Beruflich Dokumente
Kultur Dokumente
www.facebook.com/KMUKP
Ophthalmology MCQs
a. Atropine
b. Steroids
c. Dark glasses
d. Patching and reassurance
A. Trachoma
B. Phlyctenular conjunctivitis
C. Mucopurulent conjunctivitis
D. Vernal keratoconjunctivitis
11. A 12 years old boy receiving long term treatment for spring catarrh,
developed defective vision in both eyes. The likely cause is;
a. Posterior subcapsular cataract
b. Retinopathy of prematurity
c. Optic neuritis
d. Vitreous hemorrhage
12. A young child suffering from fever and sore throat began to
complain of lacrimation. On examination, follicles were found in the
lower palpebral conjunctiva with tender preauricular lymph nodes. The
most probable diagnosis is:
a. Trachoma
b. Staphylococal conjunctivitis
c. Adenoviral conjunctivitis
d. Phlyctenular conjunctivitis
14. Ten years old boy complains of itching. On examination, there are
mucoid nodules with smooth rounded surface on the limbus, and
mucous white ropy mucopurulent conjunctivitis discharge. He most
probably suffers from:
a. Phlyctenular conjunctivitis
b. Mucopurulent conjunctivitis
c. Bulbar spring catarrh
d. Purulent conjunctivitis
19. A painful, tender, non itchy localized redness of the conjunctiva can
be due to:
a. Bulbar spring catarrh.
b. Episcleritis.
c. Vascular pterygium.
d. Phlyctenular conjunctivitis.
21. A female patient 18 years old, who is contact lens wearer since two
years, is complaining of redness, lacrimation and foreign body sensation
of both eyes. On examination, visual acuity was 6/6
with
c. Bulbous lesion
d. All of the above
d. Spring catarrh
e. Phlyctenular ulcer
c. TRIC
d. Gonococcus
50. In which of the following conditions in small ulcers the bleed are
seen, on removing the yellow crusts on the lid margin:
a. Squamous blepharitis
b. Ulcerative blepharitis
c. Parasitic blepharitis
d. Hordeolum internum
51. In which of the following conditions, severe itching of the eye with
ropy discharge in a 1 0 years old boy with symptoms aggravating in
summer season is most likely present:
a. Trachoma
b. Vernal keratoconjunctivitis
c. Acute conjunctivitis
d. Blepharitis
e. C. diphtheria
70. A 30 years old male presents with a history of injury to the eye with
a leaf 5 days ago and pain, photophobia and redness of the eye for 2
days. What would be the most likely pathology?
a. Anterior uveitis
b. Conjunctivitis
c. Fungal corneal ulcer
d. Corneal laceration
a. Zeis gland
b. Tarsus
c. Meibomian gland
d. Lacrimal gland
Answers
1-b
7-c
13-c
19-b
25-d
31-a
37-a
43-d
49-b
55-b
61-c
67-a
73-a
2-b
8-a
14-c
20-d
26-c
32-a
38-b
44-d
50-b
56-c
62-d
68-d
74-c
3-b
9-d
15-c
21-b
27-a
33-a
39-a
45-a
51-b
57-a
63-a
69-a
4-a
10-d
16-c
22-c
28-c
34-a
40-a
46-b
52-a
58-a
64-b
70-c
5-d
11-a
17-d
23-c
29-b
35-a
41-d
47-b
53-b
59-b
65-b
71-d
6-a
12-c
18-b
24-d
30-a
36-d
42-d
48-b
54-c
60-c
66-b
72-a
Lacrimal System
1. In DCR, the opening is made at:
a. Superior meatus
b. Middle meatus
c. Inferior meatus
2. Schirmers test is used for diagnosing:
a. Dry eye
b. Infective keratitis
c. Watering eyes
d. Used in Horners syndrome
3. All are seen in Horners syndrome except:
a. Miosis
b. Ptosis
c. Anhydrosis
d. Exophthalmos
Answers
1-b
2- a
3-d
4-d
Orbit
1. Most common cause of adult unilateral proptosis
a. Thyroid orbitopathy
b. Metastasis
c. Lymphoma
d. Meningioma
2. Evisceration is:
a. Excision of the entire eyeball
b. Excision of all the inner contents of the eyeball including the uveal tissue
c. Photocoagulation of the retina
d. Removal of orbit contents
a. Vision
b. Pain
c. Redness
d. Swelling
1-a
7-d
2-b
3-b
4-a
5-a
6-b
8-b
9-d
10-a
11-b
12-a
Uvea
1. All of the following are part of uvea except:
a. Pars plicata
b. Pars plana
c. Choroid
d. Schwalbes line
9. A middle aged female with recurrent joint pain gave past history of
recurrent attacks of pain, redness and dropped vision in one eye.
