CME: Ophthalmology (139347): self-assessment questionnaire

• Published in: Clinical medicine (London, England) Vol. 22; no. 2; pp. 117 - 118
• Main Authors: Raharja, Antony, Chowdhury, Tahseen A
• Format: Journal Article
• Language: English
• Published: England Elsevier Ltd 01.03.2022; Royal College of Physicians
• Subjects: CME: Ophthalmology; Diabetes; Diabetic retinopathy; Education, Medical, Continuing; Humans; Hypertension; Ophthalmology; Self-Assessment; Steroids; Surveys and Questionnaires
• ISSN: 1470-2118; 1473-4893
• DOI: 10.7861/clinmed.SAQ.22.2

Which of the following features may be indicative of optic nerve compromise? (a) Blurry vision improving with blinking. (b) Proptosis. (c) Reduced colour vision. (d) Restricted extraocular movement. (e) Visual acuity improvement with pinhole. 4. What first-line treatment should she be offered? (a) Intravitreal steroids. (b) Oral non-steroidal anti-inflammatory drugs. (c) Oral steroids. (d) Topical lubricant drops. (e) Topical steroid drops. 5. What would be the most appropriate next step in his management? (a) Advise the patient about tight control of sugar levels, cholesterol levels and blood pressure, and arrange an early appointment under the diabetic eye clinic. (b) Arrange for an urgent intravitreal injection of anti-vascular endothelial growth factor to the right eye. (c) Arrange for an urgent session of focal photocoagulation to the right eye. (d) Arrange for an urgent session of panretinal photocoagulation to the right eye. (e) Arrange for an urgent vitrectomy to the right eye.