ophthal quiz

EYE Q Ophthalmology Quiz

RIOGOH 4 September 2010

OUTLINE

• ROUND 1: HALL OF FAME• ROUND 2 &3: SYSTEMIC ASSOCIATIONS• ROUND 4: CONNECT• ROUND 5: DISCOVERIES• ROUND 6: INVESTIGATIONS• ROUND 7: RETINA• ROUND 8: EYE DONATION• ROUND 9: PERSONALITY• ROUND 10: RAPID FIRE

ROUND 1 : HALL OF FAME

• RULES Identify the personalityName his contribution towards ophthalmology• 10 points for identifying the personality• 10 points for the contribution

TOTAL 20 POINTS

On passing 5 each

1

CHARLES KELMAN

INVENTED THE PHACOEMULSIFICATION TECHNIQUE FOR CATARACT EXTRACTION

2

SUSRUTA

1ST TO PERFORM CATARACT EXTRACTION(couching)

3

SIR HAROLD RIDLEY

1ST PERSON TO IMPLANT ARTIFICIAL LENS INTO HUMAN EYE ON 8th FEB 1950

4

VON GRAEFE

INVENTED VON GRAEFE KNIFE FOR CATARACTEXTRACTION , MADE CONTRIBUTIONS TO GLAUCOMA SURGERIES

CHARLES SCHEPENS

INVENTED THE INDIRECT OPTHALMOSCOPE

ROUND 2& 3: SYSTEMIC ASSOCIATIONS

• Systemic conditions with ophthal manifestations

• Identification of condition carries 10 points

• Each question carries 5 points

• TOTAL 20 POINTS • On passing 5 for diagnosis & 3 for each question

1

• What is the CD4 count below which CMV retinitis manifests?

• What is HAART?

• Counts below 50 /cu mm

• Highly Active Antiretroviral Therapy - 2NNRTI + 1 PI

2

• Name the person who identified the condition?

• How do u differentiate it from retinoblastoma with respect to age & sex?

• George Coats

• Between 5-10 yrs in boys

3

• What is the 3rd component of the above syndrome?

• What is choristoma?

• Vertebral – Scoliosis

• Normal tissue in an Abnormal location

4

• Name 3 drugs which cause this condition.

• Identify & mention the ocular manifestation

• NSAIDS, SULPHA , PHENYTOIN

• DRY EYE WITH SYMBLEPHARON

5

• What is the slit lamp finding?

• What is HARADA’S DISEASE ?

• Mutton Fat KP’s

• Neurological features & Exudative Retinal Detachment

6

• How does lens subluxation differ from Marfans?

• What is CTR ?

• Inferonasal while in Marfan’s it is Superotemporal

• Capsular Tension Ring used in the management of subluxated lenses

7

• What is Hutchinson’s sign?

• What is Nummular keratitis?

• If the tip of the Nose is involved then Cornea is likely to be involved as both are supplied by Nasociliary branch of Trigeminal.

• Immune reaction characterised by subepithelial deposits surrounded by a stromal haze.

8

• Why is it called buphthalmos ?What is the gene responsible ?

• What is the normal corneal diameter at birth? What is the average corneal dia in buphthalmos?

• Ox eye. Cyp 1B1 gene

• 9.5 – 10.5 mm, > 11.5mm is Buphthalmos

• Gancyclovir implant in CMV Retinitis.

• Demetacious Fungi

• Alternaria • Cladosporum• Curvularia

ROUND 4: CONNECT

• FIND OUT THE CONNECTION BETWEEN THE PICTURES GIVEN WITHIN 1 MIN

• EACH CONNECTION IS A SPECIFIC OPHTHALMIC CONDITION

• VALID EXPLANATION FOR EACH PICTURE IS MANDATORY

• 20 POINTS FOR THE RIGHT ANSWER

• ON PASSING 10 POINTS

1. Night blindness2. Bone spicule3. Waxy pallor

RETINITIS PIGMENTOSA

1. Cone2. Intac rings3. Oil droplet reflex

KERATOCONUS

1. Cataract2. Shield3. Eczema

SHIELD CATARACT - ATOPIC DERMATITIS

1. Smoke Stack 2. Ink blot in FFA3. Positive Scotoma

CENTRAL SEROUS CHORIORETINOPATHY

t

1. Cupping2. Bayonetting3. Increased pressure

GLAUCOMA

1. OC (Tamil)2. Tea3. Infrared technology

OPTICAL COHERENCE TOMOGRAPHY

ROUND 5: DISCOVERIES

• Each question is visual

• Each question carries 10 points

• On passing 5 points

1

ALVAR GULLSTRAND

2

VON HELMHOTZ

3

RANGASAMY SRINIVASAN

4

FRIEDENWALD NOMOGRAM

ROUND 6 :INVESTIGATIONS

• Each question is an Equipment used in Ophthalmic Evaluation .

