Ophthalmology

Question 1

Cherry red spot at macula

Answer 1

Central retinal artery occlusion

Question 2

“Tear drop” or “blood level in sins”

Answer 2

Blow out fracture

Question 3

Affected eye fails to adduct with contralateral eye abducting but with nystagmus

Answer 3

Internuclear opthalmoplegia (issue with medial longitudinal fasciculus)

Question 4

Pain on eye movement?

Answer 4

Optic neuritis (most commonly caused by MS)

Question 5

Painful loss of vision 1-2 weeks?

Answer 5

Optic neuritis

Question 6

Curtain coming down <5mins

Answer 6

Amaurosis fugax

Question 7

Curtain coming down partially for longer than 5 mins?

Answer 7

Retinal detachment

Question 8

Flashes and floaters

Answer 8

Retinal detachment

Question 9

Photophobia

Answer 9

Anterior uveitis

Question 10

Gritty

Answer 10

Bacterial conjunctivitis or sub-tarsal foreign body

Question 11

Watery eye, pain and pre-auriclar lymph nodes

Answer 11

Viral conjuncitivitis

Question 12

Silver/ copper wiring

Answer 12

Hypertensive eye disease

Question 13

Loss of red reflex, eye red on ophthalmoscopy?

Answer 13

Haemorrhage

Question 14

New vessels and haemorrhage

Answer 14

ARMD wet

Question 15

Follicular conjunctivitis

Answer 15

Chlamydia

Question 16

Pinpoint pupils

Answer 16

Potine issue

Question 17

Dilated pupils

Answer 17

Trans-calcerine fracture

Question 18

Different sized pupils

Answer 18

Damage to CN3 (or sympathetic chain as in Horner’s)

Question 19

Down out dilated?

Answer 19

Damage to CN3

Question 20

Down and out, not dilated?

Answer 20

Diabetes

Question 21

Roth spots?

Answer 21

Infective endocarditis

Question 22

Brushfield spots?

Answer 22

downs syndrome