TQ Quiz | It’s About Time: Follow the Guidelines (Sarasota 2025)

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1. Which of the following is the key ophthalmoscopic finding of CRAO?*

A - Cherry red spot

B - Swollen optic disc

C - Multifocal retinal hemorrhages

D - Cystoid macular edema

2. Which of the following ophthalmoscopic presentations of acute transient visual loss with a RAPD does not warrant urgent evaluation?*

A - Cherry red spot

B - Retinal whitening in branch artery distribution

C - Normal fundus

D - Visible retinal embolus

E - All of the above warrant urgent evaluation

3. Which of the following is the name for the visible cholesterol plaque in CRAO/BRAO?*

A - Helmholz

B - Hollenhorst plaque

C - Holly

D - Horst

4. Which of the following is the next most appropriate tests in acute pallid disc edema?*

A - ESR/CRP

B - Renal function

C - TSH/T4

D - CBC

5. In a patient with an acute retinal artery occlusion, what finding would mean that an evaluation for GCA is not indicated?*

A - The patient is over 70 years old

B - It is painless

C - The patient is female

D - There is a visible retinal embolus

6. Which of the following is the most likely cause of acute painless loss of vision, RAPD, sector disc edema in a 49 yo WM with HTN/DM/HLD?*

A - Giant cell arteritis

B - NAION

C - Optic neuritis

D - Papilledema

7. Which of the following is not part of the evaluation for CRAO?*

A - ESR/CRP

B - MRI head and neck

C - NMO antibody

D - Carotid doppler

8. Which of the following causes of acute visual loss does not require admission to the stroke center?*

A - NAION

B - GCA

C - Amaurosis fugax

D - CRAO

9. Which of the following ophthalmoscopic findings is most likely to be calcific emboli?*

A - Refractile, shiny

B - Dull, pale, toothpaste like

C - Single, white, non-scintillating

D - Dark red

10. Which of the following findings is most likely to suggest arteritic over non-arteritic CRAO?*

A - Cherry red spot

B - Cilioretinal artery sparing

C - Choroidal perfusion defect

D - Retina emboli

11. Which of the following is most likely to differentiate arteritic from non-arteritic AION?*

A - Fluorescein angiogram choroidal perfusion defect

B - Perimetric inferior altitudinal defect

C - OCT retinal nerve fiber layer thickening

D - Peripapillary hemorrhages

12. Which of the following is the upper limit for the time window for consideration of thrombolytics in CRAO?*

A - 6 hours

B - 16 hours

C - 26 hours

D - 6 days

13. Which of the following is the best management strategy for acute CRAO?*

A - Admit patients to Stroke service for stroke work up by stroke doctor at stroke center

B - Inpatient work up stroke by yourself

C - Outpatient work up by yourself

D - Call PCP or cardiology to do outpatient evaluation

14. Which of the following is the best management strategy for acute transient monocular visual loss in elderly?*

A - Admit patients to Stroke service for stroke work up by stroke doctor at stroke center

B - Inpatient work up stroke by yourself

C - Outpatient work up by yourself

D - Call PCP or cardiology to do outpatient evaluation

15. Which of the following is the best management strategy for acute BRAO?*

A - Admit patients to Stroke service for stroke work up by stroke doctor at stroke center

B - Inpatient work up stroke by yourself

C - Outpatient work up by yourself

D - Call PCP or cardiology to do outpatient evaluation

16. Which of the following is the best management strategy for acute bilateral optic disc edema in elderly?*

A - Admit patients to Stroke service for stroke work up by stroke doctor at stroke center

B - Inpatient work up stroke by yourself

C - Outpatient work up by yourself

D - Call PCP or cardiology to do outpatient evaluation

17. Which of the following is the best management strategy for acute pallid disc edema in elderly?*

A - Admit patients to Stroke service for stroke work up by stroke doctor at stroke center

B - Inpatient work up stroke by yourself

C - Outpatient work up by yourself

D - Call PCP or cardiology to do outpatient evaluation

18. Which of the following is the standard of care treatment for acute CRAO?*

A - Ocular massage

B - Acute IOP lowering agents

C - Paracentesis

D - There is no standard of care treatment

19. Which of the following is the appropriate counseling information for NAION?*

A - Nothing can be done

B - Admit to hospital

C - Outpatient embolic stroke work up

D - Evaluate and treat vasculopathic risk factors

20. Which of the following is not a typical feature of non-arteritic anterior ischemic optic neuropathy?*

A - Unilateral, acute painless loss of vision

B - Swollen optic nerve (often sector)

C - Vasculopathic risk factors

D - Bilateral and progressive

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Randal Hanson on March 23, 2025 at 4:44 pm

Excellent conference.

TQ Quiz | It’s About Time: Follow the Guidelines (Sarasota 2025)

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