TQ Quiz | Eye on Neuro-Op Disease (Sarasota 2026) - Optometric Education Consultants

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1. What is the term used for a sudden temporary painless loss of vision?*

a. Ocular ischemic syndrome

b. Amaurosis fugax

c. Spastic torticollis

d. Central artery occlusion

2. Medically speaking, what is amaurosis fugax really?*

a. A benign event

b. A permanent occlusion of retinal arteries

c. A transient retinal ischemic event similar to a cerebral TIA

d. Poor blood flow through the carotid arteries

3. When trying to spot a stroke, what dies the “E” in BEFAST stand for?*

a. Eye

b. Emergency

c. Event

d. Embolism

4. With transient vision loss, when is the highest risk of stroke*

a. Within the next few days

b. Within the next few weeks

c. Within the next few months

d. There really is no increased risk of stroke in these individuals

5. When assessing patients with transient vision loss, which step is typically not needed?*

a. Ask GCA symptoms and document + and –

b. Perform optical coherence tomography

c. Look at the retina but be careful with epinephrine drops

d. Check the patient’s blood pressure

6. What is the most common cause of transient vision loss?*

a. Embolic from carotid

b. Cardioembolic (afib)

c. Vasculitis (GCA)

d. Carotid dissection (Horner syndrome)

7. Which of the following is not a possible therapy for patients with transient vision loss?*

a. If cerebral ischemia found possible clot buster meds or clot removal

b. Antiplatelet therapy

c. Blood pressure meds

d. Intraocular pressure reduction and neuroprotection with brimonidine

8. What is the minimum age to consider giant cell arteritis?*

a. 40 years

b. 50 years

c. 60 years

d. 70 years

9. What percentage of patients with arteritic vision loss will progress to bilateral involvement and potential blindness?*

a. 15%

b. 25%

c. 50%

d. 65%

10. What is the average rate of time for patients with arteritic vision loss to progress to bilateral involvement and potential blindness?*

a. 1 day

b. 10 days

c. 30 days

d. 45 days

11. What is the typical type of visual field loss in a patient with arteritic anterior ischemic optic neuropathy (AAION)?*

a. Inferior altitudinal scotoma

b. Superior altitudinal scotoma

c. Central scotoma scotoma

d. Inferior arcuate scotoma

12. What is the typical type of visual field loss in a patient with non-arteritic anterior ischemic optic neuropathy (NAAION)?*

a. Inferior altitudinal scotoma

b. Superior altitudinal scotoma

c. Central scotoma scotoma

d. Inferior arcuate scotoma

13. Which of the following is not a blood test typically not needed to diagnose giant cell arteritis?*

a. A1C

b. ESR

c. CRP

d. Platelets

14. Which of the following is considered a very common manifestation of giant cell arteritis?*

a. Central retinal artery occlusion

b. Cotton wool spots

c. Anterior ischemic optic neuropathy

d. Ocular ischemic syndrome

15. Which of the following is considered to be the biggest risk factor for developing non-arteritic anterior ischemic optic neuropathy (NAAION)?*

a. Use of a GLP-1 drug like semaglutide (Ozempic)

b. Use of an erectile dysfunction medication such as sildenafil (Viagara)

c. Diabetes

d. Having a small crowded optic disc

16. Which potential diplopia etiology localizes to the neuromuscular junction?*

a. Thyroid eye disease

b. Orbital inflammatory pseudotumor

c. Myasthenia gravis

d. Phoria decompensation

17. Which of the following is the most common ACQUIRED cranial nerve palsy overall?*

a. CN II palsy

b. CN III palsy

c. CN IV palsy

d. CN VI palsy

18. Which cranial nerve palsy presents with horizontal diplopia worst at distance and in Abduction?*

a. CN III palsy

b. CN IV palsy

c. CN VI palsy

d. CN VII palsy

19. Which of the following diagnostic tests is not considered useful in assessing neurogenic diplopia?*

a. MRI WWO contrast

b. CTA or MRA

c. CT/CTV

d. Plain CT Head

20. Which of the following would not be expected in patients with thyroid eye disease?*

a. Proptosis

b. Restrictive Myopathy

c. Pupillary paralysis

d. Compressive optic neuropathy

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