a. Tropicamide
b. Homatropine
c. Cyclopentolate
d. Atropine
14. D shaped pupil is seen in:
a. Iridocyclitis
b. Iridodialysis
c. Glaucoma
d. Dislocation of lens
20. All of the following statements about the treatment of acute anterior
uveitis are true except:
a. Mydriasis is important
b. Steroids should be avoided
c. It is usually not necessary to admit the patient to the hospital
d. Investigations for systemic disease are often negative
d. Aqueous flare
a. Glaucoma
b. Retinal detachment
c. Iridocyclitis
d. High myopia
2-d
3-b
4-c
5-a
6- d
7-c
8-b
9-b
10-d
11-b
12-b
13-a
14-b
15-a
16-a
17-c
18-b
19-b
20-b
21-d
22-a
23-b
24-a
25-c
26-d
27-a
Lens
1. Which laser is used for capsulotomy?
a. Diode laser
b. Carbon dioxide laser
c. Excimer laser
d. Yag laser
Answers
1- d
2- d
3-b
4-c
5-c
6-d
7-a
8-a
9-d
10-a
Glaucoma
1. Pneumato-tonometer is a type of:
a. Goniolens
b. Tonometer
c. Perimeter
d. Tonography
3. All the following associated OAG include all the following except:
a. Roennes nasal step
b. Enlarged blind spot
c. General depression of isopters
d. Loss of central fields
e. Tubular vision
4. The treatment of choice for the other eye in angle closure glaucoma
is:
a. Surgical peripheral iridectomy
b. Yag laser iridotomy
c. Trabeculotomy
d. Trabeculectomy
d. Occlusio pupille
19. Treatment of choice for fellow eye in angle closure glaucoma is:
a. Timolol
b. Pilocarpine
c. Yag Laser iridectomy
d. Surgical iridectomy
20. In chronic simple glaucoma, the most common earliest field defect
is:
a. Arcuate field defect
b. Baring of blind spot
c. Bjerrum scotoma
d. Siedel's sign
24. You have been referred a case of open angle glaucoma. Which of the
following would be an important point in diagnosing the case?
a. Shallow anterior chamber
b. Optic disc cupping
c. Narrow angle
d. visual acuity and refractive error
Answers
1- b
2- c
3- d
4- b
5-d
6-d
7-d
8-c
9-d
10-c
11-d
12-b
13-b
14-b
15-a
16-b
17-c
18-b
19-c
20-b
21-b
22-a
23-b
24-b
25-b
Retina
1. Number of layers in neurosensory retina is:
a. 9
b. 10
c. 11
d. 12
a. Color perception
b, Confrontation test
c. Light projection
d, Light perception
12. Occlusion of the lower nasal branch of the central retinal artery
results in one of the following filed defects:
a. Lower nasal sector filed defect
b. Upper nasal sector filed defect
c. Upper temporal filed defect
d. Lower temporal sector filed defect
Answers
1-a
5-c
9- a
13-c
17-c
21-c
2-b
6-a
10-b
14-c
18-c
3-c
7-d
11-c
15-a
19-d
4-a
8-b
12-c
16-d
20-a
Optic Nerve
1. Primary optic atrophy results from:
a. Retinal disease
b. Chronic glaucoma
c. Papilledema
d. Neurological disease
4. A male patient 30 years old with visual acuity of 6/6 in both eyes.
Twelve hours ago he presented with drop of vision of the left eye. On
examination, visual acuity was 6/6 in the right eye and 6/60 in the left
eye. Fundus examination showed blurred edges of the left optic disc.
The most probable diagnosis is:
a. Raised intra cranial pressure
b. Raised ocular tension
15. The test that would aid most in the diagnosis of the previous case is:
a. X-ray of the orbit
b. Visual field determination
c. Tonometry
d. Exophthalmometry
e. Gonioscopy
16. A boy presents two weeks after an injury to his left eye. He
complains of bilateral pain and watering from right. What is the
probable diagnosis?
