Biometry involves measuring the curvature of the cornea. Ultrasound in dense cataracts detects retinal detachment. Entropion risk factors include aging. Ectropion is not caused by Bell's palsy. Pterygium is related to UV light exposure and can affect vision. Subconjunctival hemorrhage may indicate trauma. Wet age-related macular disease treatment is intravitreal anti-VEGF injections. Congenital glaucoma treatment is always surgical. Primary open-angle glaucoma risks include age and race.
Revision with a Short Quiz of 37 questions based on NEET PG Sample Questions on Glaucoma from Previous Year NEET PG Online Exams. Also very useful for students preparing for USMLE , PLAB, FMGE /MCI Screening Entrance Exams
For M
250+ High Frequency MCQs in Optometry and OphthalmologyRabindraAdhikary
The collection of high-ranked, top-rated high frequency multiple-choice questions suitable for any examination of optometry, ophthalmology and ophthalmic sciences with their answers for FREE. No Log in, No Pay!!
Revision with a Short Quiz of 37 questions based on NEET PG Sample Questions on Glaucoma from Previous Year NEET PG Online Exams. Also very useful for students preparing for USMLE , PLAB, FMGE /MCI Screening Entrance Exams
For M
250+ High Frequency MCQs in Optometry and OphthalmologyRabindraAdhikary
The collection of high-ranked, top-rated high frequency multiple-choice questions suitable for any examination of optometry, ophthalmology and ophthalmic sciences with their answers for FREE. No Log in, No Pay!!
AIIMS May 2017 Derma MCQs with solutionsPramod Sharma
Derma MCQs with solutions “ Out of 11 derma MCQs asked in AIIMS May 2017, 10 were straight from this book. (See references from this book below) Dr Saurabh Jindal
Clinical and dermographics profile of glaucoma patients in Hebron - Palestin...Riyad Banayot
ABSTRACT
BACKGROUND: The purpose of the study was to describe the clinical profile of glaucoma types, treatment modalities, visual outcomes, and intraocular pressure (IOP) control for patients in Palestine.MATERIAL AND METHODS: Data collection was done through the hospital record review, which included basic demographics including file number, age, sex, family history of glaucoma, history of anti-glaucoma and steroid medication, history of ocular trauma or surgery, etiology of secondary glaucoma and history of systemic illness. All the patients had a comprehensive eye examination, including visual acuity, intraocular pressure, vertical cup-disc ratio, and gonioscopy. Data were obtained, tabulated, and organized using Microsoft Excel, and statistical analyses were done using Wizard Version 1.9.49 by Evan Miller.RESULTS: There were 100 females with a mean age of 53 and 101 males with a mean age of 67. Primary open-angle glaucoma and its variants represented 45.3% of all patients, while secondary glaucoma represented 40.3% and primary angle closure glaucoma represented 10.4%. The prevalence of glaucoma increased with age, and the last visual acuity (VA) showed that 39.2% of eyes had Normal/near normal VA. The highest average IOP of 25 mm Hg was recorded among secondary glaucoma patients. Of all glaucoma eyes studied, 64% were on one or two medications, and the most common surgical procedures performed were peripheral iridectomy 18.2% followed by trabeculectomy 15.5%. CONCLUSION: Primary open-angle glaucoma (POAG) was the predominant glaucoma. Glaucoma increased significantly with advancing age. Pseudoexfoliation and neovascular glaucoma comprised the majority of secondary glaucoma.
Acute ocular chemical injury: a descriptive assessment and management review ...Riyad Banayot
Background: The purpose of the study was to assess caregivers’ compliance with the management protocol for
chemical injury at St. John Eye Hospital, Jerusalem.
Materia l and methods: Charts of all new chemical injury patients who presented to St. John Eye Hospital,
Jerusalem, between January and December 2019 were retrospectively reviewed. Data categories collected included:
Presentation, age, sex, injury, irrigation, lids, visual acuity, slit-lamp examination (SLE), management plan, and
medications given. Data were stored and analysed using Excel.
