Ocular Symptoms and Examination

Ocular Symptoms and Examination

MARIA CECILIA P. GARCIA-ARENAL, MD, DPBO, FPAO, MHA

Multiple Select

What are the 3 general types of eye symptoms? Check ALL the correct answer.

• Disturbance in vision

• Abnormalities in the ocular anatomy

• Abnormalities in appearance

• Abnormalities in ocular sensation

​Visual Pathway

​Visual Axis

Abnormalities in Vision

Multiple Choice

A patient's chief complaint of "nasisilaw ako" may be probably be secondary to the following, EXCEPT:

• inflammation of the iris

• cataract

• Corneal foreign body

• subconjunctval hemorrhage

Multiple Choice

A patient with sudden onset of vitreous hemorrhage (intraocular bleeding) may complain of which of the following symptom?

• Floaters

• Oscillopsia

• Diplopia

• Flickeing of lights

​Visual Abberation: Oscillopsia

Multiple Choice

Patient complains of namamaga ang mata. Which of the following is a possible diagnosis for the patient?

• Cataract

• Retinal detachment

• Preseptal cellulitis

• Dry eyes

Multiple Choice

The following ocular diseases are associated with eye redness, EXCEPT:

• Retinal hemorrhage

• Acute angle closure glaucoma

• Iritis

• Orbital cellulitis

Multiple Choice

A patient with a rapidly growing retro-orbital mass will most likely develop axial displacement of the eye. Which of the following is the appropriate for this ocular symptom?

• Ptosis

• Proptosis

• Hypertropia

• Nystagmus

Multiple Choice

Which of the following best describes the abnormality seen in the photo?

• Exotropia

• Esotropia

• Hypertropia

• Hypotropia

Multiple Choice

Most common ocular diagnosis associated with complaint: "Parang may puwing o buhangin":

• Dry eyes

• Acute glaucoma

• Optic neuritis

• Corneal ulcer

Multiple Choice

An ocular disorder characterized by severe and painful blurring of vision and is associated with eye redness and ipsilateral headache:

• Error of refraction

• Dry eyes

• Acute glaucoma

• Conjunctivitis

Ocular Examination

Multiple Choice

A patient has a VA of 20/40. Which of the following statements is TRUE?

• The patient's testing distance is 40 ft

• The patient can read the 20/20 snellen line at 40 ft

• A person with normal acuity will be able to read the same snellen line at 40 ft

• A person with normal acuity will be able to read the same snellen line at 20 ft

Multiple Choice

The patient cannot see the biggest letter on the chart. What is your next step?

• Inform the patient that she has no visual acuity

• Ask the patient to move/step nearer the chart

• Check if there is light perception

• Do cover and uncover test

Multiple Choice

What is the abnormality seen in the photo?

• The lower lids are turned outward

• The lower lids are turned inwards

• The upper lids are pulled downwards

• The eye is medially misaligned

Multiple Choice

What is the normal response to the Near reflex test?

• pupils constrict and eyes converge

• pupils constrict and eyes diverge

• pupils dilate and eyes converge

• pupils dilate and eyes diverge

Multiple Choice

What CN serves as the afferent arm of the pupillary light reflex?

• optic nerve

• occulomotor nerve

• facial nerve

• abducens nerve

Multiple Choice

What is the abnormality in EOM is seen on the following photos?

• orthophoria

• exotropia and hypertropia

• esotropia and hypotropia

• esotropia and hypertropia

Multiple Choice

The following are disadvantages of Goldman applanation tonometry, EXCEPT:

• It is affected by corneal rigidity

• readings can be less accurate for extremely thin corneas

• it requires training and skill

• patient has to be able to sit upright

Multiple Choice

Which of the following will affect the quality of the red orange reflex?

• Dense cataract

• pinguecula

• subconjunctival hemorrhage

• all of the above

Multiple Choice

Which of the following is a NORMAL optic disc?

• A

• B

• C

• D

Multiple Select

What do you think is the most difficult ophthalmologic exam to do?

• Visual acuity

• External eye exam

• Pupillary exam

• Tonometry

• Funduscopy