{"id":95,"date":"2025-11-05T14:23:17","date_gmt":"2025-11-05T21:23:17","guid":{"rendered":"https:\/\/novel.utah.edu\/test-your-knowledge\/?page_id=95"},"modified":"2026-01-29T16:51:50","modified_gmt":"2026-01-29T23:51:50","slug":"identifying-the-imaging-finding","status":"publish","type":"page","link":"https:\/\/novel.utah.edu\/test-your-knowledge\/identifying-the-imaging-finding\/","title":{"rendered":"Identifying the imaging finding"},"content":{"rendered":"<div class='ays-quiz-wrap'>\n            <div class='ays-quiz-container ays_quiz_classic_light   '\n                 data-quest-effect='none' \n                 data-hide-bg-image='false'\n                \n                \n                 id='ays-quiz-container-13'>\n                \n                \n                <div class='ays-questions-container'>\n                    <div class='ays-quiz-some-items-icons-wrap'><\/div>\n                    \n                    \n                    \n                    <form \n                        action='' \n                        method='post' \n                        autocomplete='off'\n                        id='ays_finish_quiz_13' \n                        class='ays-quiz-form enable_correction enable_questions_result '\n                    >\n            <input type='hidden' value='list' class='answer_view_class'>\n            <input type='hidden' value='list' class='answer_view_class_mobile'>\n            <input type='hidden' value='' class='ays_qm_enable_arrows'>\n            <div class='step active-step'>\n                <div class='ays-abs-fs ays-start-page'>\n                    \n                    \n                    <p class='ays-fs-title'>Identifying the imaging finding<\/p>\n                    <div class='ays-fs-subtitle'><\/div>\n                    <input type='hidden' name='ays_quiz_id' value='13'\/>\n                    <input type='hidden' name='ays_quiz_curent_page_link' class='ays-quiz-curent-page-link' value='https:\/\/novel.utah.edu\/test-your-knowledge\/wp-json\/wp\/v2\/pages\/95'\/>\n                    <input type='hidden' name='ays_quiz_questions' value='81,80,79,78,77,76,75,74,73,72,71,70,48,47,43,42,41,39,35,34,33,32,31,30,28,7,129,128,127,126,125'>\n                    \n                    <div class='ays_buttons_div'>\n                        <input type='button'   name='next' class='ays_next start_button action-button ' value='Begin' data-enable-leave-page=\"false\" \/>\n                        \n                    <\/div>\n                    \n                    \n                    \n                <\/div>\n            <\/div><div class='step  '\n                        data-question-id='81'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>1 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>What is the most common neuro-ophthalmologic finding from an aneurysm (shown pre- and post-coiling) in this location?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/12\/tyk_case_12.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-81]' id='ays-answer-318-13' value='318'\/>\n\n                <label for='ays-answer-318-13' class='  ays_position_initial  '>Afferent pupillary defect<\/label><label for='ays-answer-318-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-81]' id='ays-answer-319-13' value='319'\/>\n\n                <label for='ays-answer-319-13' class='  ays_position_initial  '>Argyll Robinson pupil<\/label><label for='ays-answer-319-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-81]' id='ays-answer-320-13' value='320'\/>\n\n                <label for='ays-answer-320-13' class='  ays_position_initial  '>Efferent pupillary defect<\/label><label for='ays-answer-320-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-81]' id='ays-answer-321-13' value='321'\/>\n\n                <label for='ays-answer-321-13' class='  ays_position_initial  '>Tadpole pupil<\/label><label for='ays-answer-321-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[81]\" value=\"318,319,320,321\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['81'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMzE4IjoiMSIsIjMxOSI6IjAiLCIzMjAiOiIwIiwiMzIxIjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2649036<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <strong>Afferent pupillary defect<\/strong><\/p>\n<p>This cerebral angiogram shows an ophthalmic artery aneurysm pre- (left) and post-coiling (right).<\/p>\n<p>Ophthalmic artery aneurysms most commonly present with visual manifestations of compressive optic neuropathy. Aneurysm occlusion can be achieved with endovascular or microsurgical techniques.<\/p>\n<p>Neuro-ophthalmologic exam showed an afferent pupillary defect with a superotemporal visual field defect from pre-chiasmatic optic nerve compression. Post-coiling there was near resolution of the visual field defect.<\/p>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <strong>Afferent pupillary defect<\/strong><\/p>\n<p>This cerebral angiogram shows an ophthalmic artery aneurysm pre- (left) and post-coiling (right).<\/p>\n<p>Ophthalmic artery aneurysms most commonly present with visual manifestations of compressive optic neuropathy. Aneurysm occlusion can be achieved with endovascular or microsurgical techniques.<\/p>\n<p>Neuro-ophthalmologic exam showed an afferent pupillary defect with a superotemporal visual field defect from pre-chiasmatic optic nerve compression. Post-coiling there was near resolution of the visual field defect.<\/p>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='80'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>2 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>What area of the face should an ophthalmologist check in this patient for a source of infection?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/12\/tyk_dental_infections_1.jpg\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-80]' id='ays-answer-314-13' value='314'\/>\n\n                <label for='ays-answer-314-13' class='  ays_position_initial  '>Submandibular space<\/label><label for='ays-answer-314-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-80]' id='ays-answer-315-13' value='315'\/>\n\n                <label for='ays-answer-315-13' class='  ays_position_initial  '>Buccal space<\/label><label for='ays-answer-315-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-80]' id='ays-answer-316-13' value='316'\/>\n\n                <label for='ays-answer-316-13' class='  ays_position_initial  '>Inferior nasal concha<\/label><label for='ays-answer-316-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-80]' id='ays-answer-317-13' value='317'\/>\n\n                <label for='ays-answer-317-13' class='  ays_position_initial  '>Supraorbital foramen<\/label><label for='ays-answer-317-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[80]\" value=\"314,315,316,317\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['80'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMzE0IjoiMCIsIjMxNSI6IjEiLCIzMTYiOiIwIiwiMzE3IjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2521037<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-183 size-full\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/12\/tyk_dental_infections_2.jpg\" alt=\"\" width=\"223\" height=\"342\" srcset=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/12\/tyk_dental_infections_2.jpg 223w, https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/12\/tyk_dental_infections_2-196x300.jpg 196w\" sizes=\"auto, (max-width: 223px) 100vw, 223px\" \/><\/p>\n<p>Correct Answer:<b>\u00a0Buccal Space <\/b><\/p>\n<p>This patient likely has orbital cellulitis, based on the region and visible inflammation. In terms of a source of infection, the buccal space is particularly. As shown in the image on the right, the buccal space contains the infraorbital foramen, providing direct access to the orbit. A molar infection can easily spread from the buccal space up to the orbit.<\/p>\n<p>The submandibular space can become infected, resulting in cellulitis that can become deadly if the airway is obstructed.<\/p>\n<p>Nasal concha infections can become infected, known as concha bullosa, resulting in sinusitis.<\/p>\n<p>The supraorbital foramen contains the trigeminal nerve and would more likely result in sinusitis or neuralgia.<\/p>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p><img loading=\"lazy\" decoding=\"async\" class=\"alignnone wp-image-183 size-full\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/12\/tyk_dental_infections_2.jpg\" alt=\"\" width=\"223\" height=\"342\" srcset=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/12\/tyk_dental_infections_2.jpg 223w, https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/12\/tyk_dental_infections_2-196x300.jpg 196w\" sizes=\"auto, (max-width: 223px) 100vw, 223px\" \/><\/p>\n<p>Correct Answer: <b>Buccal Space <\/b><\/p>\n<p>This patient likely has orbital cellulitis, based on the region and visible inflammation. In terms of a source of infection, the buccal space is particularly. As shown in the image on the right, the buccal space contains the infraorbital foramen, providing direct access to the orbit. A molar infection can easily spread from the buccal space up to the orbit.<\/p>\n<p>The submandibular space can become infected, resulting in cellulitis that can become deadly if the airway is obstructed.<\/p>\n<p>Nasal concha infections can become infected, known as concha bullosa, resulting in sinusitis.<\/p>\n<p>The supraorbital foramen contains the trigeminal nerve and would more likely result in sinusitis or neuralgia.<\/p>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='79'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>3 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>Which type of nystagmus is associated with this tumor?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/12\/tyk_case_10_3-300x164.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-79]' id='ays-answer-310-13' value='310'\/>\n\n                <label for='ays-answer-310-13' class='  ays_position_initial  '>See-saw<\/label><label for='ays-answer-310-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-79]' id='ays-answer-311-13' value='311'\/>\n\n                <label for='ays-answer-311-13' class='  ays_position_initial  '>Periodic alternating<\/label><label for='ays-answer-311-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-79]' id='ays-answer-312-13' value='312'\/>\n\n                <label for='ays-answer-312-13' class='  ays_position_initial  '>Downbeat<\/label><label for='ays-answer-312-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-79]' id='ays-answer-313-13' value='313'\/>\n\n                <label for='ays-answer-313-13' class='  ays_position_initial  '>Convergence-retraction<\/label><label for='ays-answer-313-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[79]\" value=\"310,311,312,313\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['79'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMzEwIjoiMSIsIjMxMSI6IjAiLCIzMTIiOiIwIiwiMzEzIjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2490032<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer:<strong> See-saw nystagmus<\/strong><\/p>\n<p>Craniopharyngiomas are epithelial tumors arising from Rathke\u2019s pouch. They may involve the hypothalamus and there is often associated pituitary hormone\/ neuroendocrine disturbance. Visual symptoms include bitemporal hemianopia, optic neuropathy and in large tumors, see-saw nystagmus (alternating elevation and intorsion of one eye with depression and extorsion of the other eye).<\/p>\n<p>This coronal T1w MRI brain with contrast (left) and sagittal T1w MRI brain with contrast shows a suprasellar mass measuring approximately 2.9 cm x 2 cm x 2.4 cm causing chiasmal compression. There is heterogeneous enhancement.<\/p>\n<p>Neuro-ophthalmologic exam showed right optic neuropathy with bitemporal hemianopia. Treatment with subtotal resection followed by fractionated radiation therapy was recommended.<\/p>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer:<strong> See-saw nystagmus<\/strong><\/p>\n<p>Craniopharyngiomas are epithelial tumors arising from Rathke\u2019s pouch. They may involve the hypothalamus and there is often associated pituitary hormone\/ neuroendocrine disturbance. Visual symptoms include bitemporal hemianopia, optic neuropathy and in large tumors, see-saw nystagmus (alternating elevation and intorsion of one eye with depression and extorsion of the other eye).<\/p>\n<p>This coronal T1w MRI brain with contrast (left) and sagittal T1w MRI brain with contrast shows a suprasellar mass measuring approximately 2.9 cm x 2 cm x 2.4 cm causing chiasmal compression. There is heterogeneous enhancement.<\/p>\n<p>Neuro-ophthalmologic exam showed right optic neuropathy with bitemporal hemianopia. Treatment with subtotal resection followed by fractionated radiation therapy was recommended.<\/p>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='78'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>4 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>Which neuro-ophthalmologic finding may be seen in this condition?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/12\/tyk_case_9_3.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-78]' id='ays-answer-306-13' value='306'\/>\n\n                <label for='ays-answer-306-13' class='  ays_position_initial  '>Tilted disc syndrome<\/label><label for='ays-answer-306-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-78]' id='ays-answer-307-13' value='307'\/>\n\n                <label for='ays-answer-307-13' class='  ays_position_initial  '>Optic pit<\/label><label for='ays-answer-307-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-78]' id='ays-answer-308-13' value='308'\/>\n\n                <label for='ays-answer-308-13' class='  ays_position_initial  '>Optic nerve hypoplasia<\/label><label for='ays-answer-308-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-78]' id='ays-answer-309-13' value='309'\/>\n\n                <label for='ays-answer-309-13' class='  ays_position_initial  '>Morning glory syndrome<\/label><label for='ays-answer-309-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[78]\" value=\"306,307,308,309\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['78'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMzA2IjoiMCIsIjMwNyI6IjAiLCIzMDgiOiIxIiwiMzA5IjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2505848<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <strong>Optic nerve hypoplasia<\/strong><\/p>\n<ul>\n<li>Septo-optic dysplasia is a clinical diagnosis requiring at least 2 of the following features: optic nerve hypoplasia, pituitary hormone deficiencies and midline brain defects (agenesis of the septum pellucidum and\/or corpus callosum).<\/li>\n<li>This coronal T2w MRI brain (left) shows absence of the septum pellucidum and hypoplasia of the optic chiasm. The hypoplastic optic chiasm is also shown on the sagittal T1w MRI brain (right).<\/li>\n<li>Neuro-ophthalmologic exam showed esotropia, nystagmus, and optic nerve hypoplasia. Endocrinologic assessment revealed growth hormone deficiency.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <strong>Optic nerve hypoplasia<\/strong><\/p>\n<ul>\n<li>Septo-optic dysplasia is a clinical diagnosis requiring at least 2 of the following features: optic nerve hypoplasia, pituitary hormone deficiencies and midline brain defects (agenesis of the septum pellucidum and\/or corpus callosum).<\/li>\n<li>This coronal T2w MRI brain (left) shows absence of the septum pellucidum and hypoplasia of the optic chiasm. The hypoplastic optic chiasm is also shown on the sagittal T1w MRI brain (right).<\/li>\n<li>Neuro-ophthalmologic exam showed esotropia, nystagmus, and optic nerve hypoplasia. Endocrinologic assessment revealed growth hormone deficiency.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='77'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>5 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>Which neuro-ophthalmologic finding may be seen with a lesion in this location?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/12\/tyk_case_8_3.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-77]' id='ays-answer-302-13' value='302'\/>\n\n                <label for='ays-answer-302-13' class='  ays_position_initial  '>Internuclear ophthalmoplegia<\/label><label for='ays-answer-302-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-77]' id='ays-answer-303-13' value='303'\/>\n\n                <label for='ays-answer-303-13' class='  ays_position_initial  '>Upgaze palsy<\/label><label for='ays-answer-303-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-77]' id='ays-answer-304-13' value='304'\/>\n\n                <label for='ays-answer-304-13' class='  ays_position_initial  '>Convergence-retraction nystagmus<\/label><label for='ays-answer-304-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-77]' id='ays-answer-305-13' value='305'\/>\n\n                <label for='ays-answer-305-13' class='  ays_position_initial  '>Bilateral ptosis with contralateral superior rectus palsy<\/label><label for='ays-answer-305-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[77]\" value=\"302,303,304,305\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['77'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMzAyIjoiMSIsIjMwMyI6IjAiLCIzMDQiOiIwIiwiMzA1IjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2449053<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <strong>Internuclear ophthalmoplegia<\/strong><\/p>\n<ul>\n<li>The classic sign of a medial longitudinal fasciculus lesion is internuclear ophthalmoplegia which consists of impaired adduction of the ipsilateral medial rectus muscle and contralateral abducting nystagmus.<\/li>\n<li>This axial T2 FLAIR MRI (left) and axial T1w MRI with contrast (right) shows a T2 hyperintense lesion of the medial longitudinal fasciculus with associated enhancement. MRI also showed several foci of T2 FLAIR hyperintensity throughout the white matter with a few lesions demonstrating enhancement compatible with active demyelination.<\/li>\n<li>Neuro-ophthalmologic exam showed a bilateral (left &gt;&gt; right) internuclear ophthalmoplegia with mild exotropia and left hypertropia (skew deviation) on right gaze and upbeat nystagmus on upgaze (due to vestibular fibers in MLF).<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <strong>Internuclear ophthalmoplegia<\/strong><\/p>\n<ul>\n<li>The classic sign of a medial longitudinal fasciculus lesion is internuclear ophthalmoplegia which consists of impaired adduction of the ipsilateral medial rectus muscle and contralateral abducting nystagmus.<\/li>\n<li>This axial T2 FLAIR MRI (left) and axial T1w MRI with contrast (right) shows a T2 hyperintense lesion of the medial longitudinal fasciculus with associated enhancement. MRI also showed several foci of T2 FLAIR hyperintensity throughout the white matter with a few lesions demonstrating enhancement compatible with active demyelination.<\/li>\n<li>Neuro-ophthalmologic exam showed a bilateral (left &gt;&gt; right) internuclear ophthalmoplegia with mild exotropia and left hypertropia (skew deviation) on right gaze and upbeat nystagmus on upgaze (due to vestibular fibers in MLF).<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='76'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>6 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>Which neuro-ophthalmologic findings may be seen with a lesion in this location?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/12\/tyk_case_7_3.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-76]' id='ays-answer-298-13' value='298'\/>\n\n                <label for='ays-answer-298-13' class='  ays_position_initial  '>Decreased facial sensation, CN VI paresis, and CN VII palsy<\/label><label for='ays-answer-298-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-76]' id='ays-answer-299-13' value='299'\/>\n\n                <label for='ays-answer-299-13' class='  ays_position_initial  '>CN III paresis and CN IV paresis<\/label><label for='ays-answer-299-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-76]' id='ays-answer-300-13' value='300'\/>\n\n                <label for='ays-answer-300-13' class='  ays_position_initial  '>Convergence-retraction nystagmus, upgaze palsy and Collier lid retraction<\/label><label for='ays-answer-300-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-76]' id='ays-answer-301-13' value='301'\/>\n\n                <label for='ays-answer-301-13' class='  ays_position_initial  '>Bilateral ptosis with contralateral superior rectus palsy<\/label><label for='ays-answer-301-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[76]\" value=\"298,299,300,301\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['76'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMjk4IjoiMSIsIjI5OSI6IjAiLCIzMDAiOiIwIiwiMzAxIjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2448809<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <strong>Decreased facial sensation, CN VI paresis, and CN VII palsy<\/strong><\/p>\n<ul>\n<li>Juvenile pilocytic astrocytomas are prevalent primary tumors in children and adolescents. They often occur in the optic nerve, hypothalamus, brainstem and cerebellum.<\/li>\n<li>This sagittal (left) T1w MRI with contrast and fat suppression and axial (right) T1w MRI with contrast shows a large multilobulated, solid and cystic tumor in the pons and medulla consistent with pilocytic astrocytoma.<\/li>\n<li>Neuro-ophthalmologic exam showed left-sided decreased facial sensation, facial weakness and CN VI paresis.