Multiple Choice Questions (MCQ)

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Category: Emergency Medicine--->Eye, ENT and Dental Emergencies
Page: 1

Question 1# Print Question

Regarding a positive relative afferent pupillary defect (RAPD), all of the following statements are true EXCEPT:

A. The pupil on the affected side dilates when the light is swung to it from the opposite eye
B. It means there is a disturbance anywhere along the anterior afferent visual pathway
C. A patient with a positive afferent pupillary defect on testing will have a dilated pupil on the affected eye prior to testing
D. Intraocular haemorrhage, central retinal artery or vein occlusion, retinal detachment and optic tract lesions produce a positive RAPD

Question 2# Print Question

Regarding childhood conjunctivitis, which ONE of the following statements is FALSE?

A. Appropriate swabs and cultures should be done in every child with conjunctivitis who presents to the emergency department (ED)
B. Adenovirus is the most common virus causing conjunctivitis and it can be part of a viral syndrome
C. Preauricular lympadenopthy is more commonly seen in viral conjunctivitis than in bacterial conjunctivitis
D. The slit lamp examination is a difficult but necessary examination in children

Question 3# Print Question

Regarding orbital cellulitis and periorbital cellulitis in children, which ONE of the following statements is TRUE?

A. Organisms originating from paranasal sinuses usually cause both conditions
B. Pain on eye movement is present in both conditions but is worse in orbital cellulitis
C. Visual acuity is preserved in both conditions
D. In orbital cellulitis, eyelid swelling does not extend into the eyebrow beyond the superior orbital rim

Question 4# Print Question

In differentiating acute anterior uveitis from other causes of acute red eye, which ONE of the following clinical features of anterior uveitis is MOST useful?

A. Photophobia in the affected eye when a light is shone into the unaffected eye
B. Worsening of eye pain on movement and during accommodation
C. Perilimbal or circumcorneal injection
D. Unilateral red eye with a deep aching pain radiating to the periorbital and temporal region

Question 5# Print Question

Regarding the diagnosis of acute angle closure glaucoma (AACG) in the ED, which ONE of the following statements is TRUE?

A. Normal intraocular pressure is 20–30 mmHg
B. If the pupil reacts, an alternative diagnosis should be considered
C. Patients commonly present with a red eye without associated eye pain
D. The anterior chamber appears deep on slit lamp examination and flare and cells can be seen

Category: Emergency Medicine--->Eye, ENT and Dental Emergencies
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