TQ Quiz | Macular Fascinations (Orlando 2025) - Optometric Education Consultants

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1. Hand, Foot and Mouth Disease is caused by which organism:*

A - acanthamoeba (protozoan)

B - fusarium (fungus)

C - mycobacterium (bacteria)

D - coxsackie (virus)

2. Current guidelines suggest using which of the following combinations in testing for hydrochloroquine toxicity of the retina in Caucasian populations?*

A - 10-2 visual field and spectral domain-OCT

B - retinal photography and 24-2 red visual field

C - 24-2 visual field and time domain-OCT

D - mERG and visual acuity (low contrast)

3. Which of the following is an accurate statement regarding central serous chorioretinopathy?*

A - most commonly found in individuals before the age of 18

B - has been associated with the use of oral prednisone

C - is a completely benign condition with no associated morbidity because it resolves in everyone after 6 mos.

D - generally improves quickly with the use of topical or oral steroids

4. The most common cause of retinal macro-aneurysms in an 80 year old patient is:*

A - hypertension

B - blood dycrasia

C - diabetes

D - Fabry’s

5. Rubella antibody detection has been associated with which ophthalmic condition/findings?*

A - Osteogenesis imperfecta

B - Fuch’s hetereochromia iridocyclitis

C - Retinitis pigmentosa

D - Sympathetic ophthalmia

6. Which of the following statement regarding branch artery occlusion (BRAO) is not true?*

A - BRAO can be totally asymptomatic depending on the location of the occlusion.

B - can be a result of IV drug use

C - patients under the age of 50 with a BRAO may have giant cell arteritis

D - paracentesis can be attempted as a treatment option, but is often not successful

7. Neuroretinitis is characterized by optic nerve swelling and exudative macular star. Which of the following is the most common cause?*

A - Bartonella

B - Shigella

C - Mycobacterium

D - Acanthamoeba

8. Candidemia is best treated with:*

A - intravitreal amphotericin and oral voriconazole

B - fortified tobramycin and IV cephalosporin

C - oral amikacin and IV vancomycin

D - oral fluconazole and IV vancomycin

9. Additional medications other than hydroxychloroquine that are capable of producing a “Bull’s eye maculopathy” include:*

A - tamoxifen and aspirin

B - Aralen and Lamprene

C - tea extract and Tylenol

D - Norvasc and Celexa

10. Bilateral macular fluid can be associated with:*

A - a reduced albumin level and Lupus

B - an elevated albumin level and Cushing’s disease

C - low cortisol levels and testicular cancer

D - prolonged use of hydroxychloroquine

11. Which of the following statements relating to Unilateral Acute Idiopathic Maculopathy are (is) true?*

A - can be related to the coxsackie virus

B - usually afflicts older males

C - generally doesn’t have classic dermatologic findings

D - often presents with diffuse Roth spots

12. Chemotherapeutic agents have been shown to have at times significant retinal toxicity. Which of the following drugs have been shown to NOT cause retinal toxicity?*

A - interferon and BRAF inhibitors

B - ankylating agents

C - tamoxifen

D - fluorouracil (5FU)

13. Entoptic phenomenon with symptoms of “flashing lights” can indicate a problem with the following, except:*

A - vitreous traction on the retina

B - melanoma associated retinopathy

C - Grave’s disease

D - dry eye syndrome

14. Paracentral acute middle maculopathy (PAMM) may represent a novel variant of:*

A - acute macular neuro-retinitis (AMR) and is best detected by OCT imaging

B - acute macular neuro-retinitis (AMR) and is easily detected by CT imaging

C - multiple sclerosis and is easily detected by CT imaging

D - multiple sclerosis and is best detected by MR imaging

15. The primary CA site for choroidal metastases in women is the:*

A - lung

B - cervix

C - breast

D - colon

16. Mineralcorticoid receptor anagonists may aid in recalcitrant central serous chorioretinopathy. Which is essential to monitor periodically while the patient is using these medications?*

A - ESR (sed rate)

B - K+ serum levels

C - Ca+ serum levels

D - platelet levels

17. The “new Plaquenil” medication used for interstitial cystitis that has a similar macular toxicity effect is:*

A - pentosan polysulfate sodium (Pentosan)

B - aspirin

C - Trulicity

D - Lexapro

18. Large retinal pigmented epithelial detachments (PED) may require genetic testing if found in younger individuals for a concern for which disease?*

A - Stargardt

B - Best

C - geographic atrophy

D - Avelino

19. Which group should have a 24-2 field (rather than 10-2) for assessing for ant-malarial drug toxicity?*

A - Caucasians

B - Hispanic

C - Asians

D - American indians

20. Retrograde GCC loss from an occipital lesion (posterior to the lateral geniculate body) would take approximately how long to appear on OCT assessment?*

A - 2 weeks

B - 1 mo. (4 weeks)

C - 3 mos. (12 weeks)

D - may take up to one year (52 WEEKS)

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