Medical Matching Quiz

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Questions and Answers

Match the following symptoms with their descriptions:

Redness = Indicates a possible injury or irritation Severe eye pain = Associated with eye injuries and nerve endings Profuse tearing = Common response to eye irritation Foreign body sensation = Feeling of an object in the eye

Match the injury types with their key characteristics:

Open injury = Requires careful management to prevent complications Closed injury = May not be visually apparent but can cause damage Thermal injury = Caused by heat exposure to the eye Chemical injury = Requires immediate flushing with water

Match the treatment options with their indications:

Antibiotic = For treating potential infections from abrasions Patching = To avoid further irritation to the cornea Steroid eye drops = Only if there is a risk of infection Eye wash = To clear any chemical substances from the eye

Match the aspects of patient history with their significance:

Hospitalization history = To understand previous health issues Ophthalmic surgeries = Indicates prior eye conditions that may affect treatment Medications = Potential influences on healing and treatment outcomes Immune system status = Critical in determining treatment approach Signup and view all the answers

Match the healing timeline with injury type:

Corneal abrasion = Heals within 3 days to 1 week Fungal ulcer = Requires extended treatment and management Chemical injury = Immediate care needed to reduce damage Thermal injury = Healing may vary based on severity Signup and view all the answers

Match the symptoms to their likely causes:

Blurring of vision = Can indicate corneal damage or swelling Eye redness = Often a sign of inflammation or irritation Severe pain = Indicates potential corneal injury Light sensitivity = Common in cases of eye trauma Signup and view all the answers

Match the management strategies with their context:

Immediate assessment = Vital for determining injury severity Avoiding steroids = To prevent complications from unknown injuries Patching after pain relief = Helps in managing irritation after initial treatment Monitoring for infection = Essential following a corneal abrasion Signup and view all the answers

Match the following descriptions with their relevant actions:

Eye assessment = To identify the presence of injuries Patient history review = To gather crucial prior medical information Symptom documentation = Essential for accurate diagnosis Treatment planning = Based on type and severity of injury Signup and view all the answers

Match the following conditions with their associated treatments:

Choroidal rupture = Antibiotics Macular hole = Surgical removal of the membrane Conjunctival laceration = No repair needed for small tears Corneal laceration = Only repair for significant tears Signup and view all the answers

Match the following anatomical features with their associated descriptions:

RPE = Retinal pigment epithelium Choroid = Vascular layer beneath the retina Bruch’s membrane = Layer connecting RPE to choroid Fovea = Center of the macula Signup and view all the answers

Match the ophthalmic conditions with their descriptions:

Corneal Foreign Body = Metal particles lodged in the cornea with possible rust formation Traumatic Hyphema = Bleeding within the eye appearing as a clot due to gravity Subconjunctival Hemorrhage = Bleeding of vessels leading to red sclera Lacrimal Apparatus Damage = Potential injury causing excessive tearing and corneal perforation risk Signup and view all the answers

Match the following types of lacerations with their characteristics:

Lamellar corneal laceration = Partial thickness tear Conjunctival laceration = Superficial tear Full thickness macular hole = Central defect on Amsler grid Figure 4 laceration = Requires repair due to complexity Signup and view all the answers

Match the following risks with their potential complications:

Choroidal neovascularization = Vessels moving up towards the retina Subretinal hemorrhage = Associated with choroidal rupture Complicated lacerations = May require surgical intervention Macular hole = Loss of foveola Signup and view all the answers

Match the treatments with the ophthalmic conditions they address:

Steroids = Traumatic Hyphema High back rest = Subconjunctival Hemorrhage Antibiotics = Corneal Foreign Body X-ray or CT scan = Lacrimal Apparatus Damage Signup and view all the answers

Match the following surgical interventions with their indications:

Repair of conjunctival laceration = Only for deep or significant tears Treatment of macular hole = Surgical intervention needed Choroidal rupture management = Antibiotics and monitoring Cataract surgery = Not mentioned in the context Signup and view all the answers

Match the characteristics with their respective conditions:

Rust Ring = Formation around a foreign body in the cornea Clot Appearance = Visual indicator of hyphema Red Sclera = Symptom of subconjunctival hemorrhage Ulceration Risk = Concern with prolonged corneal foreign body presence Signup and view all the answers

Match the following visual symptoms with their potential causes:

Distorted vision = Macular hole Blurred vision = Corneal laceration Dark spot in vision = Choroidal rupture No change in vision = Small conjunctival tear Signup and view all the answers

Match the procedures with their purposes in ophthalmic trauma:

Check pressure = In subconjunctival hemorrhage Remove foreign body = In corneal foreign body Monitor for tearing = In lacrimal apparatus damage Assess for fracture = In traumatic injuries of the eye Signup and view all the answers

Match the symptoms with the ophthalmic issues:

Excessive tearing = Lacrimal Apparatus Damage Whiteness near foreign body = Corneal Foreign Body Gravitational blood settling = Traumatic Hyphema Very red conjunctiva = Subconjunctival Hemorrhage Signup and view all the answers

Match the following descriptions with their corresponding figures:

