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Ocular therapeutics & disease Part 3: Course Code: C-16775 O/AS/SP/IP.

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1. Which of the following statements about the condition shown in Image A is FALSE?

a) It is often difficult to see without instilling a dye or stain

b) It shows dendritic ulcers With terminal (end) bulbs

c) It is a condition that affects the corneal epithelium

d) It is a bacterial infection causing corneal ulceration

2. Which of the following is MOST likely to be associated with the condition shown in Image A?

a) Hutchinson's sign, a rash affecting the tip of the nose

b) A history of a prodromal phase consisting of malaise and fever

c) A history of childhood chicken pox

d) A history of cold sores

3. Which of the following is the MOST suitable pharmacological treatment for the condition shown in Image A?

a) PoM Zovirax Fye Ointment (3%), 5x daily

b) PoM Predsol (05%), 5x daily

c) PoM RapiLil (2%), 4x daily

d) PoM Chloramphenicol (05%), 4xdaily

[ILLUSTRATION OMITTED]

4. If the condition shown in Image B is accompanied with symptoms of moderate pain and an achy feeling, which of the following is the MOST likely diagnosis?

a) Non-necrotising anterior scleritis,as it is unilateral and the most common type

b) Nccrotising episcleritis since avascular areas can be seen

0 Bacterial conjunctivitis as there is a rnuco-puruient discharge visible d) Anterior uveitis as there are keratic precipitates visible

5. For the patient in Question 4 and with the condition shown in Image B, which of the following is NOT associated with this condition?

a) Herpes zoster ophthalmicus

b) Inflammatory bowel disease

c) Grave's disease

d) Rheumatoid arthritis

6. Which of the following is the MOST suitable management of the patient in Question 4 and with the condition shown in Image B?

a) Write a prescription for topical antibiotics

b) Write a prescription for topical non-steroidal anti-inflammatories (NSAIDs)

c) Write a prescription for topical steroids

d) Immediate referral to the hospital eye service

[ILLUSTRATION OMITTED]

7. Which of the following conditions is shown in Image C?

a) Sterile blockage of a meibomian gland (chalazion, or meibomian cyst)

b) Infected blockage of a meibomian gland (internal hordeolum)

c) Eyelid malignant melanoma

d) Basal cell carcinoma

8. The condition shown in Image C can occur on the upper or lower lid. Which of the following is NOT a recognised complication of the condition shown in Image C?

a) Mechanical ectropion

b) Blepharitis

c) Astigmatism

d) Dry eye

9. The patient in Image C reports that the lump appeared less than a week ago and is not causing any symptoms. Which of the following is NOT a suitable treatment for the condition in Image C?

a) Lid hygiene with baby shampoo

b) Warm compresses

c) Massage of the eyelid margin

d) Referral to the ophthalmologist

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10. Which of the following is NOT evident in Image D7

a) Neovascularization

b) Corneal opacification

c) Symblepharon

d) Pseudogerontoxon

11. A patient with the condition shown in Image D has been diagnosed with Stevens-Johnson syndrome. Which of the following about this patient and the condition shown is FALSE?

a) Hospitalisation is rarely required

b) There is a poor prognosis for recovery of vision in this eye

c) Widespread blisters occur across the body

d) II affects the mucous membranes of ihe body

12. Which of the following statements about the patient in Question 11 and with the condition shown in Image 0 is FALSE?

a) The disease is thought to be caused by the body's response to drugs

b) Antibiotics, analgesics and cold remedies are implicated in the development of the disease

c) It typically occurs in females in their 50s

d) Symptoms often occur up to 3 weeks after exposure to the cause

Associated readings:

1. Kanski JJ (2011) Clinics/ Ophthalmology. A Systematic Approach: f>pwtConsu/(, 7th edition, Elsevier

2. Ehlers JP et al. (2008). The Wills Eye Manual: Office and Emergency Room Diagnosis and Treatment of Eye Disease. Sth Edition Lippincott Williams 8,-Wilkins

3. The Col lege of Optometrists Clinical Management Guidelines (http://www.tol I ege-optometrists. org/en/proressional- standards/dinical_management_guidelines/index,cftn)

4. British National Formulary (BNF) (hrrpy/bnf.arg/bnf/index.htm)

Dr Mhairi Day, BSc (Hons), MCOptom, PhD, Dr Douglas Lyall, MBChB MRCOphth

About the author

Dr Mhairi Day is an optometrist and lecturer at Glasgow Caledonian University 1GCU). She is responsible for the Introduction to Ocular Disease and Clinical Ophthalmology undergraduate modules and is involved in the delivery of the postgraduate Ocular Therapeutics course at GCU. Dr Douglas Lyall is a Specialty Registrar In Ophthalmology at Gartnavel General Hospital, Glasgow and is an Honorary Clinical Research Fellow at NHS Ayrshire and Arran, The authors wish to thank Gartnavel General Hospital Ophthalmology Department for providing images for this VRICS,
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Title Annotation:VRICS: VISUAL RECOGNITION AND IDENTIFICATION OF CLINICAL SIGNS
Author:Day, Mhairi; Lyall, Douglas
Publication:Optometry Today
Geographic Code:4EUUK
Date:Sep 2, 2011
Words:790
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