Medical Quiz on Steroids and Eye Conditions
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Questions and Answers

What is a possible consequence of abruptly discontinuing steroid medication?

  • Reduced risk of infection
  • Increased energy levels
  • Improved vision
  • Adrenal insufficiency (correct)
  • Which of the following is a risk associated with long-term steroid use?

  • Hypertension (correct)
  • Improved wound healing
  • Anemia
  • Hypoglycemia
  • What symptom should be reported immediately to a healthcare provider while on steroid medication?

  • Nausea
  • Fatigue
  • Increased appetite
  • Headaches (correct)
  • What characterizes a corneal abrasion?

    <p>Cutting or scratching of the corneal epithelium</p> Signup and view all the answers

    Which of the following is NOT a common cause of corneal abrasions?

    <p>Increased intraocular pressure</p> Signup and view all the answers

    What is the most common form of corneal ulceration?

    <p>Superficial ulcer limited to the corneal epithelium</p> Signup and view all the answers

    How often do eye-related diagnoses constitute total ER visits?

    <p>8%</p> Signup and view all the answers

    Which factor plays a significant role in the development of corneal ulceration?

    <p>Mechanical trauma</p> Signup and view all the answers

    What is the primary characteristic of giant cell arteritis?

    <p>Vasculitis of large- and medium-sized vessels</p> Signup and view all the answers

    Which population has the highest incidence of giant cell arteritis?

    <p>People aged 70 to 80</p> Signup and view all the answers

    What is a common symptom associated with giant cell arteritis?

    <p>Scalp tenderness</p> Signup and view all the answers

    What is the primary distinguishing factor between postseptal and preseptal cellulitis?

    <p>Location relative to the orbital septum</p> Signup and view all the answers

    What potential risk does untreated giant cell arteritis pose?

    <p>Irreversible vision loss</p> Signup and view all the answers

    Which demographic is most affected by giant cell arteritis?

    <p>Women of Northern European descent</p> Signup and view all the answers

    Which age group has a higher incidence of orbital cellulitis?

    <p>Young children</p> Signup and view all the answers

    What is a common complication associated with orbital cellulitis?

    <p>Vision loss</p> Signup and view all the answers

    What is the relationship between BMI and the risk of giant cell arteritis?

    <p>Lower BMI increases risk</p> Signup and view all the answers

    What kind of syndrome may present with giant cell arteritis symptoms?

    <p>Polymyalgia rheumatica</p> Signup and view all the answers

    What common condition is often associated with the development of orbital cellulitis?

    <p>Sinusitis</p> Signup and view all the answers

    Which of the following organisms is less commonly associated with orbital cellulitis?

    <p>Eikenella corrodens</p> Signup and view all the answers

    In which condition is inflammation of the aorta observed in about 50% of the cases?

    <p>Temporal arteritis</p> Signup and view all the answers

    What anatomical structure separates preseptal cellulitis from orbital cellulitis?

    <p>Orbital septum</p> Signup and view all the answers

    How has the incidence of orbital cellulitis changed with recent medical advancements?

    <p>Declined since Hib vaccination</p> Signup and view all the answers

    Which of the following is NOT a concern related to immunocompromised patients with orbital cellulitis?

    <p>Streptococcus pneumoniae</p> Signup and view all the answers

    What is a key factor that increases the risk of adverse outcomes in orbital conditions?

    <p>Immunosuppressed patients</p> Signup and view all the answers

    Which condition must be differentiated from orbital cellulitis?

    <p>Preseptal cellulitis</p> Signup and view all the answers

    Which symptom is specific to orbital cellulitis and not typically found in preseptal cellulitis?

    <p>Proptosis</p> Signup and view all the answers

    What is the recommended imaging method for suspicion of orbital cellulitis?

    <p>Contrast CT scan</p> Signup and view all the answers

    What is a common adverse outcome associated with untreated orbital conditions?

    <p>Central retinal artery occlusion</p> Signup and view all the answers

    Which of the following is NOT a preventative measure for orbital injuries?

    <p>Infrequent dental check-ups</p> Signup and view all the answers

    What is a critical sign of orbital cellulitis during a physical exam?