a. Endophthalmitis
b. Optic neuritis
c. Sympathetic irritation
d. Sympathetic ophthalmitis
Answers
1- d
2- b
3- a
4- d
5- d
6-a
7-c
8-a
9-a
10-c
11-b
12-c
13-a
14-d
15-b
16-d
17-c
18-a
Neuro-ophthalmology
1. Optic nerve axon emerges from:
a. Ganglion cells
b. Rods and cones
c. Amacrine cells
d. Inner nuclear layer
b. Horner's syndrome
c. Morphine poisoning
d. Argyl Robertson's pupil
2. a
3-c
4-b
5-a
6-c
7-d
8-b
9-a
10-b
11-d
Strabismus
1. All the following are extraocular muscle of eye except:
a. Superior rectus
b. Ciliary muscle
c. Inferior oblique
d. Superior oblique
4. The only extraocular muscle which does not arise from the apex of
the orbit is:
a. Superior rectus
b. Superior oblique
c. Inferior oblique
d. Inferior rectus
5. In paralytic squint:
6. In concomitant squint:
a. Primary deviation > Secondary deviation
b. Primary deviation < Secondary deviation
c. Primary deviation = Secondary deviation
d. None of the above
Answers
1-b
5-b
9-b
2-b
6-c
3-d
7-a
4-c
8-b
Answers
1-e
2-c
3- b
4- a
Miscellaneous
a. Ant. Chamber
b. Post. Chamber
c. Cornea
d. Conjunctiva
9. What is Tylosis?
a. Hypertrophy and dropping of eye lid
b. Inversion of eye lid
c. Senile eversion of eye lid
d. Distortion of cilia
a. Cataract
b. Glaucoma
c. Retinal detachment
d. Corneal opacity
22. A two months old child presents with epiphora and regurgitation.
The most probable diagnosis:
a. Mucopurulent conjunctivitis
b. Buphthalmos
c. Congenital dacryocystitis
d. Encysted mucocele
d. Symbleparon
e. Leucoma adherent
b. Exposure keratitis
c. Entropion
d. trichiasis
e. Chronic simple glaucoma
35. Main muscle responsible for lid elevation:
a. muller's muscle
b. Superior rectus muscle
c. Occipitofrontalis muscle
d. Superior oblique muscle
e. Levator palpebrae superioris muscle
36. Fundus changes in background diabetic retinopathy include:
a. Cotton wool spots
b. Intraretinal microvascular abnormalities (IRMAs)
c. Neovessels in the retina
d. Retinitis proliferans
e. Microaneurysms
37. Management of acute central retinal artery occlusion includes the
following except:
a. Ocular massage
b. Anterior chamber paracentesis
c. Intravenous acetozolamide
d. Miotics
e. Inhalation of carbogen
38. Treatment of choice for angular conjunctivitis is:
a. Vaso constrictors
b. Mast cell strabilizers
c. Zinc preparations
d. Large doses of Vitamin A
e. Antiviral drugs
39. Patient 60 year old, diabetic for 20 years. He suffered acutely of
dropping of the right eyelid. On manual elevation of the lid he sees
double vision. What is your diagnosis?
a. Trigeminal nerve neuropathy.
b. Trochlear nerve palsy.
c. Abducent nerve palsy.
d. Oculomotor nerve palsy.
e. Facial nerve palsy
40. Pupillary nerve fibers pass through the optic tract to:
a. The optic chiasma
b. The optic radiation.
c. The lateral genicualte body.
d. The pretectal nuclei.
e. The occipital cortex
c. Active trachoma
d. Spring catarrh
e. Angular Blapharo conjunctivitis
46. In acute angle closure glaucoma the pupil is :
a. rounded, irreactive and dilated
b. Pin point constricted
c. Vertically oval, dilated, irreactive
d. Normal sized, reactive
e. D shaped pupil
47. Patient received a tennis ball hit to his eye which used to have 6/6
vision. External eye examination showed no abnormalities vision is
H.M. and red reflex is normal. Possible diagnosis is:
a. comotio retinae
b. traumatic cataract
c. vitreous hemorrhage
d. secondary glaucoma
e. Subconjunctival Heamorrhage.
e. Homonymous hemianopia
c. Muller's muscle
d. The levator palpebral muscle
e. Orbicularis oculi muscle
lid margins were hyperemic, and the lashes were matted with yellow
crusts, which left painful ulcers on trying to remove. The most reliable
diagnosis is :
a. Squamous blepharitis.
b. Cicatricial entopion.
c. Spastic entropion.
d. Ulcerative blepharitis.
e. Viral Conjunctivitis
61. Which of the following is most likely to have a disastrous visual
outcome if not treated immediately?
a. Conjunctivitis
b. Subconjunctival hemorrhage
c. Angle closure glaucoma
d. Iritis
e. Photophthalmia.
