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WorksheetsMedEd Case 21 - Eye
Total questions: 14
Worksheet time: 7mins
37F, in ED with 3day history of 8/10 eye pain – dull, deep ache, worse with movement and bright lights. No contact lens use. O/E red and tender on palpation
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B
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D
E
72M with background diabetes and MI presents with inferior homonymous quadrantopia. Where is the lesion?
A
B
C
D
E
68M painless vision loss in left eye for 3 days and progressive cenral vision loss over 18 months. 40pack-year smoking history. Scotoma present in left eye. Straight lines appear wavy when looking at an Amsler grid. What is associated with his condition?
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B
C
D
E
52F smoker in GP with left-sided eye problem over few weeks. No pain or itchiness but left eyelid is droopy. When light is dimmed the right pupil dilates but left doesn’t. What is the most likely diagnosis?
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B
C
D
E
The impairment of function of which muscle is causing the ptosis in the above question?
Superior Tarsal Muscle
Orbicularis Oculi
Levator Palpebrae Superioris
Superior Rectus
Levator Anguli Oris
Which of these does NOT pass through the superior orbital fissure and the tendinous ring?
A
B
C
D
E
65F with PMHx of glaucoma comes to ED after sudden blurring and subsequent vision loss in right eye. No pain or discharge. On fundoscopy: flame haemorrhages, cotton wool spots. RAPD observed on examination. Diagnosis?
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B
C
D
E
19F with bitemporal heminaopia with a predominant lower quandrant defect. What is the most likely lesion?
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B
C
D
E
64M with unilateral vision loss. O/E has a relative afferent pupillary defect.
What is the most likely diagnosis?
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B
C
D
E
57M with long-sightedness. No astigmatism or current myopia. What eye condition is the patient most at risk for?
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B
C
D
E
71M with burning sensation around right eye. O/E : erythematous blistering rash in the right trigeminal distribution. What is the most likely diagnosis?
A
B
C
D
E
A patient has a lesion of CNIII of their left eye. What is the response of both pupils when light is shone into the left eye ?
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B
C
D
Which of these is not a part of the accommodation reflex?
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B
C
D
Your patient is unable to lower their right eye. You suspect they have an impairment of their superior oblique intraocular muscle. How could you test this? Ask to….
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B
C
D
