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1. A woman, 34 y.o, came with chief complain glare.

She has no other symptom, on examinination VRL
6/6, no limititation on the eye movement. Anisocoria
looks greater in dim light. The next evaluation that
should be obtained immedialely…
a. Pilocapin 0.1% ED
b. Pharmacologic testing with 10%

cocain

ED

followed by 1% hydroxyamphetamine ED
c. MRI with contrast
d. Tensilon Test
e. Pilocarpin 1 %
Ans. B (AAO 2014 - 2015, section 5)
2. A male, 40 y.o, came with headache and blurred
vision. On the examination, found mid dilated pupil
on RE. The opposite pupil is normal, the dilated pupil
does not respond to one drop pilocarpin 1 %. What is
the most likely possibility?
a. Migrain
b. Pharmacologic mydriasis
c. Aneurysma
d. Third Nerve palsy
e. Horner syndrome
Ans. B (AAO 2014 – 2015, section 5)

intravenous methylprednisolon 1g/day for first 3-5 day. came with chief complain of her left eye visual loss for several weeks. after which mg/kg/day for 11 days oral prednisone 1 . What is correct treatment for this patient a. ESR was 70mm/hr with elevated C-Reactive protein. anorexia. joint and muscle pain. depending on response d. fever. She also complain of her headache. no effective treatment was proven c. malaise. intravenous methylprednisolon 1g/day for first 3-5 day. observation b. A woman. 65 y. ear pain. tapered slowly over 312 months or more. Ophtalmoscopic finding shows pallid disc edema with normal cup and cotton wool spot on the retina.3. Her left visual aciuty was 6/60. after which oral prednisone may be used up to 100 mg/day. FFA examination shows disc delay and choroid delay.o.

Examination revealed binocular diplopia with episodic diplopia related to head-eye movement. section 5) . intravenous methylprednisolon 1g/day for first 3-5 day.T2-weight axial MRI demonstrate signal abnormality in a. visual acuity was 6/6. she had slowed adduction of the left eye and an increasing exodeviation on gaze right with nystagmus.White matter Answer : B (AAO 2014 – 2015.o woman comes to hospital. section 5) 4. She complain of double vision. after which oral prednisone 1 mg/kg/day for 2 weeks Answer : C (AAO 2014 – 2015.Left MLF within the midbrain c.e.cerebellum b. Right MLF within the midbrain d.Cervicomedulary junction e. A 35 y.

her left blind spot is three times the normal size. Acute zonal occult outer retinopathy (AZOOR) d. A 25-year-old woman notes the acute onset of painless photopsias and a blind spot in the temporal field of her left eye. The examination is otherwise entirely normal. Examination 3 days later shows the spots to be gone. Which of the following diagnosis is the most likely? a. Acute posterior multifocal placoid pigment epitheliopathy c. Section 5) . Canthaxanthine maculopathy Answer: C (AAO 2014 – 2015. Pseudotumor cerebri b. faint. Her visual acuity and color vision are normal. Fundus examination shows multiple. tiny spots in the posterior pole OS.5. Optic neuritis e. On visual field examination.

Argyll-Robertson pupil d. He denied recent trauma. Adie’s pupil c. his right pupil was slightly smaller than the left. Which of the following diagnosis is likely? a. T2weighted hyperintensity along the right internal carotid artery consistent with dissection. In room light. This disparity became more obvious in dim light.6. Horner syndrome e.5 mm ptosis of the right upper lid. Visual aquities were 6/6 in each eye. A 59-year-old previously healthy man had noticed 5 weeks prior that his right upper eyelid was drooping. He had 1. Essential anisocoria b. pharmacological anisocoria . Axial magnetic resonance imaging (MRI) demonstrated a comma-shape. accompanied by a dull ache along the right sight of his neck.

A 25-year-old woman notes the acute onset of painless photopsias and a blind spot in the temporal .o. Chiasmal lesions d. A man 41 y. section 5) 8.2015. He has been headache since 5 years ago and impairment side vision on the both eye since 1 years ago.Answer : D (AAO 2014 . Laboratorium finding is growth hormon increasing significantly. Prechiasmal lesions c. Lateral Geniculate body Answer: C (AAO 2014 . VOS 6/6. Ophthalmology examination VOD 6/6. section 5) 7. BP 150/100 mmHg. Retrochiasmal lesions e. Neuroimaging MRI with contras result macroadenoma intrasellar measurest 24mm x 26mm x 26. Examination result. came to the hospital with complain severe headache and impairment side vision.2015. Papil optikum b.9 mm. Where is the localize lesions can be damage? a.

Optic neuritis e. Canthaxanthine maculopathy Answer: C (AAO 2014 – 2015. Fundus examination shows multiple. Acute zonal occult outer retinopathy (AZOOR) d. On visual field examination. The Optic Neuritis Treatment Trial (ONTT) and followup studies indicate all of the following except . Which of the following diagnosis is the most likely? a. Acute posterior multifocal placoid pigment epitheliopathy c. section 5) 9.field of her left eye. her left blind spot is three times the normal size. Examination 3 days later shows the spots to be gone. The examination is otherwise entirely normal. Pseudotumor cerebri b. tiny spots in the posterior pole OS. Her visual acuity and color vision are normal. faint.