    <p>Pain with eye movements</p> Signup and view all the answers

    What is the first-line treatment approach for diagnosed orbital cellulitis?

    <p>Immediate IV antibiotics and hospital admission</p> Signup and view all the answers

    What should be done once the pain from topical NSAIDs decreases?

    <p>Discontinue the topical NSAIDs</p> Signup and view all the answers

    Which of the following antibiotics is recommended for large, dirty abrasions?

    <p>Polymyxin B/trimethoprim (Polytrim)</p> Signup and view all the answers

    What is the primary treatment for herpetic keratitis?

    <p>Trifluridine</p> Signup and view all the answers

    When should a patient with a corneal abrasion follow up with a healthcare provider?

    <p>For lesions greater than 4 mm with decreased vision</p> Signup and view all the answers

    What is a common complication of corneal abrasions?

    <p>Loss of vision</p> Signup and view all the answers

    Which of the following should prompt referral to an ophthalmologist?

    <p>Chemical burn</p> Signup and view all the answers

    Which treatment is typically used for fungal keratitis?

    <p>Extended topical antifungal agents</p> Signup and view all the answers

    Which of the following is a factor requiring close patient monitoring?

    <p>Increase in size of abrasion after 24 hours</p> Signup and view all the answers

    Which age group is most commonly affected by periorbital cellulitis?

    <p>Children around 21 months</p> Signup and view all the answers

    What distinguishes periorbital cellulitis from orbital cellulitis?

    <p>Location of the infection relative to the orbital septum</p> Signup and view all the answers

    What is a critical aspect of ongoing care for patients with orbital cellulitis?

    <p>Serial visual acuity testing and slit lamp exams</p> Signup and view all the answers

    What percentage of cases historically resulted in blindness before the use of antibiotics?

    <p>20%</p> Signup and view all the answers

    Which of the following should be avoided to prevent periorbital cellulitis?

    <p>Avoiding skin or lid trauma</p> Signup and view all the answers

    What is a common cause for the increased incidence of periorbital cellulitis in winter months?

    <p>Increased cases of sinusitis</p> Signup and view all the answers

    Which condition is NOT a potential complication of orbital cellulitis?

    <p>Tooth decay</p> Signup and view all the answers

    Study Notes

    Index of Topics

    • Temporal Arteritis (pg. 2)
    • Corneal Abrasion and Ulceration (pg. 5)
    • Cellulitis (orbital pg. 8 and periorbital pg. 12)
    • Conjunctivitis (pg. 16)
    • Dental Infection (pg. 21)
    • Glaucoma (primary closed pg. 24 and primary open pg. 28)
    • Hearing Loss (pg. 32)
    • Herpes Eye Infections (pg. 36)
    • Hordeolum (pg. 40)
    • Laryngitis (pg. 43)
    • Mastoiditis (pg. 47)
    • Meniere Disease (pg. 52)
    • Mumps (pg. 56)
    • Nasal Polyps (pg. 60)
    • Optic Neuritis (pg. 63)
    • Otitis Externa (pg. 67)
    • Otitis Media (pg. 70)
    • Otitis Media with Effusion (pg. 75)
    • Parotitis (acute and chronic pg. 77)
    • Pharyngitis (pg. 81)
    • Presbycusis (pg. 85)
    • Retinal Detachment (pg. 89)
    • Retinopathy (pg. 93)
    • Rhinitis (pg. 97)
    • Sialadenitis (Salivary Gland Calculi) (pg. 101)
    • Scleritis (pg. 105)
    • Sinusitis (pg. 108)
    • Sjögren Syndrome (pg. 112)
    • Subconjunctival hemorrhage (pg. 116)
    • Temporomandibular Joint Disorder (pg. 119)
    • Tinea Capitis (pg. 123)
    • Tinnitus (pg. 126)
    • Trigeminal Neuralgia (pg. 130)
    • Vertigo (pg. 134)
    • Vincent Stomatitis (pg. 137)

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    Description

    Test your knowledge on the effects of steroid medication and various eye conditions. This quiz covers important symptoms, risks associated with long-term steroid use, and details on corneal abrasions and giant cell arteritis. Perfect for medical students and healthcare professionals looking to assess their understanding of these topics.

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