Ophthalmology powerpoints.

1. 1. The most effective antibiotic for the
treatment of P. acnes endophthalmitis is a.
amikacin b. gentamicin c. vancomycin
d. ceftazidime
c. vancomycin

2. 2. For the diagnosis of granulomatous
inflammation, which cell type must be
present? a. Langhans’ cell b.
lymphocyte c. Touton giant cell d.
epithelioid histiocyte
d. epithelioid histiocyte

3. 3. All of the following are true concerning
sarcoidosis except a. Touton giant cells are
common b. lymphocytes surround the
granuloma c. histiocytes are abundant d.
necrosis is rare
a. Touton giant cells are common

4. 4. Which of the following is not characteristic
of Fuchs’ heterochromic iridocyclitis? a. iris
neovascularization b. cataract c.
posterior synechiae d. vitreous opacities
c. posterior synechiae

5. 5. The most common organism causing
endopthalmitis following cataract surgery is
a. S. pneumoniae b. H. influenzae c. S.
aureus d. S. epidermidis
d. S. epidermidis

6. 6. MEWDS can be differentiated from APMPPE
by a. age of onset b. female
predilection c. paracentral scotomas d.
viral prodrome
b. female predilection

7. 7. All of the following disorders are correctly
paired with their HLA associations except a.
POHS, B9 b. Behçet’s disease, B51 c.
Birdshot retinochoroidopathy, A29 d.
Reiter’s syndrome, B27
a. POHS, B9

8. 8. Decreased vision in a patient with
intermediate uveitis is most likely due to a.
cataract b. macular edema c. papillitis
d. glaucoma
b. macular edema

9. 9. A 71-year-old woman with a 6-month history
of fatigue, anorexia, and 10-pound (4 kg)
weight loss is found to have left-sided
weakness, visual acuity of 20/80 OD and 20/60
OS, and vitreous cells. The most helpful
workup is a. LP and vitrectomy b. ESR
and temporal artery biopsy c. CBC and
lymph node biopsy d. PPD and chest X-ray
a. LP and vitrectomy

10. 10. The most common organisms causing
endophthalmitis following trauma are a.
Enterococcus species and S. aureus b.
Bacillus species and S. epidermidis c.
Pseudomonas species and S. aureus d. S.
aureus and S. epidermidis
b. Bacillus species and S. epidermidis

11. 11. All of the following are features common to
both sympathetic ophthalmia and Vogt-
Koyanagi-Harada syndrome except a. serous
retinal detachments b. Dalen-Fuchs
nodules c. pathology localized to choroid
d. vitritis
c. pathology localized to choroid

12. 12. Which disorder is more common in males?
a. MEWDS b. uveal effusion syndrome c.
APMPPE d. Birdshot choroidopathy
b. uveal effusion syndrome

13. 13. EVS findings include all of the following
except a. vitrectomy was beneficial only in
patients with LP vision b. intravitreal
corticosteroids were helpful c. IV antibiotics
were not helpful d. the most common
organism was S. epidermidis
b. intravitreal corticosteroids were helpful

14. 14. Which of the following is not characteristic
of MEWDS? a. enlargement of the blind spot
b. bilaterality c. flu-like illness d. female
preponderance
b. bilaterality

15. 15. The most common cause of posterior
uveitis is a. sarcoidosis b. syphilis c.
CMV d. toxoplasmosis
d. toxoplasmosis

16. 16. All of the following are causes of HLA-B27-
associated uveitis except a. ankylosing
spondylitis b. ulcerative colitis c.
Crohn’s disease d. psoriasis
d. psoriasis

17. 17. Which of the following is not part of the
classic triad of findings in Reiter’s syndrome?
a. iritis b. arthritis c. conjunctivitis
d. urethritis
a. iritis

18. 18. Which of the following laboratory tests is
most commonly found in JRA-related iritis?
a. RF–, ANA– b. RF+, ANA– c. RF–, ANA+
d. RF+, ANA+
c. RF–, ANA+

