Question 1
Question
Which of the following is a not normal tonometry reading?
Question 2
Question
Tick what is true for the ocular exam
Answer
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You can use ultrasonography
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Abnormalities will appear as anechoic
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You should check the PLR and dazzle with lights on and off
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If the reading on the totometer is low then the handling of the animal is likely wrong.
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Always must do a full clinical exam too
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If you see exophthalmos should try and retropulse the eye.
Question 3
Question
Fill in the number settings that should be selected for each of the parts of the eye
cornea = + [blank_start]20[blank_end]
lens = +[blank_start]8-12[blank_end]
retina = [blank_start]+3[blank_end] - (-3)
Question 4
Question
[blank_start]Blepharitis[blank_end] is inflammation of the eyelid
Treat with broad-spectrum antibiotics for >[blank_start]3[blank_end] weeks
May use corticosteroids but need to check for [blank_start]Dermodex[blank_end] before giving them.
Question 5
Question
What is this condition?
Question 6
Question
Select the name of the treatment carried out to correct ectopic cilia
Answer
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en-bloc resection
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cryotherapy
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plucking
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electrolysis
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eyelid split surgery
Question 7
Question
T/F: if a young puppy has entropion you should immediately carry out the an operation to resect excess skin from around the eye
Question 8
Question
Entropion op - fill in the blanks
• Removal of [blank_start]crescent[blank_end] shape skin + muscle.
• The amount removed should be relative to the severity of the entropion. Incision should be made [blank_start]2-3[blank_end] mm below, [blank_start]parallel[blank_end] to the eyelid margin.
• Continue the incision with scissors.
• Close the wound with [blank_start]vicryl[blank_end] (5-6/0)
• Make sure to scrub with [blank_start]betadine[blank_end] - not any soap based product.
• Cone, topical Abs, and NSAIDS for 1 week. Heals by [blank_start]10-14[blank_end]d.
Answer
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crescent
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2-3
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vicryl
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betadine
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10-14
-
parallel
Question 9
Question
Match the definition of the types of cat entropion with the names for each type
[blank_start]Juvenile form[blank_end]: anatomical defect (same as most dogs)
[blank_start]Cicatricial entropion[blank_end]: conjunctival scar formation (eg after herpes)
[blank_start]Occurs in older cats[blank_end]: loss of orbital fat pad and therefore eyelid tone
Answer
-
Occurs in older cats
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Cicatricial entropion
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Juvenile form
Question 10
Question
Tick which are true for diamond eye
Answer
-
Needs referral
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Ectropion + entropion
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Chronic keratitis common side effect
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Can operate in house - need to tack the skin only
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Rarely pathogenic and usually just an aesthetic issue
-
A form of ectropion
Question 11
Question
An eyelid tumour is more likely to be malignant on a
Question 12
Question
The 4 functions of the nictitating gland AKA third eyelid
S[blank_start]ecretory[blank_end]
[blank_start]Immunological[blank_end]
[blank_start]Tear[blank_end] [blank_start]film[blank_end] distribution
[blank_start]Surface[blank_end] [blank_start]protection[blank_end]
Answer
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ecretory
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Immunological
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Tear
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film
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Surface
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protection
Question 13
Question
Which does this describe?
Can occur commonly in brachys and mastiffs, usually young dogs, and surgery called the conjunctival pocket technique can be carried out.
Question 14
Question
Conjunctivitis - what are true?
Answer
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Diffuse inflammation of the conjunctiva
-
fusidic acid or chloramphenicol used
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Corneal ulcers and dry eye are common causes
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Likely an infectious cause in dog
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Cat likely just trauma as the cause
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Can be treated with steroids
Question 15
Question
T/F: FHV-1 is very epitheliotoxic and can cause ulcers
Question 16
Question
T/F: need to look right behind the third eyelid to see if there are any foreign bodies as these can be a cause of recurrent conjunctivitis
Question 17
Question
The Schirmer tear test is a way of testing for dry eye which is a common cause of recurrent conjunctivitis. The tears need to run up to the ........ mark in ...........
Answer
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15 mm in 30 seconds
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10 mm in 15 seconds
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15mm in 60 seconds
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20 mm in 90 seconds
Question 18
Question
Treatment for dry eye in a dog assuming it is caused by the most common reason
Answer
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ciclosporin
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tacrolimus
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antibiotics
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steroids
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NSAIDS
Question 19
Question
If the bottom of the ulcer is not picking up dye then it is likely that the ulcer ahs reached which layer?
Answer
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epithelial
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stromal
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endothelial
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descements membrane
Question 20
Question
Which are true for uncomplicated ulcers?
Answer
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Should heal in 7 days
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NSAIDS
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ANtibiotics - chloramphenicol or fusidic acid
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All dogs need serum drops
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Likely there is inadequate tear film
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Needs to be debrided
Question 21
Question
If there is a ring around the ulcer (lip) which has a slightly different uptake of dye than the rest of the ulcer which ulcer do you think this is?
Answer
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SCCED
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melting ulcer
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descemetocoele
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uncomplicated ulcer
Question 22
Question
deep ulcers are more than [blank_start]1/2[blank_end] of the depth of the cornea which is more than [blank_start]0.3[blank_end]mm in depth
needs [blank_start]hourly[blank_end] eye drops and plasma drops
[blank_start]pain[blank_end] [blank_start]relief[blank_end] must be given
consider [blank_start]referral[blank_end]
Answer
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referral
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pain
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relief
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hourly
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1/2
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0.3
Question 23
Question
If there is a yellow/ gelatinous appearance around the edge of the ulcer what would you be suspicious of and what should you give the animal
Question 24
Question
Which of the following can cause ulcers in cats that first appear as a spiderweb but can develop into very severe ulcers if not treated appropriately?
Answer
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herpes virus
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chlamydia
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corneal sequestrum
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uncomplicated ulcers
Question 25
Question
What should be done if these do not shed themselves/ they are painful?
Question 26
Question
[blank_start]Crystalline stromal dystrophy[blank_end]: self-limiting, can bur it off for temporary relief if sore
[blank_start]Lipid keratotomy[blank_end]: due to keratitis, check for hyperlipidemia
[blank_start]Arcus lipoides[blank_end]: hypothyroid dogs, fix the hypothyroidism and it should dissipate
Question 27
Question
Corneal oedema that is not due to uveitis or glaucoma should be treated with
Answer
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NaCl ointment
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Eye removal
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steroids
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antibiotics