Figure 4 = Complex laceration requiring repair Figure 7 = Choroidal rupture with subretinal hemorrhage Figure 8 = Loss of the foveola Figure 11 = Styro cup for avoiding eye manipulation Signup and view all the answers

Match the following terms with their clinical relevance:

Antibiotics = Prevent infection post-trauma Surgical intervention = Treat significant macular holes Monitoring = Evaluate healing post-injury Repair = Necessary for complex lacerations Signup and view all the answers

Match the potential complications with their corresponding conditions:

Corneal perforation = Lacrimal Apparatus Damage Infection risk = Corneal Foreign Body Vision impairment = Traumatic Hyphema Increased bleeding = Subconjunctival Hemorrhage Signup and view all the answers

Match the signs with the conditions they represent:

Brown area in cornea = Corneal Foreign Body with rust Blood in front chamber = Traumatic Hyphema Thin conjunctiva = Subconjunctival Hemorrhage Patient discomfort while tearing = Lacrimal Apparatus Damage Signup and view all the answers

Match the recommended actions with the corresponding conditions:

Administer antibiotics = Corneal Foreign Body Elevate the patient's head = Subconjunctival Hemorrhage Seek imaging studies = Lacrimal Apparatus Damage Manage clot appearance = Traumatic Hyphema Signup and view all the answers

Match the eye condition with its description:

Infection of the eye = Accompanied by vitreous prolapse CPI with intracameral foreign body = Involves large sclerocorneal laceration Hypopyon = Presence of inflammatory cells in the anterior chamber Ptosis = Drooping of the upper eyelid Signup and view all the answers

Match the surgical procedure with its indication:

Evisceration = Removal of the eye contents leaving the sclera Enucleation = Removal of the entire eye including sclera Surgical repair of lid injuries = Indicated for ptosis and enophthalmos IV antibiotics = Recommended treatment to prevent eye removal due to infection Signup and view all the answers

Match the symptom with the related condition:

Enophthalmos = Recession of the eye within the orbit Trismus = Inability to open the mouth fully Crepitus = Grating sensation during eye movement Hypoesthesia = Reduced sensation in the eye area Signup and view all the answers

Match the outcome with the corresponding patient condition:

Improved vision = Post-operative reduction of corneal edema Cosmesis preservation = Aim for young patients after trauma Hand movement visibility = Possible vision after severe trauma Large tear significance = Indicates serious lid injury requiring repair Signup and view all the answers

Match each type of ocular trauma with its characteristic:

Vitreous prolapse = Caused by severe infection Hair in the eye = Associated with hypopyon Sclerocorneal laceration = Often results from blunt trauma Hypopyon = Presence of pus in the anterior chamber Signup and view all the answers

Match the treatment with the related scenario:

IV antibiotics = Given for ocular infections Surgical repair = Necessary for significant lid injuries Evisceration = Considered when eye cannot be preserved Corneal edema management = Important after major surgical intervention Signup and view all the answers

Match the eye injury with its consequence:

Inferior lid injury = Weakest part leading to pressure rise Diplopia = Double vision due to ocular misalignment Vision of counting fingers = Possible post-trauma rehabilitation gain Loss of malar prominence = Indicative of facial structure injury Signup and view all the answers

Match the term with its definition:

Eyelid injury = Damage to the tissues surrounding the eye Trauma = Physical injury that can affect eye function Edema = Swelling due to fluid accumulation Laceration = A deep cut or tear in the tissue Signup and view all the answers

Match the type of eye injury with its characteristic feature:

Contusion Eyeball = Corneal opacity Thermal Injury = Burnt skin Hyphema = Presence of blood in the anterior chamber Orbital Injury = Racooning of the eye Signup and view all the answers

Match the treatment recommendation with the corresponding eye condition:

Dry Eye = Artificial tears and lubricant Swelling = Cold compress followed by warm compress Corneal Transplant = Very expensive, $1,000 in PGH Limbal Ischemia = Antibiotics and irrigation Signup and view all the answers

Match the surgical item with its purpose in eye treatment:

Titanium plate = Support of central vision Boston KPro = Keratoprosthesis Clear plastic = Prevention of neovascularization Suture = Postoperative closure Signup and view all the answers

Match the complication with the injury type:

Contusion Eyeball = Dry eye Thermal Injury = Corneal transplant Orbital Injury = Limbal ischemia Hyphema = Corneal opacity Signup and view all the answers

Match the vision outcome with the relevant procedure:

Central vision improvement = Using a titanium plate and clear plastic Clear vision restoration = Postoperative treatment after implant Neovascularization prevention = Involvement of clear plastic Blood clearance = Warm compress after cold compress Signup and view all the answers

Match the eye condition with its visual indicator:

Corneal opacity = Cloudy or hazy vision Hyphema = Red arrow on eye Racooning of the eye = Orbital swelling and ecchymosis Dry eye = Increased irritation and discomfort Signup and view all the answers

Match the condition with its treatment phase:

Hyphema = Immediate irrigation Orbital swelling = Cold compress initially Dry eye syndrome = Ongoing use of artificial tears Corneal opacity = Potential for transplant surgery Signup and view all the answers

