Chapter 16
Name of line of miniscalpel blades used in ophthalmology and ENT
Beaver
Which of the following is a pharmacologic agent that constricts the pupil of the eye? A. acetylcholine B. atropine C. betamethasone D. viscoelastic
acetylcholine
Cryotherapy uses which of the following to seal retinal tears and holes? A. cold B. heat C. monopolar current D. ultrasonic energy
cold
Which of the following is the term for "crossed eyes"? A. amblyopia B. estropia C. myopia D. presbyopia
estropia
A trephine is used in which ophthalmologic procedure? A. dacryocystorhinostomy B. enucleation C. keratoplasty D. strabismus correction
keratoplasty
Into which structures do the lacrimal ducts drain tears? A. ethmoid sinuses B. maxillary sinuses C. nasal cavity D. oropharynx
nasal cavity
How many tunics comprise the structure of the globe of the eye? A. one B. two C. three D. four
three
For which surgical procedure would an Fragmatome be used? A. vitrectomy B. enucleation C. keratoplasty D. strabismus correction
vitrectomy
Which of the following is an intraocular procedure? A. chalazion repair B. entropian repair C. strabismus correction D. vitrectomy
vitrectomy
What is the name of the gelatin-like fluid that fills the posterior cavity of the eye? A. aqueous humor B. crystalline lens C. lacrimal fluid D. vitreous humor
vitreous humor
If looking at the right eye of a patient and assigning clock positions of 12, 3, 6, and 9 o'clock to the rectus eye muscles, which of the following would be CORRECT? A. 12 = superior; 3 = medial; 6 = inferior; 9 = lateral B. 12 = superior; 3 = lateral; 6 = inferior; 9 = medial C. 12 = inferior; 3 = medial; 6 = lateral; 9 = superior D. 12 = inferior; 3 = lateral; 6 = medial; 9 = superior
12 = superior; 3 = medial; 6 = inferior; 9 = lateral
Type of drape with a rounded fenestration and adhesive backing; used when procedure involves the globe of the eye
Aperture
Which sterile irrigation fluid is used for ophthalmic procedures? A. BSS B. D5W C. H2O D. NACL
BSS
Which of the following names represents an eye speculum that resembles an uncoiled metal paper clip? A. Barraquer B. Castroviejo C. Desmarres D. McPherson
Barraquer
Where would a Veirs rod be placed to relieve or prevent obstruction? A. canaliculus B. choroid body C. conjunctiva D. crystalline lense
Canaliculus
Angular junction of the eyelids at either corner of the eye
Canthus
Which of the following is the name of locking or nonlocking needle holders frequently used in ophthalmology? A. Bishop-Harmon B. Castroviejo C. Colibri D. Desmarres
Castroviejo
What is the name of the structure that is a small depression containing only cones and has the highest visual acuity? A. ciliary body B. central fovea C. choroid coat D. crystalline lens
Central fovea
Which structure has four layers: epithelial cells, substantia propria, elastic lamina, and endothelial cells? A. cornea B. crystalline lens C. macula D. retina
Cornea
Hereditary, progressive, noninflammatory disease of the anterior surface of the eye; diagnostic indication for keratoplasty
Corneal dystrophy
Unit of measurement of the optical power of a magnifying lens
Diopter
Visual defect in which one object is seen in duplicate; treated with adjustable suture technique of strabismus
Diplopia
In which of the following procedures would sutures most likely NOT be necessary? A. extracapsular cataract extraction B. intracapsular cataract extraction C. recession/resection strabismus correction D. vitrectomy with scleral buckle
Extracapsular cataract extraction
Gas injected into the posterior cavity of the eye following vitrectomy is more stable and requires fewer restrictions of a patient with regard to positioning and altitude than silicone oil.
False
Overhead OR spotlights should be placed on highest setting to provide necessary illumination during intraocular procedures.
False
What is the name of the membrane that contains and encloses the vitreous humor in the posterior cavity? A. ciliary body B. conjunctiva C. hyaloid D. sclera
Hyaloid
Which of the following represents the replacement device for the cataract lens in the eye? A. IOC B. IOL C. IOP D. IUD
IOL
Which of the following scissors would NOT be used for ophthalmologic procedures? A. Jorgenson B. McPherson-Vannas C. Stevens tenotomy D. Wescott
Jorgenson
Which procedure may be done in conjunction with vitrectomy if the surgeon is unable to gain visualization of the posterior cavity of the eye? A. enucleation B. iridectomy C. keratoplasty D. lensectomy
Lensectomy
What is the condition of the lens that is treated by cataract extraction? A. abraded B. detached C. lacerated D. opacified
Opacified
What is the name of the opening created in the outer tunic for insertion of the infusion cannula for excision of vitreous? A. dacryocystorhinostomy B. iridotomy C. sclerotomy D. vitrectomy
Sclerotomy
Which type of needle is frequently used in ophthalmologic procedures? A. 1/2 circle blunt B. 5/8 circle taper C. straight Keith D. spatula
Spatula
Type of drape sheet with "U" configuration and adhesive edged "legs"; used for procedures requiring broader access to extraocular areas
Split
Thick connective tissue structure that provides integrity to the shape of the eyelid: may be repositioned in entropian repair
Tarsal plate
Porous, circumferential band of tiny canals through which the aqueous humor drains
Trabecular Meshwork
Cataracts are categorized as a general condition of aging rather than a disease process.
