Opthalmology EMQ’s – these have been recently changed due to a clever student pointing out some potential errors!
Improving care in ED
A quality initiative by the Auckland Hospital Emergency Department Quality Committee
Opthalmology EMQ’s – these have been recently changed due to a clever student pointing out some potential errors!
Improving care in ED 
hi
re opthalmology EMQs can i pick you brain?
EMQ 2, Q1 – should be a (vitreous haemorrhage) not b (crvo)?
EMQ 2, Q3 – There NO direct pupillary response (i.e. not RAPD)? therefore not CRAO which the question is getting at with sudden onset and severe sightloss
Re: above
EMQ 2, Q1 — CRVO should really be the answer, vitreous haemorrhage vision loss is not as sudden (not as dramatic) as that of CRVO; if the stems states black spots, cobwebs or hazy vision then it would be more in keeping with vitreous hge
EMQ 2, Q3 — stem states “marked RAPD” — CRAO is indeed the answer
I’m unclear about the marginal keratitis in EMQ 1, Q5, I don’t think involvement of the eyelids is a prominent feature of marginal keratitis, not sure what the answer should be in this question
thank you to the website author for providing this EMQs, great site!
I will contact the writer of the EMQ and see if she has any feedback
Miss_Marple – you are reading the updated EMQ 2 without the now corrected errors so, indeed, you are correct
Having spoken to the author there have been too many errors with this EMQ so we may just remove it… I’ll try to get more for you to replace it!