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Optometry Board Practice Test for the NBEO® Part 1 Test #2 – Ocular Anatomy This test is comprised of 40 items, which must be completed within 40 minutes. |
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The vitreous makes up primarily how much of the total volume of the eye?
D. The vitreous makes up 80% of the total volume of the eye. The total amount is 4mL
D. The vitreous makes up 80% of the total volume of the eye. The total amount is 4mL
A 34 year old female with a history of trauma to the head comes in seeing double vision OU with light sensitivity in OD. You correctly diagnose the patient with iridodialysis. What part of the iris is affected?
C. Iris root is the thinnest portion of the iris. Because of this it is the most easily susceptible portion of the iris to be torn.
C. Iris root is the thinnest portion of the iris. Because of this it is the most easily susceptible portion of the iris to be torn.
Which of the following is not associated with Krukenberg spindles? (SELECT 2)
B,D. Krukenberg spindles are associated with pigment loss of the iris. Iris transillumination and pigment dispersion syndrome are key indications of krukenberg spindles. Lens cataracts can cause some loss of pigment but are not a direct cause. Weiss’ ring is caused by trauma where the iris pressed up against the lens of the eye.
B,D. Krukenberg spindles are associated with pigment loss of the iris. Iris transillumination and pigment dispersion syndrome are key indications of krukenberg spindles. Lens cataracts can cause some loss of pigment but are not a direct cause. Weiss’ ring is caused by trauma where the iris pressed up against the lens of the eye.
In the Oculo-parasympathetic pathway, after the nerve fibers leave the ciliary ganglion, through what nerves do they enter the globe?
C. SPCN’s
C. SPCN’s
Which cranial nerve is responsible for innervation of the main upper eyelid retractor?
B. CN3. Levator muscle is innervated by CN3. Muscle of mullers is a sympathetic innervation
B. CN3. Levator muscle is innervated by CN3. Muscle of mullers is a sympathetic innervation
Which of the following is most likely to cause aneurysm in the Circle of Willis?
E. Posterior communicating artery is the most commonly artery in the Circle of Willis that is subjected to aneurysm.
E. Posterior communicating artery is the most commonly artery in the Circle of Willis that is subjected to aneurysm.
The equatorial region of the fundus begins where?
C. immediately posterior to the vortex veins
C. immediately posterior to the vortex veins
The short ciliary arteries and nerves are located in
E. SPCA and SPCN are located in 4 quadrants of the peripheral retina. The LPCN are located at 3 and 9 o’clock positions in the peripheral retina
E. SPCA and SPCN are located in 4 quadrants of the peripheral retina. The LPCN are located at 3 and 9 o’clock positions in the peripheral retina
The major elevation- vertical movement in abduction for the left eye is the result of contraction of the
A. Left superior rectus. Superior rectus primary action is elevation secondary action of INcyclo and tertiary action of ADDuction. When the patient is looking towards their left (abduction) you are solely isolating the elevator muscle to cause elevation with no help from secondary action muscles. Thus Left superior rectus is the correct answer. For a visualization draw a Parks 3 step diagram and look at what muscle is isolated for elevation
A. Left superior rectus. Superior rectus primary action is elevation secondary action of INcyclo and tertiary action of ADDuction. When the patient is looking towards their left (abduction) you are solely isolating the elevator muscle to cause elevation with no help from secondary action muscles. Thus Left superior rectus is the correct answer. For a visualization draw a Parks 3 step diagram and look at what muscle is isolated for elevation
When your patient is doing dextroversion, which one of the following explains sherrington’s law of innervation
B. Sherrington’s law of innervation is concerned with the contraction and relaxation of the muscles in the same eye. Hering’s law is the muscle innervation between 2 eyes. Remember sherring the same eye.
B. Sherrington’s law of innervation is concerned with the contraction and relaxation of the muscles in the same eye. Hering’s law is the muscle innervation between 2 eyes. Remember sherring the same eye.
When performing park’s 3 steps in your patient, you find the following: Left hypertropia in primary position, hyperopia increase in dextroversion and hypertropia increased in right head tilt. According to this information, which one of the following should be the affected muscle?
C. RSR. When performing Park’s 3 step we are only concerned with the muscle that makes the deviation WORSE not better. A left hypertrophia muscles affected are either the right IR, SO or left SR, IO.
C. RSR. When performing Park’s 3 step we are only concerned with the muscle that makes the deviation WORSE not better. A left hypertrophia muscles affected are either the right IR, SO or left SR, IO.
What stage of a macular hole will show a positive Watzke-Allen test result?
