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Clinical Optic Disc Assessment

Total questions: 10

Worksheet time: 7mins

Name
Class
Date
1.

Which of the following statement for cup disc ratio (CDR) is wrong?

a)

Vertical cup disc ratio is considered more relevant than the horizontal cup disc ratio

b)

Cup disc ratio is increased in glaucoma

c)

Increased cup disc ratio confirms glaucoma

d)

Cup disc ratio may increase with glaucoma progression

2.

Which of the following method you would prefer for optic disc evaluation?

a)

Direct ophthalmoscopy

b)

Indirect ophthalmoscopy

c)

Slit lamp biomicroscopy

d)

Assessing sterophotograph of optic disc

3.

Indicate your slit lamp settings during biomicroscopic evaluation of the retinal nerve fiber layer?

a)

High magnification

b)

High illumination

c)

Red free filter

d)

All of the above

4.

Which of the following sign is most indicative of glaucomatous optic neuropathy?

a)

Abnormal branching pattern of optic disc vessels

b)

Deep optic cup

c)

Prominent dots on the surface of the lamina cribrosa

d)

Localized excavation of the neuroretinal rim

5.

What is the diopteric power of the non-contact Hruby lens?

a)

-70 D

b)

+70 D

c)

-55 D

d)

+55 D

6.

Which is the correct direction for holding a 90D lens during slit lamp biomicroscopy?

a)

The plane side of the lens should be towards the examiner

b)

The convex side of the lens should be towards the examiner

c)

The concave side of the lens should be towards the examiner

d)

There is no correct side for holding the lens; either side can face the examiner

7.

Compared to a +60D lens, a +90D lens has

a)

More magnification and increased field of view

b)

Less magnification and increased field of view

c)

Less magnification and decreased field of view

d)

More magnification and decreased field of view

8.

Which of the following statement regarding beta peripapillary atrophy is wrong?

a)

Present in glaucomatous as well as in non-glaucomatous eyes

b)

Large choroidal vessels become visible

c)

Larger beta zone often has thin neuroretinal rim in the same area

d)

Progression of beta zone is associated with glaucoma progression

9.

The magnification provided by a +78 D lens is:

a)

0.77

b)

1.1

c)

1.3

d)

1.5

10.

Which of the following statement regarding Disc Damage Likelihood Scale is wrong?

a)

Patient’s optic disc diameter must be taken into account

b)

Has 10 stages

c)

Generates a cup/disc ratio

d)

Is developed by Dr. George Spaeth