Quiz 15- Neuro Ophthalmology Leave a Comment / By Insight Ophthalmology / 14/01/2025 Welcome to Quiz 15- Neuro Ophthalmology Quiz on Insight Ophthalmology! This quiz comprises 5 MCQs. You will have 7 minutes to complete the quiz. Correct answers will be provided at the end of the quiz. So go ahead and test your insight. All the best! 1. A 55-year-old male presents with slowly progressive vision loss in both eyes over the past 6 months. He reports a poor diet, chronic alcohol use, and a history of taking methanol after an industrial accident. His visual acuity is reduced, and the optic discs appear pale. Which is the most likely diagnosis? Toxic/nutritional optic neuropathy Syphilis Compressive optic neuropathy Post-viral demyelination None 2. A 20-year-old male presents with sudden vision loss in his right eye. A few weeks later, he develops similar vision loss in the left eye. His visual acuity is severely decreased in both eyes, and the discs show telangiectatic vessels. There is a family history of similar vision problems in his maternal uncle. What is the most likely diagnosis? Leber hereditary optic neuropathy (LHON) Optic neuritis Sarcoidosis AION None 3. A 45-year-old female presents with progressive vision loss in her left eye. She also has a history of dry cough, fatigue, and night sweats. Examination reveals moderate visual acuity loss and disc swelling in the left eye. There are signs of uveitis in the same eye. She has no significant past medical history but mentions that she was recently prescribed oral steroids for an inflammatory condition. What is the most likely diagnosis? Sarcoidosis AION Compressive optic neuropathy Syphilis None 4. A 60-year-old male presents with progressive vision loss in both eyes over the past month. He reports no pain but mentions seeing double occasionally. On fundoscopic examination, the discs appear pale, and there is some disc swelling. The patient has a history of headaches and recent unexplained weight loss. Which condition should be considered? Compressive optic neuropathy Optic neuritis Sarcoidosis Syphilis None 5. A 28-year-old woman presents with sudden, unilateral vision loss and pain on eye movement. MRI shows two lesions in the periventricular white matter. Based on the Optic Neuritis Treatment Trial (ONTT), which of the following statements is true regarding the treatment with corticosteroids? Intravenous methylprednisolone followed by oral prednisone accelerates recovery AND has long-term benefits for vision. Oral prednisone as the initial therapy is associated with a reduced recurrence rate. Intravenous corticosteroids reduce the long-term risk of developing multiple sclerosis (MS). Intravenous methylprednisolone followed by oral prednisone accelerates recovery BUT does not have a long-term protective effect against MS. None You have reached the end of this quiz. Please click the Submit button to view the result.
