diagnosis is essential in order to reverse any damage that has occurred to the
optic nerve. – Answer c. Physical diagnosis relies on goniscopic evaluation of the angle
by an ophthalmologist.
, 6. Acute angle-closure glaucoma involves a sudden severe rise in intraocular pressure.
Which of the following ranges represents normal intraocular pressure?
a. 0 to 7 mm Hg c. 22 to 40 mm Hg
b. 8 to 21 mm Hg d. 40 to 80 mm Hg – Answer b. 8 to 21 mm Hg
As diabetic retinopathy progresses, the presence of "cotton wool" spots can be
detected. Cotton wool spots refer to:
a. Nerve fiber layer infarctions. c. Venous beading.
b. Blood vessel proliferation. d. Retinal hemorrhage. – Answer a. Nerve fiber layer
infarctions.
Which of the following is an example of sensorineural hearing loss?
a. Perforation of the tympanic membrane c. Cholesteatoma
b. Otosclerosis d. Presbycusis – Answer d. Presbycusis
The clinician is assessing a patient complaining of hearing loss. The clinician places a
tuning fork over the patient's mastoid process, and when the sound fades away, the fork
is placed without restriking it over the external auditory meatus. The patient is asked to
let the clinician know when the sound fades away. This is an example of which type of
test?
a. Weber test
b. Schwabach test
c. Rinne test
d. Auditory brainstem response (ABR) test – Answer c. Rinne test
A patient presents to the clinician complaining of ear pain. On examination, the clinician
finds that the patient has tenderness on traction of the pinna as well as when applying
pressure over the tragus. These findings are classic signs of which condition?
a. Otitis media c. Tinnitus
b. Meniere's disease d. Otitis externa – Answer d. Otitis externa
Otitis media is considered chronic when:
a. Inflammation persists more than 3 months with intermittent or persistent otic
discharge.
b. There are more than six occurrences of otitis media in a 1-year period.
c. Otitis media does not resolve after two courses of antibiotics.
d. All of the above – Answer a. Inflammation persists more than 3 months with
intermittent or persistent otic discharge.
The most significant precipitating event leading to otitis media with effusion is:
a. Pharyngitis.
b. Allergies.
c. Viral upper respiratory infection (URI).
d. Perforation of the eardrum. – Answer c. Viral upper respiratory infection (URI).