Results: Patients’ presentation date and time, sex, and age were recorded in over 90% of cases. The mechanism of
injury and type of offending chemical were recorded in 65% of cases. The irrigating solution was identified in 50%
of cases. Corrected visual acuity was recorded in both eyes in almost 50% of cases. Limbal ischemia was documented
in 45% of cases, and intraocular pressure (IOP) was recorded in 25%. The management plan and explanation of the
condition to patients were documented in less than 50% of cases. Antibiotics and steroids (drops/ointment) were
prescribed in 92.5% of cases.
Conclusi ons: The results of this study reveal that our documentation needs improvement for several parameters.
Several recommendations were formulated:
1. Emphasize to caregivers that irrigation must be done first.
2. Corrected visual acuity should be attempted for both eyes in all cases, and reasons for not recording it should be
documented.
3. It is important to document and record limbus details, iris details, and IOP in all cases.
open-globe injuries in palestinePalestine: epidemiology and factors associate...Riyad Banayot
Background: The purpose was to describe the epidemiology of open-globe injury (OGI) in Palestine and identify
the prognostic factors associated with profound visual loss.
Materia l and methods: The current study is a retrospective review of hospital files for 83 consecutive patients
with OGI who presented to St. John Eye Hospital, Jerusalem, within 5 years, between 2009 and 2013. Demographic
details included age, gender, wound characteristics, and visual acuity (VA). The Ocular Trauma Classification Group
was used for wound location, classification, and scoring for each case.
Results: We identified 83 OGI that presented to St. John eye hospital. The study group included 62 males and
21 females. The mean age was 16.66 years ± 3.216. The most frequent injuries were playground injuries (59%),
followed by workplace injuries (26.5%). Penetrating injuries represented 45.8% of injuries, and rupture globes
occurred in 39.8% of cases. The most frequent objects causing injury were metal (31.3%) and stone (20.5%). Kinetic
impact projectiles were a statistically significant poor prognostic factor for the visual outcome. Variables that
were statistically significant poor prognostic factors for visual outcome included: retinal detachment, macular scar,
vitreous hemorrhage.
Conclusi on: This study showed that the act of demonstration, street injuries, kinetic impact projectiles, zone III
injuries, globe disruption, retinal detachment, vitreous hemorrhage, and a poor VA at the first visit are poor prognostic
factors for OGI. Recognition of these prognostic factors will help the ophthalmologist evaluate the injury
and its prognosis.
Use of digital retinal camera to detect prevalence and severity of diabetic ...Riyad Banayot
ABStrAct
BAckGround: The purpose of this study was to determine the prevalence of diabetic retinopathy among Palestinian
refugees serviced by the Diabetic Retinopathy Screening Program in the Occupied Palestinian Territories (DRS-
-OPT).
MAterIAl And MethodS: This is a retrospective study of retinal images of 1891 diabetic patients in 15 urban
UNRWA clinics participating in the DRS-OPT program in Palestine over 12 months. A nonmydriatic Canon CR-2
fundus retinal camera was used to capture two 450 non-stereo fundus images for each eye. Qualified graders (nurses)
performed the grading based on the DRS-OPT grading system.
reSultS: Out of the 1891 diabetic patients screened, 1694 had at least one gradable eye. 16% of patients had
diabetic retinopathy (5.7% had mild nonproliferative diabetic retinopathy, 4.3% had moderate nonproliferative
diabetic retinopathy, 1.1% had severe, moderate nonproliferative diabetic retinopathy, and 1.7% had proliferative
diabetic retinopathy. Maculopathy without retinopathy amounted to 3%. Other findings included the identification
of blinding diseases such as age-related macular degeneration and optic disc glaucomatous cupping.
concluSIonS: The retinopathy screening program using a nonmydriatic fundus camera identified diabetic retino-
pathy in 16% of diabetic Palestinian refugees. A total of 72% of these patients were diabetics with nonproliferative
retinopathy. This program can be used to prevent progression by facilitating the education of patients and early
intervention.
Bilateral lens capsule rupture in a patient with previously undiagnosed alpor...Riyad Banayot
Ophthalmologists may be the first to consider the diagnosis of Alport’s Syndrome based on lens changes. Uncontrolled Blood pressure can delay surgery during which time IOP should be monitored closely. Results of lensectomies with foldable IOL implantation are successful. To our knowledge, this is the second report of a case of bilateral lens capsule rupture in a patient with previously undiagnosed Alport’s Syndrome.
