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CME questions (circle the correct answer)
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1. In dry eye disease, the corneal topography will most often demonstrate:
a. Flatter keratometry
b. Steeper keratometry
c. Irregular mires
d. Inferior corneal steepening
2. In a 34-year-old woman seeking LASIK, which tear osmolarity measurement is most indicative of dry eye?
a. Tear osmolarity less than 300
b. Tear osmolarity of 304 OD and 305 OS
c. A disparity of 7 mOsm or less between the two eyes
d. Tear osmolarity greater than 308
3. A 64-year-old patient preparing for cataract surgery is using a regimen of warm compresses, lid hygiene, artificial
tears, and lifitegrast. What would be an appropriate time frame to expect stable biometry measurements?
a. 1 week
b. 1 month
c. 3 months
d. 6 months
4. A man in his mid-50s is complaining about fluctuating vision. If the patient questionnaire indicates additional testing is necessary,
which sequence would be INCORRECT?
a. MMP-9, tear osmolarity, and meibography
b. Tear osmolarity, MMP-9, and meibography
c. Pupil dilation, tear osmolarity, and MMP-9
d. Non-contact applanation, tear osmolarity, and MMP-9
5. In a 47-year-old woman with dry eye and arthritic symptoms, which method CANNOT be used to diagnose aqueous deficient
dry eye?
a. Tear meniscus
b. Tear osmolarity
c. Corneal staining
d. Meibography
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Advanced diagnostics in action:
Identifying ocular surface disease in cataract and refractive patients