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <strong>Decreased facial sensation, CN VI paresis, and CN VII palsy<\/strong><\/p>\n<ul>\n<li>Juvenile pilocytic astrocytomas are prevalent primary tumors in children and adolescents. They often occur in the optic nerve, hypothalamus, brainstem and cerebellum.<\/li>\n<li>This sagittal (left) T1w MRI with contrast and fat suppression and axial (right) T1w MRI with contrast shows a large multilobulated, solid and cystic tumor in the pons and medulla consistent with pilocytic astrocytoma.<\/li>\n<li>Neuro-ophthalmologic exam showed left-sided decreased facial sensation, facial weakness and CN VI paresis.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='75'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>7 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>The bilateral lesions shown would be expected to cause ocular misalignment in which of the following patterns?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/12\/tyk_case_6.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-75]' id='ays-answer-294-13' value='294'\/>\n\n                <label for='ays-answer-294-13' class='  ays_position_initial  '>Bilateral CN III paresis<\/label><label for='ays-answer-294-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-75]' id='ays-answer-295-13' value='295'\/>\n\n                <label for='ays-answer-295-13' class='  ays_position_initial  '>Bilateral CN IV paresis<\/label><label for='ays-answer-295-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-75]' id='ays-answer-296-13' value='296'\/>\n\n                <label for='ays-answer-296-13' class='  ays_position_initial  '>Bilateral CN VI paresis<\/label><label for='ays-answer-296-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-75]' id='ays-answer-297-13' value='297'\/>\n\n                <label for='ays-answer-297-13' class='  ays_position_initial  '>Skew deviation<\/label><label for='ays-answer-297-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[75]\" value=\"294,295,296,297\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['75'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMjk0IjoiMCIsIjI5NSI6IjEiLCIyOTYiOiIwIiwiMjk3IjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2429068<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <strong>Bilateral CN IV paresis<\/strong><\/p>\n<ul>\n<li>Trochlear nerve schwannomas are benign tumors arising from Schwann cells of peripheral nerves. They more commonly arise from the trigeminal or vestibular nerves. Development of multiple schwannomas raises the possibility of underlying neurofibromatosis. Trochlear nerve schwannomas may be observed or treated with microsurgical resection or stereotactic radiosurgery.<\/li>\n<li>This axial T1w MRI with contrast shows focal enlargement and enhancement along both cranial nerve IV consistent with bilateral trochlear nerve schwannomas.<\/li>\n<li>Neuro-ophthalmologic exam showed bilateral CN IV pareses.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <strong>Bilateral CN IV paresis<\/strong><\/p>\n<ul>\n<li>Trochlear nerve schwannomas are benign tumors arising from Schwann cells of peripheral nerves. They more commonly arise from the trigeminal or vestibular nerves. Development of multiple schwannomas raises the possibility of underlying neurofibromatosis. Trochlear nerve schwannomas may be observed or treated with microsurgical resection or stereotactic radiosurgery.<\/li>\n<li>This axial T1w MRI with contrast shows focal enlargement and enhancement along both cranial nerve IV consistent with bilateral trochlear nerve schwannomas.<\/li>\n<li>Neuro-ophthalmologic exam showed bilateral CN IV pareses.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='74'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>8 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>Which is the most likely visual field defect to result from this lesion?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/12\/tyk_case_5_3.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-74]' id='ays-answer-290-13' value='290'\/>\n\n                <label for='ays-answer-290-13' class='  ays_position_initial  '>Homonymous hemianopia<\/label><label for='ays-answer-290-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-74]' id='ays-answer-291-13' value='291'\/>\n\n                <label for='ays-answer-291-13' class='  ays_position_initial  '>Superior quadrantanopia<\/label><label for='ays-answer-291-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-74]' id='ays-answer-292-13' value='292'\/>\n\n                <label for='ays-answer-292-13' class='  ays_position_initial  '>Bitemporal hemianopia<\/label><label for='ays-answer-292-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-74]' id='ays-answer-293-13' value='293'\/>\n\n                <label for='ays-answer-293-13' class='  ays_position_initial  '>Inferior quadrantanopia<\/label><label for='ays-answer-293-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[74]\" value=\"290,291,292,293\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['74'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMjkwIjoiMCIsIjI5MSI6IjAiLCIyOTIiOiIxIiwiMjkzIjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2421949<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Bitemporal hemianopia<\/b><\/p>\n<ul>\n<li>Pituitary adenomas are the most common sellar tumors. Pituitary macroadenomas (&gt; 10 mm) causing peripheral vision loss are typically treated with transsphenoidal resection except for prolactinomas which are usually treated with bromocriptine or cabergoline.<\/li>\n<li>Sagittal T1w MRI with contrast (left) and coronal T1w MRI with contrast (right) show a 3.5 cm pituitary macroadenoma with compression of the optic chiasm and extension to right cavernous sinus.<\/li>\n<li>Neuro-ophthalmologic exam showed a compressive left optic neuropathy and bitemporal hemianopia. Despite right cavernous sinus extension radiologically, there was no ocular misalignment on exam.<\/li>\n<li>Tritos NA, Miller KK. Diagnosis and Management of Pituitary Adenomas: A Review. <i>JAMA.<\/i> 2023;329(16):1386\u20131398.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Bitemporal hemianopia<\/b><\/p>\n<ul>\n<li>Pituitary adenomas are the most common sellar tumors. Pituitary macroadenomas (&gt; 10 mm) causing peripheral vision loss are typically treated with transsphenoidal resection except for prolactinomas which are usually treated with bromocriptine or cabergoline.<\/li>\n<li>Sagittal T1w MRI with contrast (left) and coronal T1w MRI with contrast (right) show a 3.5 cm pituitary macroadenoma with compression of the optic chiasm and extension to right cavernous sinus.<\/li>\n<li>Neuro-ophthalmologic exam showed a compressive left optic neuropathy and bitemporal hemianopia. Despite right cavernous sinus extension radiologically, there was no ocular misalignment on exam.<\/li>\n<li>Tritos NA, Miller KK. Diagnosis and Management of Pituitary Adenomas: A Review. <i>JAMA.<\/i> 2023;329(16):1386\u20131398.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='73'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>9 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>Which neuro-ophthalmologic finding(s) is\/are expected from this lesion?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/11\/tyk_case_4_3.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-73]' id='ays-answer-286-13' value='286'\/>\n\n                <label for='ays-answer-286-13' class='  ays_position_initial  '>Horner syndrome and CN VII palsy<\/label><label for='ays-answer-286-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-73]' id='ays-answer-287-13' value='287'\/>\n\n                <label for='ays-answer-287-13' class='  ays_position_initial  '>Internuclear ophthalmoplegia<\/label><label for='ays-answer-287-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-73]' id='ays-answer-288-13' value='288'\/>\n\n                <label for='ays-answer-288-13' class='  ays_position_initial  '>Optic neuropathy and CN III and CN VI pareses<\/label><label for='ays-answer-288-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-73]' id='ays-answer-289-13' value='289'\/>\n\n                <label for='ays-answer-289-13' class='  ays_position_initial  '>Skew deviation and optic tract syndrome<\/label><label for='ays-answer-289-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[73]\" value=\"286,287,288,289\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['73'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMjg2IjoiMCIsIjI4NyI6IjAiLCIyODgiOiIxIiwiMjg5IjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2457874<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Optic neuropathy and CN III and CN VI pareses<\/b><\/p>\n<ul>\n<li>Cavernous sinus meningiomas are benign, slow growing tumors that typically cause ophthalmoplegia but may impact afferent visual function with optic nerve or chiasm compression. Treatment may include surgery in select cases or radiation therapy.<\/li>\n<li>Coronal T1 with fat suppression and contrast (left) and axial T1 MPRAGE with contrast (right) showed a 4 cm enhancing dural-based lesion centered in right cavernous sinus, consistent with meningioma, extending to right orbital apex.<\/li>\n<li>Neuro-ophthalmologic exam showed a right compressive optic neuropathy, right pupil-involving partial CN III paresis and right CN VI paresis.<\/li>\n<li>Hekmatpanah J. Evidence-based treatment of cavernous sinus meningioma. Surg Neurol Int. 2019 Nov 22;10:228.Hasegawa T, Kida Y, Yoshimoto M, Koike J, Iizuka H, Ishii D, et al. Long-term outcomes of gamma knife surgery for cavernous sinus meningioma. J Neurosurg 2007;107:745-51.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Optic neuropathy and CN III and CN VI pareses<\/b><\/p>\n<ul>\n<li>Cavernous sinus meningiomas are benign, slow growing tumors that typically cause ophthalmoplegia but may impact afferent visual function with optic nerve or chiasm compression. Treatment may include surgery in select cases or radiation therapy.<\/li>\n<li>Coronal T1 with fat suppression and contrast (left) and axial T1 MPRAGE with contrast (right) showed a 4 cm enhancing dural-based lesion centered in right cavernous sinus, consistent with meningioma, extending to right orbital apex.<\/li>\n<li>Neuro-ophthalmologic exam showed a right compressive optic neuropathy, right pupil-involving partial CN III paresis and right CN VI paresis.<\/li>\n<li>Hekmatpanah J. Evidence-based treatment of cavernous sinus meningioma. Surg Neurol Int. 2019 Nov 22;10:228.Hasegawa T, Kida Y, Yoshimoto M, Koike J, Iizuka H, Ishii D, et al. Long-term outcomes of gamma knife surgery for cavernous sinus meningioma. J Neurosurg 2007;107:745-51.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='72'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>10 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>Which finding is expected from this lesion?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/11\/tyk_case_3_3.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-72]' id='ays-answer-282-13' value='282'\/>\n\n                <label for='ays-answer-282-13' class='  ays_position_initial  '>Bruns nystagmus<\/label><label for='ays-answer-282-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-72]' id='ays-answer-283-13' value='283'\/>\n\n                <label for='ays-answer-283-13' class='  ays_position_initial  '>Upbeat nystagmus<\/label><label for='ays-answer-283-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-72]' id='ays-answer-284-13' value='284'\/>\n\n                <label for='ays-answer-284-13' class='  ays_position_initial  '>Periodic alternating nystagmus<\/label><label for='ays-answer-284-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-72]' id='ays-answer-285-13' value='285'\/>\n\n                <label for='ays-answer-285-13' class='  ays_position_initial  '>Convergence-retraction nystagmus<\/label><label for='ays-answer-285-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[72]\" value=\"282,283,284,285\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['72'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMjgyIjoiMCIsIjI4MyI6IjAiLCIyODQiOiIwIiwiMjg1IjoiMSJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2456810<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Convergence-retraction nystagmus<\/b><\/p>\n<ul>\n<li>Adult brainstem gliomas are rare (&lt;2% of gliomas). Presenting symptoms include imbalance, ataxia, lower extremity weakness and binocular diplopia. Prognosis is poor for high grade brainstem gliomas despite radiation therapy and chemotherapy.<\/li>\n<li>This sagittal (left) and axial (right) T1 with fat suppression and contrast MRI shows an enhancing lesion in left midbrain concerning for glioma at site of prior hemorrhage. \u00a0There is surrounding vasogenic edema and effacement of cerebral aqueduct and third ventricle.<\/li>\n<li>Neuro-ophthalmologic exam showed light-near dissociation, Cogan lid retraction, upgaze palsy, convergence-retraction nystagmus on attempted upgaze and skew deviation. These findings are consistent with dorsal midbrain syndrome.<\/li>\n<li>Guillamo JS, Monjour A, Taillandier L, Devaux B, Varlet P, Haie-Meder C, Defer GL, Maison P, Mazeron JJ, Cornu P, Delattre JY; Association des Neuro-Oncologues d'Expression Fran\u00e7aise (ANOCEF). Brainstem gliomas in adults: prognostic factors and classification. Brain. 2001 Dec;124(Pt 12):2528-39.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Convergence-retraction nystagmus<\/b><\/p>\n<ul>\n<li>Adult brainstem gliomas are rare (&lt;2% of gliomas). Presenting symptoms include imbalance, ataxia, lower extremity weakness and binocular diplopia. Prognosis is poor for high grade brainstem gliomas despite radiation therapy and chemotherapy.<\/li>\n<li>This sagittal (left) and axial (right) T1 with fat suppression and contrast MRI shows an enhancing lesion in left midbrain concerning for glioma at site of prior hemorrhage. \u00a0There is surrounding vasogenic edema and effacement of cerebral aqueduct and third ventricle.<\/li>\n<li>Neuro-ophthalmologic exam showed light-near dissociation, Cogan lid retraction, upgaze palsy, convergence-retraction nystagmus on attempted upgaze and skew deviation. These findings are consistent with dorsal midbrain syndrome.<\/li>\n<li>Guillamo JS, Monjour A, Taillandier L, Devaux B, Varlet P, Haie-Meder C, Defer GL, Maison P, Mazeron JJ, Cornu P, Delattre JY; Association des Neuro-Oncologues d'Expression Fran\u00e7aise (ANOCEF). Brainstem gliomas in adults: prognostic factors and classification. Brain. 2001 Dec;124(Pt 12):2528-39.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='71'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>11 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>Which finding is expected from this lesion?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/11\/tyk_case_2_3.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-71]' id='ays-answer-278-13' value='278'\/>\n\n                <label for='ays-answer-278-13' class='  ays_position_initial  '>Pupil-involving cranial nerve III palsy<\/label><label for='ays-answer-278-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-71]' id='ays-answer-279-13' value='279'\/>\n\n                <label for='ays-answer-279-13' class='  ays_position_initial  '>Horner syndrome<\/label><label for='ays-answer-279-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-71]' id='ays-answer-280-13' value='280'\/>\n\n                <label for='ays-answer-280-13' class='  ays_position_initial  '>Optic neuropathy with left homonymous hemianopia<\/label><label for='ays-answer-280-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-71]' id='ays-answer-281-13' value='281'\/>\n\n                <label for='ays-answer-281-13' class='  ays_position_initial  '>Downbeat nystagmus<\/label><label for='ays-answer-281-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[71]\" value=\"278,279,280,281\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['71'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMjc4IjoiMCIsIjI3OSI6IjAiLCIyODAiOiIxIiwiMjgxIjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2413370<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Optic neuropathy with left homonymous hemianopia<\/b><\/p>\n<ul>\n<li>Optic pathway gliomas are low grade astrocytomas often involving the hypothalamus. They usually present in childhood and can occur in association with neurofibromatosis type I.<\/li>\n<li>This sagittal cube FLAIR (left) and axial T1 with contrast (right) MRI shows a 2 cm mass with solid and cystic components arising from the right optic tract and chiasm with extension into the hypothalamus. There is resultant obstructive hydrocephalus.<\/li>\n<li>Neuro-ophthalmologic exam showed bilateral optic atrophy with a left homonymous hemianopia. There was no papilledema. Patient underwent VP shunt placement and otherwise elected observation.<\/li>\n<li>Walker DA, Aquilina K, Spoudeas H, Pilotto C, Gan HW, Meijer L. A new era for optic pathway glioma: A developmental brain tumor with life-long health consequences. Front Pediatr. 2023 Mar 24;11:1038937<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Optic neuropathy with left homonymous hemianopia<\/b><\/p>\n<ul>\n<li>Optic pathway gliomas are low grade astrocytomas often involving the hypothalamus. They usually present in childhood and can occur in association with neurofibromatosis type I.<\/li>\n<li>This sagittal cube FLAIR (left) and axial T1 with contrast (right) MRI shows a 2 cm mass with solid and cystic components arising from the right optic tract and chiasm with extension into the hypothalamus. There is resultant obstructive hydrocephalus.<\/li>\n<li>Neuro-ophthalmologic exam showed bilateral optic atrophy with a left homonymous hemianopia. There was no papilledema. Patient underwent VP shunt placement and otherwise elected observation.<\/li>\n<li>Walker DA, Aquilina K, Spoudeas H, Pilotto C, Gan HW, Meijer L. A new era for optic pathway glioma: A developmental brain tumor with life-long health consequences. Front Pediatr. 2023 Mar 24;11:1038937<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='70'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>12 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>What are the expected ocular findings from this lesion?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/11\/tyk_case_1_3.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-70]' id='ays-answer-274-13' value='274'\/>\n\n                <label for='ays-answer-274-13' class='  ays_position_initial  '>Gaze evoked nystagmus and CN III palsy<\/label><label for='ays-answer-274-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-70]' id='ays-answer-275-13' value='275'\/>\n\n                <label for='ays-answer-275-13' class='  ays_position_initial  '>Bilateral optic neuropathy and bitemporal hemianopia<\/label><label for='ays-answer-275-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-70]' id='ays-answer-276-13' value='276'\/>\n\n                <label for='ays-answer-276-13' class='  ays_position_initial  '>Homonymous hemianopia and convergence retraction nystagmus<\/label><label for='ays-answer-276-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-70]' id='ays-answer-277-13' value='277'\/>\n\n                <label for='ays-answer-277-13' class='  ays_position_initial  '>Skew deviation and upbeat nystagmus<\/label><label for='ays-answer-277-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[70]\" value=\"274,275,276,277\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['70'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMjc0IjoiMCIsIjI3NSI6IjEiLCIyNzYiOiIwIiwiMjc3IjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2401895<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Bilateral optic neuropathy and bitemporal hemianopia<\/b><\/p>\n<ul>\n<li>Planum sphenoidale meningiomas enlarge slowly displacing the frontal lobes and causing optic chiasm compression.<\/li>\n<li>The sagittal and coronal T1 FLAIR MRI with fat suppression and contrast show a large planum sphenoidale meningioma which caused slowly progressive bilateral vision loss and change in personality. Neuro-ophthalmologic exam showed bilateral compressive optic neuropathy with bitemporal hemianopia due to chiasmal compression. There was significant visual recovery with resection and radiation therapy.<\/li>\n<li>Echalier EL, Subramanian PS. Meningiomas of the planum sphenoidale and tuberculum sella. J Neurol Surg B Skull Base. 2021 Feb; 82(1): 72-80.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Bilateral optic neuropathy and bitemporal hemianopia<\/b><\/p>\n<ul>\n<li>Planum sphenoidale meningiomas enlarge slowly displacing the frontal lobes and causing optic chiasm compression.<\/li>\n<li>The sagittal and coronal T1 FLAIR MRI with fat suppression and contrast show a large planum sphenoidale meningioma which caused slowly progressive bilateral vision loss and change in personality. Neuro-ophthalmologic exam showed bilateral compressive optic neuropathy with bitemporal hemianopia due to chiasmal compression. There was significant visual recovery with resection and radiation therapy.<\/li>\n<li>Echalier EL, Subramanian PS. Meningiomas of the planum sphenoidale and tuberculum sella. J Neurol Surg B Skull Base. 2021 Feb; 82(1): 72-80.