• Identification gets 10 points

• Indication gets 10 points

• TOTAL 20 POINTS

• On passing each carries 5

1

• Identify

• What is it indicated for ?

• Corneal topography

• To diagnose early keratoconus To quantify irregular astigmatism, to evaluate

changes in corneal shape before & after refractive surgery

2

• Identify

• What is the earliest field defect in glaucoma?

• Humphrey field analyser

• Isolated paracentral scotoma

3

• Identify

• What are the 3 components of BSV ?

• Synaptophore

• Simultaneous perception, Fusion & Stereopsis

4

• What is this instrument used for ?

• What is the count below which the there is a risk of endothelial decompensation?

• To measure the endothelial cell count

• Counts below 1000 are associated with a risk of endothelial decompensation

CONNECT

ROUND 7: RETINA

• Identification of the RETINAL PATHOLOGY 10 points

• Each question carries 10 points

• TOTAL 20 POINTS

• On passing 5 points for each

1

CRAO - SPARING OF CILIO RETINAL ARTERY

Cilio retinal artery is a branch of________

POSTERIOR CILIARY ARTERY

2

PAPILLEDEMA

• What is Foster Kennedy Syndrome ?

• Ipsilateral Optic atrophy & Contralateral Papilledema

• Seen in Olfactory groove Meningioma & Frontal lobe tumors

3

RETINOBLASTOMA

• What is KNUDSONS 2 HIT HYPOTHESIS ?

Normally there are 2 copies of Tumor Supressor Genes ,either mutation or deletion of BOTH GENES ALONE will lead to manifestation of RETINOBLASTOMA

4

HYPERTENSIVE RETINOPATHY

• What are ELSCHNIG’S SPOTS & SIEGRISTS STREAKS ?

• Elschnig’s spots are focal choroidal infarcts seen in Hypertensive Retinopathy

• Siegrists streaks -In chronic hypertension choroidal arterioles are sclerosed & capillaries attenuated.

POSTERIOR SCLERITISEXUDATIVE RD T SIGN

CONNECT

1. Scrambled egg2. “All the Best”3. Net – Greek name for RETINA

BEST MACULAR DYSTROPHY

ROUND 8: EYE BANKING

• Each question pertaining to the visual carries 10 points

• On passing 5 points

Who was the 1st person to perform a successful corneal transplant ?

Edmund Konrad Zirm

For how many days can we store the corneo scleral button in this medium ?

• McCAREY KAUFMAN MEDIUM

• 2-3 DAYS

Where was the 1st eye bank started in INDIA?By whom was it started ?

RIOGOH CHENNAI

Dr.R.E.S Muthaiah

What is DALK & DSEK ?Advantage of DALK over penetrating keratoplasty?

• DEEP ANTERIOR LAMELLAR KERATOPLASTY

• DESCEMET’S STRIPPING ENDOTHELIAL KERATOPLASTY

• Chances of graft rejection are less in DALK

What is the culture medium used for isolating the organism?

Non nutrient agar with E Coli overlay

• All are contraindications for eye donation excepta) HIV, HPV, HCVb) Leukemias ,Lymphomasc) Death above 60 yrsd) Death due to an unknown cause

Minimal residual corneal thickness after LASIK?

What is the mode of inheritance ?

• Jose Barraquer- Father of Modern Refractive Surgery

• 400 microns

Autosomal Recesssive

ROUND 9: RAPID FIRE

• Maximum of 10 questions would be asked in 1 min duration

• Each correct answer gets 5 points

ROUND 10: PERSONALITY

• 3 CLUES would be given for each of the following famous PERSONALITY

• On identification with 1st clue + 20 points Wrong answer -10 points

• With 2nd clue +10 points wrong answer -5 points

• With 3rd clue + 5

EACH PERSONALITY IS RELATED TO OPHTHALMOLOGY / OPHTHAL CONDITION

1. “Against brute force & injustice the people will have the last word ,that of VICTORY”

2. Authored the best selling book “The Motorcycle Diaries”- travelogue around Latin America

3. First name is ERNESTO

1. He studied medicine at University of Edinburgh. Since his practice was not successful, while waiting for patients he began writing stories.

2. He modelled the central character in his stories on his Professor , impressed by his observation , inference & deduction skills.

3. Author of “ The Adventures of Sherlock Holmes”

AUTHOR CONAN DOYLE

1. He became the Youngest person to Captain the Indian Cricket Team

2. In 1969 he married a Bollywood actress

3. Nicknamed “ TIGER”

M.A.K PATAUDI

1. He is a veteran tamil film comedian , whose 1st film was in 1977

2. Has played supporting roles in Nayagan, Sindhu Bhairavi, Agni Natchathiram

3. Has Marcus Gunn Jaw Winking phenomena

5

JANAGARAJ

THANK U

Quiz Conceptualised by CORNEA SERVICES - RIOGOH

WINNERS ARE

• TEAM APRAKASH PREETHIJERIN CONGRATULATIONS !!