TQ Quiz | Swollen, Atrophic, and Anomalous Oh My! Navigating the Yellow Brick Road of Optic Neuropathy Differential Diagnoses (Pittsburgh 2025) by Events@optometricedu.com | Feb 16, 2025 | 2025 Pittsburgh, TQ Courses | 0 comments "*" indicates required fields This field is hidden when viewing the form@{:35}This field is hidden when viewing the formDate (Hidden) MM slash DD slash YYYY This field is hidden when viewing the formEvent Date (Hidden) MM slash DD slash YYYY This field is hidden when viewing the formEvent 90 days past date (Hidden) MM slash DD slash YYYY This field is hidden when viewing the formEvent Date Difference (Hidden)1. For which of the following clinical presentations would fundus autofluorescence (FAF) be most valuable?* A - Disc swelling B - Homonymous hemianopia C - Diplopia D - Anisocoria 2. Which of the following features is MOST suggestive of an arteritic vs a non-arteritic etiology when presented with an anterior ischemic optic neuropathy?* A - Preceding transient vision loss B - Sectoral, hyperemic disc edema C - Fellow eye has a small crowded disc D - Visual acuity in the affected eye is 20/60 3. A 65-year-old male presents to the clinic complaining of painless vision loss OS that he first noticed when woke up this morning. Best corrected visual acuities are OD 20/20, OS 20/100. A 2+ RAPD is present OS. Dilated fundus exam reveals disc edema of the left optic nerve only. What test would be MOST appropriate to include as part of the work up for this patient?* A - ESR, CRP, CBC with differential and platelet count B - Lumbar puncture C - T2 MRI brain with FLAIR (fluid level attenuated inversion recovery) D - Chest x-ray 4. As demonstrated by the Optic Neuritis Treatment Trial, which of the following is the single, MOST RELIABLE predictor for the future development of multiple sclerosis in a patient with an initial, acute episode of unilateral optic neuritis?* A - MRI white matter lesions B - MRI optic nerve sheath enhancement C - Cerebrospinal fluid pleocytosis D - Cerebrospinal fluid NMO-IgG (anti-aquaporin 4) antibodies 5. What visual field defect is most consistent with EARLY papilledema?* A - Enlarged blindspot B - Altitudinal C - Cecocentral D - Arcuate 6. Which condition is expected to affect the OLDEST patient demographic?* A - Idiopathic intracranial hypertension B - Optic neuritis C - Non-arteritic anterior ischemic optic neuropathy D - Arteritic anterior ischemic optic neuropathy 7. What is the MOST COMMON ocular manifestation of giant cell arteritis?* A - Anterior ischemic optic neuropathy B - Horner syndrome C - Central retinal artery occlusion D - Cilioretinal artery occlusion 8. In papilledema, chorioretinal folds or peripapillary wrinkles (Paton's lines) typically occur in which peripapillary location?* A - Inferior B - Superior C - Nasal D - Temporal 9. Which of the following is a fairly well-established risk factor associated with non-arteritic anterior ischemic optic neuropathy?* A - Carotid artery stenosis B - Far northern latitude of inhabitance C - Obstructive sleep apnea D - Family history of ischemic optic neuropathy 10. Which of the following clinical findings is MOST CONSISTENT with early papilledema due to idiopathic intracranial hypertension?* A - Best corrected visual acuity of 20/25 B - Relative afferent pupillary defect (RAPD) C - Spontaneous venous pulsation D - Amsler grid metamorphopsia 11. A new patient presents to your office with a history of primary open angle glaucoma for which he is taking latanoprost OU. Which of the following findings would raise suspicion for a compressive chiasmal lesion (i.e. pituitary adenoma) and suggest a prior misdiagnosis of glaucoma?* A - Nerve fiber layer loss superior and inferiorly B - Decreased visual acuity C - Visual field loss is worse on the nasal side compared to the temporal side D - Visual field loss respects the horizontal midline 12. A patient presents with primarily nasal OCT ganglion cell complex loss in both eyes. If a compressive tumor is causing this damage, it is most likely affecting what part of the visual pathway?* A - Optic nerve B - Chiasm C - Optic tract D - Occipital lobe 13. Which of the following conditions is MOST LIKELY to present with optic atrophy and neuroretinal rim pallor on initial diagnosis?* A - Anterior ischemic optic neuropathy B - Pituitary gland macroadenoma C - Optic neuritis D - Occipital lobe arteriovenous malformation 14. Generally, INITIAL management of idiopathic intracranial hypertension should include which of the following?