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Questions and Answers

What is the recommended action when observing the macula with miotic pupils?

  • Use a larger aperture beam
  • Move to the patient's line of sight
  • Use a smaller aperture beam (correct)
  • Avoid observing the macula
  • How can the fovea be identified in young healthy patients during examination?

  • By presence of hemorrhages
  • By a bright foveal reflex (BFR) (correct)
  • By elevation in the macula
  • By changes in pigmentation
  • Which technique is recommended for observing the peripheral fundus in young patients with large pupils?

  • Dilation of the pupil (correct)
  • Avoiding peripheral observation
  • Asking the patient to move their eyes
  • Use of a larger aperture beam
  • What is the significance of retinal artery caliber compared to the corresponding vein after the first bifurcation?

    <p>Artery has smaller caliber than vein</p> Signup and view all the answers

    What is an abnormality that should be looked for in retinal vessels?

    <p>Constriction or beading</p> Signup and view all the answers

    How should the optic disc be located for examining retinal blood vessels in each quadrant?

    <p>Locate the disc first and then examine blood vessels in each quadrant</p> Signup and view all the answers

    What is the significance of observing the scleral ring in the systemic assessment of the optic nerve?

    <p>Identifying the limits of the optic disc</p> Signup and view all the answers

    In glaucoma suspect ONH, what does a blurred margin of the rim suggest?

    <p>Small neuroretinal rim</p> Signup and view all the answers

    What is the purpose of using the 5-Rs in glaucoma suspect ONH assessment?

    <p>Assessing the size of the optic disc</p> Signup and view all the answers

    How does a large optic disc size correlate with the optic cup?

    <p>Large disc has a large cup</p> Signup and view all the answers

    What is characteristic of the central beta zone surrounding the optic disc?

    <p>Visible sclera and large choroidal vessels</p> Signup and view all the answers

    Which zone is more common in normal eyes, the alpha zone or the beta zone?

    <p>Alpha zone</p> Signup and view all the answers

    Which of the following characteristics is NOT part of the evaluation of the Neuroretinal Rim?

    <p>NFL drop out vs intact</p> Signup and view all the answers

    What should be evaluated for in the optic nerve head's cup to disc ratio?

    <p>C/D ratio for horizontal and vertical dimensions</p> Signup and view all the answers

    What could be a possible characteristic of the Optic Nerve Head that indicates nerve damage?

    <p>Pallor of the Neuroretinal Rim</p> Signup and view all the answers

    In the evaluation of the Macula, what position should the instrument be placed in relation to the patient's eye?

    <p>15 degrees temporal to line of sight</p> Signup and view all the answers

    What is a common characteristic used in the assessment of optic nerve health that involves a comparison of horizontal and vertical dimensions?

    <p>Depth of physiological cup</p> Signup and view all the answers

    When evaluating the Optic Nerve Head, what is a feature that can be indicative of a healthy nerve?

    <p>Distinct disc margins</p> Signup and view all the answers

    What is a characteristic of a Blonde Fundus (Albinotic)?

    <p>Visible choroidal vessels seen as red net on yellow-white scleral background</p> Signup and view all the answers

    What is a feature of a fundus with an Even Red appearance?

    <p>Dense even pigmentation with obscured choroidal vessels</p> Signup and view all the answers

    In a fundus with a Tessellated appearance, what is visible?

    <p>Thin retinal pigment epithelium making choroidal vessels more visible</p> Signup and view all the answers

    What would be considered an abnormality in a fundus concerning pigmentation?

    <p>Pigment clumping, hypopigmentation (salt and pepper), beaten bronze appearance</p> Signup and view all the answers

    What is the characteristic appearance of a fundus with a Beaten Bronze appearance?

    <p>Thin retinal pigment epithelium making choroidal vessels more visible</p> Signup and view all the answers

    What would be considered a normal finding in the fundus concerning pigmentation?

    <p>Dense even pigmentation with obscured choroidal vessels</p> Signup and view all the answers

    What is the purpose of differentiating between a color cup and a contour cup when observing the optic disc?

    <p>To assess the presence of retinal pigment epithelium thinning</p> Signup and view all the answers

    Why is it important to observe for pigmentary, choroidal, or scleral crescents around the optic disc?

    <p>To evaluate fundus pigmentation variations</p> Signup and view all the answers

    What should be considered when evaluating peripapillary atrophy around the optic disc?

    <p>Assessing the visibility of choroidal vessels</p> Signup and view all the answers

    What is the significance of observing vessel inflection relative to color change in retinal vessels?

    <p>To assess for choroidal vessel visibility</p> Signup and view all the answers

    When calculating the Cup to Disc (C/D) ratio, what aspect are you primarily estimating?

    <p>The diameter of the cup compared to the disc in horizontal and vertical aspects</p> Signup and view all the answers

    What is the significance of evaluating the arteriovenous (A/V) ratio in retinal vasculature?

    <p>To determine the caliber of the retinal arteries and veins</p> Signup and view all the answers

    Why is it important to observe the color and evenness of pigmentation during fundus examination?

    <p>To evaluate for pigment changes, hemorrhages, or elevation/depression</p> Signup and view all the answers

    What should be considered when evaluating the macula with a smaller aperture beam?

    <p>Ensure the foveal reflex is bright and clearly visible</p> Signup and view all the answers

    In the assessment of retinal vessels, what would be indicative of a normal finding regarding venous vs. arterial caliber?

    <p>Normal caliber of retinal arteries being slightly less than corresponding veins</p> Signup and view all the answers

    What characteristic can be observed in young patients with large pupils to allow better peripheral fundus observation?

    <p>Need for dilation of pupils for good peripheral observation</p> Signup and view all the answers

    When observing retinal blood vessels in each quadrant, what would be considered abnormal?

    <p>Absence of arteriovenous (A/V) crossings or nicking</p> Signup and view all the answers

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