NBEO part 1.pdf

Haidinger’s brush appears 4mm right to fixation point. What is the deviation? 1pd Stimulation of vasovagal reflex? Increase contraction of heart Increase stroke volume Decrease heart rate Calvis fracture in women affects CN VI Full dark adaptation 5 min 10 min 20 min 45 min What innervates the l...

Haidinger’s brush appears 4mm right to fixation point. What is the deviation? 1pd Stimulation of vasovagal reflex? Increase contraction of heart Increase stroke volume Decrease heart rate Calvis fracture in women affects CN VI Full dark adaptation 5 min 10 min 20 min 45 min What innervates the lacrimal sac? Infraorbital Lacrimal Frontal Nasopalatine Rheumatic fever is suppurative for which organism? Staph pyogenes Catalase positive coagulase negative gram-positive cocci organism? Staph epidermidis Organism is most likely to perforate the eye? Pseudomonas aeruginosa Something about 200 lux light source become 100 lux. What to multiple to find illumination? 0.25 0.50 0.75 1.00 2x telescope becomes 4x telescope. How the field of view of the 4x changes compared to 2x? Half the FOV With the mirror of ret is plane, the “with motion” reflex is seen at 50 cm in front of uncorrected myope. When +2.00 is added the reflex becomes “against motion. What explain this? Myope with less than 2.00 Myope with more than 2.00 Hyperope with less than 2.00 Hyperope with more than 2.00 Which test is least helpful in DM type 1? Oral glucose intolerance HA1C Fasting glucose Anti insulin panel 25 cm object in front of two lens combo +4.00 and +8.00 respectively. Image is formed 25 cm behind the lenses. What is the equivalent power of the system? +4.00 +6.00 +8.00 +12.00 Psoriasis is which type of hypersensitivity? Type I Type II Type III Type IV Urticaria is which type of hypersensitivity? Type I Type II Type III Type IV Phlyctenules are what type of hypersensitivity? Type I Type II Type III Type IV Scleromalacia perforans manifest as Necrotizing and no inflammation Severe pain Diffuse Non-necrotizing Keratoconjunctivitis sicca is most commonly associated with RA Most likely preoperative risk of corneal rejection? Corneal neovasc Dystrophy SKP Patient with anterior uveitis bilaterally and has symptoms of polyuria Reactive arthritis Most common conditions blew associated with episcleritis Crohn’s disease Which of the following tests would you order for NAION? Select 3 ESR C-reactive protein CBC complete Lumbar puncture CT scan xxxxx Most prominent immunoglobulin in mucosa IgA 23 years old male with HZO. what condition you suspect? HIV Valacyclovir mechanism of action DNA polymerase Eyelid infection due to viral etiology Molluscum contagiosum The presence of which of the following warrant lipid panel? Xanthelasma Which lid condition presents with serous? Chalazion Sebaceous abscess Hordeolum Weird name of disease The present of HZO on upper left lid on the ophthalmic deviation of CN V can cause anterior uveitis by travel to CB by what nerve Long posterior ciliary nerve Short posterior ciliary nerve Lacrimal nerve The most common skin malignancy starts at which layer of skin Basale The presents of red nevus in child will most likely be associated with what condition? Wife and husband with red-green deficiency. What percentage of children will be born red-green deficient? 100% regardless of gender The presents of multiple back spot on iris in child is most likely Neurofibromatosis The presence of multiple back lesions in retina OU. warrant Colonoscopy Myotonic dystrophy can cause Lens subluxation Acetazolamide contraindications (select 3) Aplastic anemia Hypokalemia Epilepsy Metabolic acidosis Proliferation of malignant plasma cells in bone marrow Multiple myeloma The white dot in Roth spots is what type of cell fibrin thrombus Lymphocyte The cause of CRVO is Thrombus Embolism Common site where if affected will presents of CN III palsy Posterior communicating artery Macula sparing left homonymous hemianopsia can be caused by tumor pressing on Posterior cerebral artery Anterior cerebral artery Posterior communicating artery meets what artery at circle of willis Internal carotid artery Which 3 are true about classic migraines Occurs in men more than women Become less severe after age 50 Worsen with exercise Headaches with aura Nausea What are the causes of papilledema? 4th vertrical chondrosarcoma Venus sinus thrombosis CRAO CRVO APD due to optic neuritis OD. when light in front of right eye, what happens to pupil reaction Dilation OD, dilation OS No reaction dilation OD, constriction OS Constriction OD, constriction OS Patient with bilateral ptosis. He complains about difficulty chewing at the end of the meal. What test to order to confirm his diagnosis? ACH receptor Whorl keratopathy can be cause by what medication Netarsudil 35 female cannot close here left eye and cannot rise the angle of her left lip Idiopathic facial nerve palsy Which test correctly and accurately assess artery auscultation? Duplex ultrasonography Carotid auscultation which 3 signs hypothyroidism? Cold intolerance Weight loss Fatigue Decrease heart rate Which one is autoimmune? Hashimoto’s disease Which eye color deficiency is the most common congenital red-green color deficiency? Deuteranomaly Protanomaly Deuteranopia Protanopia Which cell is most common in blood plasma smear? Erythrocytes Neutrophils Basophils Eosinophils Platelets Calculate tube length for Galilean telescope? 