WorksheetsDiabetic Retinopathy
Total questions: 13
Worksheet time: 6mins
What are the important criteria of definition of diabetic retinopathy?
(I)Chronic & progressive
(II)Retinal blood vessel dysfunction
(III)Caused by hyperglyacaemia
(IV)In Type 2 DM patient
A.I & II
B.I, II, & III
C.II,III & IV
D.All above
Choose the correct statement on signs and symptoms of DR?
A.Blurring of vision is early sign of DR
B.Cataract is one of Diabetic retinopathy
C.Metamorphosia is distorted vison in which straight lines appear curved
D.Floaters appear only in black spot in visual field
What are the methods of DR screening ?
(I) Direct ophthalmoscopy
(II) Slit lamp with biomicroscopy with contact lens
(III) Binocular indirect opthalmoscopy
(IV) non myadriatic fundus photography
(V) myadriatic fundus photography
A. All above
B. I,II, III and IV
C. I, II, III, IV
D. IV & V
Choose the false statement on target population for screening.
A. Screening for DR should be done in all patients with Diabetes Mellitus
B. GDM that is ONLY DETECTED ON FIRST TRIMESTER requires DR screening at time of diagnosis.
C. Pre existing DM who plans to get pregnant need the DR once the pregnancy confirmed.
D. Children with T2DM need the DR screening at time of diagnosis.
What is the diagnosis?
A. Mild NPDR of right eye
B. Normal left eye
C. PDR of right eye
D. normal right eye
Choose the correct pathogenesis of Diabetic Retinopathy?
(I) Microvascular occlusion
(II) Microvascular leakage
(III) Microvascular apoptosis
(IV) Microvascular retardation
A. I & II
B. II & III
C. All above
D. None of above
Choose the correct statement on hard exudate and soft exudate.
( I) Hard exudate is often described as circinate shape of deep yellow with sharp margin and mostly found close to retinal blood vessels
(II) Hard exudate is a sign of leakage of pre capillary arteriole
(III) Soft exudate is known also as cotton wool spot and looks like fluffy greyish white found near the optic disc.
(IV) Soft exudate is a sign of retinal fibre layer microinfarction
(V) Both hard and soft exudate can be found in NPDR
A.I & II
B.III & IV
C.All above
D. II & IV
Choose types of diabetic eye diseases that are important in primary care?
(I ) Non proliferative DR (NPDR)
(II) Proliferative DR (PDR)
(III) Advanced Diabetic Eye Disease (ADED)
(IV) Maculopathy
A.I, II, III
B.I & II
C.III & IV
D.All above
What is the management for fundus without both Diabetic Retinopathy and maculopathy?
A. Discharge
B. Repeat fundus 1-2 yearly
C. Refer ophthalmologist
D. Repeat fundus 6 monthly
What can you see at the macula?
A.Hard exudate
B.IRMA
C.Neovascularization
D.Fibrous tissue
Choose the FALSE statement of Advanced Diabetic Eye Disease (ADED)
A. ADED requires urgent referral to ophthalmologist
B. One of important features of ADED is formation of fibrovascular tissue proliferation
C. Most of patient with ADED has mild to moderate HbA1c.
D. ADED may present as traction retinal detachment on fundoscopy.
What are the important features for Proliferative Diabetic Retinopathy (PDR)?
(I) Neovascularization
(II) Vitreous / pre retinal haemorrhage
(III) IRMA
(IV) Microaneurysm only
A. I & II
B. III & IV
C. I, II & III
D. All above
Choose the false statement of NPDR?
A.Microaneurysm only is the feature of mild NPDR
B.Moderate NPDR may have microaneurysm, hard exudate or dot & blot haemorrhages, but not as severe as SEVERE NPDR
C.Features of severe NPDR include any of the following: more than 20 intraretinal hemorrhages in each of 4 quadrants, definite venous beading in 2 or more quadrants and IRMA in 1 or more quadrants AND no signs of proliferative retinopathy
D.Severe NPDR without maculopathy requires follow up in 3 months.
