Clinical Case MCQs

 Q6. Based on the below diagram which of the following ganglia is involved in the patient’s eye pathology (horner syndrome)?

A

B

C

D

E

https://youtu.be/wOPghj9x1GU

Clinical Case MCQs

 Q5. When a patient presents with the eye features shown below, what would you ask the patient to determine if the cause if benign or malignant?

A. Do you have any old facial photos?

B. Do you drink alcohol?

C. Does the condition alternate between the eyes?

D. Do you see double?

E. Do you have eye pain?

https://youtu.be/wOPghj9x1GU

Clinical Case MCQs

 Q3. In the condition in the previous slide (horner syndrome), which muscle shown below is responsible for the ptosis?

a. Orbicularis oculi

b. Muller’s muscle

c. Levator palpebrae

d. Inferior rectus

https://youtu.be/wOPghj9x1GU

Clinical Case MCQs

 Q2. While you are examining the patient (see Q1 for history), you are thinking of the differential diagnosis. Which of the following may be helpful in his investigations?

A. Chest x-ray 

B. Ophthalmology consult

C. Fundoscopy exam

D. CT brain

E.  Arterial blood gas

F. Liver function tests

G. Testing for syphilis

https://youtu.be/wOPghj9x1GU

Clinical Case MCQs

 Q1. A 64 yo heavy smoker presents with malaise, fatigue, neck, arm and shoulder discomfort of 3 months duration. Other than a remote appendectomy, his medical history is unremarkable. He has no allergies, no recent travel history and only uses bronchodilators on a PRN basis. As you  start to examine him, you note his face. You suspect he has developed?

A. Jaundice 

B. Opiate overdose 

C. Carotid artery dissection 

D. Third nerve palsy

E. Adie pupil

F. Oculosympathetic paresis

https://youtu.be/wOPghj9x1GU