5.6 cm A patient is reading through the intermediate ADD of PAL. What adjustments do you perform to relieve the spherical aberrations the patient is experiencing? Select 3 Index of refraction xxxx Vertex distance xxxx Temple xxxx Nose pads xxxxx Optical center xxxx Neonate with bilateral retinal hemorrhage shaken baby syndrome ‘Beaten bronze” appearance in 8 years old child Stagard’s disease Placing 4 BD on patient right eye will cause which if the following Image moves up, and mininfied Image moves up but no change to image size Image moves down but no change to image size Image moves down, and minified Low vision patient complains about difficulty reading and writing. Which of the following magnifying devices will help? Typoscope CCTV Power magnification Patient reports 3 red light right to 2 green lights when red filter is place over right eye and green filter is placed over left eye. What is the patient phoric posture? Exotropia Exophoria Esotropia Esophoria Vogt-Koyanagi-Harada syndrome causes Pan uveitis Polyarthritis Which three associated with posterior embryotoxin? Displaced Schwabe’s line into decement’s membrane Peter’ anomaly Axenfeld-Rieger syndrome What is the function of limbus? Reabsorbs glucose Reabsorbs interstitial fluid Passage of aqueous outflow Your low vision patient’ contrast sensitivity function shows reduction in height spatial frequency, while moderate and low spatial frequency are normal. What associated difficulties the patient may complain of: select 3 Pouring black coffee into white cup Another example of black object and white background Difficulty walking down the stairs Discrimination of people’s faces far away Resolving prescription drugs label What’s the most associated with commotio retinae? Select 2 Blunt trauma What are the most sign associated with globe rapture? Which veins drain the temporal choroidal vessels? Vortex vein What passes thru the superior ophthalmic fissure? Select 3 Ophthalmic artery Superior division of CN III Ophthalmic vein Lacrimal nerve Trochlear nerve Which of the following in contraindicated with taking viagra? grapefruit juice Cheese Wine Which of the following will be elevated in serum blood in patient’s with JIA? copper iron calcium lipid find the power vertex power. We were given F1,F2, n, t, Contraindication in CT with contrast? iodine deficiency renal disease Zertac 5-HT1 antagonist 5-HT2 antagonist H1 antagonist H2 antagonist 5 ml timolol twice a day in both eyes. How many day till first refill? 25 days Find the mean arterial blood pressure given BP measurement of 140/90 mmHg? Round to near tenths 110 4 BO test over right eye. No duction. 4 BO over left eye: version no vergence right eye suppression What tests to measure anomalous correspondence? major amblyoscope Signs of ocular albinism foveal hypoplasia Sign of VMT loss of macular foveal pit Why you do binocular balance? to equalize stimulus of accommodation Rhegmatogenous retinal detachment? RPE and Photoreceptor What causes episcleritis crohn's disease Rebound hyperemia naphazoline DEM Automaticity only Closed head trauma cavernous sinus fistula Shrimer test Jones test II, where is the blockage located in the saline comes from the superior caliculi when instilling needle in inferior caliculi? common calniculi Best design for Soft MF for myopia control? SM Contact Lenses Center Distance Design SM Contact Lenses Center near Design GP Contact Lenses Center Distance Design GP Contact Lenses Center near Design Infant born with 1 ATR. What happens to astigmatism by 5 years. Increase Decrease Stays the same What happens to patient’s symptoms who has pigment dispersion syndrome if axial length of eye increase? decrease increase stays the same Cyclodestructive procedure causes disruption to NPCE, stops aqueous humor production into the posterior chamber What does yellow filter absorb? blue yellow green red Pigment dispersion syndrome is caused by rubbing against? posterior pigmented iris epithelium OCT pointing to the outernuclear layer: Cell bodies of photoreceptors Pseudoisochromatic plates select 3 statements severity mild congenital vs acquired Post ganglionic Horner carotid artery dissection Tertiary action of inferior oplique in abduction gaze excyclotorsion only Right MLF lesion. What can the eye do normally without restriction? Left eye adduct Iridodonesis Myelination of optic nerve Starts post lamina cribrosa and ends in LGN, schwann cells Starts post lamina cribrosa and ends at LGN , oligodendrocytes Starts at LGN and ends at Lamina cribrosa, schwann cells Starts at LGN and ends at lamina cribrosa, oligodendrocytes What could explain nasal VF defect in high myope? Oplique disk insertion A HVF on Moderate amblyope will show Generalized depression Patient with brown cataract will report increased sensitivity to which of the following wavelength after removal of crystalline lens? Blue Yellow red green Yellow filter will absorb which of the following wavelength if white light is incident? yellow blue red green Why epinephrine is used along with topical anesthesia? to reduce systemic re-absorption of the anesthesia