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Prefinal Geriatric and Low Vision Optometry

Total questions: 20

Worksheet time: 10mins

Name
Class
Date
1.

Which of the following is true about cataract?
I. removal of intraocular lens can be done anytime

II. Extraction of cataract can be done in the right and left eye at the same day of surgery

III.  After the surgery is done, parameters such as how long the eyeball is are measured.

IV. In the old times before the developement of cataract surgery, contact lenses and eyeglases of large dioptric powers are used as management

a)

I and II

b)

III and IV

c)

I and IV

d)

II and III

2.

Rita is a 60 year old geriatric patient who visited your clinic. She complains that whenever she enters the cinema, she had a hard time seeing. Which of the following statements are most likely true?

I. Rita possibly has cataract opacity at the external part of the lens

II. Rita possibly has difficulties in differentiating blue and violet colors

III. The cataract opacity may be located at the back of the lens

IV. The cataract opacity may obstruct light entering the pupil center.

a)

I and II

b)

III and IV

c)

I and IV

d)

II and III

3.

Which of the following patients has the highest risk of developing open angle glaucoma?

a)

Lori -a 37 year old patient with hyperopia

b)

Mark - a 45 year old hyperopic patient with a deep anterior chamber

c)

Warren - a 47 year old myopic patient whose pachmetric results reveal low corneal thickness.

d)

Yasi - a 60 year old patient with astigmatism and 21 mm Hg tonometry readings

4.

Which of the following patients is suspected to be with glaucoma?

a)

Sam - a 66 year old patient whose ophthalmoscopy results show inferior and superior thinning of the optic nerve

b)

Yasi - a 70 year old myopic patient whose tangent screen results show that only the central vision is present.

c)

Pako - a 50 year old patient with IOP readings of 30 mm Hg and whose gonioscopy results show iris adherence to the crystalline lens

d)

Rita - a 48 year old patient who has high cup to disk ratio and enlarged blind spot in tangent screen results.

5.

Which of the following patients most likely do not visit the clinic at the early stages of the disease due to lack of symptoms?

i. Ben with nuclear cataract

ii. Keisha with open angle glaucoma

iii. Erwin with cortical cataract

iv. Jem with macular degeneration

a)

I and II

b)

III and IV

c)

I and IV

d)

II and III

6.

Which of the following conditions disrupt the arrangement of the layers of the retina?

I. Atrophic macular degeneration

II. Exudative macular degeneration

III. Diabetic retinopathy

IV. Glaucoma

a)

I and II

b)

III and IV

c)

I, II and III

d)

I, II and IV

7.

Yeti is a mother who has relatives who are diabetic at an early age. During her pregnancy, it was discovered that she was also diabetic. Her diabetes persisted even after giving birth to her baby. What type of diabetes does Yeti have?

a)

Type 1 diabetes

b)

Type 2 diabetes

c)

Gestational diabetes

d)

none of the above.

8.

The following is/are true about Diabetes and Diabetic retinopathy except:

I. Even with consistent intake of maintenance medication, diabetic retinopathy can still manifest especially in patients who are long-termed diabetic.

II. Even without Insulin, glucose from the main bloodstream can still enter cells.

III.  Type 2 Diabetes cannot be passed down in families like type 1 diabetes.

IV.  Build up of fat

a)

I and II

b)

III and IV

c)

I and IV

d)

II and III

9.

Which of the following patients most likely do not visit the clinic at the early stages of the disease due to lack of symptoms?
i. Mari whose results show opacity located at the posterior portion of the CLs
ii. Kate whose result show deposition of pigment at the drainage angle
iii. John who has high erythrocyte sedimentation rate
iv. Ken whose results show metamorphopsia

a)

I and II

b)

III and IV

c)

I, II and III

d)

I, II and IV

10.

Light coming out from the window is best suited for which of the following patients?
I. patient with open angle glaucoma
II. patient with nuclear cataract
III. patient with ARMD
IV. patient with visual field loss in periphery

a)

I and II

b)

III and IV

c)

I and IV

d)

II and III

11.

Mr.Smith is watch repairer. Which of the following illumination are best suited for his job?

a)

desk lamps

b)

floor lamps

c)

big eye lamps

d)

full spectrum lighting

12.

Among which of these low vision devices is considered the cheapest?

a)

Hand magnifier

b)

Illumination

c)

Large print material

d)

highlighter

13.

Mrs Wright has lower back pain. When given this low vision aid device, she was now able to read for longer period of time without suffering from lower back pain. What low vision aid device was given?

a)

Stand Magnifier

b)

Big Eye lamp

c)

Typoscope

d)

Reading stand

14.

Whenever the patient uses this device, he or she often sees the reading material through the device as upside down. Which of the following is/are true?

i. Patient could move closer or nearer the reading material using the device to make the image upright

ii. Patient is using a hand magnifier

iii. Patient should be taught to move the reading material instead of the eyes to avoid this situation

iv. Patient is using a loupe.

a)

I and II

b)

III and IV

c)

I and IV

d)

II and III

15.

Morgana is a low vision patient who wishes to explore her surroundings. Which of the following telescopes are best suited for her?

a)

4x, 12, 12.5 degrees

b)

6x, 16, 9.3 degrees

c)

8x, 21, 7.2 degrees

d)

none of the above

16.

Patient's naked visual acuity is 6/100. After refraction, visual acuity was conducted again and thru the new prescription, her VA is 6/60. Patient wants to read the blackground whose common font size (or visual acuity) is 6/12. The line after 6/12 is 6/9. Calculate the magnification needed for the telescope.

a)

11x

b)

8x

c)

1.3x

d)

6.67x

17.

The patient's naked visual acuity is 20/200. After refraction, thru the new prescription his VA is 20/50. Patient wants to see signages whose font size/ visual acuity is 20/30. The line after20/30 is 20/25. Calculate the magnification needed for the telescope.

a)

6.67x

b)

2x

c)

1.67x

d)

8x

18.

Elmo is a geriatric low vision patient. He is enthusiatic to try low vision aids, but he is concerned that he might not be able to hold it for longer periods of time. Which of the following low vision devices are best suited for him?

i. Galiliean telescope

ii. Keplerian telescope

iii. stand magnifier

iv. contact lenses

a)

I and III

b)

II and IV

c)

I and IV

d)

II and III

19.

Which of the following has the poorest image quality?

a)

4x, 12, 12.5 degrees

b)

6x, 16, 9.3 degrees

c)

8x, 21, 7.2 degrees

d)

clip-on telescope with 2x magnification

20.

The following are true about telescopes except:

i. image formed in astronomical telescopes are loacted at the 2nd nodal pt.

ii. Prism is needed to make the image upright in terrestrial telescopes.

iii. Terrestrial telescopes are not recommended in patients with great visual field loss.

iv. Astronomical telescopes are recommended with patients with restricted manual dexterity

a)

I and II

b)

III and IV

c)

I and III

d)

II and IV