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WorksheetsIIM tahap 1 21/07/2020
Total questions: 10
Worksheet time: 20mins
A 30-year-old immunocompetent patient presents with a 1-day history of vesicular lesions on his upper lip and the third recurrence within the past year of a dendritic epithelial lesion of his right cornea. Which of the following options would be the most appropriate treatment at this time?
topical ophthalmic ganciclovir ointment 0.15% 5 times a day for 1 week
topical trifluridine eyedrops 1% 9 times a day for 3 weeks
systemic famciclovir 500 mg 3 times daily for 10 days
systemic valacyclovir 500 mg 3 times daily for 10 days followed by maintenance dosing
systemic acyclovir 800 mg 5 times daily for 10 days followed by maintenance dosing
Which clinical finding best supports a diagnosis of limbal stem cell failure?
corneal thinning and melting
corneal edema
absence of limbal palisades of Vogt with superficial corneal neovascularization
corneal opacities with deep corneal neovascularization
persistent epithelial defect
What is a typical finding in the early stages of Acanthamoeba keratitis?
feathery edge infiltrate
ring infiltrate
radial perineuritis
corneal neovascularization
endotheliitis
Treatment of choice in trachoma inclusion conjunctivitis (TRIC) is
Intra muscular ceftriaxone 50mg/KgBB, for 3 days
Oral erythromicyn, 50 mg/ KgBB in 4 divided dose for 14 day
Oral Flouroquinolone, 50kg/BB per day for 14 day
Fluoroquinolone eyedrop, 4 times a day for 14 day
a. Erythromicyn ointment, 4 times a day for 14 day
A young female present with fast onset and microbiology examination result : KOH negative, gram negative rod. What is the best choice therapy of that kind infection ?
Cefazolin
Vankomisin
Moxyfloxacin
Tobramicin
Ceftriaxone
Which of the following treatments is a good therapeutic option for initial treatment of a neurotrophic corneal ulcer?
Gundersen flap placement
Boston keratoprosthesis
tarsorrhaphy
bandage contact lenses
AMT ( Amnion Membrane Transplantation)
Chronic postoperative endophthalmitis is most commonly caused by which organism?
Staphylococcus epidermidis
Nocardia species
Klebsiella pneumoniae
Propionibacterium acnes
Streptococcus sp.
Which of the following findings is most likely to be seen in a patient with systemic lupus erythematosus?
acute anterior uveitis
chronic anterior uveitis
intermediate uveitis
intraretinal hemorrhages and cotton-wool spots
neuroretinitis
What serologic test is most likely to suggest a specific cause of uveitis, may be curative, and must be considered for all patients with uveitis?
a treponemal-specific serologic test
antinuclear antibody (ANA)
rheumatoid factor (RF)
antineutrophil cytoplasmic antibody (ANCA)
e. HLA B-27
After 2 month of cataract extraction on the left eye, 50 years old patient came with chief complain of redness in left eye, VA : Hand movement, hipopion in the anterior chamber and posterior left eye shoed string of pearls with snowball appearance. What is the diagnosis of this patient ?
Exogenous endophtalmitis
Endogenous endopthalmitis
Panopthalmitis
Intermediate uveitis
Panuveitis