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='48'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>13 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>You are examining a 6-month old boy whose parents believe that he does not see normally. He does fix and follow your face with either eye occluded, but not quite as well as you expect. Pupils are normal in size for his age and constrict adequately to direct light. Ocular media are clear and ophthalmoscopy of the left eye reveals the picture you see here. A similar abnormality is present in the right eye. What brain MRI abnormality would be most predictive of hormonal dysfunction?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/11\/NOVEL-tyk-ft-dv-21_21.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-48]' id='ays-answer-186-13' value='186'\/>\n\n                <label for='ays-answer-186-13' class='  ays_position_initial  '>Small caliber orbital optic nerve segments<\/label><label for='ays-answer-186-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-48]' id='ays-answer-187-13' value='187'\/>\n\n                <label for='ays-answer-187-13' class='  ays_position_initial  '>Small optic chiasm<\/label><label for='ays-answer-187-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-48]' id='ays-answer-188-13' value='188'\/>\n\n                <label for='ays-answer-188-13' class='  ays_position_initial  '>Absent septum pellucidum<\/label><label for='ays-answer-188-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-48]' id='ays-answer-189-13' value='189'\/>\n\n                <label for='ays-answer-189-13' class='  ays_position_initial  '>Upwardly displaced posterior pituitary bright spot<\/label><label for='ays-answer-189-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[48]\" value=\"186,187,188,189\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['48'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTg2IjoiMCIsIjE4NyI6IjAiLCIxODgiOiIwIiwiMTg5IjoiMSJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2461364<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Upwardly displaced posterior pituitary bright spot<\/b><\/p>\n<ul>\n<li>You are looking at a small (hypoplastic) optic disc. In other words, the optic nerve has too few axons, a congenital defect. Hypoplastic optic discs are manifestations of a forebrain dysgenesis, which may include the hypothalamic-pituitary axis. The MRI sign that best predicts hormonal dysfunction, which can be life-threatening, is the displacement of the normal posterior pituitary \u201cbright spot\u201d seen on the pre-contrast T1-weighted sagittal pulse sequence. It should normally be found in the posterior portion of the pituitary gland in the sella turcica. If you find it up in the hypothalamus,<\/li>\n<li>alert the pediatrician to the fact that the patient may not be able to mount an adequate hormonal response in a febrile illness.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Upwardly displaced posterior pituitary bright spot<\/b><\/p>\n<ul>\n<li>You are looking at a small (hypoplastic) optic disc. In other words, the optic nerve has too few axons, a congenital defect. Hypoplastic optic discs are manifestations of a forebrain dysgenesis, which may include the hypothalamic-pituitary axis. The MRI sign that best predicts hormonal dysfunction, which can be life-threatening, is the displacement of the normal posterior pituitary \u201cbright spot\u201d seen on the pre-contrast T1-weighted sagittal pulse sequence. It should normally be found in the posterior portion of the pituitary gland in the sella turcica. If you find it up in the hypothalamus,<\/li>\n<li>alert the pediatrician to the fact that the patient may not be able to mount an adequate hormonal response in a febrile illness.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='47'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>14 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>A 48 year old overweight woman is found on optometric examination to have the optic fundus appearance you see here. She suffers from moderate episodic headaches that have elicited a diagnosis of migraine. She has no visual symptoms. She was diagnosed with diabetes mellitus 2 years ago and blood sugar is well-controlled on a single oral agent. Visual acuities are normal and visual fields show very mild inferior arcuate nerve fiber bundle defects. Autofluorescence is normal. Fluorescein angiography shows mild optic disc staining. Optical coherence tomography confirms bilateral optic disc and slight peripapillary retinal elevation. What diagnosis do you make?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/11\/NOVEL-tyk-ft-dv-20_21.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-47]' id='ays-answer-182-13' value='182'\/>\n\n                <label for='ays-answer-182-13' class='  ays_position_initial  '>Diabetic papillopathy<\/label><label for='ays-answer-182-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-47]' id='ays-answer-183-13' value='183'\/>\n\n                <label for='ays-answer-183-13' class='  ays_position_initial  '>Hypertensive optic disc edema<\/label><label for='ays-answer-183-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-47]' id='ays-answer-184-13' value='184'\/>\n\n                <label for='ays-answer-184-13' class='  ays_position_initial  '>Congenitally elevated optic discs<\/label><label for='ays-answer-184-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-47]' id='ays-answer-185-13' value='185'\/>\n\n                <label for='ays-answer-185-13' class='  ays_position_initial  '>Bilateral non-arteritic ischemic optic neuropathy<\/label><label for='ays-answer-185-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[47]\" value=\"182,183,184,185\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['47'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTgyIjoiMSIsIjE4MyI6IjAiLCIxODQiOiIwIiwiMTg1IjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2461363<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer:<b>\u00a0Diabetic <\/b><b>papillopathy<\/b><\/p>\n<ul>\n<li>This is a difficult diagnosis to make. First, decide if the bilateral optic disc elevation is congenital or acquired\u2014not always easy on ophthalmoscopy alone. Preservation of the physiologic cup with elevation and obscuration of the peripapillary nerve fiber layer are clues to acquired optic disc elevation; so are papillary or peripapillary hemorrhages. Second, decide among various causes of acquired bilateral optic disc elevation, which conveniently start with the letter \u201ci:\u201d inflammation, ischemia, increased intracranial pressure (papilledema), increased systemic blood pressure (hypertensive optic disc edema), increased retinal venous pressure (retinal vein occlusion), inherited disorders (Leber hereditary optic neuropathy), intoxications (toxic optic neuropathy), and finally intolerance to glucose (diabetes mellitus). Inflammatory optic disc elevation usually causes leakage on fluorescein angiography; so does papilledema, although minimally. The preservation of visual acuity largely excludes LHON and intoxication; it does not entirely exclude ischemic optic neuropathy, which often spares the maculopapillar axons, but simultaneous binocular occurrence is unusual in that condition. Central retinal vein occlusion can cause considerable optic disc elevation, but engorged retinal veins and perivenous hemorrhages should also be present. Hypertensive optic disc edema is often binocular, but signs of retinal arterial occlusive disease should be evident. That leaves papilledema as the rule-out diagnosis, for which you will be impelled to order brain imaging; if negative, lumbar puncture will be next. If brain imaging and lumbar puncture are negative, you will fall back on a diagnosis of diabetic papillopathy.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer:<b>\u00a0Diabetic <\/b><b>papillopathy<\/b><\/p>\n<ul>\n<li>This is a difficult diagnosis to make. First, decide if the bilateral optic disc elevation is congenital or acquired\u2014not always easy on ophthalmoscopy alone. Preservation of the physiologic cup with elevation and obscuration of the peripapillary nerve fiber layer are clues to acquired optic disc elevation; so are papillary or peripapillary hemorrhages. Second, decide among various causes of acquired bilateral optic disc elevation, which conveniently start with the letter \u201ci:\u201d inflammation, ischemia, increased intracranial pressure (papilledema), increased systemic blood pressure (hypertensive optic disc edema), increased retinal venous pressure (retinal vein occlusion), inherited disorders (Leber hereditary optic neuropathy), intoxications (toxic optic neuropathy), and finally intolerance to glucose (diabetes mellitus). Inflammatory optic disc elevation usually causes leakage on fluorescein angiography; so does papilledema, although minimally. The preservation of visual acuity largely excludes LHON and intoxication; it does not entirely exclude ischemic optic neuropathy, which often spares the maculopapillar axons, but simultaneous binocular occurrence is unusual in that condition. Central retinal vein occlusion can cause considerable optic disc elevation, but engorged retinal veins and perivenous hemorrhages should also be present. Hypertensive optic disc edema is often binocular, but signs of retinal arterial occlusive disease should be evident. That leaves papilledema as the rule-out diagnosis, for which you will be impelled to order brain imaging; if negative, lumbar puncture will be next. If brain imaging and lumbar puncture are negative, you will fall back on a diagnosis of diabetic papillopathy.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='43'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>15 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>A 10 year old boy is found on optometric examination to have a best-corrected visual acuity of 20\/100 (6\/30, 0.2) in the left eye and moderate left proptosis. His parents are unaware of when the proptosis occurred and when vision became impaired. The right eye has a normal examination, including formal visual fields. The left eye moves normally, but has an afferent pupil defect and a pale optic disc. Apart from left eye proptosis, there are no other abnormalities on the eye examination and a later neurologic examination is also normal. The MRI is interpreted as showing enlargement of the intraorbital optic nerve with diffuse enhancement, but no intracranial lesions. What do you recommend?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/11\/NOVEL-tyk-ft-dv-16_21.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-43]' id='ays-answer-166-13' value='166'\/>\n\n                <label for='ays-answer-166-13' class='  ays_position_initial  '>No intervention<\/label><label for='ays-answer-166-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-43]' id='ays-answer-167-13' value='167'\/>\n\n                <label for='ays-answer-167-13' class='  ays_position_initial  '>Orbitocranial incision to excise tumor up to its distal margin, sparing the eye and eye muscles<\/label><label for='ays-answer-167-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-43]' id='ays-answer-168-13' value='168'\/>\n\n                <label for='ays-answer-168-13' class='  ays_position_initial  '>Chemotherapy<\/label><label for='ays-answer-168-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-43]' id='ays-answer-169-13' value='169'\/>\n\n                <label for='ays-answer-169-13' class='  ays_position_initial  '>Radiation therapy<\/label><label for='ays-answer-169-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[43]\" value=\"166,167,168,169\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['43'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTY2IjoiMSIsIjE2NyI6IjAiLCIxNjgiOiIwIiwiMTY5IjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2461359<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer:<b>\u00a0No intervention<\/b><\/p>\n<p>The imaging features and the patient\u2019s age strongly suggest a diagnosis of pilocytic astrocytoma (\u201coptic glioma\u201d), a World Health Organization Grade 1 (low malignant potential) lesion limited to the orbital segment of the nerve. He may have neurofibromatosis type 1 (NF 1). There is no evidence that surgery on such a lesion prevents spread to the optic chiasm, hypothalamus, or other optic nerve. Whether to undertake chemotherapy for a lesion confined to one intra-orbital optic nerve is controversial. Many oncologists would defer because anecdotal evidence of benefit is weak and there are no controlled clinical trials. Current regimens, which are vinca alkaloid and platinum-based, are safe but arduous. There is suggestive evidence that checkpoint inhibitors may be more effective. Radiation therapy is not supported by trial evidence and is especially toxic. If serial clinical and imaging examinations were to suggest the development of binocular vision loss or imaging involvement of both optic nerves, the optic chiasm or the hypothalamus, then chemotherapy would be a more viable consideration. Investigation for non-ophthalmic signs of NF 1 is reasonable.<\/p>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer:<b>\u00a0No intervention<\/b><\/p>\n<p>The imaging features and the patient\u2019s age strongly suggest a diagnosis of pilocytic astrocytoma (\u201coptic glioma\u201d), a World Health Organization Grade 1 (low malignant potential) lesion limited to the orbital segment of the nerve. He may have neurofibromatosis type 1 (NF 1). There is no evidence that surgery on such a lesion prevents spread to the optic chiasm, hypothalamus, or other optic nerve. Whether to undertake chemotherapy for a lesion confined to one intra-orbital optic nerve is controversial. Many oncologists would defer because anecdotal evidence of benefit is weak and there are no controlled clinical trials. Current regimens, which are vinca alkaloid and platinum-based, are safe but arduous. There is suggestive evidence that checkpoint inhibitors may be more effective. Radiation therapy is not supported by trial evidence and is especially toxic. If serial clinical and imaging examinations were to suggest the development of binocular vision loss or imaging involvement of both optic nerves, the optic chiasm or the hypothalamus, then chemotherapy would be a more viable consideration. Investigation for non-ophthalmic signs of NF 1 is reasonable.<\/p>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='42'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>16 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>A 60 year old previously healthy man reports new headache and blurred vision. Visual acuity is normal but visual fields show bitemporal hemianopia. Brain MRI looks like this. What does this image show?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/11\/NOVEL-tyk-ft-dv-15_21.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-42]' id='ays-answer-162-13' value='162'\/>\n\n                <label for='ays-answer-162-13' class='  ays_position_initial  '>Cystic craniopharyngioma<\/label><label for='ays-answer-162-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-42]' id='ays-answer-163-13' value='163'\/>\n\n                <label for='ays-answer-163-13' class='  ays_position_initial  '>Hemorrhagic pituitary adenoma<\/label><label for='ays-answer-163-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-42]' id='ays-answer-164-13' value='164'\/>\n\n                <label for='ays-answer-164-13' class='  ays_position_initial  '>Suprasellar aneurysm<\/label><label for='ays-answer-164-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-42]' id='ays-answer-165-13' value='165'\/>\n\n                <label for='ays-answer-165-13' class='  ays_position_initial  '>Chiasmal apoplexy<\/label><label for='ays-answer-165-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[42]\" value=\"162,163,164,165\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['42'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTYyIjoiMCIsIjE2MyI6IjEiLCIxNjQiOiIwIiwiMTY1IjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2461358<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Hemorrhagic pituitary adenoma<\/b><\/p>\n<p>The arrow is pointing to an area of high signal on this sagittal pre-contrast T1-weighted MRI scan. That white area lies within a mass that appears to arise within the sella turcica. No separate pituitary gland is visible, so likely the mass is the pituitary gland itself\u2014a pituitary adenoma. Bright signal on pre-contrast T1 MRI can be caused by fat, protein, some forms of calcium, melanin, slowly-flowing intravascular blood, and methemoglobin from fresh extravascular blood. In this case, it is extravascular blood within the pituitary gland, a phenomenon called \u201cpituitary apoplexy.\u201d Do not confuse this phenomenon with the pituitary infarction that occurs after pregnancy (Sheehan syndrome). Pituitary apoplexy is bleeding without infarction. The bleeding may expand the gland to cause pressure on the diaphragma sellae (headache), on the optic chiasm (bitemporal hemianopia), or on the cavernous sinus (ophthalmoplegia). Transsphenoidal surgery is usually performed promptly, often with excellent restoration of vision and normal ocular alignment.<\/p>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Hemorrhagic pituitary adenoma<\/b><\/p>\n<p>The arrow is pointing to an area of high signal on this sagittal pre-contrast T1-weighted MRI scan. That white area lies within a mass that appears to arise within the sella turcica. No separate pituitary gland is visible, so likely the mass is the pituitary gland itself\u2014a pituitary adenoma. Bright signal on pre-contrast T1 MRI can be caused by fat, protein, some forms of calcium, melanin, slowly-flowing intravascular blood, and methemoglobin from fresh extravascular blood. In this case, it is extravascular blood within the pituitary gland, a phenomenon called \u201cpituitary apoplexy.\u201d Do not confuse this phenomenon with the pituitary infarction that occurs after pregnancy (Sheehan syndrome). Pituitary apoplexy is bleeding without infarction. The bleeding may expand the gland to cause pressure on the diaphragma sellae (headache), on the optic chiasm (bitemporal hemianopia), or on the cavernous sinus (ophthalmoplegia). Transsphenoidal surgery is usually performed promptly, often with excellent restoration of vision and normal ocular alignment.<\/p>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='41'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>17 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>A 15 year old boy reports new headache and impaired vision. Best-corrected visual acuities are 20\/200 (6\/60, 0.1) in the right eye and 20\/400 (6\/120, 0.05) in the left eye. There is no afferent pupil defect. All other aspects of the ophthalmic and neurologic examinations are normal. MRI shows this lesion, which was interpreted as showing a craniopharyngioma. Which of the following statements is true about this lesion?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/11\/NOVEL-tyk-ft-dv-14_21.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-41]' id='ays-answer-158-13' value='158'\/>\n\n                <label for='ays-answer-158-13' class='  ays_position_initial  '>Complete excision is necessary to prevent regrowth<\/label><label for='ays-answer-158-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-41]' id='ays-answer-159-13' value='159'\/>\n\n                <label for='ays-answer-159-13' class='  ays_position_initial  '>High-dose radiation (&gt; 5,000 cGy) is favored as the primary treatment modality<\/label><label for='ays-answer-159-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-41]' id='ays-answer-160-13' value='160'\/>\n\n                <label for='ays-answer-160-13' class='  ays_position_initial  '>Recurrent vision loss is more often due to growth of cysts than of solid tumor<\/label><label for='ays-answer-160-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-41]' id='ays-answer-161-13' value='161'\/>\n\n                <label for='ays-answer-161-13' class='  ays_position_initial  '>Ventriculo-peritoneal shunt is rarely necessary<\/label><label for='ays-answer-161-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[41]\" value=\"158,159,160,161\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['41'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTU4IjoiMCIsIjE1OSI6IjAiLCIxNjAiOiIxIiwiMTYxIjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2461357<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Recurrent vision loss is more often due to growth of cysts than of solid tumor<\/b><\/p>\n<p>Craniopharyngiomas are made up of congenital cell rests that normally line the throat. These cell rests find their way into the middle cranial fossa and generate solid and cystic masses. Although extensive surgical removal is important, complete excision is dangerous to vision. High-dose x-irradiation is critical to prevent regrowth, but it works best if much tumor has already been removed. Craniopharyngiomas grow upwards to block the foramen of Monro, causing hydrocephalus that often requires ventriculo-peritoneal shunting. In spite of extensive surgery and radiation, cystic regrowth is common and causes rapid loss of vision. The cysts must be approached surgically.<\/p>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Recurrent vision loss is more often due to growth of cysts than of solid tumor<\/b><\/p>\n<p>Craniopharyngiomas are made up of congenital cell rests that normally line the throat. These cell rests find their way into the middle cranial fossa and generate solid and cystic masses. Although extensive surgical removal is important, complete excision is dangerous to vision. High-dose x-irradiation is critical to prevent regrowth, but it works best if much tumor has already been removed. Craniopharyngiomas grow upwards to block the foramen of Monro, causing hydrocephalus that often requires ventriculo-peritoneal shunting. In spite of extensive surgery and radiation, cystic regrowth is common and causes rapid loss of vision. The cysts must be approached surgically.