Stack 2004-2005

Ophthalmology Questions


Question 1.

A 41 year-old male presents to the emergency department complaining of eye pain after being struck with a baseball after a foul tip. Visual acuity is 20/100 in the affected eye.



Complications of this condition include all of the following except:


  1. Increased intraocular pressure
  2. Corneal staining
  3. Enophthalmitis
  4. Rebleeding in 4-5 days


Correct answer C.


Question 2.

A 25 year-old carpenter was pounding in a steel nail when he felt something hitting him in the eye. Visual acuity in the affected eye is 20/70.  The pupil is elliptically shaped. The limbus is injected.


Which of the following intraocular pressure readings is suggestive of an open globe?

A. Less than 20 mmHg

B. Less than 8 mmHg

C. Less than  20 cmH2O

D. Less than 8 cm H2O


Correct answer: B



Question 3.

A 15 year-old male comes to the emergency department because of double vision for 3 days.  Symptoms started immediately after being punched in the eye with a clenched fist.


What is the probability of a globe injury in this patient?

  1. 0%
  2. 30%
  3. 50%
  4. 70%


Correct answer B


Question 4.

A 21 year-old male presents to the emergency department with fever, left eye pain and double vision. His intraocular pressure is 50mmHg. He had clear nasal discharge and congestion for a week prior to the present symptoms.


Treatment of this patient includes all of the following except:


  1. Hospitalization
  2. Antibiotics
  3. Surgical decompression of the orbit
  4. Anterior chamber paracentesis


Correct answer: D




Question 5.

A 35 year-old male presents to the emergency department with decreased visual acuity and a foreign body sensation of his right. His vision is 20/200 in the affected eye. Fluorescein stain reveals the following findings:



The next correct management step includes which of the following?


  1. Treat with antibiotic ointment such as erythromycin
  2. Treat with a cycloplegic agent such as homatropine
  3. Look for a foreign body under the upper and lower lids
  4. Double-patch the eye


Correct answer is C.