Match the specialist mention with their associated action:

Dr. Acluba-Arao = Discussing costs of corneal transplant Sanghaya Trans = Providing keratoprosthesis Signup and view all the answers

Match the following types of injuries with their descriptions:

Orbital Fractures = Inferior fracture area, may not require repair if there are no symptoms Electromagnetic Injury = Often results in radiation cataract UV Radiation Injury = Caused by welding, sun beds, or prolonged sun exposure Toxic Retinopathy = May require steroids for treatment Signup and view all the answers

Match the complications with their potential effects:

Ocular Hypotony = Decreased aqueous humor production Corneal Staining = Associated with high intraocular pressure Corneal Scars = Permanent damage to the cornea Sympathetic Ophthalmia = Normal eye reacts to the injured eye Signup and view all the answers

Match the following conditions with their key features:

Enophthalmos = Limited movement of the eyeball Orbital Fracture Repair = Not needed if patient can see 20/20 without diplopia Infection = Requires careful monitoring after trauma Traumatic Optic Neuropathy = A potential complication in severe injuries Signup and view all the answers

Match the patient symptoms to the appropriate action:

20/20 vision and no diplopia = No action needed regarding fractures Enophthalmos present = Possible need for surgical repair Corneal staining detected = Monitor for infection Increased intraocular pressure = Inspect for corneal staining Signup and view all the answers

Match causes of ocular issues with their characteristics:

High intraocular pressure = Can lead to corneal staining Sudden movement to the posterior = Causes potential optic nerve laceration Extended UV exposure = Leads to radiation cataract Toxic retinopathy = May require steroid intervention Signup and view all the answers

Match complications with their potential treatment options:

Corneal Scars = Permanent and typically no treatment Ocular Hypotony = Addressed by reducing aqueous humor shutdown Infection = Can be treated with antibiotics or steroids Traumatic Optic Neuropathy = May need steroids for management Signup and view all the answers

Match the ocular injuries with their main causes:

Orbital Fractures = Caused by blunt trauma or fracture Electromagnetic Injury = Associated with electrical accidents UV Radiation Injury = Induced by industrial activities like welding Toxic Retinopathy = Often linked to chemical exposure Signup and view all the answers

Match the symptom to the injury type:

Limited eye movement = Common in orbital fractures Radiation cataract = Result of electromagnetic injury Corneal staining = Possible consequence of increased pressure Optic nerve damage = Can occur from traumatic incidents Signup and view all the answers

Study Notes

Ophthalmic Trauma Evaluation

Evaluation of trauma patients treated as medico-legal cases
Important to document all details, both positive and negative, during patient assessment
This ensures a comprehensive record for potential future legal testimony
Details of the injury include: date, time, place, method/mechanism
Past medical history is crucial, including prior ophthalmic surgeries, illnesses, and medications
Accompanying symptoms (e.g., pain, blurry vision) should be noted
Type of injury (open/closed, thermal, chemical, etc.) influences management strategy

Closed Globe Injuries

Corneal abrasions involve epithelial disruption, causing pain, redness, tearing, and foreign body sensation
Treatment includes topical antibiotics (to prevent infection), patching to prevent lid rubbing, and potentially artificial tears
Steroid eye drops not always necessary, especially when unsure about the injury cause or potential presence of vegetative material (as this can predispose to fungal infection)
Corneal healing typically takes 3-7 days; patching often used to prevent further lid irritation
Corneal foreign body (metal/rust) requires removal of the foreign object along with any rust ring; use a gauge 13 needle when removing object
Antibiotics are often given for extra precaution
Careful removal is crucial to prevent corneal perforation

Subconjunctival Hemorrhage

Bleeding of conjunctival vessels resulting in a white sclera and reddish conjunctiva
Treatment involves applying cold compresses for 24-48 hours, followed by warm compresses as the discoloration resolves
Resolution usually occurs within 2 weeks
Avoid strenuous activities during this time

Lacerations/Penetrating/Closed Globe Injuries

Conjunctival lacerations are closed globe injuries, less severe
Partial thickness (lamellar) corneal lacerations: the posterior stroma and endothelium are intact
Perforating corneal or scleral lacerations/perforations extend to the retina or uvea
Treatment includes antibiotics, possibly surgical repair (if severity of laceration merits it)
If laceration is superficial, no intervention might be needed
Full assessment of the area and surrounding tissue is critical for proper care

Traumatic Hyphema

Bleeding within the eye (hyphema)
High back rest to allow blood settling
Monitor IOP
Cornea staining may result and will require corneal transplantation/replacement of the damaged cornea if needed

Important Sequelae

Ocular hypotony (low eye pressure): can damage the pars plana
Infection
Corneal staining (especially with elevated intraocular pressure)
Corneal scars
Toxic retinopathy/neuropathy
Traumatic optic neuropathy (requiring steroids)
Sympathetic ophthalmia (where the normal eye develops issues due to a damaged eye)

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Description

Test your knowledge on various medical topics by matching symptoms, treatments, conditions, and anatomical features. This quiz covers a wide range of subjects related to patient care and injury management. Perfect for students and professionals in the healthcare field.