Question 1

Which maneuver can be done to reduce the systemic absorption of cycloplegic and mydriatic agents when examining a pregnant woman if the examination is mandatory?

Accepted Answer

A)  Have the woman keep her eyes closed for several minutes. 
B)  Instill half the usual dosage. 
C)  Keep the patient supine, with her head turned and flexed. 
D)  Use nasolacrimal occlusion after instillation. 
A)  Have the woman keep her eyes closed for several minutes. 
B)  Instill half the usual dosage. 
C)  Keep the patient supine, with her head turned and flexed. 
D)  Use nasolacrimal occlusion after instillation. D

Question 2

The criterion for determining the adequacy of a patient's visual field is:

Accepted Answer

A)  the ability to discriminate primary colors. 
B)  the ability to discriminate details. 
C)  correspondence with the visual field of the examiner. 
D)  distance vision equal to that of an average person. 
A)  the ability to discriminate primary colors. 
B)  the ability to discriminate details. 
C)  correspondence with the visual field of the examiner. 
D)  distance vision equal to that of an average person. C

Question 3

Mr. Morris is a 38-year-old patient who presents to the clinic with complaints of allergies. An allergy can cause the conjunctiva to have a:

Accepted Answer

A)  cobblestone pattern. 
B)  dry surface. 
C)  subconjunctival hemorrhage. 
D)  rust-colored pigment. 
A)  cobblestone pattern. 
B)  dry surface. 
C)  subconjunctival hemorrhage. 
D)  rust-colored pigment. A

Question 4

When inspecting the region of the lacrimal gland, palpate:

Accepted Answer

A)  the lower orbital rim, near the inner canthus. 
B)  in the area between the arch of the eyebrow and upper lid. 
C)  beneath the lower lid, adjacent to the inner canthus. 
D)  adjacent to the lateral aspect of the eye, just beneath the upper lid. 
A)  the lower orbital rim, near the inner canthus. 
B)  in the area between the arch of the eyebrow and upper lid. 
C)  beneath the lower lid, adjacent to the inner canthus. 
D)  adjacent to the lateral aspect of the eye, just beneath the upper lid.

Question 5

Dot hemorrhages, or microaneurysms, in the retina and the presence of hard and soft exudates are most commonly seen in those with:

Accepted Answer

A)  Down syndrome. 
B)  diabetic retinopathy. 
C)  systemic lupus. 
D)  glaucoma. 
A)  Down syndrome. 
B)  diabetic retinopathy. 
C)  systemic lupus. 
D)  glaucoma.

Question 6

When drusen bodies are noted to be increasing in number or in intensity of color, the patient should be further evaluated with a(n):

Accepted Answer

A)  Amsler grid. 
B)  Snellen E chart. 
C)  litmus test. 
D)  confrontation test. 
A)  Amsler grid. 
B)  Snellen E chart. 
C)  litmus test. 
D)  confrontation test.

Question 7

Mr. C's visual acuity is 20/50. This means that he:

Accepted Answer

A)  can see 50% of what the average person sees at 20 feet. 
B)  has perfect vision when tested at 50 feet. 
C)  can see 20% of the letters on the chart's 20/50 line. 
D)  can read letters while standing 20 feet from the chart that the average person could read at 50 feet. 
A)  can see 50% of what the average person sees at 20 feet. 
B)  has perfect vision when tested at 50 feet. 
C)  can see 20% of the letters on the chart's 20/50 line. 
D)  can read letters while standing 20 feet from the chart that the average person could read at 50 feet.

Question 8

Cotton wool spots are most closely associated with:

Accepted Answer

A)  glaucoma. 
B)  normal aging processes. 
C)  hypertension. 
D)  eye trauma. 
A)  glaucoma. 
B)  normal aging processes. 
C)  hypertension. 
D)  eye trauma.

Question 9

Mr. Older is a 40-year-old patient who presents to the office for a follow-up eye examination after the diagnosis of myopia. To see retinal details in a myopic patient, you will need to:

Accepted Answer

A)  adjust your ophthalmoscope into the plus lens. 
B)  move your ophthalmoscope backward. 
C)  move your hand farther forward. 
D)  turn your ophthalmoscope to a minus lens. 
A)  adjust your ophthalmoscope into the plus lens. 
B)  move your ophthalmoscope backward. 
C)  move your hand farther forward. 
D)  turn your ophthalmoscope to a minus lens.

Question 10

A pterygium is more common in people heavily exposed to:

Accepted Answer

A)  high altitudes. 
B)  tuberculosis. 
C)  ultraviolet light. 
D)  cigarette smoke. 
A)  high altitudes. 
B)  tuberculosis. 
C)  ultraviolet light. 
D)  cigarette smoke.

Question 11

Cupping of the optic disc may be a result of:

Accepted Answer

A)  migraine headaches. 
B)  diabetes. 
C)  glaucoma. 
D)  dehydration 
A)  migraine headaches. 
B)  diabetes. 
C)  glaucoma. 
D)  dehydration

Question 12

To differentiate between infants who have strabismus and those who have pseudostrabismus, use the:

Accepted Answer

A)  confrontation test. 
B)  corneal light reflex. 
C)  E chart. 
D)  Amsler grid. 
A)  confrontation test. 
B)  corneal light reflex. 
C)  E chart. 
D)  Amsler grid.