19. 19. Phacoantigenic endophthalmitis is
characterized by which pattern of
granulomatous inflammation? a. zonal
b. diffuse c. discrete d. necrotizing
a. zonal

20. 20. Which combination of findings is least
likely to occur in rubella? a. retinopathy
and cataract b. glaucoma and cataract
c. glaucoma and retinopathy d. cataract
and deafness
b. glaucoma and cataract

21. 21. A 35-year-old man with decreased vision
OD is found to have optic nerve edema and a
macular star. The causative organism most
likely is a. Onchocerca volvulus b.
Bartonella henselae c. Treponema pallidum
d. Borrelia burgdorferi
b. Bartonella henselae

22. 22. Which is least helpful for the diagnosis of
toxocariasis? a. ELISA test b. AC tap
c. vitrectomy d. stool examination
d. stool examination

23. 23. A person living in which area of the US
would be most likely to develop POHS? a.
southwest b. northwest c. midwest
d. southeast
c. midwest

24. 24. All of the following are true of birdshot
choroidopathy except a. more common in
males b. usually bilateral c. CME is
common d. associated with HLA-A29
a. more common in males

25. 25. Which of the following is least commonly
associated with Treponema pallidum infection?
a. interstitial keratitis b. chorioretinitis
c. ectopia lentis d. glaucoma
d. glaucoma

26. 26. The HLA association for pars planitis with
multiple sclerosis is a. B8 b. B51 c.
DR4 d. DR15
d. DR15

27. 27. Retinal S antigen is found in a. ganglion
cells b. retinal pigment epithelium c.
photoreceptors d. Mueller cells
c. photoreceptors

28. 28. Features of Harada’s disease include all of
the following except a. vitritis b.
deafness c. serous retinal detachments
d. Dalen-Fuchs nodules
b. deafness

29. 29. Larva cause all of the following infections
except a. cysticercosis b. diffuse
unilateral subacute neuroretinitis c.
onchocerciasis d. cat-scratch disease
d. cat-scratch disease

30. 30. Which of the following signs of pars planitis
is most associated with multiple sclerosis?
a. subretinal neovascularization b.
snowbank c. periphlebitis d. CME
c. periphlebitis

31. 31. CSF abnormalities are associated with all
of the following disorders except a. VKH
syndrome b. ocular sarcoidosis c.
APMPPE d. pars planitis
b. ocular sarcoidosis

32. 32. All of the following can present as uveitis
except a. retinoblastoma b. choroidal
hemangioma c. leukemia d. juvenile
xanthogranuloma
b. choroidal hemangioma

33. 33. Which of the following is not associated
with inflammatory bowel disease? a.
conjunctivitis b. episcleritis c.
interstitial keratitis d. iritis
c. interstitial keratitis

34. 34. Anterior vitreous cells are least likely to be
found in a. retinitis pigmentosa b. CMV
c. serpiginous choroidopathy d. chronic
cyclitis
a. retinitis pigmentosa

35. 35. Gastrointestinal disorders associated with
uveitis include all of the following except
a. ulcerative colitis b. Whipple’s disease
c. diverticulitis d. Crohn’s disease
c. diverticulitis

36. 36. All of the following may occur in ocular
sarcoidosis except a. optic disc nodules
b. pars planitis c. CN palsies d. low
serum gamma globulin
d. low serum gamma globulin

37. 37. The choroid is the primary location of the
pathologic process in a. toxoplasmosis
b. CMV c. Coat’s disease d. VKH
syndrome
d. VKH syndrome

38. 38. Which of the following is least likely to be
found in a patient with sympathetic
ophthalmia? a. onset after a latent period
of 40 years b. granulomatous nodules in
the retina c. history of evisceration of the
traumatized eye d. iris nodules in the
sympathizing eye
b. granulomatous nodules in the retina

39. 39. Band keratopathy is least likely to occur in
a patient with a. sarcoidosis b. JRA
c. Behçet’s disease d. multiple sclerosis
c. Behçet’s disease

40. 40. A patient with APMPPE is most likely to
have a. unilateral involvement b.
enlarged blind spot c. viral prodrome d.
CNV
c. viral prodrome