Evaluating the optic nerve head in glaucomaRiyad Banayot
The best method readily available to the clinician for performing this examination is high plus lens fundus biomicroscopy. Optimal magnification can be achieved by using a +60D lens which provides 1.5 times the magnification of a 90D lens. During this examination the patient's pupils must be maximally dilated with a combination of mydriatic agents such as 1% Tropicamide and 2.5% Phenylephrine.
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
ARTIFICIAL INTELLIGENCE IN HEALTHCARE.pdfAnujkumaranit
Artificial intelligence (AI) refers to the simulation of human intelligence processes by machines, especially computer systems. It encompasses tasks such as learning, reasoning, problem-solving, perception, and language understanding. AI technologies are revolutionizing various fields, from healthcare to finance, by enabling machines to perform tasks that typically require human intelligence.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
Anti ulcer drugs and their Advance pharmacology ||
Anti-ulcer drugs are medications used to prevent and treat ulcers in the stomach and upper part of the small intestine (duodenal ulcers). These ulcers are often caused by an imbalance between stomach acid and the mucosal lining, which protects the stomach lining.
||Scope: Overview of various classes of anti-ulcer drugs, their mechanisms of action, indications, side effects, and clinical considerations.
1. 1
1. Biometry is the:
A. Measuring thethicknessof thecornea
B. Measuring thecurvatureof the cornea
C. Measuring intraocular lens power
D. Measuring of intraocular lens thickness
2. The use of ultrasound in densecataractis to detect:
A. Retinal detachment
B. Macular edema
C. Centralretinalvein occlusion
D. Intraocular foreign body
3. All the following arefalseaboutentropion, except:
A. Inward turning of otherwisenormallid margin towardstheglobe
B. Ageis nota riskfactor
C. Is preventable
D. Can notleadto cornealirritation and injury
4. Which oneof the following is nota causeof ectropion?
A. 6th cranial nervepalsy
B. Aging process
C. Congenital ectropion
D. Bell's palsy
5. Which of the following is falseregarding conjunctivaldegeneration?
A. Surgicalremovalof pterygium is very effectivewith low recurrencerate.
B. Pterygium is related to UV light exposure
C. Pterygium can extend to thecornea and affect vision
D. Treatmentof pinguecula may includemild topical steroids
6. What of the following is falseregarding subconjunctivalhemorrhage?
A. Itmay indicate basalskullor orbitalfractureif the posterior extension cannotbe
seen
B. Itmay be a manifestation of intraorbitaltumors
C. Kaposi’s sarcoma can bemisdiagnosed as subconjunctivalhemorrhagein HIV
patients
D. Topical steroids and NSAIDsmay fasten theresolution
2. 2
7. What is the treatment for wet age-related maculardisease?
A. Intravitreousanti-VEGF
B. Focal/gridlaser
C. Panretinalphotocoagulation
D. Pars plana vitrectomy
8. Which of the following is true regarding congenitalglaucoma?
A. Not related to consanguinity
B. Ca ’t presentat birth
C. Treatmentis always surgical
D. Mostly willdevelop hypermetropia
9. All the following are true about primaryopen-angleglaucoma, except:
A. Disc cupping
B. Peripheralvisualfield defects
C. Headache
D. Riskfactorsincludeageandrace
10. All the following are trueregarding acutenarrow-angleglaucoma,except:
A. Red painful eye
B. Nausea and vomiting
C. Disc cupping
D. Seeing haloes around lights
11. Which oneof the following is nota risk factor for open angle glaucoma?
A. Family history
B. Whiterace
C. Thin central cornea thickness
D. Black race
12. All the following arecauses of excessivetearing except:
A. Congenital cataract
B. Congenitalobstruction of thepunctum
C. Congenital obstruction of thenasolacrimalduct
D. Congenitalectropion
E. Congenital glaucoma
3. 3
13. In which type of cataractcan you see the red reflexappearing as peripheral spokes with
dark red background:
