EMQ: 23
Lesions seen on ophthalmoscopy
a)
Papilloedema
b)
Papillitis
c)
Optic atrophy
d)
Glaucoma
e)
Central retinal artery occlusion
f)
Angioid streaks
g)
Central retinal vein occlusion
h) Choroidoretinitis
i)
Retinitis pigmentosa
j)
Drusen
1) On examination of the fundus you note yellowish-white
patchy exudates and haemorrhages
Answer: h) choroidoretinitis
These are the typical features of acute choroidoretinitis
2) On examination of the fundus you note that the optic
cup is filled. The disc is more pink than normal. The margins of the disc are
difficult to define. The veins are engorged and non-pulsatile. The blood
vessels disappear as the traverse the edge of the disc.
Answer: a) papilloedema
These are the typical features of papilloedema
3) On examination of the fundus you note multiple
discrete yellowish-white spots around the macula and the posterior aspect of
the retina
Answer: j) drusen
These are the typical features of drusen
4) On examination of the fundus you note that the optic
cup is deep. The blood vessels appear to climb out of the cup which looks like
a well
Answer: d) glaucoma
This is the typical appearance of glaucoma
5) On examination of the fundus you note that the disc
looks pale .the number of blood vessels crossing the discs is reduced
Answer: c) optic atrophy
This is the typical appearance of optic atrophy
Revision Tip
Read up the description and causes of lesions in the
fundus ACES for PACES pages 474-478