B. Stage 2. The roof develops a break and commences to develop a thickness macular hole. Watzke Allen test is positive when the slit beam is broken indicating where and how big the whole is.
B. Stage 2. The roof develops a break and commences to develop a thickness macular hole. Watzke Allen test is positive when the slit beam is broken indicating where and how big the whole is.
Which of the following are located on the lateral wall of the orbit?
A. Greater wing of sphenoid. Great Z is a lateral play, Front Less, SMEL medial, My Pal Get’s Z on the floor
A. Greater wing of sphenoid. Great Z is a lateral play, Front Less, SMEL medial, My Pal Get’s Z on the floor
The Optic radiations originates in what part of the brain?
D. LGN. They originate from the LGN. The Parietal lobe contains the optic radiations that control the inferior section of the optic nerve or the superior portion of vision. The temporal lobe contains the optic radiations that control the superior ection of the optic nerve or the inferior portion of vision. PITS
D. LGN. They originate from the LGN. The Parietal lobe contains the optic radiations that control the inferior section of the optic nerve or the superior portion of vision. The temporal lobe contains the optic radiations that control the superior ection of the optic nerve or the inferior portion of vision. PITS
The fibers in the visual pathway known as the anterior knee of willbrand do what?
C. posterior knees loop into the ipsilateral optic tract before crossing
C. posterior knees loop into the ipsilateral optic tract before crossing
The blood retinal barrier includes
C. The ELM is composed of zonula adherens. The bruch membrane provides no barrier function but acts more like a shock absorber to the retina because of its elastic core
C. The ELM is composed of zonula adherens. The bruch membrane provides no barrier function but acts more like a shock absorber to the retina because of its elastic core
Which area of the optic nerve head does the superior temporal retinal fibers go through?
C. superior wedge. The temporal third contains the papillomacular bundle
C. superior wedge. The temporal third contains the papillomacular bundle
What area of the lens has the highest index of refraction?
C. the Embryonic nucleus has the highest index of refraction. The lowest index of refraction is the outer cortex layer. The further deep you get into the lens the higher the index of refraction
C. the Embryonic nucleus has the highest index of refraction. The lowest index of refraction is the outer cortex layer. The further deep you get into the lens the higher the index of refraction
The Schwann cell loses its coating as sensory nerves of the cornea pass through the _______ ?
D. Descemet membrane. The naked nerve endings are located in the epithelium and the nerves lose their myelin sheath as they enter the corneal stroma from the limbus
D. Descemet membrane. The naked nerve endings are located in the epithelium and the nerves lose their myelin sheath as they enter the corneal stroma from the limbus
What muscle causes vertical furrows between the eyebrows?
C. corrugator. Corrugators think concentration. Frontalis is the primary elevator of the eyebrows. Orbicularis is the primary depressor of the eyelids. Procerus elevates the nose
C. corrugator. Corrugators think concentration. Frontalis is the primary elevator of the eyebrows. Orbicularis is the primary depressor of the eyelids. Procerus elevates the nose
Pupillary membrane remnants are found in the
D. Iris collarette. The anterior vascular is formed before the membrane. The membrane contributes to the minor circle not the major circle. The pupillary rugg is epithelial tissue
D. Iris collarette. The anterior vascular is formed before the membrane. The membrane contributes to the minor circle not the major circle. The pupillary rugg is epithelial tissue
The orbital bones originate from what embryonic layer?
B. Mesenchyme.
B. Mesenchyme.
What embryonic layer does orbital muscles come from?
D. Mesenchyme. This layer only does bones and muscles of the orbital region
D. Mesenchyme. This layer only does bones and muscles of the orbital region
What vitreous if formed in the posterior chamber?
C. tertiary. Tertiary forms zonules that are located in the posterior chamber. Primary vitreous is dissolved upon development of the orbital.
C. tertiary. Tertiary forms zonules that are located in the posterior chamber. Primary vitreous is dissolved upon development of the orbital.
The apical surfaces of the fetal nucleus form
B. Upright Y suture. The embryonic nucleus has no sutures. Sutures are only located in the fetal nucleus
B. Upright Y suture. The embryonic nucleus has no sutures. Sutures are only located in the fetal nucleus
Which retinal cells are formed by cells of the outer neuroblastic layer?
C. Bipolar cells. The inner neuroblastic layer forms amacrine, ganglion, and muller cells. The outer neuroblastic layer formes photoreceptor, bipolar, and horizontal
C. Bipolar cells. The inner neuroblastic layer forms amacrine, ganglion, and muller cells. The outer neuroblastic layer formes photoreceptor, bipolar, and horizontal
What tissue has the biggest rate of blood flow?