<\/p>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='39'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>18 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>A 50 year old woman is found to have a best-corrected visual acuity of 20\/50 (6\/15, 0.40) in her left eye and 20\/20 (6\/6, 1.0) in her right eye on a routine optometric examination. Formal visual fields show a nerve fiber bundle defect in the affected left eye and a normal visual field in the right eye. There is an afferent pupil defect in the left eye, but otherwise the examination of both eyes is normal, including the appearance of both optic discs on ophthalmoscopy. Brain\/orbit MRI shows this isolated abnormality. What management do you recommend to the patient?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/11\/NOVEL-tyk-ft-dv-12_21.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-39]' id='ays-answer-150-13' value='150'\/>\n\n                <label for='ays-answer-150-13' class='  ays_position_initial  '>Initiate a two-week trial of oral prednisone 1\/2mg\/kg; if there is no improvement in visual function, refer for x-irradiation of the orbital lesion<\/label><label for='ays-answer-150-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-39]' id='ays-answer-151-13' value='151'\/>\n\n                <label for='ays-answer-151-13' class='  ays_position_initial  '>Refer directly for x-irradiation<\/label><label for='ays-answer-151-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-39]' id='ays-answer-152-13' value='152'\/>\n\n                <label for='ays-answer-152-13' class='  ays_position_initial  '>Refer for orbital biopsy<\/label><label for='ays-answer-152-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-39]' id='ays-answer-153-13' value='153'\/>\n\n                <label for='ays-answer-153-13' class='  ays_position_initial  '>Observe for progressive vision loss and\/or change in imaging appearance of the lesion<\/label><label for='ays-answer-153-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[39]\" value=\"150,151,152,153\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['39'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTUwIjoiMSIsIjE1MSI6IjAiLCIxNTIiOiIwIiwiMTUzIjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2461355<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Initiate a two-week trial of oral prednisone 1\/2mg\/kg; if there is no improvement in visual function, refer for x-irradiation of the orbital lesion<\/b><\/p>\n<p>The imaging features here suggest either an optic nerve sheath meningioma, a chronic dural inflammation (\u201cpachymeningitis\u201d), or lymphoma. You could order a CT scan, looking for calcium in the lesion, which would favor meningioma. You could look for inflammation or lymphoma elsewhere in the body with \u201cpan CT scanning.\u201d If a trial of prednisone improves vision, you would effectively exclude meningioma. In that case, additional imaging would be indicated to try to distinguish between the other options. X-irradiation of optic nerve sheath meningioma probably reduces the chances of lesion growth and further vision loss, and may even improve vision, but is not recommended if vision has already been severely compromised. Tip: do not recommend x-irradiation to prevent growth of an intracranial component because lesions that originate in the orbit almost never show sufficient intracranial growth to damage the other optic nerve or optic chiasm. Biopsy of this lesion is not advised because it is certain to damage vision. Recommend it only if all vision has been lost for many months and diagnosis is in doubt. Observation is an option if the patient refuses treatment despite understanding that x-irradiation is probably beneficial and has a low risk of harm. If x-irradiation is to be carried out, however, make sure that it is done in a center with experience treating such lesions, otherwise radiation toxicity to the retina, optic nerves, and optic chiasm is a serious risk!<\/p>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Initiate a two-week trial of oral prednisone 1\/2mg\/kg; if there is no improvement in visual function, refer for x-irradiation of the orbital lesion<\/b><\/p>\n<p>The imaging features here suggest either an optic nerve sheath meningioma, a chronic dural inflammation (\u201cpachymeningitis\u201d), or lymphoma. You could order a CT scan, looking for calcium in the lesion, which would favor meningioma. You could look for inflammation or lymphoma elsewhere in the body with \u201cpan CT scanning.\u201d If a trial of prednisone improves vision, you would effectively exclude meningioma. In that case, additional imaging would be indicated to try to distinguish between the other options. X-irradiation of optic nerve sheath meningioma probably reduces the chances of lesion growth and further vision loss, and may even improve vision, but is not recommended if vision has already been severely compromised. Tip: do not recommend x-irradiation to prevent growth of an intracranial component because lesions that originate in the orbit almost never show sufficient intracranial growth to damage the other optic nerve or optic chiasm. Biopsy of this lesion is not advised because it is certain to damage vision. Recommend it only if all vision has been lost for many months and diagnosis is in doubt. Observation is an option if the patient refuses treatment despite understanding that x-irradiation is probably beneficial and has a low risk of harm. If x-irradiation is to be carried out, however, make sure that it is done in a center with experience treating such lesions, otherwise radiation toxicity to the retina, optic nerves, and optic chiasm is a serious risk!<\/p>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='35'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>19 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>A 60 year old woman with diabetes mellitus is diagnosed with small cell lung cancer and a frontal lobe metastasis. She is treated with chemotherapy and whole brain radiation. Follow-up studies, including repeat brain MRI, consider her in remission. One year later, she develops acute vision loss in the right eye. There are no other new symptoms. Her diabetes is under control. The neuro-ophthalmic examination shows reduced visual acuity and a nerve fiber bundle defect in the right eye with an otherwise normal examination. The examination of the left eye is normal. Neurologic examination is normal. An axial post-contrast T1-weighted brain MRI scan looks like this. The diagnosis is\u2026<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/11\/NOVEL-tyk-ft-dv-8_21.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-35]' id='ays-answer-134-13' value='134'\/>\n\n                <label for='ays-answer-134-13' class='  ays_position_initial  '>Optic neuritis<\/label><label for='ays-answer-134-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-35]' id='ays-answer-135-13' value='135'\/>\n\n                <label for='ays-answer-135-13' class='  ays_position_initial  '>Cancerous infiltration of the optic nerve<\/label><label for='ays-answer-135-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-35]' id='ays-answer-136-13' value='136'\/>\n\n                <label for='ays-answer-136-13' class='  ays_position_initial  '>Radiation-induced optic neuropathy<\/label><label for='ays-answer-136-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-35]' id='ays-answer-137-13' value='137'\/>\n\n                <label for='ays-answer-137-13' class='  ays_position_initial  '>Paraneoplastic optic neuropathy<\/label><label for='ays-answer-137-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[35]\" value=\"134,135,136,137\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['35'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTM0IjoiMCIsIjEzNSI6IjAiLCIxMzYiOiIxIiwiMTM3IjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2461351<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Radiation-induced optic neuropathy<\/b><\/p>\n<ul>\n<li>This MRI is showing a discrete area of enhancement in the prechiasmatic (intracranial) right optic nerve.<\/li>\n<li>Although such signal changes do occur here in optic neuritis, their location is typical for radiation-induced optic neuropathy. Moreover, the timing is perfect for this condition, which is based on endothelial damage and secondary infarction. Neither neoplastic nor paraneoplastic optic neuropathy shows such a discrete MRI signal abnormality. Radiation-induced optic neuropathy is a rare event when proper radiation protocols are conducted, but patients with underlying vasculopathy (neurofibromatosis, diabetes, hypertension) are at higher risk. Although hyperbaric oxygen and anticoagulation treatments are often proposed, they have never been shown to be effective. Unfortunately, stepwise decline in vision often occurs, sometimes involving both optic nerves.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer:<b>\u00a0Radiation-induced optic neuropathy<\/b><\/p>\n<ul>\n<li>This MRI is showing a discrete area of enhancement in the prechiasmatic (intracranial) right optic nerve.<\/li>\n<li>Although such signal changes do occur here in optic neuritis, their location is typical for radiation-induced optic neuropathy. Moreover, the timing is perfect for this condition, which is based on endothelial damage and secondary infarction. Neither neoplastic nor paraneoplastic optic neuropathy shows such a discrete MRI signal abnormality. Radiation-induced optic neuropathy is a rare event when proper radiation protocols are conducted, but patients with underlying vasculopathy (neurofibromatosis, diabetes, hypertension) are at higher risk. Although hyperbaric oxygen and anticoagulation treatments are often proposed, they have never been shown to be effective. Unfortunately, stepwise decline in vision often occurs, sometimes involving both optic nerves.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='34'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>20 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>A 55 year old man undergoes multilevel lumbar spine surgery for spinal stenosis and awakens with impaired vision in both eyes. He had a thorough and normal pre-operative optometric examination 1 month before surgery. Visual acuity now is 20\/100 (6\/30, 0.2) in both eyes. There is an afferent pupil defect in the right eye. Intraocular pressures are normal. Visual fields appear normal at the bedside, and the optic fundus, through clear media, appears normal. This is a diffusion-weighted axial MRI scan. What caused the vision loss?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/11\/NOVEL-tyk-ft-dv-7_21.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-34]' id='ays-answer-130-13' value='130'\/>\n\n                <label for='ays-answer-130-13' class='  ays_position_initial  '>Bilateral ischemic optic neuropathy<\/label><label for='ays-answer-130-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-34]' id='ays-answer-131-13' value='131'\/>\n\n                <label for='ays-answer-131-13' class='  ays_position_initial  '>Bilateral optic neuritis<\/label><label for='ays-answer-131-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-34]' id='ays-answer-132-13' value='132'\/>\n\n                <label for='ays-answer-132-13' class='  ays_position_initial  '>Chiasmal infarction (Sheehan syndrome)<\/label><label for='ays-answer-132-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-34]' id='ays-answer-133-13' value='133'\/>\n\n                <label for='ays-answer-133-13' class='  ays_position_initial  '>Bilateral visual cortex infarction<\/label><label for='ays-answer-133-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[34]\" value=\"130,131,132,133\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['34'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTMwIjoiMSIsIjEzMSI6IjAiLCIxMzIiOiIwIiwiMTMzIjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2461350<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Bilateral ischemic optic neuropathy<\/b><\/p>\n<p>The diffusion-weighted MRI is showing increased signal in both optic nerves, an indication of recent infarction. The cause was probably intra-operative systemic hypotension, which sometimes occurs accidentally or deliberately (to reduce hemorrhage that interferes with the surgeon\u2019s view in the operative field). Called \u201cperi-operative ischemic optic neuropathy\u201d or \u201chypotensive ischemic optic neuropathy,\u201d its mechanism is believed to be lack of perfusion of the intra-orbital optic nerve. The patient usually notices the vision loss upon regaining full consciousness, although it may initially be attributed to sedating analgesics. The radiologist\u2019s attention should be drawn to the optic nerves and diffusion-weighted imaging should be included in the MRI study. Maintaining normal post-operative blood pressure is a reasonable gesture. Hyperbaric oxygen treatment and corticosteroids, often proposed, are not effective. Vision may spontaneously improve somewhat if the infarction has not been severe. Bilateral optic neuritis is not a favored diagnostic choice in this setting. Chiasmal infarction is rare and found in the postpartum state. Although visual cortex infarction can certainly occur in this setting, the afferent pupil defect in this case points to an optic nerve localization.<\/p>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Bilateral ischemic optic neuropathy<\/b><\/p>\n<p>The diffusion-weighted MRI is showing increased signal in both optic nerves, an indication of recent infarction. The cause was probably intra-operative systemic hypotension, which sometimes occurs accidentally or deliberately (to reduce hemorrhage that interferes with the surgeon\u2019s view in the operative field). Called \u201cperi-operative ischemic optic neuropathy\u201d or \u201chypotensive ischemic optic neuropathy,\u201d its mechanism is believed to be lack of perfusion of the intra-orbital optic nerve. The patient usually notices the vision loss upon regaining full consciousness, although it may initially be attributed to sedating analgesics. The radiologist\u2019s attention should be drawn to the optic nerves and diffusion-weighted imaging should be included in the MRI study. Maintaining normal post-operative blood pressure is a reasonable gesture. Hyperbaric oxygen treatment and corticosteroids, often proposed, are not effective. Vision may spontaneously improve somewhat if the infarction has not been severe. Bilateral optic neuritis is not a favored diagnostic choice in this setting. Chiasmal infarction is rare and found in the postpartum state. Although visual cortex infarction can certainly occur in this setting, the afferent pupil defect in this case points to an optic nerve localization.<\/p>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='33'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>21 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>A 70 year old woman reports loss of vision in both eyes over the previous weekend. She has been taking a nonsteroidal anti-inflammatory (NSAID) medication for \u201carthritis\u201d but has otherwise been free of health concerns. Visual acuities are reduced to finger counting in both eyes. There is no afferent pupil defect. Acute phase reactants (erythrocyte sedimentation rate, C-reactive protein) are normal. Here is the appearance of the optic fundi. You should order\u2026<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/11\/NOVEL-tyk-ft-dv-6_21.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-33]' id='ays-answer-126-13' value='126'\/>\n\n                <label for='ays-answer-126-13' class='  ays_position_initial  '>Optical coherence tomography<\/label><label for='ays-answer-126-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-33]' id='ays-answer-127-13' value='127'\/>\n\n                <label for='ays-answer-127-13' class='  ays_position_initial  '>Fluorescein angiography<\/label><label for='ays-answer-127-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-33]' id='ays-answer-128-13' value='128'\/>\n\n                <label for='ays-answer-128-13' class='  ays_position_initial  '>Brain\/orbit MRI, followed by lumbar puncture if the imaging is normal<\/label><label for='ays-answer-128-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-33]' id='ays-answer-129-13' value='129'\/>\n\n                <label for='ays-answer-129-13' class='  ays_position_initial  '>High-dose corticosteroid treatment, followed by temporal artery biopsy<\/label><label for='ays-answer-129-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[33]\" value=\"126,127,128,129\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['33'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTI2IjoiMCIsIjEyNyI6IjAiLCIxMjgiOiIwIiwiMTI5IjoiMSJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2461349<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>High-dose corticosteroid treatment, followed by temporal artery biopsy<\/b><\/p>\n<ul>\n<li>You are looking at pallid swelling of both optic discs in a patient with a report of newly and severely reduced vision in both eyes. Bilateral simultaneous optic disc swelling often prompts consideration of papilledema from increased intracranial pressure, but papilledema does not usually cause such severe vision loss acutely. Moreover, the optic disc swelling here is pallid, therefore likely ischemic. Yes, she lacks systemic manifestations of giant cell arteritis (although the NSAID medication may be masking them) and does not have elevated acute phase reactants, but the fact that both optic discs are affected SIMULTANEOUSLY nearly excludes non-arteritic ischemic optic neuropathy and demands prompt exclusion of giant cell arteritis. (Giant cell arteritis may sometimes occur without any systemic symptoms and with normal serum acute phase reactants!) Therefore, she must undergo immediate corticosteroid treatment to help protect her against further vision loss, followed by temporal artery biopsy as soon as possible. The pathologist will be looking for thickening and inflammatory destruction of the vascular media\u2013intima junction, fragmentation of the internal elastic lamina, and\/or Langerhans giant cells.<\/li>\n<li>If biopsy of one side is negative and giant cell arteritis remains a prime suspect, you should consider a biopsy of the other side, which improves the detection rate of giant cell arteritis from 93% to 96%. Optical coherence tomography contributes nothing here. Fluorescein angiography in this setting might be useful to detect choroidal ischemia, a feature of giant cell arteritis, but you would proceed toward excluding giant cell arteritis even if it were negative. Were a double biopsy to be negative, a positive fluorescein angiogram might induce you to treat for giant cell arteritis in spite of the otherwise negative studies.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>High-dose corticosteroid treatment, followed by temporal artery biopsy<\/b><\/p>\n<ul>\n<li>You are looking at pallid swelling of both optic discs in a patient with a report of newly and severely reduced vision in both eyes. Bilateral simultaneous optic disc swelling often prompts consideration of papilledema from increased intracranial pressure, but papilledema does not usually cause such severe vision loss acutely. Moreover, the optic disc swelling here is pallid, therefore likely ischemic. Yes, she lacks systemic manifestations of giant cell arteritis (although the NSAID medication may be masking them) and does not have elevated acute phase reactants, but the fact that both optic discs are affected SIMULTANEOUSLY nearly excludes non-arteritic ischemic optic neuropathy and demands prompt exclusion of giant cell arteritis. (Giant cell arteritis may sometimes occur without any systemic symptoms and with normal serum acute phase reactants!) Therefore, she must undergo immediate corticosteroid treatment to help protect her against further vision loss, followed by temporal artery biopsy as soon as possible. The pathologist will be looking for thickening and inflammatory destruction of the vascular media\u2013intima junction, fragmentation of the internal elastic lamina, and\/or Langerhans giant cells.<\/li>\n<li>If biopsy of one side is negative and giant cell arteritis remains a prime suspect, you should consider a biopsy of the other side, which improves the detection rate of giant cell arteritis from 93% to 96%. Optical coherence tomography contributes nothing here. Fluorescein angiography in this setting might be useful to detect choroidal ischemia, a feature of giant cell arteritis, but you would proceed toward excluding giant cell arteritis even if it were negative. Were a double biopsy to be negative, a positive fluorescein angiogram might induce you to treat for giant cell arteritis in spite of the otherwise negative studies.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='32'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>22 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>A 75 year old man describes impaired vision in his left eye upon awakening. He denies any symptoms to suggest a systemic inflammatory disorder. He is under treatment for diabetes mellitus and systemic hypertension, but blood pressures have been slightly elevated in the range of 150\/90 mm Hg. Vision is normal in the right eye, but slightly impaired in the left eye with an afferent pupil defect in the left eye. All other aspects of the ophthalmic examination are normal, except for the left optic fundus, as seen here. Serum acute phase reactants (erythrocyte sedimentation rate, C-reactive protein) are normal. You should order\u2026<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/11\/NOVEL-tyk-ft-dv-5_21.