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EYE Q                  Ophthalmology Quiz RIOGOH                    4 September 2010
OUTLINE ROUND 1: HALL OF FAME ROUND 2 &3: SYSTEMIC ASSOCIATIONS ROUND 4: CONNECT ROUND 5: DISCOVERIES ROUND 6: INVESTIGATIONS ROUND 7: RETINA ROUND 8: EYE DONATION ROUND 9: PERSONALITY ROUND 10: RAPID FIRE
ROUND 1 : HALL OF FAME RULES ,[object Object]
Name his contribution towards ophthalmology
10 points for identifying the personality
10 points for the contribution
TOTAL                    20 POINTS
On passing 5 each,[object Object]
CHARLES KELMAN INVENTED THE PHACOEMULSIFICATION  TECHNIQUE FOR CATARACT EXTRACTION
2
SUSRUTA 1ST TO PERFORM CATARACT EXTRACTION (couching)
3
SIR HAROLD RIDLEY 1ST  PERSON TO IMPLANT ARTIFICIAL LENS  INTO HUMAN EYE ON 8th FEB 1950
4
VON GRAEFE INVENTED  VON GRAEFE KNIFE FOR CATARACT EXTRACTION , MADE CONTRIBUTIONS TO  GLAUCOMA SURGERIES
CHARLES SCHEPENS  INVENTED THE INDIRECT OPTHALMOSCOPE
ROUND 2& 3: SYSTEMIC ASSOCIATIONS  Systemic conditions with ophthal manifestations Identification of condition carries 10 points Each question carries 5 points TOTAL                        20 POINTS On passing 5 for diagnosis & 3 for each question
1
What is the CD4 count below which CMV retinitis manifests? What is HAART?
Counts below 50 /cu mm Highly Active Antiretroviral Therapy      - 2NNRTI + 1 PI
2
Name the person who identified the condition? How do u differentiate it from retinoblastoma with respect to age & sex?
George Coats Between 5-10 yrs  in boys
3
What is the 3rd component of the above syndrome? What is choristoma?
Vertebral – Scoliosis Normal tissue in an Abnormal location
4
Name 3 drugs which cause this condition. Identify & mention the ocular manifestation
NSAIDS, SULPHA , PHENYTOIN DRY EYE WITH SYMBLEPHARON
5
What is the slit lamp finding? What is HARADA’S DISEASE ?
Mutton Fat KP’s Neurological features & Exudative Retinal Detachment
6
How does  lens subluxation  differ  from Marfans? What is CTR ?
Inferonasal while in Marfan’s it is Superotemporal Capsular Tension Ring used in the management of subluxated lenses
7
What is Hutchinson’s sign? What is Nummular keratitis?
If the tip of the Nose is involved then Cornea is likely to  be involved as both are supplied by Nasociliary branch of Trigeminal. Immune reaction characterised by subepithelial deposits surrounded by a stromal haze.
8
Why is it called buphthalmos ?What is the gene responsible ? What is the normal corneal diameter at birth? What is the average corneal dia in buphthalmos?
Ox eye.   Cyp 1B1 gene 9.5 – 10.5 mm,  > 11.5mm is Buphthalmos
Gancyclovir implant in CMV Retinitis.
Demetacious Fungi Alternaria Cladosporum Curvularia
ROUND 4: CONNECT FIND OUT THE CONNECTION BETWEEN THE PICTURES GIVEN  WITHIN   1 MIN EACH CONNECTION  IS A SPECIFIC OPHTHALMIC CONDITION VALID EXPLANATION FOR EACH PICTURE IS MANDATORY 20 POINTS FOR THE RIGHT ANSWER ON PASSING  10 POINTS
Night blindness Bone spicule Waxy pallor                RETINITIS PIGMENTOSA
Cone Intac rings Oil droplet reflex                KERATOCONUS
Cataract Shield Eczema        SHIELD CATARACT                              - ATOPIC DERMATITIS
Smoke Stack  Ink blot in FFA Positive Scotoma    CENTRAL SEROUS CHORIORETINOPATHY
t
Cupping Bayonetting Increased pressure                        GLAUCOMA
OC (Tamil) Tea Infrared technology OPTICAL COHERENCE TOMOGRAPHY
ROUND 5:  DISCOVERIES Each question is visual Each question carries 10 points On passing 5 points
1
ALVAR GULLSTRAND
2
VON HELMHOTZ
3
RANGASAMY SRINIVASAN
4
FRIEDENWALD NOMOGRAM
ROUND 6 :INVESTIGATIONS Each question is an Equipment used in Ophthalmic Evaluation . Identification gets 10 points  Indication gets 10 points  TOTAL                    20 POINTS On passing each carries 5
1
Identify What is it indicated for ?