Question 13

Mrs. S. is a 69-year-old woman who presents for a physical examination. On inspection of her eyes, you note that the left upper eyelid droops, covering more of the iris than does the right. This is recorded as:

Accepted Answer

A)  exophthalmos on the right. 
B)  ptosis on the left. 
C)  nystagmus on the left. 
D)  astigmatism on the right. 
A)  exophthalmos on the right. 
B)  ptosis on the left. 
C)  nystagmus on the left. 
D)  astigmatism on the right.

Question 14

Which may be suggestive of Down syndrome?

Accepted Answer

A)  Drusen bodies 
B)  Papilledema 
C)  Narrow palpebral fissures 
D)  Prominent epicanthal folds 
A)  Drusen bodies 
B)  Papilledema 
C)  Narrow palpebral fissures 
D)  Prominent epicanthal folds

Question 15

Which are the signs and symptoms of infant retinoblastoma? (Select all that apply.)

Accepted Answer

A)  White reflex 
B)  Red reflex 
C)  Corneal light reflex 
D)  Absence of a blink reflex 
E)  Autosomal dominant trait
F) Drainage from the affected eye
G) Visual acuity of 20/500 
A)  White reflex 
B)  Red reflex 
C)  Corneal light reflex 
D)  Absence of a blink reflex 
E)  Autosomal dominant trait
F) Drainage from the affected eye
G) Visual acuity of 20/500

Question 16

If a patient has early papilledema, using an ophthalmoscope, the examiner will be able to detect:

Accepted Answer

A)  dilated retinal veins. 
B)  retinal vein pulsations. 
C)  sharply defined optic discs. 
D)  visual defects. 
A)  dilated retinal veins. 
B)  retinal vein pulsations. 
C)  sharply defined optic discs. 
D)  visual defects.

Question 17

A condition in which the eyelids do not completely meet to cover the globe is called:

Accepted Answer

A)  glaucoma. 
B)  lagophthalmos. 
C)  exophthalmos. 
D)  hordeolum. 
A)  glaucoma. 
B)  lagophthalmos. 
C)  exophthalmos. 
D)  hordeolum.

Question 18

When testing corneal sensitivity controlled by cranial nerve V, you should expect the patient to respond with:

Accepted Answer

A)  brisk blinking. 
B)  copious tearing. 
C)  pupil dilation. 
D)  reflex smiling. 
A)  brisk blinking. 
B)  copious tearing. 
C)  pupil dilation. 
D)  reflex smiling.

Question 19

Ask the patient to look directly at the light of the ophthalmoscope when you are ready to examine the:

Accepted Answer

A)  retina. 
B)  optic disc. 
C)  retinal vessels. 
D)  macula. 
A)  retina. 
B)  optic disc. 
C)  retinal vessels. 
D)  macula.

Question 20

Which finding, when seen in the infant, is ominous?

Accepted Answer

A)  Difficulty tracking objects with the eyes 
B)  Appearing to have better peripheral than central vision 
C)  Blinking when bright light is directed at the face 
D)  White pupils on photographs 
A)  Difficulty tracking objects with the eyes 
B)  Appearing to have better peripheral than central vision 
C)  Blinking when bright light is directed at the face 
D)  White pupils on photographs

Exam 12: Eyes

Which maneuver can be done to reduce the systemic absorption of cycloplegic and mydriatic agents when examining a pregnant woman if the examination is mandatory?

The criterion for determining the adequacy of a patient's visual field is:

Mr. Morris is a 38-year-old patient who presents to the clinic with complaints of allergies. An allergy can cause the conjunctiva to have a:

When inspecting the region of the lacrimal gland, palpate:

Dot hemorrhages, or microaneurysms, in the retina and the presence of hard and soft exudates are most commonly seen in those with:

When drusen bodies are noted to be increasing in number or in intensity of color, the patient should be further evaluated with a(n):

Mr. C's visual acuity is 20/50. This means that he:

Cotton wool spots are most closely associated with:

Mr. Older is a 40-year-old patient who presents to the office for a follow-up eye examination after the diagnosis of myopia. To see retinal details in a myopic patient, you will need to:

A pterygium is more common in people heavily exposed to:

Cupping of the optic disc may be a result of:

To differentiate between infants who have strabismus and those who have pseudostrabismus, use the:

Mrs. S. is a 69-year-old woman who presents for a physical examination. On inspection of her eyes, you note that the left upper eyelid droops, covering more of the iris than does the right. This is recorded as:

Which may be suggestive of Down syndrome?

Which are the signs and symptoms of infant retinoblastoma? (Select all that apply.)

If a patient has early papilledema, using an ophthalmoscope, the examiner will be able to detect:

A condition in which the eyelids do not completely meet to cover the globe is called:

When testing corneal sensitivity controlled by cranial nerve V, you should expect the patient to respond with:

Ask the patient to look directly at the light of the ophthalmoscope when you are ready to examine the:

Which finding, when seen in the infant, is ominous?

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Cultural Competency

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Clinical Reasoning

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Skin, Hair, and Nails

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Heart

Blood Vessels

Breasts and Axillae

Abdomen

Female Genitalia

Male Genitalia

Anus, Rectum, and Prostate

Musculoskeletal System

Neurologic System

Sports Participation Evaluation

Putting it All Together

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