FREE NBEO Continued Professional Development in Optometry Questions and Answers

Question 1

A 7-year-old patient has acute streptococcal erysipelas involving the eyelids. Which of the following is the best oral medication for this patient?

Accepted Answer

Penicillin V

Answer

Tetracycline

Answer

Doxycycline

Answer

Cyclosporine

Question 2

A patient has a mucopurulent discharge from a lesion of the right lower eyelid. Which of the following ophthalmic ointments would be most effective to use if a Gram stain of the discharge reveals predominantly polymorphonuclear leukocytes and Gram-negative organisms?

Accepted Answer

Ciprofloxacin

Answer

Fluorometholone

Answer

Erythromycin

Answer

Sulfacetamide

Question 3

A 78-year-old white female tells you that the vision in her right eye gradually has been worsening for the past 2 months. You find that her best corrected visual acuities are 20/60 OD and 20/20 OS. Ophthalmoscopy and macular OCT reveal hemorrhage due to a subfoveal choroidal neovascular membrane OD. Of the following, which is the best management for this patient's right eye?

Accepted Answer

Intravitreal bevacizumab

Answer

Prednisone

Answer

Direct argon laser photocoagulation

Answer

Follow-up retinal examination in 3 months

Question 4

You place a 21-year-old female on oral tetracycline 250 mg po qid for 30 days. This long-term treatment may cause all of the following side effects, except:

Accepted Answer

ototoxicity.

Answer

skin photosensitivity.

Answer

papilledema.

Answer

gastrointestinal distress.

Question 5

Which 2 of the following are most appropriate in the initial management of an adult male who is experiencing an acute anaphylactic reaction?

Accepted Answer

Administer systemic epinephrine.

Answer

Expose the patient to ammonia inhalants.

Answer

Give the patient orange juice.

Answer

Have the patient breathe into a paper bag.

Answer

Perform the Heimlich maneuver.

Question 6

Patient findings: A 27-year-old female presents after an airbag injury to her right eye the previous day. Examination reveals a relative afferent pupillary defect and light-perception vision OD. The patient's extraocular muscle motility is normal. The IOP is 12 mmHg OD. Other than mild right eyelid chemosis and hematoma, there is no external evidence of trauma. The fundus examination is unremarkable. All findings are normal OS.

Which of the following is the most likely diagnosis?

Accepted Answer

Traumatic optic neuropathy

Answer

Occipital lobe hemorrhage

Answer

Traumatic glaucoma

Answer

Hysterical blindness

Answer

Commotio retinae

Answer

Cortical blindness

Question 7

Patient findings: A 27-year-old female presents after an airbag injury to her right eye the previous day. Examination reveals a relative afferent pupillary defect and light-perception vision OD. The patient's extraocular muscle motility is normal. The IOP is 12 mmHg OD. Other than mild right eyelid chemosis and hematoma, there is no external evidence of trauma. The fundus examination is unremarkable. All findings are normal OS.

Which 2 of the following are least likely to be found on CT scan of the head and orbit?

Accepted Answer

Cerebrospinal fluid leak

Answer

Orbital emphysema

Answer

Optic nerve sheath hematoma

Answer

Bone impingement of the optic nerve

Question 8

Patient findings: A 29-year-old Hispanic female complains of severe itching and redness in her right eye since yesterday when she was weeding her garden. Your examination reveals 3+ eyelid and conjunctival chemosis and 1+ injection OD.

Which of the following is the most likely diagnosis?

Accepted Answer

Allergic conjunctivitis

Answer

Poison ivy dermatoconjunctivitis

Answer

Atopic conjunctivitis

Answer

Vernal keratoconjunctivitis

Question 9

Patient findings: A 29-year-old Hispanic female complains of severe itching and redness in her right eye since yesterday when she was weeding her garden. Your examination reveals 3+ eyelid and conjunctival chemosis and 1+ injection OD.

Which of the following drugs would be least effective in treating her condition?

Accepted Answer

Cromolyn 4%

Answer

Prednisolone acetate 0.12%

Answer

Chlorpheniramine 4 mg

Answer

Olopatadine 0.1%

Question 10

Which of the following best describes an optometrist's ethical obligation when an examination reveals a confidential finding, such as acuity below the minimum requirements necessary to operate a motor vehicle?

Accepted Answer

The optometrist is expected to use the information only for the benefit of the patient.

Answer

The optometrist is obligated to never share the information with anyone.

Answer

The optometrist is obligated to tell the patient the acuity findings, but make no comment about driving.

Answer

The optometrist may divulge the information as he/she deems appropriate.