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ANT SEG E1 PRACTICE TEST QUESTIONS AND
CORRECT ANSWERS!!
- T/F Computed Tomography (CT) is used to observe soft tissues, like the Optic Nerve. False
CT is used for bone/blood. MRI is used for soft tissues like the optic nerve
- Which of the following is NOT one of the main routes of inoculation for Preseptal Cellulitis? a. Direct Inoculation b. Hematogenous c. Extension from Periorbital structures d. Spread from Adjacent Structures c. Extension from Periorbital structures
This is a way Orbital Cellulitis spreads
- Majority of Preseptal Cellulitis infections are caused by which microorganism? a. Gram Positive Cocci b. Adenovirus c. Fungus d. Haemophilus influenza Type B a. Gram Positive Cocci
- Which of the following is NOT one of the signs of Preseptal Cellulitis a. Mild Orbital edema b. EOM restrictions c. Mechanical ptosis d. Erythema b. EOM restrictions
- (Pick 2) The vast majority of Orbital Cellulitis infections are extensions from which facial sinuses? a. Ethmoid b. Sphenoid c. Frontal d. Maxillary a. Ethmoid
c. Frontal
- Which of the following is NOT associated signs of Orbital Cellulitis a. Pain on attempted gaze b. Proptosis c. Paralysis of EOM's d. Ptosis d. Ptosis
- Which is the most affected muscle of Restrictive Myopathy in Thyroid Eye Disease? a. Superior Rectus b. Inferior Rectus c. Lateral Rectus d. Medial Rectus e. Superior Oblique f. Inferior Oblique b. Inferior Rectus
IM SLow pneumonic
- Which is the #1 treatment for all stages of Thyroid eye disease? a. Systemic Corticosteroids b. Artificial Tears c. Orbital Decompression d. Smoking Cessation d. Smoking Cessation
- Which is the first and only FDA approved drug treatment for TED? a. UPNEEQ b. TEPEZZA c. Restasis d. Methylprednisolone b. TEPEZZA
- The most common onset of Orbital Pseudotumors is? a. Acute b. Subacute c. Chronic d. Insidious a. Acute
- A CT scan of a Orbital Pseudotumor will show everything EXCEPT a. Thickening of posterior sclera b. Bony involvement c. EOM involvement d. Orbital fat and the Lacrimal gland b. Bony involvement
No bony involvement of Orbital Pseudotumors
- Which is the most common benign vascular tumor in adults? a. Mucocele b. Cavernous Hemangioma c. Rhabdomyosarcoma d. Neurofibroma b. Cavernous Hemangioma
Doesn't continue to grow
- (T/F) Infantile Hemangioma is the most common benign tumor in children. True
- Congenital/Infantile Hemangioma can pose these risks EXCEPT? a. Anisometropia b. Amblyopia c. Congenital Glaucoma d. Mechanical Ptosis c. Congenital Glaucoma
- Capillary Malformations commonly follow the distribution of which cranial nerve? a. Facial b. Trigeminal c. Accessory d. Optic b. Trigeminal
- Which is the most common/significant neurological manifestation of Sturge-Weber Syndrome? a. Headaches b. Hemiplegia
c. APD d. Seizures d. Seizures
- What ocular manifestation is associated with Sturge-Weber Syndrome? a. Congenital Glaucoma b. Mechanical Ptosis c. Papilledema d. Secondary Conjunctivitis a. Congenital Glaucoma
- A 22 year old female presents to clinic with yellowish papules superior nasally within the periorbital area. What is your diagnosis and treatment? a. Sebaceous Cyst - Observation b. Sebaceous Cyst - Send for bloodwork c. Sudoriferous Cyst - Observation d. Sudoriferous Cyst - Evacuate with 25G needle e. Xanthelasma - Observation f. Xanthelasma - Send for Bloodwork f. Xanthelasma - Send for Bloodwork
Pt is under 40 years old. Send for bloodwork to check lipoprotein metabolism
- Spastic Entropion is caused by the spasm of which muscle?
