Quiz 17- Neuro Ophthalmology Leave a Comment / By Insight Ophthalmology / 21/01/2025 Welcome to Quiz 17- 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. Which of the following is recommended for the investigation of third nerve palsy (III nerve palsy)? Routine blood tests for glucose and lipid levels Emergency neuroimaging (MRI with MRA or high-resolution CTA) Only lumbar puncture (LP) for oligoclonal bands No investigations are required if the palsy is pupil-sparing None 2. A 50-year-old male presents with a third nerve palsy following a traumatic injury. On examination, you observe that when the patient looks downward, the upper eyelid retracts, a phenomenon known as pseudo von Graefe sign. This finding essentially rules out the possibility of: Diabetic third nerve palsy Posterior communicating artery aneurysm Aberrant regeneration due to trauma Meningioma None 3. A 56-year-old man with a history of hypertension presents with a painful third nerve palsy. After imaging, a posterior communicating artery aneurysm is diagnosed. Which of the following is the most appropriate management step for this patient? Immediate referral to neurology for conservative management Endovascular treatment options like coils or balloons for aneurysm management Observation and follow-up after 4 months Surgical decompression of the optic nerve None 4. The most frequent cause of acquired fourth nerve palsy in adults is: Tumor Trauma Vascular Idiopathic None 5. Which of the following best describes the characteristic diplopia seen in fourth nerve palsy? Horizontal and torsional; worse on upgaze Vertical and torsional; worse on downgaze Vertical and horizontal; worse on lateral gaze Horizontal and torsional; worse on downgaze None You have reached the end of this quiz. Please click the Submit button to view the result.
