Board Certified Ophthalmologist Board Certified Ophthalmologist Pediatric Ophthalmology and Strabismus Questions and Answers 3

Question 1

What is the Parks-Bielschowsky three-step test used to diagnose?

Accepted Answer

Cyclovertical muscle palsies

Answer

Horizontal rectus muscle palsies

Answer

Convergence insufficiency

Answer

Accommodative esotropia

Question 2

A child with intermittent exotropia who maintains alignment most of the day but deviates when tired or daydreaming is best classified as having which subtype?

Accepted Answer

Basic type

Answer

Divergence excess type

Answer

Convergence insufficiency type

Answer

Simulated divergence excess type

Question 3

Which finding on examination is pathognomonic for Duane retraction syndrome Type I?

Accepted Answer

Globe retraction with narrowing of the palpebral fissure on adduction

Answer

Limitation of elevation in adduction

Answer

Inability to depress the eye in adduction

Answer

Exotropia worse at near

Question 4

What is the preferred initial treatment for a 3-year-old with unilateral amblyopia and visual acuity of 20/80 in the amblyopic eye?

Accepted Answer

2 hours per day of patching the sound eye

Answer

Full-time occlusion of the sound eye

Answer

Immediate strabismus surgery

Answer

Atropine penalization daily in both eyes

Question 5

Which inherited condition causes bilateral lens subluxation superiorly and temporally and is associated with tall stature?

Accepted Answer

Marfan syndrome

Answer

Homocystinuria

Answer

Weill-Marchesani syndrome

Answer

Ehlers-Danlos syndrome

Question 6

A 2-year-old presents with leukocoria in the right eye. What is the most important diagnosis to rule out first?

Accepted Answer

Retinoblastoma

Answer

Congenital cataract

Answer

Coats disease

Answer

Persistent fetal vasculature