c. Zygomaticus Major d. Zygomaticus Minor c. Zygomaticus Major
- (T/F) Congenital Ectropion is a Rare isolated finding. True
- Congenital Ectropion is associated with all of the following except? a. Down Syndrome b. Ichthyosis c. Blepharophimosis d. Blepharoptosis d. Blepharoptosis
- This type of Ectropion is caused by vertical shortening and/or scarring of the anterior lamella a. Congenital Ectropion b. Involutional Ectropion c. Cicatricial Ectropion d. Mechanical Ectropion c. Cicatricial Ectropion
- Which of the following eyelid abnormalities is NOT caused by Lid malposition
a. Ectropion b. Trichiasis c. Entropion d. Lagophthalmos b. Trichiasis
- Distichiasis is a congenital or acquired condition where eyelashes arise from a. The gray line b. Mucocutaneous Junction c. Palpebral Conjunctiva d. Meibomian glands d. Meibomian glands
- Which of the following is associated with Scarring Madarosis? a. Basal Cell Carcinoma b. Blepharitis c. Psoriasis d. Atopic Dermatitis a. Basal Cell Carcinoma
Everything else is associated with non-scarring madarosis
- Which is the most common ptosis? a. Neurogenic
- Perception (Reduced VA's)
- Pupil Involvement (anisocoria)
- Pyridostigmine (Mestinon) is an acetylcholinesterase inhibitor used in order to treat which condition? a. Myasthenia Gravis b. Horner's Syndrome c. CNIII Palsy d. Myotonic Dystrophy a. Myasthenia Gravis
- A 44 year old male presents to clinic with a ptosis. His ROS shows muscle weakness and Endocrine dysfunction. An anterior segment exam shows he has "Christmas Tree" Cataracts. Which disease are you suspecting? a. Myasthenia Gravis b. Sturge-Weber Syndrome c. Myotonic Dystrophy d. Multiple Sclerosis c. Myotonic Dystrophy
- Aponeurotic ptosis is the most common ptosis of the elderly, but can present in younger individuals if they... a. Wear GP CL's b. Have Keratoconus c. Have Nocturnal Lagophthalmos d. Wear Silicon Hydrogel CL's
a. Wear GP CL's
- UPNEEQ is a pharmologic treatment of Aponeurotic Ptosis that targets which muscle? a. Orbicularis Oculi b. Levator c. Muller's muscle d. Frontalis c. Muller's muscle
- This condition is characterized by recurrent episodes of painless upper lid edema with spontaneous resolution. These Repeated episodes cause stretched, atrophic tissue. a. Dermatochalasis b. Blepharochalisis c. Myokymia d. Blepharospasm b. Blepharochalisis
- Dermatochalasis is associated with Visual field restrictions in which quadrant a. Superior b. Inferior c. Nasal d. Temporal a. Superior
b. Amyloidosis c. Actinic Keratosis d. A and B e. A and C f. All of the Above e. A and C
- Which is the most common eyelid malignancy? a. Squamous Cell carcinoma b. Basal Cell Carcinoma c. Melanoma d. Sebaceous Gland Carcinoma b. Basal Cell Carcinoma
- (T/F) Basal Cell Carcinoma can be differentiated by Squamous Cell Carcinoma, as Basal Cell is Ulcerative and Squamous cell is not. False
BCC = non-ulcerative SCC = Ulcerative
- (T/F) A Benign Nevi WILL NOT exhibit Madarosis. True
- Melanoma's present a risk of metastasis to which organs? a. Liver b. Lungs c. Kidneys d. A and B e. A and C f. All of the Above d. A and B
- Melanoma's can target all of the following ocular structures, EXCEPT? a. Iris b. Adnexa c. Choroid d. Ocular Surface e. Ciliary Body f. They can target all of the Above f. They can target all of the Above
- Which type of Ocular melanoma's are most common. a. Adnexal b. Uveal c. Ciliary body d. Iris b. Uveal
metastasis. False
Low risk of metastasis
- Which of the following is NOT associated with Kaposi's Sarcoma? a. Purple in color b. Common in immunocompromised individuals c. Associated with Human Herpes virus type 8 (HHV-8) d. Adnexal/Ocular involvement is common d. Adnexal/Ocular involvement is common
It is uncommon
- A 65 year old women presents to clinic wanting a referral for a Blepharoplasty for her ptosis. You take baseline photographs, and conduct automated VF testing. Un-taped she has a Superior VF defect 10 degrees, taped she has the same superior VF defect but 8 degrees. Does she meet the requirements for Surgical approval?
a. Yes b. No b. No
In order to be approved for Blepharoplasty, she needs a 12 degree Superior VF defect un-taped, and a 30% improvement taped. (This is from Lab 2 notes)
- (T/F) Seed Oils are EVIL. False
Dr. Albright can take these McNuggies from my cold dead hands.