* A - Intravenous corticosteroids followed by oral taper B - Oral corticosteroids alone C - Oral carbonic anhydrase inhibitors D - Surgical optic nerve sheath compression 15. A patient presents with an initial episode of typical optic neuritis. Neuroimaging reveals periventricular white matter lesions. Which management option should be considered to hasten visual recovery and delay the onset of clinical definite multiple sclerosis in the short term.* A - Intravenous corticosteroids followed by oral taper B - Oral corticosteroids alone C - Oral carbonic anhydrase inhibitors D - Surgical optic nerve sheath compression 16. Which of the following describes the classic visual field defect expected with non-arteritc ischemic optic neuropathy?* A - Altitudinal visual field defect B - Enlarged blind spot C - Cecocentral visual field defect D - Generalized depression 17. Generally, which of the following symptoms/signs is more consistent with a maculopathy vs a neuropathy?* A - Degree of color vision loss exceeds degree of visual acuity loss B - Relative afferent pupillary defect (RAPD) C - Pain D - Photopsia 18. Which of the following features is more consistent with a diagnosis of optic neuritis vs nonarteritic anterior ischemic optic neuropathy?* A - Pain B - Optic disc edema C - Disc hemorrhage D - Retinal arteriolar attenuation 19. Which of the following findings could potentially be consistent with idiopathic intracranial hypertension?* A - Cranial nerve 6 palsy B - Homonymous hemianopia C - Vitreous hemorrhage D - Lumbar puncture opening pressure of 190 mm of water in the lateral decubitus position 20. A patient presents with a blood pressure reading of 210/125 and bilateral swollen optic nerves. In addition, fundus examination reveals intraretinal flame hemorrhaging, cotton wool spots, and macular exudate. Which stage of hypertensive retinopathy is present according to the Keith-Wagner-Barker classification system?* A - Stage 1 B - Stage 2 C - Stage 3 D - Stage 4 Personal InformationName* First Last Email* Phone*OE Tracker #License #Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code AfghanistanAlbaniaAlgeriaAmerican SamoaAndorraAngolaAnguillaAntarcticaAntigua and BarbudaArgentinaArmeniaArubaAustraliaAustriaAzerbaijanBahamasBahrainBangladeshBarbadosBelarusBelgiumBelizeBeninBermudaBhutanBoliviaBonaire, Sint Eustatius and SabaBosnia and HerzegovinaBotswanaBouvet IslandBrazilBritish Indian Ocean TerritoryBrunei DarussalamBulgariaBurkina FasoBurundiCabo VerdeCambodiaCameroonCanadaCayman IslandsCentral African RepublicChadChileChinaChristmas IslandCocos IslandsColombiaComorosCongoCongo, Democratic Republic of theCook IslandsCosta RicaCroatiaCubaCuraçaoCyprusCzechiaCôte d'IvoireDenmarkDjiboutiDominicaDominican RepublicEcuadorEgyptEl SalvadorEquatorial GuineaEritreaEstoniaEswatiniEthiopiaFalkland IslandsFaroe IslandsFijiFinlandFranceFrench GuianaFrench PolynesiaFrench Southern TerritoriesGabonGambiaGeorgiaGermanyGhanaGibraltarGreeceGreenlandGrenadaGuadeloupeGuamGuatemalaGuernseyGuineaGuinea-BissauGuyanaHaitiHeard Island and McDonald IslandsHoly SeeHondurasHong KongHungaryIcelandIndiaIndonesiaIranIraqIrelandIsle of ManIsraelItalyJamaicaJapanJerseyJordanKazakhstanKenyaKiribatiKorea, Democratic People's Republic ofKorea, Republic ofKuwaitKyrgyzstanLao People's Democratic RepublicLatviaLebanonLesothoLiberiaLibyaLiechtensteinLithuaniaLuxembourgMacaoMadagascarMalawiMalaysiaMaldivesMaliMaltaMarshall IslandsMartiniqueMauritaniaMauritiusMayotteMexicoMicronesiaMoldovaMonacoMongoliaMontenegroMontserratMoroccoMozambiqueMyanmarNamibiaNauruNepalNetherlandsNew CaledoniaNew ZealandNicaraguaNigerNigeriaNiueNorfolk IslandNorth MacedoniaNorthern Mariana IslandsNorwayOmanPakistanPalauPalestine, State ofPanamaPapua New GuineaParaguayPeruPhilippinesPitcairnPolandPortugalPuerto RicoQatarRomaniaRussian FederationRwandaRéunionSaint BarthélemySaint Helena, Ascension and Tristan da CunhaSaint Kitts and NevisSaint LuciaSaint MartinSaint Pierre and MiquelonSaint Vincent and the GrenadinesSamoaSan MarinoSao Tome and PrincipeSaudi ArabiaSenegalSerbiaSeychellesSierra LeoneSingaporeSint MaartenSlovakiaSloveniaSolomon IslandsSomaliaSouth AfricaSouth Georgia and the South Sandwich IslandsSouth SudanSpainSri LankaSudanSurinameSvalbard and Jan MayenSwedenSwitzerlandSyria Arab RepublicTaiwanTajikistanTanzania, the United Republic ofThailandTimor-LesteTogoTokelauTongaTrinidad and TobagoTunisiaTurkmenistanTurks and Caicos IslandsTuvaluTürkiyeUS Minor Outlying IslandsUgandaUkraineUnited Arab EmiratesUnited KingdomUnited StatesUruguayUzbekistanVanuatuVenezuelaViet NamVirgin Islands, BritishVirgin Islands, U.S.Wallis and FutunaWestern SaharaYemenZambiaZimbabweÅland Islands Country Payment InformationPromotional CodePittsburgh 2025 - Swollen, Atrophic, and Anomalous Oh My! 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