EYE Q                 Ophthalmology QuizRIOGOH                   4 September 2010
OUTLINEROUND 1: HALL OF FAMEROUND 2 &3: SYSTEMIC ASSOCIATIONSROUND 4: CONNECTROUND 5: DISCOVERIESROUND 6: INVESTIGATIONSROUND 7: RETINAROUND 8: EYE DONATIONROUND 9: PERSONALITYROUND 10: RAPID FIRE
ROUND 1 : HALL OF FAMERULESIdentify the personality
Name his contribution towards ophthalmology
10 points for identifying the personality
10 points for the contribution
TOTAL                    20 POINTS
On passing 5 each1
CHARLES KELMANINVENTED THE PHACOEMULSIFICATION TECHNIQUE FOR CATARACT EXTRACTION
2
SUSRUTA1ST TO PERFORM CATARACT EXTRACTION(couching)
3
SIR HAROLD RIDLEY1ST  PERSON TO IMPLANT ARTIFICIAL LENS INTO HUMAN EYE ON 8th FEB 1950
4
VON GRAEFEINVENTED  VON GRAEFE KNIFE FOR CATARACTEXTRACTION , MADE CONTRIBUTIONS TO GLAUCOMA SURGERIES
CHARLES SCHEPENS INVENTED THE INDIRECT OPTHALMOSCOPE
ROUND 2& 3: SYSTEMIC ASSOCIATIONS Systemic conditions with ophthal manifestationsIdentification of condition carries 10 pointsEach question carries 5 pointsTOTAL                        20 POINTSOn passing 5 for diagnosis & 3 for each question
1
What is the CD4 count below which CMV retinitis manifests?What is HAART?
Counts below 50 /cu mmHighly Active Antiretroviral Therapy     - 2NNRTI + 1 PI
2
Name the person who identified the condition?How do u differentiate it from retinoblastoma with respect to age & sex?
George CoatsBetween 5-10 yrs  in boys
3
What is the 3rd component of the above syndrome?What is choristoma?
Vertebral – ScoliosisNormal tissue in an Abnormal location
4
Name 3 drugs which cause this condition.Identify & mention the ocular manifestation
NSAIDS, SULPHA , PHENYTOINDRY EYE WITH SYMBLEPHARON
5
What is the slit lamp finding?What is HARADA’S DISEASE ?
Mutton Fat KP’sNeurological features & Exudative Retinal Detachment
6
How does  lens subluxation  differ  from Marfans?What is CTR ?
Inferonasal while in Marfan’s it is SuperotemporalCapsular Tension Ring used in the management of subluxated lenses
7
What is Hutchinson’s sign?What is Nummular keratitis?
If the tip of the Nose is involved then Cornea is likely to  be involved as both are supplied by Nasociliary branch of Trigeminal.Immune reaction characterised by subepithelial deposits surrounded by a stromal haze.
8
Why is it called buphthalmos ?What is the gene responsible ?What is the normal corneal diameter at birth? What is the average corneal dia in buphthalmos?
Ox eye.   Cyp 1B1 gene9.5 – 10.5 mm,  > 11.5mm is Buphthalmos
Gancyclovir implant in CMV Retinitis.
Demetacious FungiAlternariaCladosporumCurvularia
ROUND 4: CONNECTFIND OUT THE CONNECTION BETWEEN THE PICTURES GIVEN  WITHIN   1 MINEACH CONNECTION  IS A SPECIFIC OPHTHALMIC CONDITIONVALID EXPLANATION FOR EACH PICTURE IS MANDATORY20 POINTS FOR THE RIGHT ANSWERON PASSING  10 POINTS
Night blindnessBone spiculeWaxy pallor               RETINITIS PIGMENTOSA
ConeIntac ringsOil droplet reflex               KERATOCONUS
CataractShieldEczema       SHIELD CATARACT                             - ATOPIC DERMATITIS
Smoke Stack Ink blot in FFAPositive Scotoma   CENTRAL SEROUS CHORIORETINOPATHY
t
CuppingBayonettingIncreased pressure                       GLAUCOMA
OC (Tamil)TeaInfrared technologyOPTICAL COHERENCE TOMOGRAPHY
ROUND 5:  DISCOVERIESEach question is visualEach question carries 10 pointsOn passing 5 points
1
ALVAR GULLSTRAND
2
VON HELMHOTZ
3
RANGASAMY SRINIVASAN
4
FRIEDENWALD NOMOGRAM
ROUND 6 :INVESTIGATIONSEach question is an Equipment used in Ophthalmic Evaluation .Identification gets 10 points Indication gets 10 points TOTAL                    20 POINTSOn passing each carries 5
1
IdentifyWhat is it indicated for ?
