Question 11 of 14
(demo test)

Product Demo for Part II Questions

Sample Case Description

Expand/collapse the case description and media

Demographics

64 year old white male

Chief complaint

Double vision

History of present illness

Character/signs/symptoms: Diagonally displaced double vision

Location: Left eye

Severity: Moderate

Nature of onset: Acute

Duration: 1 week

Frequency: Constant

Exacerbations/remissions: None

Relationship to activity or function: None

Accompanying signs/symptoms: Blurred vision

Secondary complaints/symptoms

Normal

Patient ocular history

Myopia OU

Family ocular history

Normal

Patient medical history

Normal

Medications taken by patient

None

Patient allergy history

NKDA

Family medical history

HTN (both parents)

Review of systems

Constitutional/general health: Normal

Ear/nose/throat: Normal

Cardiovascular: Normal

Pulmonary: Normal

Dermatological: Normal

Gastrointestinal: Normal

Genitourinary: Normal

Musculoskeletal: Normal

Neuropsychiatric: Normal

Endocrine: Normal

Hematologic: Normal

Immunologic: Normal

Mental status

Orientation: Normal

Mood: Normal

Affect: Normal

Clinical findings

Habitual spectacle Rx:

 

VA Distance


OD: -6.00 sph

20/20


OS: -5.50 -0.75 x 178    

20/60 (doubled)


Pupils: Normal

EOMs: Normal

Confrontation fields: Normal

Subjective refraction:

 

VA Distance

VA Near

OD: -6.00 sph

20/20

20/20

OS: No improvement with refraction




Slit lamp:

All normal in OD, see image for OS

IOPs: 15 mmHg OD, 16 mmHg OS

Fundus OD:

C/D: 0.3

macula: Normal

posterior pole: Normal

periphery: Normal

Fundus OS:

C/D: 0.3

macula: Normal

posterior pole: Normal

periphery: Normal

Blood pressure: 120/75


  • Image courtesy of http://retinagallery.com/displayimage.php?album=338&pid=3679#top_display_media
  • Image courtesy of http://retinagallery.com/displayimage.php?album=338&pid=3679#top_display_media


Sample Case Question 1 of 4

Given this patient's symptoms and the image, what is causing this patient's double vision?

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