7 Royce Quiz | Central Florida OPS

1. A patient presents reporting double vision. What is the first step in guiding a diplopia work-up?

A. Determine whether diplopia is monocular or binocular

B. Perform Parks Three Step

C. Perform OCT of the macula

D. Confrontation visual fields

2. Comitant diplopia means:

A. Strabismus is only visible by examiner

B. Strabismus is only visible by the patient

C. The double vision is equal in all gazer of vision.

D. The double vision is NOT equal in all gazes of vision.

3. Which of the following will best aid in ruling out uncorrected astigmatism (refractive cause) in a patient with a monocular double vision complaint?

A. OCT of the macula

B. Extraocular muscle testing

C. Pinhole acuity

D. Reviewing systemic health history

4. Which test aids in determining an isolated cranial nerve palsy?

A. Pupillary assessment

B. Parks Three Step

C. Visual acuity

D. OCT

5. Hypertropia means the eye position is pointing ___________.

A. Upwards

B. Downwards

C. Towards the nose

D. None of the above

6. A patient reports with sudden onset ptosis on the left upper eyelid. You can see that the left eye is pointing down and outwards. Which cranial nerve is likely affected?

A. Cranial Nerve Three

B. Cranial Nerve Four

C. Cranial Nerve Six

D. Cranial Nerve Seven

7. Binocular diplopia can be caused by all the disorders listed below EXCEPT:

A. CN III Palsey

B. Myasthenia Gravis

C. Thyroid Ophthalmopathy

D. Cataracts

8. Which of the following is NOT a common cause of Cranial Nerve Four Palsy?

A. Congenital

B. Trauma

C. Microvascular Disease

D. Thyroid ophthalmopathy

9. Internuclear ophthalmoplegia is a condition in which the affected eye does not?

A. Adduct

B. Abduct

C. Elevate

D. None of the above

10. Which of the following systemic conditions could be an underlying cause of a patient reporting binocular double vision?

A. Myasthenia gravis

B. Diabetes

C. Brain aneurysm

D. All the above

CENTRAL FLORIDA OPHTHALMIC PERSONNEL SOCIETY

Double Trouble: A Practical Guide to the Work-up and Causes of Diplopia