TQ Quiz | Neuro, Optic Nerve, and Orbit Brainteaser Cases (Nashville 2024) by Events@optometricedu.com | Sep 26, 2024 | 2024 Nashville, TQ Courses | 0 comments "*" indicates required fields 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 60 days past date (Hidden) MM slash DD slash YYYY This field is hidden when viewing the formEvent Date Difference (Hidden)1. In tilted disc syndrome, based on visual field testing, when should further imaging (MRI, CT, etc.) be performed to rule out space occupying lesions around the optic chiasm?* A - When the bilateral defects respect the vertical midline B - When the bilateral defects cross the vertical midline C - When the bilateral defects respect the horizontal midline D - When the bilateral defects cross the horizontal midline 2. Which axis does the nerve appear to be rotated on in tilted disc syndrome?* A - X-axis B - Y-axis C - Z-axis D - Delta-axis 3. What is the most common visual field defect found in patients with tilted disc syndrome?* A - Superior temporal field defects B - Inferior quadrantanopic field defects C - Left-sided quadrantanopic field defects D - Hemianopic field defects 4. What percentage of neurological visual field defects are able to be identified with visual field testing of the central 30 degrees?* A - 1-2% B - 25-30% C - 75-80% D - 98-99% 5. In the presence of a PAINFUL Horner Syndrome, the most likely diagnosis/cause is:* A - Pancoast tumor of the lung B - Internal Carotid Artery Dissection C - Brainstem tumor D - Midbrain tumor 6. In patients with a Horner Syndrome, they historically/typically will present with which of the following clinical findings?* A - Miosis, anhidrosis, ptosis B - Miosis, entropion, dry eye syndrome C - Mydriasis, anhidrosis, ptosis D - Mydriasis, entropion, dry eye syndrome 7. Apraclonidine (Iopidine) can be used to diagnose a Horner Syndrome via the physiologic change of denervation hypersensitivity of the alpha-receptors in the eye. What effect would you expect to see in someone who has been given apraclonidine to verify/confirm a Horner Syndrome?* A - Reversal of anisocoria; improvement of ptosis B - No pupil changes; improvement of ptosis C - Increased forehead sweating; worsening of ptosis D - No pupil changes; worsening of ptosis 8. What is the most common general sign/symptom of an internal carotid artery dissection?* A - Ipsilateral headache B - Subjective bruit C - Cranial nerve palsy D - Death 9. Bilateral internal carotid artery dissections (ICAD) can occur in what percentage of cases?* A - 10% B - 20% C - 30% D - 40% 10. What is the most common cause/etiology of a new onset Horner Syndrome from an internal carotid artery dissection (ICAD)?* A - Whiplash from motor vehicle accident B - Chiropractor neck adjustments C - Holding phone between ear and shoulder D - Vigorous Exercise 11. What percentage of cases of internal carotid artery dissection (ICAD) completely resolve within 3-6 months?* A - 25-30% B - 45-50% C - 70-75% D - 85-90% 12. Over-the-counter products containing naphazoline and pheniramine can cause all of the following except:* A - Pupil dilation B - Angle closure in susceptible individuals C - Pupillary miosis D - Conjunctival blood vessel constriction/decrease redness of eyes 13. What is the mechanism of action for naphazoline and pheniramine in regards to causing pupillary/iris mydriasis?* A - Naphazoline activates the dilator muscle; pheniramine blocks the sphincter muscle B - Naphazoline blocks the dilator muscle; pheniramine activates the sphincter muscle C - Naphazoline activates the dilator muscle; pheniramine activates the sphincter muscle D - Naphazoline blocks the dilator muscle; pheniramine blocks the sphincter muscle 14. In a patient who has been diagnosed with herpes zoster ophthalmicus (HZO), which of the following would considered an acceptable treatment for this condition?* A - Acyclovir 400 mg 5x/day PO x 7 days B - Ganciclovir gel 5x/day in affected eye until resolution C - Valacyclovir 1000 mg TID PO x 7 days D - Viroptic Q2h in the affected eyes 15. To have the largest preventative effect in regards to herpes zoster ophthalmicus (HZO) complications (ie. Post herpetic neuralgia, ocular complications, etc.), what window of time is best to initiate treatment with the appropriate antiviral medication(s)?* A - Within 72 hours (6 days) B - Within 2 weeks (14 days) C - Within 1 month (30 days) D - Within 3 months (90 days) 16. If a person is unfortunate enough to suffer from a herpes zoster ophthalmicus (HZO) induced cranial nerve palsy resulting in diplopia, what is the most likely cranial nerve involved?* A - Oculomotor nerve/CN III B - Trochlear Nerve/CN IV C - Trigeminal Nerve/CN V D - Abducens Nerve/CN VI 17. In patients ≥40 years old, what percentage of people have been exposed to the varicella zoster virus and therefore are at increased risk of shingles/zoster in their lifetimes?* A - 25% B - 50% C - 75% D - 99% 18. In patients diagnosed with non-traumatic orbital cellulitis, what findings would we expect to see on orbital CT imaging?* A - Orbital foreign body, orbital fracture B - Orbital fracture, proptosis C - Sinusitis, orbital fracture D - Sinusitis, proptosis 19. Superior oblique myokymia (SOM) is best described as which of the following?* A - Unilateral, low frequency, large amplitude cyclotorsion of the eye B - Unilateral, high frequency, small amplitude cyclotorsion of the eye C - Bilateral, low frequency, large amplitude cyclotorsion of the eye D - Bilateral, high frequency, small amplitude cyclotorsion of the eye 20. In regards to eyelid myokymia, which of the following are potential treatment options?* A - Topical anticholinergics B - Topical beta-blockers C - Topical alpha-agonists D - Topical carbonic anhydrase inhibitors 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 CodeNashville 2024 - Optic Nerve & Orbit Brainteaser Cases | TQ Credit*After 11/29/2024, pricing will increase to $30. 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