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25 year old with stargardts disease requests assistance with reading tasks,
lighting at work and travel, which of the following professional below will assist
him-
occuptational therapist,
orientation instructor,
phsycologist & GMP,
Physiotherapist & Rehab,
Social worker & Ophthalmologist - {answer}-
What is Stargardt disease - {answer}-is the most common form of inherited
juvenile macular degeneration.
Wife calls requesting details on husbands eye test. Do you: get verbal consent,
refuse call, get written consent - {answer}-get written consent
,Diabetic recently diagnosed unstable. Refraction reveals significant myopic
shift compared to last visit 12 months ago. Which is the most appropriate
course of action:
a/ prescribe specs & report to GP
b/ Refer to Ophthalmologist,
c/ Discuss findings with GP before prescribing Rx,
d/ Obtain info on current blood glucose levels - {answer}-c/ Discuss findings
with GP before prescribing Rx,
The main cause of amblyopia in a child: anisometropia >2, accommodative eso,
intermittent exo - {answer}-anisometropia >2,
Which of the following can match Illuminant c: Incandescent, Halogen,
Flourescent, sodium - {answer}-Fluorescent
25 years old enquiring her suitability for laser refractive surgery. Which of the
following is NOT essential pre-operatively:
a/ Tonometry,
b/ Tear film stability
c/ pupil size,
d/ Gonio - {answer}-d/ Gonio
What is Kolleners rule in relation to colour vision? - {answer}-outer retinal
diseases and media changes result in blue-yellow color defects
inner retina, optic nerve, visual pathway, and visual cortex will result in red-
green defects.
(increased susceptibility of S-cones and rods to ischaemia and oxidative
damage, although S-cone loss is more noticeable due to their lower density
, and their higher metabolic rate) (Kollners rule, retinal disease will give a blue
yellow defect and optic nerve disease will give a red green defect but the
exceptions are glaucoma which will give a blue yellow defect and central cone
degeneration which will give a red green defect)
Which causes a red defect- red cap test: optic neuritis, Amd - {answer}-Optic
neuritis
Lissamine green; what does it stain? - {answer}-Lissamine green stains dead
and degenerate cells, yet does not stain healthy epithelial cells.
(NaFl permeates into the intercellular space associated with any epithelial
cellular disruption)
Is gonio indicated with Hyphaema? - {answer}-no
What is prenticies rule? - {answer}-P (prism dioptres =c (decentration in cm) x
F(power of lens in dioptres)
What is the most preventable cause of AMD? - {answer}-Smoking
15 years old attends eye examination, best Va's R6/6, L 6/24 (told ambloypic).
Which occuptation should he NOT pursue:
a/ Train driver,
B/ construction worker,
c/ Electrician,
d/ Dentist - {answer}-a/ Train driver