Neoplasms
Reddish nodule on caruncle
Oncocytoma
Name two species of animal whose hairs cause ophthalmia nodosum
Tarantula and caterpillar
Pisciform flecks. Disease and inheritance
Stargardt, Autosomal recessive
BONUS (+200): What are 3 worrisome side effects?
IGF-1
Hearing loss, hyperglycemia, bowel issues
Who won the national championship in 2022? Who was the quarterback?
Georgia, Stetson Bennett
Conjunctival melanomas have 3 different origins. Name each and the percentage chance of a melanoma originating from each.
PAM -> 70%
Nevus -> 5%
De Novo -> 25%
Name two techniques for suturing the iris.
McCannel and Seipser knot
Name the retinal finding in Best disease and the test to definitively diagnose it
Egg yolk, EOG
A patient presents with a -4 adduction, supraduction, and infrasuction deficit in the right eye with ptosis. Left eye has a -2 supraduction deficit. Where is the lesion?
Right CN3 fasciculus
What sport involves using holds and leverage to unbalance the opponent and is a Japanese martial art? C-Rob can’t answer
Judo
Patient presents with Nevus of Ota. Give exact likelihood of glaucoma and uveal melanoma
Glaucoma -> 1/10
Uveal melanoma -> 1/400
A patient presents with slowly decreasing vision in the right eye. He has retinal atrophy on OCT Mac. Fundus exam reveals no diabetic retinopathy, ARMD, or foreign body. OCT GCL reveals some thinning. The patient also complains that his eyes look like they are a different color. What is the next exam technique to use and what do you expect to find?
BONUS: Gonioscopy and metallic foreign body in angle
Name 3 types of tube shunts and 3 types of MIGS. Half credit if 2 tube types. +300 if its a PGY-2.
Ahmed, Baarveldt, Molteno
ABIC, iStent, Kahook
Patient presents with oculomasticatory myorhythmia. What is the treatment and disease association?
BONUS (+500): How do you definitively diagnose?
Systemic antibiotics, Whipple
BONUS: Duodenal biopsy
Opie and Barney are character‘s in this classic show?
Andy Griffith
Patient has what appears to be invasive OSSN on clinical exam. You perform a surgical technique to remove and on pathology results, the specimen has an Antoni A histologic pattern. What is it?
BONUS: What are the steps in the removal, assuming it also involves cornea?
Spindle cell carcinoma
BONUS: 2-4 mm, no touch, double freeze thaw, alcohol epitheliectomy and to scleral bed
For 200 points each, name the indications for surgical Intervention for a hyphema for:
Optic atrophy
Corneal blood staining
Peripheral anterior synechiae
Sickle cell hemoglobinopathy
>60 for 2 days, >35 for 7 days
>25 for 5 days, evidence of early blood staining
Total hyphema for >5 days
>25 for first 24 hours, >30 transient elevations for 2-4 days
Name 6 causes of zonular insufficiency
Trauma
Pseudoexfoliation
Homocystinuria
Marfan
Ectopia lentís et pupillae
Weill marchesani
Microspherophakia
Sulfite oxidase deficiency
A patient presents with bilateral abduction deficit that she states has worsened over the past few months. She does not have hypertension or diabetes. MRI brain and orbits is negative. Thiamine is normal. LP with normal opening pressure. Normal thyroid studies and no TED. No oligoclonal bands in CSF and negative CSF cultures. What diagnosis should be considered?
BONUS (+200): Other imaging needed?
Myasthenia gravis
BONUS: CT chest
Miles Teller’s nickname in Top Gun Maverick.
BONUS (+200): Glen Powell’s nickname
Rooster
BONUS: Hangman
Patient presents with salmon patch lesion on conjunctiva. What are the 4 subtypes.
BONUS (+400): Put them in order of survival rate.
EMZL/MALT -> follicular -> DLBCL -> Mantle
Name 3 (topical or oral) treatments that inhibit collagenolysis in chemical injuries.
BONUS (+300): Name a 4th. Must be the one I’m thinking
Oral doxy, topical sodium citrate, oral vitamin C
Topical medroxyprogesterone
Child has a pigmentary retinopathy and ophthalmoplegia. What is the next step?
BONUS (+300): How would you definitively diagnose
Cardiology consult to check for heart block
BONUS: Muscle biopsy
Must be a PGY-2. Patient has a right hypertropia, worse in left gaze, worse with left head tilt. What muscle is affected?
Spiderman villain in the first Amazing Spiderman (Andrew Garfield)
BONUS: What is his human name?
The Lizard
BONUS: Kurt Connors