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Fundus Viewing

Course Name:  OTM-4
Teacher:  Jay M. Rumsey, O.D., F.A.A.O.
Teacher's Email:  rumey@hpd.nova.edu
Student Name:    
Student No:      
Student Email:   

No. of Questions= 10
Pass mark is - 70 %.

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1 Given that you want to examine the mid- to peripheral fundus in higher detail, which instrument would give you the best evaluation view?
     
a) Slit-lamp (S-L) with high mag.
b) S-L with +90D lens
c) 3-mirror gonio lens with S-L
d) 3-mirror fundus lens with S-L
e) BIO with +20D lens
2 Given that you want to examine the mid- to peripheral fundus in higher detail, which instrument would give you the best evaluation view, assuming some type of ocular trauma has occured?
     
a) Slit-Lamp (S-L) with high mag
b) S-L with +90D lens
c) 3-mirror gonio lens with S-L
d) 3-mirror fundus lens with S-L
e) BIO with +20D lens
3 The 3-mirror fundus lens works best with:
a) A flange on the contact lip
b) No flange on the contact lip
c) Celluvisc or gonioprism solution
d) Knurled edge for holding lens
e) Removable protection ring
4 The views of the 3-mirror fundus lens can be extended by:
a) Rocking the lens
b) Rotating the lens
c) Changing the mirror angle
d) Changing the patient fixation
e) Any of the above
5 Lens preparation of the 3-mirror fundus lens differs from the 3-mirror gonio lens.
     
a) True
b) False
6 The slit-lamp ilumination angle can be changed up to 30 degrees on either side of "click-stop" to see fundus areas beyond the limits of the 3-mirror or 4-mirror lenses?
a) True
b) False
7 The patient should be told that the 3-mirror fundus lens will:
a) Not hurt because of the mydriatics used.
b) Be felt as a slight pressure on the globe or a touching sensation on the lids.
c) Allow better examination and evaluation of the iris and lens.
d) Possibly blur their vision for 8-10 hours.
8 The view of the retina is: (see picture). The view in the 3-mirror fundus lens is: (see big picture).
a) .
b) .
c) .
d) .
e) .
Click on image to enlarge
9 There is some over-lap of the retinal views while using the 3-mirror fundus lens because:
a) The mirrors can be tilted and the patient can change fixation
b) The angles of the mirrors in the housing are designed for this purpose.
c) The slit-lamp magnification can be altered
d) The slit-lamp light source can be shifted and rotated.
e) The views are inverted or reversed in the mirrors
10 The 3-mirror fundus lens is the only method available for viewing the ora serratta and other more anterior ocular structures.
a) True
b) False





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