TQ Course | 2022 Real World Retina (Orlando 2022) by Optometric Education Consultants | May 20, 2022 | 2022 Orlando, TQ Courses | 0 comments Hidden2022 Real World RetinaHiddenDate (Hidden) MM slash DD slash YYYY HiddenEvent Date (Hidden) MM slash DD slash YYYY HiddenEvent 60 days past date (Hidden) MM slash DD slash YYYY HiddenEvent Date Difference (Hidden)1. What percentage of patients with type 2 diabetes are estimated to have diabetic retinopathy on initial dilated examination with an eye doctor?* a. 10% b. 20% c. 30% d. 40% e. 50% 2. How often should a pregnant patient with diabetes be screened?* a. Prior to pregnancy b. 2rd trimester c. 3rd trimester d. Prior to pregnancy, every trimester, and 1 year post-partum e. After delivery 3. Why is the fovea (cherry red spot) not white?* a. There is a prominent blood vessel at the fovea. b. There is no RNFL or ganglion cell layer at the fovea so the intact choroidal circulation stands out in contrast to the surrounding opacified retina. c. The RPE changes color at the fovea. d. The RNFL changes color at the fovea. 4. What is the estimated risk of stroke after onset of CRAO?* a. 10x increased risk within 1 week, 1x increased risk within 30 days b. 20x increased risk within 1 week, 3x increased risk within 30 days c. 40x increased risk within 1 week and 6x increased risk within 30 days d. 60 x increased risk within 1 week, 9x increased risk within 30 days 5. Which of the following OCT findings can help distinguish an acute CRAO from an acute CRVO?* a. CRAO has diffuse thickening of all retinal layers; CRVO has thickening of only the inner retinal layers. b. CRAO has diffuse thickening of only the inner retinal layers; CRVO has thickening of only the outer retinal layers. c. CRAO has diffuse thickening of only the outer retinal layers; CRVO has thickening of the inner retinal layers. d. CRAO has thickening of the inner retinal layers; CRVO has thickening of all retinal layers. 6. Due to increased AV crossings in this area, which retinal quadrant has the highest incidence of branch retinal vein occlusion?* a. Superotemporal retina b. Superonasal retina c. Inferotemporal retina d. Inferonasal retina 7. Which of the following macular conditions can mimic macular degeneration?* a. Adult Vitelliform macular dystrophy b. Juxtafoveal telangiectasia c. Central serous chorioretinopathy d. All of the above e. A and B only 8. Choroidal neovascular membranes are associated with which of the following conditions?* a. Age Related Macular Degeneration b. Adult Vitelliform macular dystrophy c. Juxtafoveal telangiectasia d. Central serous chorioretinopathy e. All of the above f. A and B only g. A and C only h. A and D only 9. For patients who recently underwent retinal detachment repair with a gas bubble, what post-operative restrictions apply?* a. Avoid watching television b. Avoid reading c. No air travel or ascending to high altitudes d. Avoid walking around 10. What refractive change does silicone oil cause in a phakic eye?* a. Acts as a minus lens, increases myopia b. Acts as a minus lens, increases hyperopia c. Acts as a plus lens, increases myopia d. Acts as a plus lens, increases hyperopia 11. What are potential complications of one piece acrylic IOL placement in the sulcus?* a. Pigment dispersion b. UGH syndrome- uveitis, glaucoma, hyphema c. Cystoid macular edema d. All of the above e. A and B only f. B and C only 12. DRCR Protocol T showed which of the following:* a. For the treatment of DME all 3 agents: bevacizumab, ranibizumab, and aflibercept showed substantial improvement when baseline VA was better than 20/40. b. For the treatment of AMD all 3 agents: bevacizumab, ranibizumab, and aflibercept showed substantial improvement when baseline VA was better than 20/40. c. For eyes with VA worse than 20/50 aflibercept was superior to ranibizumab and bevacizumab at 1 year follow up. d. For eyes with VA worse than 20/50 ranibizumab was superior to aflibercept and bevacizumab at 1 year follow up. e. A and D f. B and D g. A and C h. B and C 13. What clinical factors reduce the risk and increase success for vitrectomy surgery for visually significant opacities?* a. Pseudophakic status b. Posterior vitreous detachment present on exam c. Symptoms present for at least 6 months d. All of the above 14. Which of the following conditions Is most likely to be associated with hemorrhage at all three levels including preretinal, intraretinal, and subretinal?* a. Diabetic retinopathy b. Age-related macular degeneration c. Retinal Arterial Macroaneurysm d. Retinal Vein Occlusion 15. What are signs to clinically distinguish retinoschisis from retinal detachment?* a. Retinoschisis tends to be associated with myopia. b. Retinoschisis has a dome shaped appearance with “shimmering” overlying retina. c. Retinoschisis presents with a relative scotoma on visual field testing. d. Retinoschisis does not blanche with laser. 16. On average scleral buckles induce how many diopters of myopic shift?* a. 1-2 D b. 2-4 D c. 3-5 D d. 6-8 D 17. Which of the following is true regarding results from Protocol S?* a. Anti-VEGF is an effective treatment alternative to panretinal photocoagulation (PRP) for Proliferative Diabetic Retinopathy (PDR). b. PRP resulted in improved visual acuity (VA) compared to anti-VEGF for PDR. c. Anti-VEGF is an effective treatment alternative to PRP for Central Retinal Vein Occlusion (CRVO). d. PRP resulted in improved VA compared to anti-VEGF for CRVO. 18. What ocular side effects are associated with intravitreal steroid injections?* a. Elevated IOP b. Cataract formation c. Macular edema d. All of the above e. A & B 19. What is the most common cause of macular hole formation?* a. Blunt Ocular Trauma b. Vitreomacular traction c. Retinal Detachment d. Macular pucker 20. Evidence based medicine supports which of the following methods as an effective management for CRAO?* a. Lowering eye pressure with anterior chamber tap b. Ocular massage c. Breathing in paper bag d. All of the above e. 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