On examination. upward gaze was limited when the right eye was in adducted position. section 5) 10. What is the most common cause of this condition? . d. Answers : D (AAO 2014 – 2015. Intravenous methylprednisolone may speed visual recovery during first 2-3 weeks after onset but has no lasting visual benefit b. Oral prednisone alone at 1 mg/kg/day may increase recurrent rate c.a. A 7 year-old girl was refered for her right eye sometimes moving asyncronous with her left eye. Intravenous methylprednisolone administered within 8 day after visual loss signoficantly reduces the 10 years risk of developing MS. The overall 10 years risk of developing multiple sclerosis after isolated optic neuritis is approximately 38%.

optociliary shunt vessel at 8 o’clock. Chemotherapy with combination of carboplatin and vincristine c. mild proptosis. optic atrophy. C. Observation e.Failure of formation of the abducens nucleus and sixth nerve d.a.2015. occurs due to agenesis of the nuclei of the sixth and seventh cranial nerves bilaterally Answer : A (AAO 2014 – 2015. section 5) 11. B. A woman 45 yo came to hospital with slowly progressive monocular visual loss.Short superior oblique tendon of the right eye b. Treatment of choice for this patient a. A. CT scan reveals tram track sign. 3D stereotactic conformal (fractionated) radiation d. D. section 5) . E. Radiotheraphy Answer : C (AAO 2014 . examination reveals visual acuity light perception with an RAPD.Metastasis of a malignancy e. Surgery for biopsi or excision b.Trochlear injury c.

Ophthalmology examination we found VA RE : 3/60.2015. CT scan of brain c. ESR e. NMO-Ig G serologic test Answer A (AAO 2014 . Which examination is recomended for this case a. A woman. What was causing this condition? . section 5) 13. Segment post. Visual field defect : scotoma central and discromatopsia. came to ophthalmology with complained RE in acute visual loss. Ancilllary testing is generally unnecessary d. 33 YO. RAPD (+). A 20 year-old man came with ptosis of gradual onset which usually happened around midday and improved after a short nap. periorbital pain and particularly with eye movement. Normal limit.12. MRI of brain b.

2015. rightward eye movements are hypermetric. Acetylcholine receptor blocking d. Visual acuity and visual field findings are normal. see-saw nystagmus b. right ptosis and miosis . A diabetes 72-year-old mellitus man with frequently hypertension cuts himself and while shaving the right side of his face and reports burning his left hand while cooking. Nerve damage by autoimmune reaction e. Acetylcholine depletion c.a. Nerve palsy b. eyelid retraction c. Which of the following examination findings will assist in localizing the anatomical lesion? a. Allergy Answer : C (AAO 2014 . section 5) 14. He has trouble tracking moving objects.

rapid pupillary constriction after 10% phenylephrine d. which test result best helps identify a pharmacologic blockade as opposed to a third nerve palsy or Adie tonic pupil? a. dilated pupil. D (AAO 2014 – 2015. upward gaze was limited when the . section 5) 16.absent pupillary constriction after 1% pilocarpine Ans.d. paroxysmal gaze palsy Answer C (AAO 2014 – 2015.A 7 year-old girl was refered for her right eye sometimes moving asyncronous with her left eye. On examination. 3.125% pilocarpine c. minimal pupillary constriction after 0. In a patient with a fixed. section 5) 15. normal pupillary light response in the fellow eye b.

The remainder of the examination is . A 35-year-old woman presents with sudden painful loss of vision of her right eye. Trochlear injury c. Failure of formation of the abducens nucleus and sixth nerve d. Pupils demonstrate an afferent pupillary defect of the right eye.right eye was in adducted position. A (AAO 2014 – 2015. Short superior oblique tendon of the right eye b. What is the most common cause of this condition? a. Her examination reveals vision of 20/80 OD and 6/6 OS. Occurs due to agenesis of the nuclei of the sixth and seventh cranial nerves bilaterally Ans. and the left visual field is normal. A dense inferior altitudinal defect encroaches on central fixation OD. Metastasis of a malignancy e. section 5) 17.

A 28-year-old obese woman complains of transient visual loss lasting seconds in the right eye when rising from a bent position.2015. Examination . c. b. however. Ans. section 5) 18. She is unlikely to have optic neuritis because the optic nerve on examination is normal. as well as take oral corticosteroids to assess the benefit. she needs an MRI scan of the orbits to rule out a tumor. She should have an MRI scan to rule out a tumor. She has optic neuritis and should have an MRl scan of the brain to assess her risk for MS. She has optic neuritis and should begin one of the proven treatments for multiple sclerosis (MS) to prevent its onset.normal. including the fundus examination. C (AAO 2014 . How would you counsel this patient? a. d.

A 67-year-old woman developed variable double vision 1 month ago and appears to have fatigable ptosis. section 5) 19.2015. CT of the brain. She has no systemic symptoms.lumbar puncture. then medical therapy for intracranial hypertension d.reveals normal acuity with bilateral disc edema. MRI. MRV. . A normal anti-acetylcholine receptor antibody level effectively rules out myasthenia gravis. then medical therapy for intracranial hypertension c. no need for neuroimaging b. then a shunting procedure for intracranial hypertension Ans. medical therapy for intracranial hypertension. Which of the following statements is true? a. C (AAO 2014 . What is the best course of action? a. CT of the brain.

2015. and decreased color perception. Which diagnostic study would be most appropriate? a. fluorescein angiography with attention to the macula b. An improvement of 2 mm in ptosis following a 2minute ice application to the eyelid confirms the diagnosis of myasthenia. Her risk of developing generalized myasthenia is about 20%. a relative afferent pupillary defect.b. section 5) 20. c. The 30% occurrence of concomitant thyroid eye disease may complicate the diagnosis of myasthenia. D (AAO 2014 . d. A 25-year-old woman has a negative past medical history and a 2-week history of pain on eye movement. Ans. screening blood work for human leucocyte antigen A-29 and B-5 .

magnetic resonance imaging of the brain with and without contrast d.2015. C (AAO 2014 . section 5) .c. skin biopsy with microscopic dermal evaluation Ans.