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1. Describe the symptoms of Blepharitis? - ANSWER ✓ •Crusty, irritated and
redness on the eye lid margin
•Build up of debris close to the root of the eyelash
•Dry eye symptoms such as red eyes or foreign body sensation.
2. What is the Pharmacological treatment for resistant or persistent infection of
Blepharitis? (2) - ANSWER ✓ 1. Doxycycline 100mg PO BID
2. Tetracycline 250mg QID
3. A 40 year old woman comes with complaints scaling, crusting and redness
in her eyelid. She said she is having trouble driving when it's sunny out,
which of the following medications would you recommend to start with
first?
A. Doxycycline 100mg PO BID
B. Tetracycline 250mg QID
C. Cold moist compress to reduce inflammation
D. Lid scrub wit baby shampoo - ANSWER ✓ D. Lid scrub wit baby
shampoo
4. Which condition is most often associated with Posterior Blepharitis?
A. Seborrhea
B. Rosacea
C. Astigmatism
D. Conjunctivitis - ANSWER ✓ B. Rosacea
,5. A painful, red swelling at the eyelid margin is most bc consistent with:
A. Hordeolum
B. Chalazion
C. Conjunctivitis
D. Cataract - ANSWER ✓ A. Hordeolum
6. The preferred management for a hordeolum includes:
A. Topical steroids
B. Warm compresses
C. Oral antivirals
D. Eyepatch - ANSWER ✓ B. Warm compresses
7. What is the difference between a Hordeolum and a Chalazion? - ANSWER
✓ A hordeolum is painful and is usually on the lid margin. A chalazion
usually points inside the lid and is usually painless
8. A 7-year-old presents with red eyes, purulent discharge, and eyelids matted
shut in the morning. There is no significant itching what is most likely type
of conjunctivitis?
A. Allergic
B. Viral
C. Bacterial
D. Herpetic - ANSWER ✓ C. Bacterial
9. What ligaments are involved in an inversion ankle sprain? - ANSWER ✓
Anterior talofibular or calcaneofibular ligament
10.What ligaments are involved in an eversion ankle sprain - ANSWER ✓
deltiod ligament.
11.What is a grade 1 ankle sprain? - ANSWER ✓ stretching of a ligament with
small tears. no joint instability, mild swelling, patient is able to walk.
12.What is a grade 2 ankle sprain? - ANSWER ✓ larger tears but not a
complete tear. moderate, instability, bruising, painful ambulation, swelling
,13.What is a grade 3 ankle sprain? - ANSWER ✓ complete tear of ligament,
severe pain, lots of swelling and tenderness. mechanical instability and
decreased ROM. unable to ambulate, Snap is heard at time of injury.
14.When do you refer out an ankle sprain? - ANSWER ✓ Grade 3
15.What is initial management for an ankle sprain? - ANSWER ✓ PRICER-
PROTECTION (CRUTCHES, ICE, COMPRESSION, ELEVATION,
REHABILITATION) ALSO ANALGESICS SUCH AS NSAIDS
16.What is carpal tunnel syndrome? - ANSWER ✓ Compression neuropathy of
the median nerve in the wrist
17.What are s/s of carpal tunnel syndrome? - ANSWER ✓ paresthesia,
weakness of the hands, aggravated by flexing and extending the wrist. Dull
and achy pain
18.Which of the following organisms is not the top 3 for bacterial
conjunctivitis?
a. Staphylococcus aureus
b. Psuedomonas
c. Haemophilus influenzae
d. Strep pneumoniae - ANSWER ✓ b. Psuedomonas
19.A 19 year old presents with a complaint of bilaterally itchy, red eyes with
tearing that occurs intermittently throughout the year and is often
accompanied by a rope like eye discharge and clear nasal discharge. This is
most consistent with:
a. Viral conjunctivitis
b. Allergic conjunctivitis
c. bacterial conjunctivitis - ANSWER ✓ b. Allergic
conjunctivitis
20.Anterior epistaxis is usually caused from:
a. HTN
b.localized nasal mucosa trauma
c. foreign body
, d. Bleeding disorders - ANSWER ✓ localized nasal mucosa trauma
21.Ms Murphy is a 58 year old woman presenting with a sudden left sided
headache that is most painful in her left eye. Her vision is blurred, and the
left pupil is slightly dilated and poorly reactive. The left conjunctiva is
markedly injected, and the eyeball is firm. Vision screen with the Snellen
chart is 20/30 OD; and 20/90 OS. The most likely dx is:
a. unilateral herpetic conjunctivitis
b. angle-closure glaucoma
c. Open angle glaucoma
d. Anterior uveitis - ANSWER ✓ b. angle-closure glaucoma
22.Which of the following is most likely to be found on the funduscopic exam
in a patient with untreated POAG?
a. excessive cupping of the optic disk
b. papilledema
c. Arteriovenous nicking
d. flame-shaped hemorrhages - ANSWER ✓ a. excessive
cupping of the optic disk
23.A 22 year old female presents with a "pimple" on her right eyelid. Exam
reveals a 2mm pustule on the lateral border of the right eyelid margin. What
is this most consistent with?
a. Hordeolum
b. Blepharitis
c. chalazion
d. cellulitis - ANSWER ✓ a. Hordeolum
24.An independent risk factor for oral cancer is:
a. human papillomavirus type 26
b. human papillomavirus type 6
c. human papillomavirus type 11
d. human papillomavirus type 16 - ANSWER ✓ d. human
papillomavirus type 16
25.Which of the following is not the top 2 causative pathogens for otitis
externa?