Ophthalmology Quiz - Clinical Cases

1. 74-year-old man developed difficulty reading

and mild right arm weakness yesterday. Visual
acuity is 20/20 OU and his visual fields are
shown in image. What else would he be likely to
have?
a. Histopathology shows fibrovascular in
growth just beneath Bowman's layer
b. A pigmented iron line (Ferry's line) is
found at the corneal edge of the lesion
c. Prolonged actinic exposure is a risk factor
d. Recurrence after treatment is rare.
a. Poor optokinetic nystagmus with the drum
4. 15 year-old girl presents with muscle tremors
rotating left
and a brownish ring near the limbus shoun in
b. Poor optokinetic nystagmus with the drum
image. Which one of the following statements
rotating right
regarding this disease is TRUE?
c. Unformed visual hallucinations
d. Formed visual hallucinations
2. A 44-year-old black woman noticed a change in
vision yesterday. Today, visual acuity is 20/20
OD and 20/200 OS. There is a left relative
afferent pupillary defect and a swollen left optic
nerve head. The remainder of the examination
is normal. Of the following, which is the LEAST
helpful historical factor? a. It is an isolated, nonhereditary disease
a. Hyperthyroidism treated 1 year ago b. The corneal findings can be used to
b. Recent 1-month episode of left arm monitor therapy
numbness c. It is caused by a defect in the kidneys
c. Hilar adenopathy on recent chest d. The corneal findings are pathognomonic
radiograph for this patient's disease.
d. Hypertension treated for 5 years 5. A 35-year-old sickle cell patient comes in after
3. 47 year old farmer presents with the lesion, being hit in the eye with a soccer ball s shown
pictured. He states it has been present for at below image. He is in severe pain, with vision
least 2 years, and it has been gradually decreased to 20/50 and IOP of 50 mmHg.
increasing in size. Which one of the following Which one of the following is the MOST
regarding the lesion pictured TRUE? appropriate treatment?
 Ophthalmology Quiz - Clinical Cases

a. Lowering the IOP with Timelol and

acetazolamide
b. Dilating the pupil with Neo-Synephrine and
tropicamide
c. Anterior chamber washout
d. Cryopexy to reduce ischemic areas
 Ophthalmology Quiz - Clinical Cases
Ans –

1. A
2. A
3. C
4. B
5. C