Corneal topographyTo diagnose early keratoconus    To quantify irregular astigmatism, to evaluate changes in corneal shape before & after refractive surgery
2
IdentifyWhat is the earliest field defect in glaucoma?
Humphrey field analyserIsolated paracentralscotoma
3
IdentifyWhat are the 3 components of BSV ?
SynaptophoreSimultaneous perception, Fusion & Stereopsis
4
What is this instrument used for ?What is the count below which the there is a risk of endothelial decompensation?
To measure the endothelial cell countCounts below 1000 are associated with a risk of endothelial decompensation
CONNECT
ROUND 7: RETINAIdentification of the RETINAL PATHOLOGY  10 pointsEach question carries 10 pointsTOTAL      20 POINTSOn passing 5 points for each
1CRAO   -  SPARING OF CILIO RETINAL ARTERY
Cilio retinal artery is a branch of________
           POSTERIOR CILIARY ARTERY
2PAPILLEDEMA
What is Foster Kennedy Syndrome ?
Ipsilateral Optic atrophy & ContralateralPapilledemaSeen in Olfactory groove Meningioma & Frontal lobe tumors
3RETINOBLASTOMA
What is KNUDSONS 2 HIT HYPOTHESIS ?
   Normally there are 2 copies of Tumor Supressor Genes ,either mutation or deletion of BOTH GENES ALONE will lead to manifestation of RETINOBLASTOMA
4HYPERTENSIVE RETINOPATHY
What are ELSCHNIG’S SPOTS & SIEGRISTS STREAKS ?
Elschnig’s spots are focal choroidal infarcts seen in Hypertensive RetinopathySiegrists streaks -In chronic hypertension choroidal arterioles are sclerosed & capillaries attenuated.
           POSTERIOR SCLERITISEXUDATIVE RD                T SIGN
CONNECT
Scrambled egg“All the Best”Net – Greek name for RETINA       BEST MACULAR DYSTROPHY
ROUND 8: EYE BANKINGEach question  pertaining to the visual carries     10 points On passing 5 points
Who was the 1st person to perform a successful corneal transplant ?
          Edmund KonradZirm
For how many days can we store the corneoscleral button in this medium ?
McCAREY KAUFMAN MEDIUM2-3 DAYS
Where was the 1st eye bank started in INDIA?By whom was it started ?
       RIOGOH CHENNAIDr.R.E.SMuthaiah
What is DALK & DSEK ?Advantage of DALK over penetrating keratoplasty?
DEEP ANTERIOR LAMELLAR KERATOPLASTYDESCEMET’S STRIPPING ENDOTHELIAL KERATOPLASTYChances of graft rejection are less in DALK
What is the culture medium used for isolating the organism?
Non nutrient agar with E Coli overlay
All are contraindications for eye donation exceptHIV, HPV, HCVLeukemias ,LymphomasDeath above 60 yrsDeath due to an unknown cause
Minimal residual corneal thickness after LASIK?
         What is the mode of inheritance ?
Jose Barraquer- Father of Modern Refractive Surgery400 microns
AutosomalRecesssive
ROUND 9: RAPID FIREMaximum of 10 questions would be asked in 1 min duration Each correct answer gets 5 points
ROUND 10: PERSONALITY3 CLUES would be given for each of the following famous PERSONALITYOn identification  with 1st clue + 20 points         Wrong answer                         -10 pointsWith 2nd clue                                 +10 points           wrong answer                         -5 pointsWith 3rd clue                                   + 5
EACH PERSONALITY IS RELATED TO OPHTHALMOLOGY  / OPHTHAL CONDITION
“Against brute force & injustice the people will have the last word ,that of VICTORY”Authored the best selling book “The Motorcycle Diaries”-  travelogue around Latin AmericaFirst name is ERNESTO
He studied medicine at University of Edinburgh. Since his practice was not successful, while waiting for patients he began writing stories.He modelled the central character in his stories on his Professor , impressed by his observation , inference & deduction skills.Author of “ The Adventures of Sherlock Holmes”
AUTHOR CONAN DOYLE
He became the Youngest person to Captain the Indian Cricket Team In 1969 he married a Bollywood actressNicknamed  “ TIGER”
M.A.K PATAUDI

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