A. Suturalcataract
B. Nuclear cataract
C. Cortical cataract
D. Posteriorsubcapsularcataract
14. When a cataractous lens causes glaucoma, it is called:
A. Phacolytic
B. Phacomorphic
C. Phacoantigenic
D. Hypermature
15. Mostcommon benign orbital tumor in children is:
A. Cavernoushemangioma
B. Rhabdomyosarcoma
C. Capillary hemangioma
D. Dermoidcyst
16. Myopia with astigmatism is correctedby:
A. Minus unifocallens
B. Minus varifocallens
C. Minus cylindrical lens
D. Plus cylindricallens
17. In hypermetropia, oneof the following is true:
A. Parallelrays fallon a pointbehind the retina
B. Parallel rays fallon a pointin frontof the retina
C. Parallel rays fallon a pointat the retina
D. Parallelrays fallon a pointat the posterior lens capsule
18. One of the following is falseabout the treatmentof glaucoma?
A. Beta blockers are contraindicatedin asthmapatients.
B. Alpha-2 agonists arenotused for infants.
C. Prostaglandinanalogues decreasethe intraocular pressureby increasing the
trabecular aqueous outflow.
D. Parasthesia is a common sideeffectof acetazolamide
4. 4
19. All the following aresideeffects of acetazolamide, except:
A. Aplastic anemia
B. Metabolic acidosis
C. Stevens-Johnson syndrome
D. Bronchialasthma
20. Which of the following is falseregarding choroidalmelanoma?
A. Sizeand thickness affecttheprognosis
B. Heart is the mostcommon sitefor metastases
C. Can be diagnosed accurately with ultrasonography
D. Lesions masquerading as melanoma include choroidalnevus, and choroidal
hemangioma
21. One of the following is falseregarding theretina.
A. Consists of ten layers
B. Transparent
C. Strongly attachedto the retinalpigmented epithelium
D. The choroid nourishes the deep, outer layers of the retina
22. One of the following is true regarding aboutthefoveola?
A. Nourished by the choroid
B. Nasalto the optic disc
C. Rich in rods
D. Sensitiveto dim light
23. The vitreous body is strongly attached to all the followings,except:
A. Optic disc
B. Largevessels
C. Fovea
D. Posterior capsuleof the lens
5. 5
24. A 60 year-oldfemalebroughtby her familyto theemergency roomcomplaining of
diplopia, ptosis and her family noticed esotropia during theattack. Whatis the least
relevantmedical history to this case?
