Ultimate Optometry Jeopardy

It's not Zika

100

This is the classic triad of retinal findings for this non active infection (POHS):

What is PPA, histospots, and maculopathy.

200

This is the retinal condition which affects 15-40% of immunocompromised AIDS patients, and can be treated with an intravitreal injection of ganciclovir:

What is CMV Retinitis

300

This chorioretinal condition presents as a white-yellow retinal lesion, vitritis, a chorioretinal scar and is associated with infection from ingesting contaminated soil, cat litter, raw or undercooked meat:

What is Toxoplasmosis

400

The classic features of this congenital condition include cardiac malformations, deafness and pigmentary retinopathy in a "salt and pepper" appearance:

What is Congenital Rubella Syndrome

500

Your 35 year old patient presents with a bilateral granulomatous uveitis, dilated iris vessels, and a rash on the palm of both hands. This is the name of the infection you are suspecting and the appropriate labs to order for diagnosis:

What is Syphilis, Non-treponemal tests (active): RPR and VDRL and treponemal tests (antibodies): Fluorescent Treponemal Antibody Absorption (FTA-ABS) and Microhemagglutination Treponema pallidum (MHA-TP) tests.

Gtt it Like it's Hot

100

This is the number of drops contained in 1mL 

What is 20 drops

200

These are the two ingredients in Simbrinza suspension 

What is brinzolamide and brimonidine tartrate

300

Your patient had cataract surgery 8 weeks ago OD complaining of blurred vision. BCVA OD 20/80, and presents with this:

 

This is the name of 2 topical eye medications and the dosing regimen recommended for treatment.

What is a corticosteroid qid with taper and nsaid qid

400

This is the latest IOP lowering eye drop FDA approved in December 2017 and the dosing regimen

What is Rhopressa® (netarsudil ophthalmic solution) and 1 drop qhs

500

This is the number of 10mL bottles needed for 90 days for a patient dosing Cosopt q12hr OU 

What is 2

You've Got Some Nerve

100

This acute optic neuropathy is associated with risk factors including vascular disease, a small "disc at risk" and medications such as sildenafil and amiodarone. 

What is NAION

200

Your patient has TB and is now developing this optic nerve finding 3 months into treatment. What is the name of the drug causing this optic neuropathy? 

What is Ethambutol

300

This is the name of the most commonly inherited mitochondrial optic neuropathy, typically affecting young males. 

What is Lebers optic neuropathy

400

These are three conditions that can cause these anamolous disc vessels: 

What is advanced glaucoma, retinal vein occlusion, optic nerve meningioma

500

This is the name of the condition presenting as optic atrophy in one eye with contralateral optic disc edema, due to a frontal lobe tumor: 

What is Foster Kennedy Syndrome

Poppin' Pills

100

This is the name of an oral medication and dosing regimen that can be used for treatment of this acute eyelid infection: 

What is doxy 100mg bid po x 1-2 weeks, Kephlex 250-500mg bid po 1-2 weeks, Augmentin 250-500mg bid po 1-2 weeks, Azithromycin 250mg bid po 1-2 weeks, or Zpack

200

This is the class and mechanism of action for Diamox (acetazolamide) 

What is Carbonic anhydrase inhibitor, reduces aqueous production

300

This medication has been associated with intraoperative floppy iris syndrome: 

What is Flomax (tamsulosin)

400

This is the name of an oral medication and dosing regimen that can be used to treat this viral condition:

 

What is - Acyclovir (Zovirax) 800mg 5x per day x 1 week or - Valacyclovir (Valtrex) 1000mg tid x 1 week or - Famciclovir (Famvir) 500mg tid x 1 week

500

According the 2016 AAO recommendations on screening for Chloroquine and Hydroxychloroquine Retinopathy, these are the additional tests and images to be performed: 

What are: - Automated visual fields (note: Asians need 30-2 in addition to 10-2, due to early damage seen in a more peripheral pattern) - Fundus photos - SD OCT - Other tests: mfERG, FAF

Acute Red Eye

100

Your patient had a history of a right eye corneal abrasion by a fingernail scratch several months ago. Your patient reports with an acute onset of eye pain, redness, and blurred vision OD. This corneal condition is the likely cause of your patient’s symptoms 

What is recurrent corneal erosion

200

This is the name of a FDA approved medication and dosing regimen to treat this corneal condition: 

What is Viroptic: one drop every two hours for one week in the affected eye until the corneal epithelium is sufficiently healed, then tid-qid for another week or Zirgan: one drop five times daily until resolution of the ulcer, then three times daily for another week.

300

This conjunctival lesion is an intraepithelial tumor and appears as a fleshy, elevated lesion usually at the limbus in the interpalpebral fissure

What is Conjunctival Intraepithelial Neoplasia/Ocular Surface Squamous Neoplasia

400

These are three HLA B27 associated conditions that can cause an acute unilateral non granulomatous uveitis: 

What is - Ankylosing spondylitis - Reiter’s Syndrome - Psoriatic arthritis - Inflammatory Bowel Disease

500

This condition is also known as glaucomatocyclitic crisis, with the following findings: an acute, unilateral non granulomatous uveitis, elevated intraocular pressure (IOP), and a mild anterior chamber inflammation.

What is Posner-Schlossman syndrome