Discussion: Macular Degeneration
Discussion: Macular Degeneration
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Question 25
On routine screening you notice that the cup-to-disc ratio of the patient’s right eye is 1:2 What ocular condition should you suspect?
A) Macular degeneration
B) Diabetic retinopathy
C) Hypertensive retinopathy
D) Glaucoma
Question 26
MrsHill is a 28-year-old African-American with a history of SLE (systemic lupus erythematosus) She has noticed a raised, dark red rash on her legs When you press on the rash, it doesn’t blanch What would you tell her regarding her rash?
A) It is likely to be related to her lupus
B) It is likely to be related to an exposure to a chemical
C) It is likely to be related to an allergic reaction
D) It should not cause any problems
Question 27
A 47-year-old contractor presents for evaluation of neck pain, which has been intermittent for several years He normally takes over-the-counter medications to ease the pain, but this time they haven’t worked as well and he still has discomfort He recently wallpapered the entire second floor in his house, which caused him great discomfort The pain resolved with rest He denies fever, chills, rash, upper respiratory symptoms, trauma, or injury to the neck Based on this description, what is the most likely pathologic process?
A) Infectious
B) Neoplastic
C) Degenerative
D) Traumatic
Question 28
A 28-year-old patient comes to the office for evaluation of a rash At first there was only one large patch, but then more lesions erupted suddenly on the back and torso; the lesions itch On physical examination, you note that the pattern of eruption is like a Christmas tree and that there are a variety of erythematous papules and macules on the cleavage lines of the back Based on this description, what is the most likely diagnosis?
A) Pityriasis rosea
B) Tinea versicolor
C) Psoriasis
D) Atopic eczema
Question 29
Which of the following changes are expected in vision as part of the normal aging process?
A) Cataracts
B) Glaucoma
C) Macular degeneration
D) Blurring of near vision
Question 30
You are examining an unconscious patient from another region and notice Beau’s lines, a transverse groove across all of her nails, about 1 cm from the proximal nail fold What would you do next?
A) Conclude this is caused by a cultural practice
B) Conclude this finding is most likely secondary to trauma
C) Look for information from family and records regarding any problems which occurred 3 months ago
D) Ask about dietary intake
