Maryam Eslami
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Clinical Approach to Ocular Surface Disease

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Maryam Eslami
Created by Maryam Eslami over 4 years ago
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Cornea - Chapter 3

Question 1 of 11

1

Which of the following does not typically present with follicular conjunctivitis?

Select one of the following:

  • Herpes Simplex Conjunctivitis

  • Chlamydial Conjunctivitis

  • Molluscum Contangiosum conjunctivitis

  • Brimonidine Conjunctivitis

  • Ocular Rosacea

Explanation

Question 2 of 11

1

Which of the following does not cause conjunctival cicatrization?

Select one of the following:

  • Stevens-Johnson Syndrome

  • Chemical Injury

  • Mucus Membrane Pemphigoid

  • Sarcoidosis

Explanation

Question 3 of 11

1

All of the following are causes of conjunctival granuloma except:

Select one of the following:

  • Sarcoidosis

  • Stevens-Johnson Syndrome

  • Cat Scratch Disease

  • Foreign body reaction

Explanation

Question 4 of 11

1

Nonsuppurative interstitial keratitis is not typically associated with:

Select one of the following:

  • Anesthetic Abuse

  • Viral Keratitis

  • Reactive arthritis

  • Syphilis

  • Tuberculosis

Explanation

Question 5 of 11

1

Which of the following is false?

Select one of the following:

  • Benign lymphoid folliculosis is clusters of enlarged, noninflamed follicles occasionally seen in the forniceal or inferior palpebral conjunctiva of children and adolescents.

  • Papillae are sprout spokelike capillaries that become surrounded by edema and mixed inflammatory infiltrate, producing raised elevations under the conjunctival epithelium.

  • Keratic precipitates are clumps of inflammatory cells that adhere to the back of the cornea and come from the anterior uvea during the course of keratitis or uveitis.

  • Appearance of keratic precipitates depends on the cell composition; for example neutrophils and lymphocytes give the large clumps of "mutton fat" appearance

Explanation

Question 6 of 11

1

Dry eyes affects 10% of patients between 30-60 years of age and 15% of patients older than 65 years old.

Select one of the following:

  • True
  • False

Explanation

Question 7 of 11

1

Which of the following causes of dry eyes fall under "aqueous deficiency" classification?

Select one of the following:

  • Disorders of lid aperture

  • Contact lens wear

  • Vitamin A Deficiency

  • Sjogren Disease

  • Low blink rate

Explanation

Question 8 of 11

1

Which of the following is false?

Select one of the following:

  • Sjogren syndrome is a T cell mediated disease leading to destruction of lacrimal gland.

  • Primary Sjogren syndrome is a well defined connective tissue disorder or immune dysfunction.

  • Involvement of salivary glands is common in Sjogren syndrome.

  • Rheumatoid arthritis is the most common underlying disorder associated with secondary Sjogren syndrome.

Explanation

Question 9 of 11

1

Which of the following is true regarding Meibomian Gland Dysfunction (MGD)?

Select one of the following:

  • It is more common in Asian ethnicity than Caucasians.

  • Hypersecretory MGD can be cicatricial or noncicatricial.

  • Tear break up time is often increased in MGD.

  • Telangiectatic blood vessels often courses from anterior to posterior lid margin in MGD.

  • Trachoma and mucous membrane pemphigoid are examples of noncicatricial MGD.

Explanation

Question 10 of 11

1

All of the following are options for management of dry eye syndrome except:

Select one of the following:

  • Smoking cessation

  • Punctal occlusion

  • Humidifier and or moisture shield glasses

  • Topical cyclosporine A 0.05%

  • Tear duct Probing

  • Lifitegrast 5% (Xiidra)

  • Scleral contact lenses

  • Omega-3 fatty acids

Explanation

Question 11 of 11

1

Which of the following is false regarding punctal occlusion?

Select one of the following:

  • Collagen plugs are a form of permanent punctal occlusion.

  • Silicone plugs last months to years.

  • Permanent punctal occlusion has a risk of infectious canaliculitis.

  • Polydioxanone provide about 6 months of punctal occlusion.

Explanation