A. Weakness after minimal exercise as combing her hair.
B. Weakness is moreat the end of the day
C. She has presbyopia
D. Shesuffersfromdysphagia and speech difficulty.
25. One of the following is falseregarding scleritis;
A. 40-57% of patients havesystem illness
B. Scleromalacia perforans is themost common type
C. The main complaintis boring severepain.
D. Treated with systemic steroids, NSAIDs and immunosuppressivetherapy
26. One of the following is falseregarding episcleritis:
A. Itis interpalpebral
B. Dullaching pain
C. Blanch in responseto 2.5% phenylephrinetopically
D. Mostly idiopathic
27. Which oneof the following is the leastcommonly causeof uveitis:
A. Sarcoidosis
B. Rheumatoid arthritis
C. Ankylosing spondylitis
D. Behçet’s disease
E. Inflammatoryboweldisease
28. Pseudophakic bullous keratopathy occurs dueto damage in which layer of thecornea:
A. Epithelium
B. Endothelium
C. Bowman’s membrane
D. Descemet’s membrane
E. Stroma
29. Which one of the following does notcause sensorydeprivation amblyopia:
A. Accommodativeesotropia
B. Corneal opacity
6. 6
C .Untreated congenitalcataract
D. Untreated traumatic cataractin a 3-year-old girl
30. What is falseaboutorbitalcellulitis:
A. Orbitalcellulitis and periorbital cellulitis patientsareboth sent home with different
antibiotics
B. Occurs dueto extension of theinfection fromthe ethmoid sinus
C. Can be complicated by cavernous sinusthrombosis
D. Is unlikely if eyefindings arenormalexcept for eyelid swelling
31. What is falseaboutthyroid eyedisease:
A. Axial proptosis
B. Stopping smoking can decreasetheprogressionof the disease.
C. Teprotumumab is effectivefor the treatment of dysthyroid optic neuropathy
D. Muscular entrapmentand optic nervedamageareindications for surgery
32. What is the treatmentfor diabetic macular edema:
A. Intravitreous anti-VEGF
B. Focal/grid lases
C. Panretinalphotocoagulation
D. Pars plana vitrectomy
33. Parents broughttheir 3-year old daughter who is complainingfrom new esotropia; what
is the mostimportantthing to do:
A. Head CT scan
B. Slit lamp examination
C. Red reflex
D. Cycloplegic refraction
34. What is characteristic for nuclear cataract:
A. Indexhypermetropia
B. Improved near vision
C. Glare
D. blurry vision
35. All the following arerelated to increased VEGF, except:
A. Retinopathy of prematurity
B. Choroidalvascularmembrane
7. 7
C. Rhegmatogenousretinaldetachment
D. Diabeticretinopathy
36. Which is falseregarding aqueous humor circulation?
A. Produced by ciliary processes
B. Outflow mainly throughuveoscleralpathway
C. Aqueous flows fromposterior to anterior chamber through thepupil
D. Outflow mainly throughtrabecular meshwork
37. Which of the following is notone of the extraocular muscles?
A. Superior rectus
B. Sphincter pupillae
C. Superior oblique
D. Inferior oblique
38. All the following aresigns of uveitis, except:
A. Hypopyon
B. Anterior chamber cells
C. Ptosis
D. Keratic precipitates
39. Which of the following is usually associated with unilateralcataract?
A. Trauma
B. Diabetic retinopathy
C. Steroid use
D. Metabolicdiseases
40. Which oneis nota sign of keratoconus?
A. Kayser-Fleicher ring
B. Corneal thinning
C. Blurred or distorted vision
D. Increased sensitivity to brightlight
41. Which of the following is falseregarding chlamydialinfections?
A. Serotypes d-k causetrachoma
B. Trachoma is the mostcommon causeof infectious blindness
C. Inclusion conjunctivitis is a typeof STD
D. Treatmentinvolves topical / systemic azithromycin
8. 8
42. Which layer in the cornea does not regenerate:
A. Epithelium
B. Endothelium
A. Bowman's layer
B. Stroma
43. Pseudophakic bullous keratopathyoccurs due to damage in which layer ofthecornea:
A. Epithelium
B. Endothelium
D. Bowman’s membrane
E. Descemet’s membrane
D. Stroma
44. Which of the following is not an important sign for diagnosing of blow outfracture:
D. Parasthesia on thecheeks
E. Diplopia
D. Subcutaneous emphysema
E. Enophthalmos
45. Which of the following is a sign ofcongenitalcataract:
A. Corneal opacity
B. Leukocoria
C. Buphthalmos
D. Excessivetearing
46. Which muscle is mostly involved in thyroid oculopathy:
A. Inferior rectus
B. Medial rectus
c. Superior rectus
D. Lateral rectus
47. All thefollowing can be the cause for no improvement invision after cataract surgery,
except:
A. Diabetic retinopathy
B. Age related macular degeneration
C. Optic disc cupping
D. Corneal scarring
9. 9
48. Regarding amblyopia, all the following are false, except:
A. Can be only unilateral
B. Patch covering not indicated
C. Occurs dueto abnormalvisualexperience during adulthood
D. Strabismus amblyopia is the commonesttype
49. 30 year-old man develops proptosis on coughing, what is the most likely diagnosis:
A. Orbitalvarices
B. Orbitalpseudotumor
C. Orbital lymphoma
D. Carotid-cavernousfistula
50. Cycloplegic agents can beused in anterior uveitisto:
A. Preventanterior synechiae
B. Preventposterior synechiae
C. Relieve ciliary spasm
D. Lasttwo choices are true
51. All the following are causes formadarosis, except:
A. Topicalprostaglandin analogues
B. Trichotillomania
C. Radiotherapy
D. Myxedema
10. 10
ANSWERS
1. A
2. A
3. A
4. A
5. A
6. D
7. A
8. C
9. C
10. C
11. B
12. A
13. C
14. B
15. C
16. C
17. A
18. C
19. D
20. B
21. C
22. A
23. A
24. C
25. B
26. B
27. B
28. B
29. A
30. A
31. B
32. A
33. C
34. B
35. C
36. B
37. B
38. C
39. A
40. A
41. A
42. B
43. B
44. D
45. B
46. A
47. C
48. D
49. A
50. D
51. A