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-32]' id='ays-answer-122-13' value='122'\/>\n\n                <label for='ays-answer-122-13' class='  ays_position_initial  '>Optical coherence tomography<\/label><label for='ays-answer-122-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-32]' id='ays-answer-123-13' value='123'\/>\n\n                <label for='ays-answer-123-13' class='  ays_position_initial  '>Carotid artery imaging<\/label><label for='ays-answer-123-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-32]' id='ays-answer-124-13' value='124'\/>\n\n                <label for='ays-answer-124-13' class='  ays_position_initial  '>High-dose corticosteroid treatment, followed by temporal artery biopsy<\/label><label for='ays-answer-124-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-32]' id='ays-answer-125-13' value='125'\/>\n\n                <label for='ays-answer-125-13' class='  ays_position_initial  '>Ambulatory blood pressure monitoring<\/label><label for='ays-answer-125-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[32]\" value=\"122,123,124,125\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['32'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTIyIjoiMCIsIjEyMyI6IjAiLCIxMjQiOiIwIiwiMTI1IjoiMSJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2461348<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Ambulatory blood pressure monitoring<\/b><\/p>\n<p>This patient has the profile of optic disc stroke, also called \u201cischemic optic neuropathy.\u201d Nothing in his history suggests that this is \u201carteritic,\u201d even though that is always a concern. Temporal artery biopsy, preceded by high-dose corticosteroid treatment, is not medically justified here. You can comfortably diagnose \u201cnon-arteritic ischemic optic neuropathy,\u201d which is generally caused by in situ compromise of tiny optic disc pre-capillary arterioles. Thus, carotid artery imaging is not indicated and neither is cardiac echography. Optic coherence tomography contributes nothing here. Ambulatory blood pressure monitoring may guide in establishing a proper blood pressure control regimen.<\/p>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Ambulatory blood pressure monitoring<\/b><\/p>\n<p>This patient has the profile of optic disc stroke, also called \u201cischemic optic neuropathy.\u201d Nothing in his history suggests that this is \u201carteritic,\u201d even though that is always a concern. Temporal artery biopsy, preceded by high-dose corticosteroid treatment, is not medically justified here. You can comfortably diagnose \u201cnon-arteritic ischemic optic neuropathy,\u201d which is generally caused by in situ compromise of tiny optic disc pre-capillary arterioles. Thus, carotid artery imaging is not indicated and neither is cardiac echography. Optic coherence tomography contributes nothing here. Ambulatory blood pressure monitoring may guide in establishing a proper blood pressure control regimen.<\/p>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='31'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>23 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>A 17 year old man develops painless loss of vision in his left eye. He has been previously healthy, taking no medications, and without notable family history. Visual function is normal in the right eye, but markedly depressed in the left eye with an afferent pupil defect. This is the appearance of the left optic fundus. All other aspects of his clinical examination are normal. Which of the following statements is true?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/11\/NOVEL-tyk-ft-dv-4_21.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-31]' id='ays-answer-118-13' value='118'\/>\n\n                <label for='ays-answer-118-13' class='  ays_position_initial  '>Perifoveal yellow exudates may become more apparent<\/label><label for='ays-answer-118-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-31]' id='ays-answer-119-13' value='119'\/>\n\n                <label for='ays-answer-119-13' class='  ays_position_initial  '>Multiple sclerosis may develop<\/label><label for='ays-answer-119-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-31]' id='ays-answer-120-13' value='120'\/>\n\n                <label for='ays-answer-120-13' class='  ays_position_initial  '>Visual recovery is unlikely<\/label><label for='ays-answer-120-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-31]' id='ays-answer-121-13' value='121'\/>\n\n                <label for='ays-answer-121-13' class='  ays_position_initial  '>An infectious cause is likely<\/label><label for='ays-answer-121-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[31]\" value=\"118,119,120,121\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['31'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTE4IjoiMSIsIjExOSI6IjAiLCIxMjAiOiIwIiwiMTIxIjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2461347<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Perifoveal yellow exudates may become more apparent<\/b><\/p>\n<ul>\n<li>You are looking at a swollen left optic disc. At this patient\u2019s young age, the mechanism is probably inflammation, and the condition is labeled \u201cpapillitis.\u201d It is a form of primarily intraocular (rather than retrobulbar) optic neuritis. Because trigeminal afferents do not penetrate that part of the optic nerve, there is no periocular pain. Brain\/orbit MRI may show enhancement of the optic disc and sometimes intraorbital parenchymal or dural enhancement of the optic nerve. Perifoveal yellow exudates (\u201cmacular star figures\u201d)<\/li>\n<li>often become more apparent within 2 weeks after clinical onset, reflecting the intense leakage of papillary capillaries, and generating the label \u201cneuroretinitis,\u201d although this condition is not really a retinal inflammation. Multiple sclerosis does not develop. An evaluation for systemic infectious (including syphilitic) and non-infectious inflammatory disorders is reasonable, but often no cause is found. Cat scratch disease may be diagnosed if a positive Bartonella serum antibody turns up. Most patients who have no signs of infection are treated with corticosteroids, although no controlled trials exist to prove benefit. Substantial visual recovery occurs without treatment in 50% to 75% of cases.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Perifoveal yellow exudates may become more apparent<\/b><\/p>\n<ul>\n<li>You are looking at a swollen left optic disc. At this patient\u2019s young age, the mechanism is probably inflammation, and the condition is labeled \u201cpapillitis.\u201d It is a form of primarily intraocular (rather than retrobulbar) optic neuritis. Because trigeminal afferents do not penetrate that part of the optic nerve, there is no periocular pain. Brain\/orbit MRI may show enhancement of the optic disc and sometimes intraorbital parenchymal or dural enhancement of the optic nerve. Perifoveal yellow exudates (\u201cmacular star figures\u201d)<\/li>\n<li>often become more apparent within 2 weeks after clinical onset, reflecting the intense leakage of papillary capillaries, and generating the label \u201cneuroretinitis,\u201d although this condition is not really a retinal inflammation. Multiple sclerosis does not develop. An evaluation for systemic infectious (including syphilitic) and non-infectious inflammatory disorders is reasonable, but often no cause is found. Cat scratch disease may be diagnosed if a positive Bartonella serum antibody turns up. Most patients who have no signs of infection are treated with corticosteroids, although no controlled trials exist to prove benefit. Substantial visual recovery occurs without treatment in 50% to 75% of cases.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='30'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>24 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>A 10 year old girl develops pain around her right eye and, two days later, vision loss in that eye. She has no other symptoms, has had no other unusual illnesses, takes no medications, and has no pertinent family history. Visual function is abnormal in the right eye, with an afferent pupil defect in that eye. Visual function is normal in the left eye. The examination of the optic fundus is normal in both eyes. This MRI shows orbit views. The brain MRI shows some scattered non-enhancing cerebral white matter high signal T2\/FLAIR patches. The neurological examination is normal. You should order\u2026<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/11\/NOVEL-tyk-ft-dv-3_21.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-30]' id='ays-answer-114-13' value='114'\/>\n\n                <label for='ays-answer-114-13' class='  ays_position_initial  '>Serum aquaporin-4 antibody<\/label><label for='ays-answer-114-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-30]' id='ays-answer-115-13' value='115'\/>\n\n                <label for='ays-answer-115-13' class='  ays_position_initial  '>Cerebrospinal fluid aquaporin-4 antibody<\/label><label for='ays-answer-115-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-30]' id='ays-answer-116-13' value='116'\/>\n\n                <label for='ays-answer-116-13' class='  ays_position_initial  '>Serum myelin oligodendrocyte glycoprotein antibody<\/label><label for='ays-answer-116-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-30]' id='ays-answer-117-13' value='117'\/>\n\n                <label for='ays-answer-117-13' class='  ays_position_initial  '>Cerebrospinal fluid myelin oligodendrocyte glycoprotein antibody<\/label><label for='ays-answer-117-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[30]\" value=\"114,115,116,117\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['30'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTE0IjoiMCIsIjExNSI6IjAiLCIxMTYiOiIxIiwiMTE3IjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2461346<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Serum myelin oligodendrocyte glycoprotein antibody<\/b><\/p>\n<p>The clinical and imaging features strongly suggest myelin oligodendrocyte glycoprotein (MOG) antibody-associated optic neuritis. The orbit imaging shows longitudinally-extensive enhancement and thickening of the optic nerve dura, which is characteristic of MOG optic neuritis. The scattered high T2\/FLAIR cerebral white matter signal abnormalities could reflect acute disseminated encephalitis, which has been associated with the MOG antibody. The aquaporin-4 antibody is found in neuromyelitis optica (NMO, Devic disease), which also displays longitudinal enhancement along the course of the optic nerve, but within the nerve substance itself, rather than within its dural covering. Cerebrospinal fluid NMO and MOG are not helpful in diagnosis. In this patient, if the MOG antibody were normal, you would have to consider a wide variety of infectious and autoimmune conditions, demanding a thorough evaluation.<\/p>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Serum myelin oligodendrocyte glycoprotein antibody<\/b><\/p>\n<p>The clinical and imaging features strongly suggest myelin oligodendrocyte glycoprotein (MOG) antibody-associated optic neuritis. The orbit imaging shows longitudinally-extensive enhancement and thickening of the optic nerve dura, which is characteristic of MOG optic neuritis. The scattered high T2\/FLAIR cerebral white matter signal abnormalities could reflect acute disseminated encephalitis, which has been associated with the MOG antibody. The aquaporin-4 antibody is found in neuromyelitis optica (NMO, Devic disease), which also displays longitudinal enhancement along the course of the optic nerve, but within the nerve substance itself, rather than within its dural covering. Cerebrospinal fluid NMO and MOG are not helpful in diagnosis. In this patient, if the MOG antibody were normal, you would have to consider a wide variety of infectious and autoimmune conditions, demanding a thorough evaluation.<\/p>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='28'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>25 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>A 34 year old woman is referred because a superior nerve fiber bundle visual field defect was found in the left eye on a routine optometric examination. Visual acuities are normal in both eyes, but there is an afferent pupil defect in the left eye. The right optic fundus appears normal. This is what the left optic fundus shows. The diagnosis is\u2026<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/11\/NOVEL-tyk-ft-dv-1_21.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-28]' id='ays-answer-106-13' value='106'\/>\n\n                <label for='ays-answer-106-13' class='  ays_position_initial  '>Optic pit<\/label><label for='ays-answer-106-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-28]' id='ays-answer-107-13' value='107'\/>\n\n                <label for='ays-answer-107-13' class='  ays_position_initial  '>Primary open angle glaucoma<\/label><label for='ays-answer-107-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-28]' id='ays-answer-108-13' value='108'\/>\n\n                <label for='ays-answer-108-13' class='  ays_position_initial  '>Old ischemic optic neuropathy<\/label><label for='ays-answer-108-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-28]' id='ays-answer-109-13' value='109'\/>\n\n                <label for='ays-answer-109-13' class='  ays_position_initial  '>Hypoplastic optic neuropathy<\/label><label for='ays-answer-109-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[28]\" value=\"106,107,108,109\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['28'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMTA2IjoiMSIsIjEwNyI6IjAiLCIxMDgiOiIwIiwiMTA5IjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2461344<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Optic pit<\/b><\/p>\n<p>This cavity in the inferior portion of the optic disc is a congenital anomaly, perhaps a mild form of optic disc coloboma. Because the cavity has no retinal ganglion cell axons, the patient will manifest a corresponding nerve fiber bundle visual field defect, which may be the abnormality that brings this condition to medical attention. Often confused with glaucoma, it may generate fruitless intraocular pressure-lowering treatment. The cavity and the visual field are stationary. There may be an associated serous detachment of the macula.<\/p>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <b>Optic pit<\/b><\/p>\n<p>This cavity in the inferior portion of the optic disc is a congenital anomaly, perhaps a mild form of optic disc coloboma. Because the cavity has no retinal ganglion cell axons, the patient will manifest a corresponding nerve fiber bundle visual field defect, which may be the abnormality that brings this condition to medical attention. Often confused with glaucoma, it may generate fruitless intraocular pressure-lowering treatment. The cavity and the visual field are stationary. There may be an associated serous detachment of the macula.<\/p>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='7'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>26 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>What is the most common tumor type in this location?<\/p>\n<p>&nbsp;<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2025\/11\/williams_test-your-knowledge-001.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-7]' id='ays-answer-22-13' value='22'\/>\n\n                <label for='ays-answer-22-13' class='  ays_position_initial  '>Epidermoid<\/label><label for='ays-answer-22-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-7]' id='ays-answer-23-13' value='23'\/>\n\n                <label for='ays-answer-23-13' class='  ays_position_initial  '>Meningioma<\/label><label for='ays-answer-23-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-7]' id='ays-answer-24-13' value='24'\/>\n\n                <label for='ays-answer-24-13' class='  ays_position_initial  '>Schwannoma<\/label><label for='ays-answer-24-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-7]' id='ays-answer-25-13' value='25'\/>\n\n                <label for='ays-answer-25-13' class='  ays_position_initial  '>Astrocytoma<\/label><label for='ays-answer-25-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[7]\" value=\"22,23,24,25\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['7'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiMjIiOiIwIiwiMjMiOiIwIiwiMjQiOiIxIiwiMjUiOiIwIn19';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2534206<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer:<strong> Cerebellopontine Angle Schwannoma<\/strong><\/p>\n<ul>\n<li>The most common cerebellopontine angle tumors are vestibular schwannoma (75-85%), meningioma (10-15%), and epidermoid tumors (&lt;10%). CPA schwannomas can be sporadic or associated with neurofibromatosis type II, in which case they are usually bilateral.<\/li>\n<li>This coronal T1w MRI brain with contrast (left) and axial T1w MRI brain with contrast (right) shows a large heterogeneously enhancing mass with non-enhancing cystic foci centered upon the right cerebellopontine angle measuring 4.5 cm. There is encasement of the right cranial nerves VII and VIII complexes. There is also mass effect on the pons, displacement of the right cranial nerve V complex and mass effect on the right cerebellar hemisphere.<\/li>\n<li>Neuro-ophthalmologic exam showed right cranial nerve V, VI, VII and VIII palsies.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer:<strong> Cerebellopontine Angle Schwannoma<\/strong><\/p>\n<ul>\n<li>The most common cerebellopontine angle tumors are vestibular schwannoma (75-85%), meningioma (10-15%), and epidermoid tumors (&lt;10%). CPA schwannomas can be sporadic or associated with neurofibromatosis type II, in which case they are usually bilateral.<\/li>\n<li>This coronal T1w MRI brain with contrast (left) and axial T1w MRI brain with contrast (right) shows a large heterogeneously enhancing mass with non-enhancing cystic foci centered upon the right cerebellopontine angle measuring 4.5 cm. There is encasement of the right cranial nerves VII and VIII complexes. There is also mass effect on the pons, displacement of the right cranial nerve V complex and mass effect on the right cerebellar hemisphere.<\/li>\n<li>Neuro-ophthalmologic exam showed right cranial nerve V, VI, VII and VIII palsies.<\/li>\n<\/ul>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='129'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>27 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>What is the structure indicated by the arrow?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2026\/01\/tyk-ay-retinal-anatomy-005.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-129]' id='ays-answer-510-13' value='510'\/>\n\n                <label for='ays-answer-510-13' class='  ays_position_initial  '>Bruch\u2019s membrane<\/label><label for='ays-answer-510-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-129]' id='ays-answer-511-13' value='511'\/>\n\n                <label for='ays-answer-511-13' class='  ays_position_initial  '>Inner plexiform layer<\/label><label for='ays-answer-511-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-129]' id='ays-answer-512-13' value='512'\/>\n\n                <label for='ays-answer-512-13' class='  ays_position_initial  '>Inner nuclear layer<\/label><label for='ays-answer-512-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-129]' id='ays-answer-513-13' value='513'\/>\n\n                <label for='ays-answer-513-13' class='  ays_position_initial  '>Outer plexiform layer<\/label><label for='ays-answer-513-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[129]\" value=\"510,511,512,513\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['129'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiNTEwIjoiMSIsIjUxMSI6IjAiLCI1MTIiOiIwIiwiNTEzIjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2548918<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <strong>Bruch\u2019s membrane<\/strong><\/p>\n<p>Bruch's membrane is a specialized five-layered structure located between the retinal pigment epithelium and the fenestrated choroidal capillaries in the eye. It is made up of an extracellular matrix rich in elastin and collagen and serves as a molecular sieve. In fact, all the other answers are one of the layers of retina.<\/p>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <strong>Bruch\u2019s membrane<\/strong><\/p>\n<p>Bruch's membrane is a specialized five-layered structure located between the retinal pigment epithelium and the fenestrated choroidal capillaries in the eye. It is made up of an extracellular matrix rich in elastin and collagen and serves as a molecular sieve. In fact, all the other answers are one of the layers of retina.<\/p>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='128'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>28 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>What is the layer indicated by the arrow?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2026\/01\/tyk-ay-retinal-anatomy-004.