True
Donor corneas must be screened for HIV, HBV, and CJD prior to transplant.
True
The surgical technologist must develop the ability to transfer very small, delicate instruments into the surgeon's hand in a functional manner so that he or she does not have to look away from the microscope.
True
Variable-rate, reciprocating, and cutting-tip hand piece attached to suction
Vitrector
What is the portion of the eye between the cornea and the iris in which aqueous fluid flows and nourishes tissues? A. anterior chamber B. posterior chamber C. fovea D. macula
anterior chamber
What passes through the canal of Schlemm? A. aqueous humor B. vitreous humor C. lacrimal fluid D. optic nerve
aqueous humor
What is another name for the traction sutures used to manipulate the globe of the eye? A. bridle B. buckle C. retention D. tunic
bridle
What is another name for a cystic structure caused by an inflammatory response to material trapped in a meibomian gland? A. cataract B. chalazion C. ectropian D. entropian
chalazion
Which of the following is NOT used for visualization in ophthalmologic procedures? A. colposcope B. loupes C. microscope D. ophtalmoscope
colposcope
Which structure of the eye is the thin, transparent lining of the inner surface of the eyelid and covers the sclera? A. conjunctiva B. cornea C. lens D. limbus
conjunctiva
What structure is avascular, external, and its function is to refract light rays? A. iris B. sclera C. retina D. cornea
cornea
Which two structures form the external tunic of the globe of the eye? A. pupil and iris B. cornea and sclera C. macula and retina D. ciliary body and choroid coat
cornea and sclera
Which of the following techniques uses a laser to treat retinal tears or proliferative diabetic retinopathy? A. endophotocoagulation B. keratoplasty C. phacoemulsification D. trephination
endophotocoagulation
Which of the following is an inward turning of the eyelid with resulting corneal irritation? A. cataract B. chalazion C. ectropian D. entropian
entropian
Which procedure done on an eye with internal malfunction or loss of contents and no possible recovery of sight provides better mobility and cosmetic result with a prosthetic eye? A. iridectomy B. enucleation C. evisceration D. recession
evisceration
What is the term for the six muscles that provide movement of the eye? A. accessory B. extrinsic C. intrinsic D. involuntary
extrinsic
All of the following are methods of intraocular lens insertion EXCEPT: A. fan-folded through small incision B. flat, original shape through larger incision C. folded in half through medium incision D. rolled up and passed through small tube
fan-folded through small incision
Which procedure surgically treats glaucoma? A. enucleation B. iridectomy C. keratoplasty D. scleral buckle
iridectomy
Which structure of the eye is colored and its muscles constrict or relax to control the amount of light entering the pupil? A. fovea B. iris C. lens D. macula
iris
Perfluoropropane and sulfur hexafluoride are used to: anesthetize the eye constrict the pupil keep pressure on the retina prevent post-op infections
keep pressure on the retina
Tetracaine drops are used in ophthalmologic procedures to: A. fill the posterior cavity to prevent retinal detachment B. numb the surface of the eye and surrounding structures C. irrigate the cornea to prevent drying and abrasions D. flush traumatic laceration tissue to prevent post-op SSI
numb the surface of the eye and surrounding structures
Which instrument is used to remove the cataract lens in preparation for intraocular lens placement? A. CUSA B. trephine C. ocutome D. phacoemulsification hand piece
phacoemulsification hand piece
Which procedure involves adjusting sutures after the patient has recovered completely from anesthesia, but within 24 hours? A. chalazion repair B. dacryocystorhinostomy C. entropian repair D. recession/resection
recession/resection
What kind of anesthetic block is used for a vitrectomy procedure? Bier spinal caudal retrobulbar
retrobulbar
Which retinal structure allows for perception of general shapes and shades of gray in dim light? cones fovea rods macula
rods
Which substance is used following vitrectomy for long-term support of the retina with fewer restrictions on position? A. BSS B. silicone oil C. hydroxyapatite D. perfluoropropane
silicone oil
Misalignment or deviation from coordinated movement of the eyes is: A. astigmatism B. macular degeneration C. retinal detachment D. strabismus
strabismus
How would a definitive diagnosis of detached retina be obtained if hemorrhage is present in the eye? A. angiography B. CT scan C. direct view with ophthalmoscope D. surgical vitrectomy
surgical vitrectomy
The normal condition of the lens of the eye is: A. opaque and biconcave B. opaque and biconvex C. transparent and biconcave D. transparent and biconvex
transparent and biconvex
Where is the lacrimal gland located? A. lower lid, inner angle of the orbit B. lower lid, outer angle of the orbit C. upper lid, inner angle of the orbit D. upper lid, outer angle of the orbit
upper lid, outer angle of the orbit