Corneal topography To diagnose early keratoconus     To quantify irregular astigmatism, to evaluate changes in corneal shape before & after refractive surgery
2
Identify What is the earliest field defect in glaucoma?
Humphrey field analyser Isolated paracentralscotoma
3
Identify What are the 3 components of BSV ?
Synaptophore Simultaneous perception, Fusion & Stereopsis
4
What is this instrument used for ? What is the count below which the there is a risk of endothelial decompensation?
To measure the endothelial cell count Counts below 1000 are associated with a risk of endothelial decompensation
CONNECT
ROUND 7: RETINA Identification of the RETINAL PATHOLOGY  10 points Each question carries 10 points TOTAL      20 POINTS On passing 5 points for each
1 CRAO   -  SPARING OF CILIO RETINAL ARTERY
Cilio retinal artery is a branch of________
           POSTERIOR CILIARY ARTERY
2 PAPILLEDEMA
What is Foster Kennedy Syndrome ?
Ipsilateral Optic atrophy & ContralateralPapilledema Seen in Olfactory groove Meningioma & Frontal lobe tumors
3 RETINOBLASTOMA
What is KNUDSONS 2 HIT HYPOTHESIS ?
   Normally there are 2 copies of Tumor Supressor Genes ,either mutation or deletion of BOTH GENES ALONE will lead to manifestation of RETINOBLASTOMA
4 HYPERTENSIVE RETINOPATHY
What are ELSCHNIG’S SPOTS & SIEGRISTS STREAKS ?
Elschnig’s spots are focal choroidal infarcts seen in Hypertensive Retinopathy Siegrists streaks -In chronic hypertension choroidal arterioles are sclerosed & capillaries attenuated.
           POSTERIOR SCLERITIS EXUDATIVE RD                T SIGN
CONNECT
Scrambled egg “All the Best” Net – Greek name for RETINA        BEST MACULAR DYSTROPHY
ROUND 8: EYE BANKING Each question  pertaining to the visual carries      10 points  On passing 5 points
Who was the 1st person to perform a successful corneal transplant ?
          Edmund KonradZirm
For how many days can we store the corneoscleral button in this medium ?
McCAREY KAUFMAN MEDIUM 2-3 DAYS
Where was the 1st eye bank started in INDIA? By whom was it started ?
       RIOGOH CHENNAI Dr.R.E.SMuthaiah
What is DALK & DSEK ? Advantage of DALK over penetrating keratoplasty?
DEEP ANTERIOR LAMELLAR KERATOPLASTY DESCEMET’S STRIPPING ENDOTHELIAL KERATOPLASTY Chances of graft rejection are less in DALK
What is the culture medium used for isolating the organism?
Non nutrient agar with E Coli overlay
All are contraindications for eye donation except HIV, HPV, HCV Leukemias ,Lymphomas Death above 60 yrs Death due to an unknown cause
Minimal residual corneal thickness after LASIK?
         What is the mode of inheritance ?
Jose Barraquer- Father of Modern Refractive Surgery 400 microns
AutosomalRecesssive
ROUND 9: RAPID FIRE Maximum of 10 questions would be asked in 1 min duration  Each correct answer gets 5 points
ROUND 10: PERSONALITY 3 CLUES would be given for each of the following famous PERSONALITY On identification  with 1st clue + 20 points          Wrong answer                         -10 points With 2nd clue                                 +10 points            wrong answer                         -5 points With 3rd clue                                   + 5
EACH PERSONALITY IS RELATED TO OPHTHALMOLOGY  / OPHTHAL CONDITION
“Against brute force & injustice the people will have the last word ,that of VICTORY” Authored the best selling book “The Motorcycle Diaries”-  travelogue around Latin America First name is ERNESTO
He studied medicine at University of Edinburgh. Since his practice was not successful, while waiting for patients he began writing stories. He modelled the central character in his stories on his Professor , impressed by his observation , inference & deduction skills. Author of “ The Adventures of Sherlock Holmes”
AUTHOR CONAN DOYLE
He became the Youngest person to Captain the Indian Cricket Team  In 1969 he married a Bollywood actress Nicknamed  “ TIGER”
M.A.K PATAUDI

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