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-128]' id='ays-answer-506-13' value='506'\/>\n\n                <label for='ays-answer-506-13' class='  ays_position_initial  '>Internal limiting membrane<\/label><label for='ays-answer-506-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-128]' id='ays-answer-507-13' value='507'\/>\n\n                <label for='ays-answer-507-13' class='  ays_position_initial  '>Ganglion cell layer<\/label><label for='ays-answer-507-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-128]' id='ays-answer-508-13' value='508'\/>\n\n                <label for='ays-answer-508-13' class='  ays_position_initial  '>Posterior hyaloid membrane<\/label><label for='ays-answer-508-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-128]' id='ays-answer-509-13' value='509'\/>\n\n                <label for='ays-answer-509-13' class='  ays_position_initial  '>Premacular bursa<\/label><label for='ays-answer-509-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[128]\" value=\"506,507,508,509\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['128'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiNTA2IjoiMCIsIjUwNyI6IjAiLCI1MDgiOiIxIiwiNTA5IjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2548918<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <strong>Posterior hyaloid membrane<\/strong><\/p>\n<p>Hyaloid membrane, also called the vitreous membrane or vitreous cortex, is a collagen layer that divides the vitreous humor from the retina. The posterior hyaloid membrane, which separates the rear of the vitreous from the retina, is considered a false anatomical membrane.<\/p>\n<p>On the other hand, premacular bursa is optically empty space above the retina.<\/p>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <strong>Posterior hyaloid membrane<\/strong><\/p>\n<p>Hyaloid membrane, also called the vitreous membrane or vitreous cortex, is a collagen layer that divides the vitreous humor from the retina. The posterior hyaloid membrane, which separates the rear of the vitreous from the retina, is considered a false anatomical membrane.<\/p>\n<p>On the other hand, premacular bursa is optically empty space above the retina.<\/p>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='127'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>29 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>What finding in the picture results when retinal and choroidal pigmentation does not reach the disc margin?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2026\/01\/tyk-ay-retinal-anatomy-003.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-127]' id='ays-answer-502-13' value='502'\/>\n\n                <label for='ays-answer-502-13' class='  ays_position_initial  '>Scleral crescent<\/label><label for='ays-answer-502-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-127]' id='ays-answer-503-13' value='503'\/>\n\n                <label for='ays-answer-503-13' class='  ays_position_initial  '>Pigment crescent<\/label><label for='ays-answer-503-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-127]' id='ays-answer-504-13' value='504'\/>\n\n                <label for='ays-answer-504-13' class='  ays_position_initial  '>Optic disc drusen<\/label><label for='ays-answer-504-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-127]' id='ays-answer-505-13' value='505'\/>\n\n                <label for='ays-answer-505-13' class='  ays_position_initial  '>Pseudopapilledema<\/label><label for='ays-answer-505-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[127]\" value=\"502,503,504,505\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['127'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiNTAyIjoiMSIsIjUwMyI6IjAiLCI1MDQiOiIwIiwiNTA1IjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2548918<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <strong>Scleral crescent<\/strong><\/p>\n<p>Scleral and choroidal crescents generally appear on the temporal side of the optic disc and are harmless anatomical variations. A scleral crescent forms when the retinal and choroidal tissues do not directly connect to the optic nerve head, allowing the sclera to be seen directly.<\/p>\n<p>Itis not pigment crescent because pigment accumulation seen at the disc margin in case of pigment crescent.<\/p>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <strong>Scleral crescent<\/strong><\/p>\n<p>Scleral and choroidal crescents generally appear on the temporal side of the optic disc and are harmless anatomical variations. A scleral crescent forms when the retinal and choroidal tissues do not directly connect to the optic nerve head, allowing the sclera to be seen directly.<\/p>\n<p>Itis not pigment crescent because pigment accumulation seen at the disc margin in case of pigment crescent.<\/p>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='126'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>30 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>What is the mesh-like structure seen in the circle?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2026\/01\/tyk-ay-retinal-anatomy-002.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-126]' id='ays-answer-498-13' value='498'\/>\n\n                <label for='ays-answer-498-13' class='  ays_position_initial  '>Cribriform plate<\/label><label for='ays-answer-498-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-126]' id='ays-answer-499-13' value='499'\/>\n\n                <label for='ays-answer-499-13' class='  ays_position_initial  '>Lamina Cribrosa<\/label><label for='ays-answer-499-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-126]' id='ays-answer-500-13' value='500'\/>\n\n                <label for='ays-answer-500-13' class='  ays_position_initial  '>Border tissue of Elschnig<\/label><label for='ays-answer-500-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-126]' id='ays-answer-501-13' value='501'\/>\n\n                <label for='ays-answer-501-13' class='  ays_position_initial  '>Circle of Zinn<\/label><label for='ays-answer-501-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[126]\" value=\"498,499,500,501\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['126'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiNDk4IjoiMCIsIjQ5OSI6IjEiLCI1MDAiOiIwIiwiNTAxIjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2548918<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button ays_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_previous action-button  ' value='Previous' \/><i class=\"ays_fa ays_fa_arrow_right ays_next action-button ays_arrow ays_next_arrow  ays_display_none\"><\/i>\n                        <input type='button' name='next' class='ays_next action-button  ' value='Next' \/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <strong>Lamina Cribrosa<\/strong><\/p>\n<p>The lamina cribrosa is a mesh-like structure located in the back part<br \/>\nof the scleral canal of the optic nerve head. It allows retinal ganglion<br \/>\ncell axons to travel to the brain. This fenestrated structure also<br \/>\ncontains vessels that supply nutrients to the retina.<\/p>\n<p>It can be confused with the cribriform plate but it is a portion of the<br \/>\nethmoid bone located at the base of the skull. The base of the skull is<br \/>\nthe term used to describe the most inferior portion of the skull.<\/p>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <strong>Lamina Cribrosa<\/strong><\/p>\n<p>The lamina cribrosa is a mesh-like structure located in the back part<br \/>\nof the scleral canal of the optic nerve head. It allows retinal ganglion<br \/>\ncell axons to travel to the brain. This fenestrated structure also<br \/>\ncontains vessels that supply nutrients to the retina.<\/p>\n<p>It can be confused with the cribriform plate but it is a portion of the<br \/>\nethmoid bone located at the base of the skull. The base of the skull is<br \/>\nthe term used to describe the most inferior portion of the skull.<\/p>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step  '\n                        data-question-id='125'\n                        data-type='radio'\n                        data-required='false'>\n                        \n                        \n                        <p class='ays-question-counter animated'>31 \/ 31<\/p>\n                        <p class='ays_user_points_container'><\/p>\n                        \n                        <div class='ays-abs-fs'>\n                            \n                            \n                            \n                            \n                            <div class='ays_quiz_question'>\n                                <p>What is the vessel indicated by the arrow?<\/p>\n\n                            <\/div>\n                            <div class=\"ays-image-question-img\"><img decoding=\"async\" src=\"https:\/\/novel.utah.edu\/test-your-knowledge\/wp-content\/uploads\/sites\/7\/2026\/01\/tyk-ay-retinal-anatomy-001.png\"   alt=\"\" style='width:100%;height:auto;object-fit:cover;object-position:center center;' class=\" \" ><\/div>\n                            <div class='ays-quiz-answers ays_list_view_container  '><input class='ays_quiz_answer_view_class_mobile' data-quiz-id='13' type='hidden' value='ays_list_view_container'>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-125]' id='ays-answer-494-13' value='494'\/>\n\n                <label for='ays-answer-494-13' class='  ays_position_initial  '>Central Retinal Vein<\/label><label for='ays-answer-494-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-125]' id='ays-answer-495-13' value='495'\/>\n\n                <label for='ays-answer-495-13' class='  ays_position_initial  '>Central Retinal Artery<\/label><label for='ays-answer-495-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-125]' id='ays-answer-496-13' value='496'\/>\n\n                <label for='ays-answer-496-13' class='  ays_position_initial  '>Cilioretinal Artery<\/label><label for='ays-answer-496-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div>\n            <div class='ays-field ays_list_view_item ' >\n                <input type='hidden' name='ays_answer_correct[]' value='0'\/>\n\n                <input type='radio' name='ays_questions[ays-question-125]' id='ays-answer-497-13' value='497'\/>\n\n                <label for='ays-answer-497-13' class='  ays_position_initial  '>Cilioretinal Vein<\/label><label for='ays-answer-497-13' class='ays_answer_image ays_answer_image_class ays_empty_before_content'><\/label>\n\n            <\/div><input type=\"hidden\" name=\"ays_answers_order[125]\" value=\"494,495,496,497\" \/><script>\n            if(typeof window.quizOptions_13 === 'undefined'){\n                window.quizOptions_13 = [];\n            }\n            window.quizOptions_13['125'] = 'eyJxdWVzdGlvbl9hbnN3ZXIiOnsiNDk0IjoiMCIsIjQ5NSI6IjAiLCI0OTYiOiIxIiwiNDk3IjoiMCJ9fQ==';<\/script><\/div>\n                            <div class=\"ays-quiz-question-note-message-box\"><p>https:\/\/collections.lib.utah.edu\/details?id=2548918<\/p>\n<\/div>\n                            \n                            <div class='ays_buttons_div'><i class=\"ays_fa ays_fa_arrow_left ays_previous action-button  ays_arrow ays_display_none\"><\/i>\n                            <input type='button' name='next' class='ays_previous action-button  '  value='Previous' \/><i class='ays_display_none ays_fa ays_fa_flag_checkered ays_finish action-button ays_arrow ays_next_arrow '><\/i><input type='submit' name='ays_finish_quiz' class='  ays_next ays_finish action-button ' value='See Result'\/><\/div>\n                            \n                            <div class='wrong_answer_text ' style='display:none'>\n                                <p>Correct Answer: <strong>Cilioretinal Artery<\/strong><\/p>\n<p>The cilioretinal artery actually is coming from the ophthalmic, but it's like a posterior ciliary branch that comes out through the nerve head and is supplying a piece of the retina. Additionally, cilioretinal arteries found in 20-40% of the normal population.<\/p>\n<p>MengJ, WeiL, Zhang K, He W, Lu Y, Zhu X. Cilioretinal Arteries in Highly Myopic Eyes: A Photographic Classification System and Its Association With Myopic Macular Degeneration. Front Med(Lausanne). 2020;7:595544. doi:10.3389\/fmed.2020.595544<\/p>\n\n                            <\/div>\n                            <div class='right_answer_text ' style='display:none'>\n                                <p>Correct Answer: <strong>Cilioretinal Artery<\/strong><\/p>\n<p>The cilioretinal artery actually is coming from the ophthalmic, but it's like a posterior ciliary branch that comes out through the nerve head and is supplying a piece of the retina. Additionally, cilioretinal arteries found in 20-40% of the normal population.<\/p>\n<p>MengJ, WeiL, Zhang K, He W, Lu Y, Zhu X. Cilioretinal Arteries in Highly Myopic Eyes: A Photographic Classification System and Its Association With Myopic Macular Degeneration. Front Med(Lausanne). 2020;7:595544. doi:10.3389\/fmed.2020.595544<\/p>\n\n                            <\/div>\n                            <div class='ays_questtion_explanation' style='display:none'>\n                                \n                            <\/div>\n                            <div class='ays-quiz-additonal-box'>\n                                \n                                \n                            <\/div>   \n                            \n                            \n                        <\/div>\n                    <\/div><div class='step ays_thank_you_fs'>\n            <div class='ays-abs-fs ays-end-page'>\n            <div style='text-align:center;'><div data-class='lds-ellipsis' data-role='loader' class='ays-loader'><div><\/div><div><\/div><div><\/div><div><\/div><\/div><\/div><div class='ays_quiz_results_page'><div class='ays_score_message'><\/div><div class='ays_conditions_message'><\/div><div class='ays_interval_message'><\/div><div class='ays_message'><\/div><div class='ays_woo_block'><\/div><p class='ays_score ays_score_display_none animated'>Your score is<\/p><p class='ays_average'>The average score is 81%<\/p><div class='ays-progress third'>\n                <span class='ays-progress-value third'>0%<\/span>\n                <div class='ays-progress-bg third'>\n                    <div class='ays-progress-bar third' style='width:0%;'><\/div>\n                <\/div>\n            <\/div><p class='ays_restart_button_p'><button type='button' class='action-button ays_restart_button '>\n                    <i class='ays_fa ays_fa_undo'><\/i>\n                    <span>Restart quiz<\/span>\n                <\/button><\/p><\/div><\/div><\/div><style> div#ays-quiz-container-13 * { box-sizing: border-box; } #ays-quiz-container-13 [id^='ays_finish_quiz_'] div.step div.ays-abs-fs { width: 90%; } \/* Styles for Internet Explorer start *\/ #ays-quiz-container-13 #ays_finish_quiz_13 { } \/* Styles for Quiz container *\/ 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height: 100px; min-height: 100px; } \/* Quiz rate and passed users count *\/ #ays-quiz-container-13 .ays_quizn_ancnoxneri_qanak, #ays-quiz-container-13 .ays_quiz_rete_avg{ color:#fff; background-color:#000000; } #ays-quiz-container-13 .ays-questions-container > .ays_quizn_ancnoxneri_qanak { padding: 5px 20px; } #ays-quiz-container-13 div.for_quiz_rate.ui.star.rating .icon { color: rgba(0,0,0,0.35); } #ays-quiz-container-13 .ays_quiz_rete_avg div.for_quiz_rate_avg.ui.star.rating .icon { color: rgba(255,255,255,0.5); } #ays-quiz-container-13 .ays_quiz_rete .ays-quiz-rate-link-box .ays-quiz-rate-link { color: #000000; } \/* Loaders *\/ #ays-quiz-container-13 div.lds-spinner, #ays-quiz-container-13 div.lds-spinner2 { color: #000000; } #ays-quiz-container-13 div.lds-spinner div:after, #ays-quiz-container-13 div.lds-spinner2 div:after { background-color: #000000; } #ays-quiz-container-13 .lds-circle, #ays-quiz-container-13 .lds-facebook div, #ays-quiz-container-13 .lds-ellipsis div{ background: #000000; } #ays-quiz-container-13 .lds-ripple div{ border-color: #000000; } #ays-quiz-container-13 .lds-dual-ring::after, #ays-quiz-container-13 .lds-hourglass::after{ border-color: #000000 transparent #000000 transparent; } \/* Stars *\/ #ays-quiz-container-13 .ui.rating .icon, #ays-quiz-container-13 .ui.rating .icon:before { font-family: Rating !important; } \/* Progress bars *\/ #ays-quiz-container-13 #ays_finish_quiz_13 .ays-progress { border-color: rgba(0,0,0,0.8); } #ays-quiz-container-13 #ays_finish_quiz_13 .ays-progress-bg { background-color: rgba(0,0,0,0.3); } #ays-quiz-container-13 .ays-progress-value { color: #000000; text-align: center; } #ays-quiz-container-13 .ays-progress-bar { background-color: #5d6cf9; } #ays-quiz-container-13 .ays-question-counter .ays-live-bar-wrap { direction:ltr !important; } #ays-quiz-container-13 .ays-live-bar-fill{ color: #000000; border-bottom: 2px solid rgba(0,0,0,0.8); text-shadow: 0px 0px 5px #fff; } #ays-quiz-container-13 .ays-live-bar-fill.ays-live-fourth, #ays-quiz-container-13 .ays-live-bar-fill.ays-live-third, #ays-quiz-container-13 .ays-live-bar-fill.ays-live-second { text-shadow: unset; } #ays-quiz-container-13 .ays-live-bar-percent{ display:none; } \/* Music, Sound *\/ #ays-quiz-container-13 .ays_music_sound { color:rgb(0,0,0); } \/* Dropdown questions scroll bar *\/ #ays-quiz-container-13 blockquote { border-left-color: #000000 !important; } \/* Quiz Password *\/ #ays-quiz-container-13 .ays-start-page > input[id^='ays_quiz_password_val_'], #ays-quiz-container-13 .ays-quiz-password-toggle-visibility-box { width: 100%; margin: 0 auto; } \/* Question hint *\/ #ays-quiz-container-13 .ays_question_hint_container .ays_question_hint_text { background-color:#fff; box-shadow: 0 0 15px 3px rgba(201,201,201,0.6); max-width: 270px; color: #000000; } #ays-quiz-container-13 .ays_question_hint_container .ays_question_hint_text p { max-width: unset; } #ays-quiz-container-13 .ays-quiz-additonal-box { display: flex; justify-content: flex-end; align-items: center; position: relative; } #ays-quiz-container-13 .ays_quiz_results .ays_user_points_container { position: absolute; top: 0; right: 0; left: 0; bottom: 0; text-align: center; font-size: 16px; margin: 0.625em; } \/* Quiz Export PDF *\/ #ays-quiz-container-13 .ays-export-quiz-button-container .ays-export-quiz-button-more-box { background-color:#fff; box-shadow: 0 0 15px 3px rgba(201,201,201,0.6); box-shadow: 0.025px 0.025px 1px 1px rgba(201,201,201,0.2), 0px 2px 1px 0px rgba(201,201,201,0.14), 0px 2px 5px 0 rgba(201,201,201,0.12); max-width: 190px; color: #000000; } #ays-quiz-container-13 .ays-export-quiz-button-container .ays-export-quiz-button-more-box .ays-export-quiz-dropdown-item:hover, #ays-quiz-container-13 .ays-export-quiz-button-container .ays-export-quiz-button-more-box .ays-export-quiz-dropdown-item:focus { background-color: rgba(93,108,249,0.3); } #ays-quiz-container-13 .ays-export-quiz-button-container .ays-export-quiz-button-more-box .ays-export-quiz-dropdown-item:active { background-color: rgba(93,108,249,1); } #ays-quiz-container-13 .ays-export-quiz-button-container .ays-export-quiz-button-more-box .ays-export-quiz-dropdown-item { color: #000000; display: flex; justify-content: space-between; align-items: center; font-size: 14px; background-image: unset; box-shadow: unset; border-radius: unset; } #ays-quiz-container-13 .ays-export-quiz-button-container .ays-export-quiz-button-more-box .ays-export-quiz-dropdown-item .ays-export-quiz-dropdown-item-icon { margin-left: 10px; } #ays-quiz-container-13 .ays-export-quiz-button-container .ays-export-quiz-img-icon-content-div svg path { stroke: #000000; } #ays-quiz-container-13 .ays-export-quiz-button-container .ays-export-quiz-img-icon-content-div svg circle { fill: rgba(93,108,249,0.3); } #ays-quiz-container-13 .ays-export-quiz-button-container .ays-export-quiz-button-more-box .ays-export-quiz-dropdown-item-icon svg path { fill: rgba(0,0,0,1); } #ays-quiz-container-13 .ays-quiz-additonal-box svg { position: revert; } #ays-quiz-container-13 .ays_questions_hint_max_width_class { max-width: 80%; } \/* Information form *\/ #ays-quiz-container-13 .ays-form-title{ color:rgb(0,0,0); } \/* Quiz timer *\/ #ays-quiz-container-13 div.ays-quiz-redirection-timer, #ays-quiz-container-13 div.ays-quiz-timer{ color: #000000; text-align: center; } #ays-quiz-container-13 div.ays-quiz-after-timer * , #ays-quiz-container-13 div.ays-quiz-redirection-timer *, #ays-quiz-container-13 div.ays-quiz-timer * { text-align: center; } #ays-quiz-container-13 div.ays-quiz-timer.ays-quiz-message-before-timer:before { display: inline-block; font-weight: 500; text-align: center; width: auto; margin-right: 5px; } \/* Quiz buttons *\/ #ays-quiz-container-13 input#ays-submit, #ays-quiz-container-13 #ays_finish_quiz_13 .action-button, #ays-quiz-container-13 #ays_finish_quiz_13 .step[data-type='fill_in_blank'] .action-button.ays_check_answer, #ays-quiz-container-13 #ays_finish_quiz_13 .step[data-type='checkbox'] .action-button.ays_check_answer, div#ays-quiz-container-13 #ays_finish_quiz_13 .action-button.ays_restart_button, #ays-quiz-container-13 + .ays-quiz-category-selective-main-container .ays-quiz-category-selective-restart-bttn, #ays-quiz-container-13 .ays-quiz-category-selective-submit-bttn { background-color: #5d6cf9; color:#ffffff; font-size: 18px; padding: 14px 36px; border-radius: 8px; white-space: nowrap; letter-spacing: 0; box-shadow: unset; white-space: normal; word-break: break-word; background-image: unset; width: auto; border: unset; min-height: unset; line-height: normal; text-shadow: unset; } #ays-quiz-container-13 input#ays-submit, #ays-quiz-container-13 #ays_finish_quiz_13 input.action-button, #ays-quiz-container-13 + .ays-quiz-category-selective-main-container .ays-quiz-category-selective-restart-bttn, #ays-quiz-container-13 .ays-quiz-category-selective-submit-bttn { } div#ays-quiz-container-13 #ays_finish_quiz_13 .action-button.ays_check_answer { padding: 5px 10px; font-size: 18px; } #ays-quiz-container-13 #ays_finish_quiz_13 .action-button.ays_download_certificate { white-space: nowrap; padding: 5px 10px; } #ays-quiz-container-13 #ays_finish_quiz_13 .action-button.ays_arrow { color:#ffffff!important; white-space: nowrap; padding: 5px 10px; } #ays-quiz-container-13 input#ays-submit:hover, #ays-quiz-container-13 input#ays-submit:focus, #ays-quiz-container-13 #ays_finish_quiz_13 .action-button:hover, #ays-quiz-container-13 #ays_finish_quiz_13 .action-button:focus, #ays-quiz-container-13 + .ays-quiz-category-selective-main-container .ays-quiz-category-selective-restart-bttn:hover, #ays-quiz-container-13 .ays-quiz-category-selective-submit-bttn:focus { box-shadow: 0 0 0 2px #ffffff; background-color: #5d6cf9; } #ays-quiz-container-13 .ays_restart_button { color: #ffffff; } #ays-quiz-container-13 .ays_restart_button_p { display: flex; justify-content: center; flex-wrap: wrap; } #ays-quiz-container-13 .ays_buttons_div { justify-content: center; } #ays-quiz-container-13 .step:first-of-type .ays_buttons_div { justify-content: center !important; } #ays-quiz-container-13 .ays_quiz_results_page .ays_score span { visibility: visible; } #ays-quiz-container-13 input[type='button'], #ays-quiz-container-13 input[type='submit'] { color: #ffffff !important; outline: none; } div#ays-quiz-container-13 .ays-quiz-questions-nav-wrap .ays-quiz-questions-nav-item .ays_questions_nav_question:focus-visible, div#ays-quiz-container-13 input[type='button']:focus-visible, div#ays-quiz-container-13 input[type='submit']:focus-visible { outline: -webkit-focus-ring-color auto 1px; } #ays-quiz-container-13 #ays_finish_quiz_13 i.ays_early_finish.action-button[disabled]:hover, #ays-quiz-container-13 #ays_finish_quiz_13 i.ays_early_finish.action-button[disabled]:focus, #ays-quiz-container-13 #ays_finish_quiz_13 i.ays_early_finish.action-button[disabled], #ays-quiz-container-13 #ays_finish_quiz_13 i.ays_arrow.action-button[disabled]:hover, #ays-quiz-container-13 #ays_finish_quiz_13 i.ays_arrow.action-button[disabled]:focus, #ays-quiz-container-13 #ays_finish_quiz_13 i.ays_arrow.action-button[disabled] { color: #aaa !important; } #ays-quiz-container-13 .ays_finish.action-button{ margin: 10px 5px; } #ays-quiz-container-13 .ays-share-btn.ays-share-btn-branded { color: #fff; margin-bottom: 5px; display: inline-block; } #ays-quiz-container-13 .ays-quiz-question-title-text-to-speech-icon { cursor: pointer; position: absolute; left: 0px; top: 0px; z-index: 1; } div#ays-quiz-container-13.ays-quiz-container .ays-quiz-question-title-text-to-speech-icon svg path { fill: #000000; } \/* Question answers *\/ #ays-quiz-container-13 .ays-field { border-color: #dddddd; border-style: solid; border-width: 1px; box-shadow: none;flex-direction: row-reverse; } #ays-quiz-container-13 .ays-quiz-answers .ays-field:hover{ opacity: 1; } #ays-quiz-container-13 #ays_finish_quiz_13 .ays-field label.ays_answer_caption[for^='ays-answer-'] { z-index: 1; position:initial;bottom:0;} #ays-quiz-container-13 #ays_finish_quiz_13 .ays-field input~label[for^='ays-answer-'] { padding: 5px; } #ays-quiz-container-13 #ays_finish_quiz_13 .ays-field { margin-bottom: 12px; position: relative; } #ays-quiz-container-13 #ays_finish_quiz_13 .ays_grid_view_container .ays-field.ays_grid_view_item { \/* width: calc(50% - 6px); *\/ width:calc(100% \/2 - 4px);; } #ays-quiz-container-13 #ays_finish_quiz_13 .ays-field.ays_grid_view_item:nth-child(odd) { margin-right: 6px; }#ays-quiz-container-13 #ays_finish_quiz_13 .ays-field.ays_grid_view_item:nth-child(odd) { margin-right: 6px; }#ays-quiz-container-13 img.ays-quiz-check-button-right-wrong-icon { position: absolute; right: 15px; bottom: 15px; } #ays-quiz-container-13 img.ays-quiz-check-button-right-wrong-icon[data-type='style-9'] { width: 20px; } #ays-quiz-container-13 .ays_quiz_results .step[data-type='fill_in_blank'] img.ays-quiz-check-button-right-wrong-icon { right: 10px; bottom: 40px; } #ays-quiz-container-13 .ays_quiz_results .step[data-type='fill_in_blank'] .ays_fieldset img.ays-quiz-check-button-right-wrong-icon { right: 15px; bottom: 20px; } #ays-quiz-container-13 #ays_finish_quiz_13 .ays-field input:checked+label:before { border-color: #5d6cf9; background: #5d6cf9; background-clip: content-box; } #ays-quiz-container-13 .ays-quiz-answers div.ays-text-right-answer { color: #000000; } \/* Answer maximum length of a text field *\/ #ays-quiz-container-13 .ays_quiz_question_text_message{ color: #000000; text-align: left; font-size: 12px; } div#ays-quiz-container-13 div.ays_quiz_question_text_error_message { color: #ff0000; } \/* Questions answer image *\/ #ays-quiz-container-13 .ays-answer-image { width:15em; height:150px; object-fit: cover; } \/* Questions answer right\/wrong icons *\/ #ays-quiz-container-13 .ays-field input~label.answered.correct:after{ content: ''; } #ays-quiz-container-13 .ays-field input~label.answered.wrong:after{ content: ''; } #ays-quiz-container-13 .ays-quiz-answers .ays-field label.answered[for^='ays-answer-']::after{ content: none!important; } #ays-quiz-container-13 .ays-field label.answered:last-of-type:after{ height: auto; left: 10px;top: 10px;} \/* Dropdown questions *\/ #ays-quiz-container-13 .select2-container--default .select2-search--dropdown .select2-search__field:focus, #ays-quiz-container-13 .select2-container--default .select2-search--dropdown .select2-search__field { outline: unset; padding: 0.75rem; } #ays-quiz-container-13 #ays_finish_quiz_13 .ays-field .select2-container--default .select2-selection--single { border-bottom: 2px solid #5d6cf9; background-color: #5d6cf9; } #ays-quiz-container-13 .ays-field .select2-container--default .select2-selection--single .select2-selection__rendered, #ays-quiz-container-13 .ays-field .select2-container--default .select2-selection--single .select2-selection__placeholder, #ays-quiz-container-13 .ays-field .select2-container--default .select2-selection--single .select2-selection__arrow { \/*color: #a29306;*\/ color: #ffffff; line-height: 40px; padding-left: 8px; padding-right: 20px; } #ays-quiz-container-13 .ays-field .select2-container--default .select2-selection--single .select2-selection__rendered, #ays-quiz-container-13 .select2-container--default .select2-results__option--highlighted[aria-selected] { background-color: #5d6cf9; } #ays-quiz-container-13 .ays-field .select2-container--default, #ays-quiz-container-13 .ays-field .select2-container--default .selection, #ays-quiz-container-13 .ays-field .select2-container--default .dropdown-wrapper, #ays-quiz-container-13 .ays-field .select2-container--default .select2-selection--single .select2-selection__rendered, #ays-quiz-container-13 .ays-field .select2-container--default .select2-selection--single .select2-selection__rendered .select2-selection__placeholder, #ays-quiz-container-13 .ays-field .select2-container--default .select2-selection--single .select2-selection__arrow, #ays-quiz-container-13 .ays-field .select2-container--default .select2-selection--single .select2-selection__arrow b[role='presentation'] { font-size: 16px !important; } #ays-quiz-container-13 .select2-container--default .select2-results__option { padding: 6px; } \/* Dropdown questions scroll bar *\/ #ays-quiz-container-13 .select2-results__options::-webkit-scrollbar { width: 7px; } #ays-quiz-container-13 .select2-results__options::-webkit-scrollbar-track { background-color: rgba(93,108,249,0.35); } #ays-quiz-container-13 .select2-results__options::-webkit-scrollbar-thumb { transition: .3s ease-in-out; background-color: rgba(93,108,249,0.55); } #ays-quiz-container-13 .select2-results__options::-webkit-scrollbar-thumb:hover { transition: .3s ease-in-out; background-color: rgba(93,108,249,0.85); } .ays-quiz-wrap #ays-quiz-container-13 + .ays-quiz-powered-by-container{ width:750px; margin: 20px auto; } .ays-quiz-wrap #ays-quiz-container-13 + .ays-quiz-powered-by-container{ width:750px; margin: 20px auto; } \/* WooCommerce product *\/ #ays-quiz-container-13 .ays-woo-block { background-color: rgba(93,108,249,0.8); } #ays-quiz-container-13 .ays-woo-product-block h4.ays-woo-product-price > a, #ays-quiz-container-13 .ays-woo-product-block h4.ays-woo-product-title > a { color: #000000; } #ays-quiz-container-1 .ays-woo-product-block h4.ays-woo-product-price > a { text-decoration: unset; } \/* Audio \/ Video *\/ #ays-quiz-container-13 .mejs-container .mejs-time{ box-sizing: unset; } #ays-quiz-container-13 .mejs-container .mejs-time-rail { padding-top: 15px; } #ays-quiz-container-13 .mejs-container .mejs-mediaelement video { margin: 0; } \/* Limitation *\/ #ays-quiz-container-13 .ays-quiz-limitation-count-of-takers { padding: 50px; } #ays-quiz-container-13 div.ays-quiz-results-toggle-block span.ays-show-res-toggle.ays-res-toggle-show, #ays-quiz-container-13 div.ays-quiz-results-toggle-block span.ays-show-res-toggle.ays-res-toggle-hide{ color: #000000; } #ays-quiz-container-13 div.ays-quiz-results-toggle-block input:checked + label.ays_switch_toggle { border: 1px solid #000000; } #ays-quiz-container-13 div.ays-quiz-results-toggle-block input:checked + label.ays_switch_toggle { border: 1px solid #000000; } #ays-quiz-container-13 div.ays-quiz-results-toggle-block input:checked + label.ays_switch_toggle:after{ background: #000000; } #ays-quiz-container-13.ays_quiz_elegant_dark div.ays-quiz-results-toggle-block input:checked + label.ays_switch_toggle:after, #ays-quiz-container-13.ays_quiz_rect_dark div.ays-quiz-results-toggle-block input:checked + label.ays_switch_toggle:after{ background: #000; } \/* Hestia theme (Version: 3.0.16) | Start *\/ #ays-quiz-container-13 .mejs-container .mejs-inner .mejs-controls .mejs-button > button:hover, #ays-quiz-container-13 .mejs-container .mejs-inner .mejs-controls .mejs-button > button { box-shadow: unset; background-color: transparent; } #ays-quiz-container-13 .mejs-container .mejs-inner .mejs-controls .mejs-button > button { margin: 10px 6px; } \/* Hestia theme (Version: 3.0.16) | End *\/ \/* Go theme (Version: 1.4.3) | Start *\/ #ays-quiz-container-13 label[for^='ays-answer']:before, #ays-quiz-container-13 label[for^='ays-answer']:before { -webkit-mask-image: unset; mask-image: unset; } #ays-quiz-container-13 .ays_question_report { text-align: right; } div#ays-quiz-container-13 .ays_question_report .ays-quiz-open-report-window { fill: #000000; } #ays-quiz-container-13 .ays-export-quiz-button-container { position: relative; right: 100px; top: -5px; right: -5px; margin: 0; z-index: 1000; display: flex; justify-content: flex-end; } #ays-quiz-container-13.ays_quiz_classic_light .ays-field input:checked+label.answered:before, #ays-quiz-container-13.ays_quiz_classic_dark .ays-field input:checked+label.answered:before { background-color: #5d6cf9 !important; } #ays-quiz-container-13.ays_quiz_classic_light .ays-field input:checked+label.answered.correct:before, #ays-quiz-container-13.ays_quiz_classic_dark .ays-field input:checked+label.answered.correct:before { background-color: #27ae60 !important; } #ays-quiz-container-13.ays_quiz_classic_light .ays-field input:checked+label.answered.wrong:before, #ays-quiz-container-13.ays_quiz_classic_dark .ays-field input:checked+label.answered.wrong:before { background-color: #cc3700 !important; } \/* Go theme (Version: 1.4.3) | End *\/ #ays-quiz-container-13 .ays_quiz_results fieldset.ays_fieldset .ays_quiz_question .wp-video { width: 100% !important; max-width: 100%; } #ays-quiz-container-13 .step[data-type='upload_file'] .ays-quiz-answers.ays_grid_view_container { display: block; } \/* Classic Dark \/ Classic Light *\/ \/* Dropdown questions right\/wrong styles *\/ #ays-quiz-container-13.ays_quiz_classic_dark .correct_div, #ays-quiz-container-13.ays_quiz_classic_light .correct_div{ border-color: green !important; opacity: 1 !important; background-color: rgba(39,174,96,0.4) !important; } #ays-quiz-container-13.ays_quiz_classic_dark .correct_div .selected-field, #ays-quiz-container-13.ays_quiz_classic_light .correct_div .selected-field { padding: 0px 10px 0px 10px; color: green !important; } #ays-quiz-container-13.ays_quiz_classic_dark .wrong_div, #ays-quiz-container-13.ays_quiz_classic_light .wrong_div{ border-color: red !important; opacity: 1 !important; background-color: rgba(243,134,129,0.4) !important; } #ays-quiz-container-13.ays_quiz_classic_dark .ays-field.checked_answer_div.wrong_div input:checked~label, #ays-quiz-container-13.ays_quiz_classic_light .ays-field.checked_answer_div.wrong_div input:checked~label { background-color: rgba(243,134,129,0.4) !important; } #ays-quiz-container-13 .ays_question_result .ays-field .ays_quiz_hide_correct_answer:after{ content: '' !important; } #ays-quiz-container-13 .ays_question_result .ays_quiz_question .ays-quiz-fill-in-blank-input { color: #000000 !important; } #ays-quiz-container-13 .ays_quiz_results .step.ays_question_result:last-child { padding-bottom: 20px; } #ays-quiz-container-13 .ays-quiz-close-full-screen { fill: #000000; } #ays-quiz-container-13 .ays-quiz-open-full-screen { fill: #000000; } #ays-quiz-container-13 .ays_quiz_login_form p{ color: #000000; } \/* Personality Test | Start *\/ #ays-quiz-container-13 .ays-quiz-personality-result-box .ays-quiz-personality-result-description p { text-align: left; padding: 0; } #ays-quiz-container-13 .ays-quiz-personality-result-box { background: white; border-radius: 17px; box-shadow: 0px 0px 20px rgba(98, 85, 165, 0.1); \/*padding: 30px 3% 40px;*\/ padding: 20px 30px; margin: 30px 0; font-size: 16px; } #ays-quiz-container-13 .ays-quiz-personality-result-box .ays-quiz-personality-result-title { color: #413A5C; font-size: 23px; margin: 0; text-align: left; font-weight: bold; } div#ays-quiz-container-13.ays-quiz-container .ays-quiz-personality-result-box .ays-quiz-personality-result-description { margin: 0; font-size: 16px; text-align: left; color: #413A5C; } div#ays-quiz-container-13.ays-quiz-container .ays-quiz-personality-result-box .ays-quiz-personality-result-description * { color: #413A5C; } #ays-quiz-container-13 .ays-quiz-personality-result-box .ays-quiz-personality-result-progress { width: 100%; background-color: rgba(128, 126, 137, 0.1); border-radius: 15px; position: relative; display: flex; \/* justify-content: flex-end; *\/ margin-top: 1rem; margin-bottom: 1rem; } #ays-quiz-container-13 .ays-quiz-personality-result-box .ays-quiz-personality-result-progress-end { justify-content: flex-end; } #ays-quiz-container-13 .ays-quiz-personality-result-box .ays-quiz-personality-result-bar { height: 30px; border-radius: 15px; color: white; font-size: 18px; padding: 3px 15px 0; } #ays-quiz-container-13 .ays-quiz-personality-result-box .ays-quiz-personality-result-percentages { position: absolute; width: 100%; padding: 4px 15px; top: 0; -ms-flex-pack: justify; justify-content: space-between; display: -ms-flexbox; display: flex; } #ays-quiz-container-13 .ays-quiz-personality-result-box .ays-quiz-personality-result-keyword-box div, #ays-quiz-container-13 .ays-quiz-personality-result-box .ays-quiz-personality-result-text-dark-purple { color: #413A5C; } #ays-quiz-container-13 .ays-quiz-personality-result-box .ays-quiz-personality-result-text-white { color: #ffffff; } #ays-quiz-container-13 .ays-quiz-personality-result-box .ays-quiz-personality-result-text-percentage { font-weight: bolder; } #ays-quiz-container-13 .ays-quiz-personality-result-box .ays-quiz-personality-result-keyword-box { display: -ms-flexbox; display: flex; -ms-flex-pack: justify; justify-content: space-between; } #ays-quiz-container-13 .ays-quiz-personality-result-box.ays-quiz-personality-result-box-purple .ays-quiz-personality-result-bar { background-color: #6255A5; } #ays-quiz-container-13 .ays-quiz-personality-result-box.ays-quiz-personality-result-box-purple .ays-quiz-personality-result-keyword-text-color { color: #6255A5; } #ays-quiz-container-13 .ays-quiz-personality-result-box.ays-quiz-personality-result-box-yellow .ays-quiz-personality-result-bar { background-color: #F2C94C; } #ays-quiz-container-13 .ays-quiz-personality-result-box.ays-quiz-personality-result-box-yellow .ays-quiz-personality-result-keyword-text-color { color: #F2C94C; } #ays-quiz-container-13 .ays-quiz-personality-result-box.ays-quiz-personality-result-box-green .ays-quiz-personality-result-bar { background-color: #88D29D; } #ays-quiz-container-13 .ays-quiz-personality-result-box.ays-quiz-personality-result-box-green .ays-quiz-personality-result-keyword-text-color { color: #88D29D; } #ays-quiz-container-13 .ays-quiz-personality-result-box.ays-quiz-personality-result-box-red .ays-quiz-personality-result-bar { background-color: #E5A69D; } #ays-quiz-container-13 .ays-quiz-personality-result-box.ays-quiz-personality-result-box-red .ays-quiz-personality-result-keyword-text-color { color: #E5A69D; } #ays-quiz-container-13 .ays-quiz-personality-result-box.ays-quiz-personality-result-box-blue .ays-quiz-personality-result-bar { background-color: #03A9F4; } #ays-quiz-container-13 .ays-quiz-personality-result-box.ays-quiz-personality-result-box-blue .ays-quiz-personality-result-keyword-text-color { color: #03A9F4; } #ays-quiz-container-13 .ays-quiz-personality-result-box div:before, #ays-quiz-container-13 .ays-quiz-personality-result-box div:after { content: unset; } \/* Personality Test | End *\/ \/* report questions modal start *\/ .ays-modal-reports { display: none; position: fixed; z-index: 9999; left: 0; top: 0; width: 100%; height: 100%; overflow: auto; background-color: rgba(0, 0, 0, 0.4); animation-duration: .5s; background-color: rgba(0, 0, 0, 0.4); } #ays-quiz-question-report-modal-13 .ays-modal-content-reports { background-color: #fefefe; margin: 10% auto; border: 1px solid #888; max-width: 500px; width: 100%; border-radius: 10px; padding: 20px; box-sizing: border-box; position: relative; } #ays-quiz-question-report-modal-13 .ays-modal-content-reports label{ display: block; margin-bottom: 10px; font-weight: bold; letter-spacing: normal; } #ays-quiz-question-report-modal-13 .ays-modal-content-reports textarea { display: block; width: 100%; height: 100px; padding: 5px; box-sizing: border-box; border-radius: 5px; border: 1px solid #ccc; max-width: 100%; max-height: 500px; resize: vertical; transition: unset; } #ays-quiz-question-report-modal-13 .ays-modal-content-reports input.ays-quiz-submit-question-report { background-color: #0073aa; color: #fff !important; border: none; border-radius: 5px; padding: 10px 20px; cursor: pointer; margin-top: 20px; line-height: normal; letter-spacing: normal; box-shadow: unset; background-image: unset; } #ays-quiz-question-report-modal-13 .ays-close-reports-window { color: #aaa; font-weight: bold; position: absolute; top: 1%; right: 1%; } #ays-quiz-question-report-modal-13 .ays-close-reports-window img { box-shadow: unset; } #ays-quiz-question-report-modal-13 .ays-quiz-preloader img { box-shadow: unset; } #ays-quiz-question-report-modal-13 .ays-close-reports-window img:hover, #ays-quiz-question-report-modal-13 .ays-close-reports-window img:focus { cursor: pointer; } #ays-quiz-question-report-modal-13 .ays-quiz-question-report-error { display: none; font-size: 13px; color: #f00; text-align: left; } #ays-quiz-question-report-modal-13 .ays-quiz-question-report-textarea-label, #ays-quiz-question-report-modal-13 .ays-quiz-question-report-title { text-align: left; } #ays-quiz-question-report-modal-13 .ays_quiz_modal_overlay { width: 100%; height: 100%; position: fixed; top: 0; left: 0; position: absolute; z-index: 1000000000; flex-direction: column; } #ays-quiz-question-report-modal-13 .ays-quiz-container .ays-quiz-user-c\u0570oosing-anonymous-assessment { margin: 10px 0; } \/* report questions modal end *\/ @media screen and (max-width: 768px){ #ays-quiz-container-13{ max-width: 100%; } div#ays-quiz-container-13 [id^='ays_finish_quiz_'] div.step div.ays-abs-fs { width: 90%; } div#ays-quiz-container-13.ays_quiz_modern_light .step, div#ays-quiz-container-13.ays_quiz_modern_dark .step { padding-right: 0px !important; padding-top: 0px !important; } div#ays-quiz-container-13.ays_quiz_modern_light div.step[data-question-id], div#ays-quiz-container-13.ays_quiz_modern_dark div.step[data-question-id] { background-size: cover !important; background-position: center center !important; } div#ays-quiz-container-13.ays_quiz_modern_light .ays-abs-fs:not(.ays-start-page):not(.ays-end-page), div#ays-quiz-container-13.ays_quiz_modern_dark .ays-abs-fs:not(.ays-start-page):not(.ays-end-page) { width: 100%; } #ays-quiz-container-13 .ays_quiz_question p { font-size: 16px; } #ays-quiz-container-13 .select2-container, div#ays-quiz-container-13 .ays-questions-container form .ays-quiz-answers .ays-field * { font-size: 15px; } div#ays-quiz-container-13 input#ays-submit, div#ays-quiz-container-13 #ays_finish_quiz_13 .action-button, div#ays-quiz-container-13 #ays_finish_quiz_13 .step[data-type='fill_in_blank'] .action-button.ays_check_answer, div#ays-quiz-container-13 #ays_finish_quiz_13 .action-button.ays_restart_button, #ays-quiz-container-13 + .ays-quiz-category-selective-main-container .ays-quiz-category-selective-restart-bttn, #ays-quiz-container-13 .ays-quiz-category-selective-submit-bttn { font-size: 18px; } div#ays-quiz-container-13 div.ays-questions-container div.ays-woo-block { width: 100%; } \/* Quiz title \/ mobile font size *\/ div#ays-quiz-container-13 .ays-fs-title { font-size: 20px; } \/* Question explanation \/ mobile font size *\/ #ays-quiz-container-13 .ays_questtion_explanation p { font-size:16px; } \/* Wrong answers \/ mobile font size *\/ #ays-quiz-container-13 .wrong_answer_text p { font-size:16px; } \/* Right answers \/ mobile font size *\/ #ays-quiz-container-13 .right_answer_text p { font-size:16px; } \/* Note text \/ mobile font size *\/ div#ays-quiz-container-13 .ays-quiz-question-note-message-box p { font-size:14px; } div#ays-quiz-container-13 .ays-quiz-question-note-message-box *:not(strong) { text-transform:none; } div#ays-quiz-container-13 .ays_questtion_explanation *:not(strong) { text-transform:none; } div#ays-quiz-container-13 .right_answer_text *:not(strong) { text-transform:none; } #ays-quiz-container-13 div.ays-quiz-personality-result-box .ays-quiz-personality-result-title { font-size: 18px; } \/* Personality Test *\/ #ays-quiz-container-13 div.ays-quiz-personality-result-box .ays-quiz-personality-result-bar { font-size: 14px; padding: 6px 10px 0; } #ays-quiz-container-13 .ays-image-question-img img { height: auto ; } #ays-quiz-container-13 .ays-field { flex-direction: row-reverse; } #ays-quiz-container-13 #ays_finish_quiz_13 .ays-field label.ays_answer_caption[for^='ays-answer-'] { z-index: 1; position:initial;position:initial;bottom:0;:0; } #ays-quiz-container-13 #ays_finish_quiz_13 .ays_grid_view_container .ays-field.ays_grid_view_item { width:calc(100% \/2 - 4px); } #ays-quiz-container-13 .ays-answer-image { width:15em; } #ays-quiz-container-13 #ays_finish_quiz_13 .ays-field.ays_grid_view_item:nth-child(odd) { margin-right: 6px; } } \/* Custom css styles *\/ \/* ===== AYS \u2192 Chip Column (Option B: existing classes only) ===== *\/\/* Parent: transparent, column, no wrap *\/[id^=\"ays-quiz-container-\"] .ays-quiz-answers.ays_list_view_container { display: block !important; background: transparent !important; margin: 0 !important; padding: 0 !important; border: 0 !important;}\/* Each item: full-width row *\/[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item { display: block !important; margin: 0 0 .5rem 0 !important; padding: 0 !important; border: 0 !important; background: transparent !important; position: relative !important;}\/* Radio: visually hidden, accessible *\/[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"] { position: absolute !important; inline-size: 1px !important; block-size: 1px !important; margin: 0 !important; padding: 0 !important; border: 0 !important; clip: rect(0 0 0 0) !important; clip-path: inset(50%) !important; overflow: hidden !important; white-space: nowrap !important; opacity: 0 !important;}\/* Chip label: full width, left-align, 5px radius, leading disc *\/[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item label[for^=\"ays-answer-\"]:not(.ays_answer_image) { --chip-bg: #ffffff; --chip-fg: #0f172a; --chip-br: #cbd5e1; --chip-bg-hover: #f8fafc; --chip-disc: #e5e7eb; --chip-disc-br: #d1d5db; --chip-checked-bg: #ffffff; --chip-checked-br: #1d4ed8; --chip-checked-fg: #1d4ed8; --chip-disc-checked: #1d4ed8; --chip-check-fg: #ffffff; display: grid !important; grid-template-columns: 28px 1fr !important; align-items: center !important; width: 100% !important; min-height: 44px !important; font-size: 16px !important; line-height: 1.25 !important; text-align: left !important; gap: .5rem !important; padding: .5rem .75rem !important; border-radius: 5px !important; border: 1px solid var(--chip-br) !important; background: var(--chip-bg) !important; color: var(--chip-fg) !important; cursor: pointer !important; user-select: none !important; transition: box-shadow .15s ease, border-color .15s ease, background-color .15s ease, color .15s ease !important; \/* neutralize plugin\u2019s padding-left *\/ padding-left: .75rem !important;}\/* Leading disc (default) *\/[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item label[for^=\"ays-answer-\"]:not(.ays_answer_image)::before { content: \"\" !important; width: 18px !important; height: 18px !important; border-radius: 9999px !important; background: var(--chip-disc) !important; border: 1px solid var(--chip-disc-br) !important; display: inline-block !important; justify-self: center !important;}\/* Clear ::after by default (we\u2019ll inject glyphs conditionally) *\/[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item label[for^=\"ays-answer-\"]:not(.ays_answer_image)::after { content: \"\" !important;}\/* Hover *\/[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item label[for^=\"ays-answer-\"]:not(.ays_answer_image):hover { background: var(--chip-bg-hover) !important;}\/* Focus-visible ring *\/[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:focus-visible + label[for^=\"ays-answer-\"]:not(.ays_answer_image) { outline: 3px solid #1d4ed8 !important; outline-offset: 2px !important;}\/* Checked: blue border\/text; disc filled blue with white check *\/[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:checked + label[for^=\"ays-answer-\"]:not(.ays_answer_image) { background: var(--chip-checked-bg) !important; border-color: var(--chip-checked-br) !important; color: var(--chip-checked-fg) !important; box-shadow: 0 0 0 4px color-mix(in srgb, var(--chip-checked-br), transparent 70%) !important;}[id^=\"ays-quiz-container-\"].ays_quiz_classic_light .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:checked + label[for^=\"ays-answer-\"]:not(.ays_answer_image)::before,[id^=\"ays-quiz-container-\"].ays_quiz_classic_dark .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:checked + label[for^=\"ays-answer-\"]:not(.ays_answer_image)::before { background: var(--chip-disc-checked) !important; border-color: var(--chip-disc-checked) !important; background: #000 !important; border-color: #000 !important;}[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:checked + label[for^=\"ays-answer-\"]:not(.ays_answer_image)::after { content: \"\u2713\" !important; color: var(--chip-check-fg) !important; font-weight: 700 !important; font-size: 12px !important; line-height: 1 !important; grid-column: 1 \/ 2 !important; justify-self: center !important; position: relative !important; left: -18px !important; \/* overlay on disc *\/}\/* Hide image label *\/[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item label.ays_answer_image { display: none !important;}\/* Results: selected & correct (green with \u2713) *\/[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:checked + label.answered.correct { --chip-checked-br: #16a34a; --chip-checked-fg: #166534; --chip-disc-checked: #16a34a; --chip-checked-fg: #000; --chip-disc-checked: #000; background-color: var(--chip-disk-checked) !important; border-color: var(--chip-checked-br) !important; color: var(--chip-checked-fg) !important;}[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:checked + label.answered.correct::after { content: \"\u2713\" !important;}\/* Results: selected & wrong (red with \u2715) *\/[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:checked + label.answered.wrong { --chip-checked-br: #dc2626; --chip-checked-fg: #b91c1c; --chip-disc-checked: #dc2626; --chip-checked-fg: #000; --chip-disc-checked: #000; border-color: var(--chip-checked-br) !important; color: var(--chip-checked-fg) !important;}[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:checked + label.answered.wrong::after { content: \"\u2715\" !important;}\/* NEW: Correct (unselected) = green border only, transparent bg, no glyph *\/[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:not(:checked) + label.answered.correct { background: transparent !important; border-color: #16a34a !important; color: inherit !important; box-shadow: none !important;}#ays-quiz-container-10.ays_quiz_classic_dark .correct_div, #ays-quiz-container-10.ays_quiz_classic_light .correct_div[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:not(:checked) + label.answered.correct::before { background: transparent !important; border-color: #16a34a !important;}[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:not(:checked) + label.answered.correct::after { content: \"\" !important;}\/* Dark theme tokens *\/[id^=\"ays-quiz-container-\"].ays_quiz_classic_dark .ays-quiz-answers .ays-field.ays_list_view_item label[for^=\"ays-answer-\"]:not(.ays_answer_image) { --chip-bg: #0b0f14; --chip-fg: #e5e7eb; --chip-br: #334155; --chip-bg-hover: #111827; --chip-disc: #374151; --chip-disc-br: #4b5563;}\/* Reduced motion *\/@media (prefers-reduced-motion: reduce) { [id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item label[for^=\"ays-answer-\"]:not(.ays_answer_image) { transition: none !important; }}\/* High-contrast mode *\/@media (forced-colors: active) { [id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item label[for^=\"ays-answer-\"]:not(.ays_answer_image) { border: 1px solid CanvasText !important; } [id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:checked + label[for^=\"ays-answer-\"]:not(.ays_answer_image) { outline: 2px solid Highlight !important; }}\/* --- CARRY OVER FROM CHATGPT VERSION -->\/* --- Question Text -> font-size set in panel Question Styles > Question font size --- *\/[id^=\"ays-quiz-container-\"] .ays_quiz_question p { font-weight: 400; line-height: 1.3;}\/* --- Paragraph & Box-sizing normalization --- *\/[id^=\"ays-quiz-container-\"] p { margin: 0.625em !important; line-height: 1.5;}[id^=\"ays-quiz-container-\"] p:last-child { padding-bottom: 1em;}[id^=\"ays-quiz-container-\"] li { margin-bottom: 1rem;}\/* --- Background reset for checked answer divs --- *\/[id^=\"ays-quiz-container-\"] .ays-field.checked_answer_div input:checked ~ label:not(.ays_answer_image) { background-color: inherit !important;}\/* --- Background reset for double stacking Checked \/ Label --- *\/[id^=\"ays-quiz-container-\"] [id^=\"ays_finish_quiz_\"] .ays-field.checked_answer_div input:checked ~ label:not(.ays_answer_image),#ays-quiz-container-10.ays_quiz_classic_light .ays-field.checked_answer_div.wrong_div input:checked ~ label,[id^=\"ays-quiz-container-\"].ays_quiz_classic_dark .ays-field.checked_answer_div.wrong_div input:checked ~ label { background-color: transparent !important;}\/* --- Background reset for double stacking Hover Checked \/ Label --- *\/[id^=\"ays-quiz-container-\"] .ays-field:hover label[for^=\"ays-answer-\"] { background: transparent !important;}\/* Applies to ALL quiz containers globally; beats exact-ID selectors *\/[id^=\"ays-quiz-container-\"]:not(#_) .ays-field input[type=\"radio\"]:checked + label.answered.correct::before, [id^=\"ays-quiz-container-\"]:not(#_) .ays-field input[type=\"radio\"]:checked + label.answered.wrong::before { \/* your intended filled disc when the correct option is SELECTED *\/ background: var(--chip-disc-checked, #16a34a) !important; \/* green *\/ border-color: var(--chip-disc-checked, #16a34a) !important; background: black !important; \/* black *\/ border-color: black !important;} \/* RTL direction styles *\/ <\/style>\n            <style>\n                #ays-quiz-container-13 p {\n                    margin: 0.625em;\n                }\n                \n                #ays-quiz-container-13.ays_quiz_classic_light .enable_correction .ays-field.checked_answer_div input:checked+label,\n                #ays-quiz-container-13.ays_quiz_classic_dark .enable_correction .ays-field.checked_answer_div input:checked+label {\n                    \/* background-color: transparent; *\/\n                }\n                #ays-quiz-container-13 .ays-field.checked_answer_div input:checked~label:not(.ays_answer_image) {\n                    background-color: rgba(93,108,249,0.6);\n                }\n                #ays-quiz-container-13.ays-quiz-container.ays_quiz_classic_light .ays-questions-container .ays-field:hover label[for^='ays-answer-'],\n                #ays-quiz-container-13 .ays-field:hover{\n                    background: rgba(93,108,249,0.8);\n                    color: #fff;\n                    transition: all .3s;\n                }\n                #ays-quiz-container-13 #ays_finish_quiz_13 .action-button:hover,\n                #ays-quiz-container-13 #ays_finish_quiz_13 .action-button:focus,\n                #ays-quiz-container-13 + .ays-quiz-category-selective-main-container .ays-quiz-category-selective-restart-bttn:hover,\n                #ays-quiz-container-13 .ays-quiz-category-selective-submit-bttn:focus {\n                    box-shadow: 0 0 0 2px rgba(255, 255, 255, 0.5), 0 0 0 3px #ffffff;\n                    background: #5d6cf9;\n                }\n            <\/style><script>\n                if(typeof aysQuizOptions === 'undefined'){\n                    var aysQuizOptions = [];\n                }\n                aysQuizOptions['13']  = '{"quiz_version":"31.8.3.100","core_version":"6.9","php_version":"8.1.2-1ubuntu2.22","color":"#5d6cf9","bg_color":"#fff","text_color":"#000000","height":450,"width":750,"enable_logged_users":"off","information_form":"disable","form_name":"off","form_email":"off","form_phone":"off","image_width":"","image_height":"","enable_correction":"on","enable_progress_bar":"on","enable_questions_result":"on","randomize_questions":"off","randomize_answers":"off","enable_questions_counter":"on","enable_restriction_pass":"off","enable_restriction_pass_users":"off","restriction_pass_message":"","restriction_pass_users_message":"","user_role":[],"ays_users_search":[],"custom_css":"\/* ===== AYS \u2192 Chip Column (Option B: existing classes only) ===== *\/\r\n\r\n\/* Parent: transparent, column, no wrap *\/\r\n[id^=\"ays-quiz-container-\"] .ays-quiz-answers.ays_list_view_container {\r\n  display: block !important;\r\n  background: transparent !important;\r\n  margin: 0 !important;\r\n  padding: 0 !important;\r\n  border: 0 !important;\r\n}\r\n\r\n\/* Each item: full-width row *\/\r\n[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item {\r\n  display: block !important;\r\n  margin: 0 0 .5rem 0 !important;\r\n  padding: 0 !important;\r\n  border: 0 !important;\r\n  background: transparent !important;\r\n  position: relative !important;\r\n}\r\n\r\n\/* Radio: visually hidden, accessible *\/\r\n[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"] {\r\n  position: absolute !important;\r\n  inline-size: 1px !important;\r\n  block-size: 1px !important;\r\n  margin: 0 !important;\r\n  padding: 0 !important;\r\n  border: 0 !important;\r\n  clip: rect(0 0 0 0) !important;\r\n  clip-path: inset(50%) !important;\r\n  overflow: hidden !important;\r\n  white-space: nowrap !important;\r\n  opacity: 0 !important;\r\n}\r\n\r\n\/* Chip label: full width, left-align, 5px radius, leading disc *\/\r\n[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item label[for^=\"ays-answer-\"]:not(.ays_answer_image) {\r\n  --chip-bg: #ffffff;\r\n  --chip-fg: #0f172a;\r\n  --chip-br: #cbd5e1;\r\n  --chip-bg-hover: #f8fafc;\r\n\r\n  --chip-disc: #e5e7eb;\r\n  --chip-disc-br: #d1d5db;\r\n\r\n  --chip-checked-bg: #ffffff;\r\n  --chip-checked-br: #1d4ed8;\r\n  --chip-checked-fg: #1d4ed8;\r\n\r\n  --chip-disc-checked: #1d4ed8;\r\n  --chip-check-fg: #ffffff;\r\n\r\n  display: grid !important;\r\n  grid-template-columns: 28px 1fr !important;\r\n  align-items: center !important;\r\n\r\n  width: 100% !important;\r\n  min-height: 44px !important;\r\n  font-size: 16px !important;\r\n  line-height: 1.25 !important;\r\n  text-align: left !important;\r\n\r\n  gap: .5rem !important;\r\n  padding: .5rem .75rem !important;\r\n  border-radius: 5px !important;\r\n  border: 1px solid var(--chip-br) !important;\r\n  background: var(--chip-bg) !important;\r\n  color: var(--chip-fg) !important;\r\n  cursor: pointer !important;\r\n  user-select: none !important;\r\n  transition: box-shadow .15s ease, border-color .15s ease, background-color .15s ease, color .15s ease !important;\r\n\r\n  \/* neutralize plugin\u2019s padding-left *\/\r\n  padding-left: .75rem !important;\r\n}\r\n\r\n\/* Leading disc (default) *\/\r\n[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item label[for^=\"ays-answer-\"]:not(.ays_answer_image)::before {\r\n  content: \"\" !important;\r\n  width: 18px !important;\r\n  height: 18px !important;\r\n  border-radius: 9999px !important;\r\n  background: var(--chip-disc) !important;\r\n  border: 1px solid var(--chip-disc-br) !important;\r\n  display: inline-block !important;\r\n  justify-self: center !important;\r\n}\r\n\r\n\/* Clear ::after by default (we\u2019ll inject glyphs conditionally) *\/\r\n[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item label[for^=\"ays-answer-\"]:not(.ays_answer_image)::after {\r\n  content: \"\" !important;\r\n}\r\n\r\n\/* Hover *\/\r\n[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item label[for^=\"ays-answer-\"]:not(.ays_answer_image):hover {\r\n  background: var(--chip-bg-hover) !important;\r\n}\r\n\r\n\/* Focus-visible ring *\/\r\n[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:focus-visible + label[for^=\"ays-answer-\"]:not(.ays_answer_image) {\r\n  outline: 3px solid #1d4ed8 !important;\r\n  outline-offset: 2px !important;\r\n}\r\n\r\n\/* Checked: blue border\/text; disc filled blue with white check *\/\r\n[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:checked + label[for^=\"ays-answer-\"]:not(.ays_answer_image) {\r\n  background: var(--chip-checked-bg) !important;\r\n  border-color: var(--chip-checked-br) !important;\r\n  color: var(--chip-checked-fg) !important;\r\n  box-shadow: 0 0 0 4px color-mix(in srgb, var(--chip-checked-br), transparent 70%) !important;\r\n}\r\n\r\n[id^=\"ays-quiz-container-\"].ays_quiz_classic_light .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:checked + label[for^=\"ays-answer-\"]:not(.ays_answer_image)::before,\r\n[id^=\"ays-quiz-container-\"].ays_quiz_classic_dark .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:checked + label[for^=\"ays-answer-\"]:not(.ays_answer_image)::before {\r\n  background: var(--chip-disc-checked) !important;\r\n  border-color: var(--chip-disc-checked) !important;\r\n  background: #000 !important;\r\n  border-color: #000 !important;\r\n}\r\n[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:checked + label[for^=\"ays-answer-\"]:not(.ays_answer_image)::after {\r\n  content: \"\u2713\" !important;\r\n  color: var(--chip-check-fg) !important;\r\n  font-weight: 700 !important;\r\n  font-size: 12px !important;\r\n  line-height: 1 !important;\r\n  grid-column: 1 \/ 2 !important;\r\n  justify-self: center !important;\r\n  position: relative !important;\r\n  left: -18px !important; \/* overlay on disc *\/\r\n}\r\n\r\n\/* Hide image label *\/\r\n[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item label.ays_answer_image {\r\n  display: none !important;\r\n}\r\n\r\n\/* Results: selected & correct (green with \u2713) *\/\r\n[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:checked + label.answered.correct {\r\n  --chip-checked-br: #16a34a;\r\n  --chip-checked-fg: #166534;\r\n  --chip-disc-checked: #16a34a;\r\n  --chip-checked-fg: #000;\r\n  --chip-disc-checked: #000;\r\n  background-color: var(--chip-disk-checked) !important;\r\n  border-color: var(--chip-checked-br) !important;\r\n  color: var(--chip-checked-fg) !important;\r\n}\r\n[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:checked + label.answered.correct::after {\r\n  content: \"\u2713\" !important;\r\n}\r\n\r\n\/* Results: selected & wrong (red with \u2715) *\/\r\n[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:checked + label.answered.wrong {\r\n  --chip-checked-br: #dc2626;\r\n  --chip-checked-fg: #b91c1c;\r\n  --chip-disc-checked: #dc2626;\r\n  --chip-checked-fg: #000;\r\n  --chip-disc-checked: #000;\r\n  border-color: var(--chip-checked-br) !important;\r\n  color: var(--chip-checked-fg) !important;\r\n}\r\n[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:checked + label.answered.wrong::after {\r\n  content: \"\u2715\" !important;\r\n}\r\n\r\n\/* NEW: Correct (unselected) = green border only, transparent bg, no glyph *\/\r\n[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:not(:checked) + label.answered.correct {\r\n  background: transparent !important;\r\n  border-color: #16a34a !important;\r\n  color: inherit !important;\r\n  box-shadow: none !important;\r\n}\r\n\r\n#ays-quiz-container-10.ays_quiz_classic_dark .correct_div, #ays-quiz-container-10.ays_quiz_classic_light .correct_div\r\n\r\n[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:not(:checked) + label.answered.correct::before {\r\n  background: transparent !important;\r\n  border-color: #16a34a !important;\r\n}\r\n[id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:not(:checked) + label.answered.correct::after {\r\n  content: \"\" !important;\r\n}\r\n\r\n\/* Dark theme tokens *\/\r\n[id^=\"ays-quiz-container-\"].ays_quiz_classic_dark .ays-quiz-answers .ays-field.ays_list_view_item label[for^=\"ays-answer-\"]:not(.ays_answer_image) {\r\n  --chip-bg: #0b0f14;\r\n  --chip-fg: #e5e7eb;\r\n  --chip-br: #334155;\r\n  --chip-bg-hover: #111827;\r\n  --chip-disc: #374151;\r\n  --chip-disc-br: #4b5563;\r\n}\r\n\r\n\/* Reduced motion *\/\r\n@media (prefers-reduced-motion: reduce) {\r\n  [id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item label[for^=\"ays-answer-\"]:not(.ays_answer_image) {\r\n    transition: none !important;\r\n  }\r\n}\r\n\r\n\/* High-contrast mode *\/\r\n@media (forced-colors: active) {\r\n  [id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item label[for^=\"ays-answer-\"]:not(.ays_answer_image) {\r\n    border: 1px solid CanvasText !important;\r\n  }\r\n  [id^=\"ays-quiz-container-\"] .ays-quiz-answers .ays-field.ays_list_view_item input[type=\"radio\"]:checked + label[for^=\"ays-answer-\"]:not(.ays_answer_image) {\r\n    outline: 2px solid Highlight !important;\r\n  }\r\n}\r\n\r\n\r\n\/* --- CARRY OVER FROM CHATGPT VERSION -->\r\n\r\n\/* --- Question Text -> 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