C. Choroid. Choroidal blood flow is 10 times higher than the retina. However oxygen flow is low in this area
C. Choroid. Choroidal blood flow is 10 times higher than the retina. However oxygen flow is low in this area
Cholesterol is the primary component of what type of secretory cell?
D. Meibomian gland. Goblet cells secrete mucus, moll and wolfring secrete aqueous layer
D. Meibomian gland. Goblet cells secrete mucus, moll and wolfring secrete aqueous layer
Lactoferrin is a component of the secretion in what gland?
D. lacrimal. Proteins are present in the lacrimal gland in addition to immunoglobulins, electrolytes, and water. Goblet cells secrete mucus. Zeis and meibomian secrete sebum or cholesterol
D. lacrimal. Proteins are present in the lacrimal gland in addition to immunoglobulins, electrolytes, and water. Goblet cells secrete mucus. Zeis and meibomian secrete sebum or cholesterol
Which of the following are not considered signs of non exudative ARMD?
C. Exudates are a sign of Wet ARMD aka exudative ARMD. Submacular hemes are not located in the NFL because the macula does not possess the NFL layer. Drusens are indicative of dry ARMD AKA non exudative ARMD
C. Exudates are a sign of Wet ARMD aka exudative ARMD. Submacular hemes are not located in the NFL because the macula does not possess the NFL layer. Drusens are indicative of dry ARMD AKA non exudative ARMD
What part of the cornea is considered hydrophilic?
C. stroma is highly hydrophilic. Epithelium is hydrophobic but lipophilic
C. stroma is highly hydrophilic. Epithelium is hydrophobic but lipophilic
Which of the following wavelengths does the cornea absorb the most?
A. 100-280. This is known as the UV-C spectrum area. Cornea absorbs the UV-C and some UV-B. UV-B is mostly absorbed by the aqueous and the lens of the eye.
A. 100-280. This is known as the UV-C spectrum area. Cornea absorbs the UV-C and some UV-B. UV-B is mostly absorbed by the aqueous and the lens of the eye.
What is the partial pressure of oxygen within the tears?
C. 155mm HG under open eye conditions will oxygen partial pressure be a factor
C. 155mm HG under open eye conditions will oxygen partial pressure be a factor
What is the primary antioxidative agent found in the lens of the eye?
B. glutathione is the primary protector against oxidative damage in the lens. Ascorbic acid also helps to protect the lens from oxidative damages but is not the main preventor of oxidative damage.
B. glutathione is the primary protector against oxidative damage in the lens. Ascorbic acid also helps to protect the lens from oxidative damages but is not the main preventor of oxidative damage.
What is the rate in which the lens thickens per year?
C. 0.02mm per year
C. 0.02mm per year
Which of the following are not a function of the ciliary body?
D. The ciliary body is the main producer and minor drainer of the human eye in addition to helping with the accommodation.
D. The ciliary body is the main producer and minor drainer of the human eye in addition to helping with the accommodation.
Which of the following are considered risk factors for PVD? (SELECT 2)
A,B. Risk factors for PVD include age, myopia, diabetes, intraocular surgery and inflammation, as well as trauma
A,B. Risk factors for PVD include age, myopia, diabetes, intraocular surgery and inflammation, as well as trauma
What controls the amount of Na+ channels opening and closure in a photoreceptor?
B. cGMP keeps Na+ channels open to promote depolarization when glutamate is released to bipolar cells. An increase in light decreases levels of cGMP resulting in closure of the sodium channels, hence the negative charge of the cell membrane increases to -65mV.
B. cGMP keeps Na+ channels open to promote depolarization when glutamate is released to bipolar cells. An increase in light decreases levels of cGMP resulting in closure of the sodium channels, hence the negative charge of the cell membrane increases to -65mV.
A patient presents with symptoms mimicking retinitis pigmentosa. An ERG test was conducted and confirmed the suspected diagnosis. Which layer of the retina did the ERG test?
C. The outer retinal layers contain the photoreceptors to bipolar cells located in the inner nuclear layer, but does not include the ganglion cell layer.
C. The outer retinal layers contain the photoreceptors to bipolar cells located in the inner nuclear layer, but does not include the ganglion cell layer.
Which wave of the ERG represents the muller cells in the retina?
B. B waves measure the activity of bipolar and muller cells. A wave measures photoreceptor activity. C wave measures RPE activity. Remember that an EOG can also be used to measure function of the RPE.
B. B waves measure the activity of bipolar and muller cells. A wave measures photoreceptor activity. C wave measures RPE activity. Remember that an EOG can also be used to measure function of the RPE.