67. Ten years old boy complains of itching. On examination, there are
mucoid nodules with smooth rounded surface on the limbus, and
mucous white ropy discharge. He most probably suffers from:
a. Phlyctenular conjunctivitis
b. Mucopurulent conjunctivitis
c. Bulbar spring catarrh
d. Purulent conjunctivitis
e. Viral conjunctivitis
c. Arcus senilis
d. Chronic dacryocystitis
e. Arlt's line
a. Pilocarpine
b. Carbonic anhydrase inhibitors
c. Beta blockers
d. Atropine
e. Subscleral trabeculectomy
75. A 3 year old child presents with a convergent squint dating for one
year. The first step management is:
a. Proper refraction
b. Surgical correction
c. Training on the synoptophore
d. Prism prescription
e. Examination with Hess screen
e. One week for each year of patient age is the maximum period for full time
occlusion
COLUMN ONE
82. Orbital excentration
83. Evisceration means
COLUMN TWO
a. Excision of the eye ball
b. Evacuation of the content of the
eyeball.
c. Retraction of the globe into the
orbit.
d. Non specific inflammation of the
orbital tissue.
e. Orbital periosteum and orbital
contents, lids and conjunctiva are
removed.
COLUMN ONE
84. Trichiasis
85. Poliosis
COLUMN TWO
a. Permanent absence of eye lashes
b. More than 4 lashes rubbing
against the cornea
c. Whitening of the lashes.
d. Acute suppurative inflammation
of orbital soft tissue.
e. Lid margin is turned outwards.
COLUMN ONE
87. Dermatochalasis
88. Blepharitis
89. Hordeolum internum
COLUMN TWO
a. Chronic inflammation of lid
margin
b. Acute suppurative inflammation
of zeis gland and lash follicle
c. Incomplete closure of palpebral
fissure
d. Acute suppurative inflammation
of meibomian gland.
e. Redundancy of upper eye lid skin
in old age.
COLUMN ONE
90. True membranous
conjunctivitis is caused by
91. The commonest cause of
Mucopurulent conjunctivitis
COLUMN TWO
a. Gonococci
b. Koch week's bacillus.
c. Morax Axenfield bacillus.
d. Corynebacterium diphtheriae.
e. Chlamydia trachomatis.
mm Hg
gm/mm2
a scale from 0 to 18
Ib/in2
114. A young child suffering from fever and sore throat began to complain of
lacrimation. On examination, follicles were found in the lower palpebral conjunctiva
with tender preauricular lymph nodes. The most probable diagnosis is:
A. Trachoma
B. Staphylococcal conjunctivitis
C. Adenoviral conjunctivitis
D. Phlyctenular conjunctivitis
115. YAG laser is used in the treatment of
A. diabetic retinopathy
B. open angle glaucoma
C. after cataract
D. retinal detachment
116. Regarding buphthalmos, which is correct
A. shallow anterior chamber
B. bilateral
C. trabeculectomy is the treatment of choice
D. small corneal diameter (less than 10mm)
C. Equator
D. At the disc
140. The incision size in phacoemulsification is:
A. 1 mm
B. 3 mm
C. 5 mm
D. 7 mm
141. Severe congenital ptosis with no levator function can be treated by:
A. Levator resection from skin side
B. Levator resection from conjunctival side
C. Fascia lata sling operation
D. Fasanella servat operation
142. In CRAO, a cherry red spot is due to :
A. Heamorrhage at macula
B. Increased choroidal perfusion
C. Increased in retinal perfusion at macula
D. The contrast between pale retina and reddish intact choriocapillaris
143. The most common primarily intraocular malignancy in adults is:
A. Retinoblastoma
B. Choroidal melanoma
C. Squamous cell carcinoma of conjunctiva
D. Iris naevus
144. A patient has an upper lid trichiasis with history of chronic eye irritation. The most
common causes are :
A. Stye
B. Trachoma
C. Infected chalazion
D. Spring catarrh
145. Chalazion is:
A. Acute suppurative inflammation of Meibomian glands
B. Chronic granulomatous inflammation of Meibomian glands
C. Retention cyst of the Meibomian glands
D. Neoplasm of the Meibomian glands
146. A patient complains of maceration of skin of the lids and conjunctival redness at
the inner and outer canthi. Conjunctival swab is expected to show:
A. Staphylococcus aureus
B. Staphylococcus viridans
C. Staphylococcus pneumonae
D. morax-Axenfield diplobacilli
147. Paralytic ectropion occurs in:
A. Third never paralysis
B. Trigeminal never paralysis
C. Facial never paralysis
D. Trochlear never paralysis
Answers
1-b
7-c
13-d
19-b
25-c
31-c
37-d
43-c
49-c
55-a
61-c
67-c
73-b
79-b
85-c
91-b
97-b
103-c
109-b
115-c
121-d
127-c
133-d
139-c
145-b
2-b
8-c
14-b
20-a
26-a
32-c
38-c
44-c
50-d
56-c
62-d
68-a
74-d
80-c
86-d
92-a
98-c
104-c
110-b
116-b
122-c
128-c
134-c
140-b
146-d
3-b
9-a
15-d
21-d
27-c
33-a
39-d
45-c
51-d
57-a
63-c
69-a
75-a
81-e
87-e
93-b
99-b
105-b
111-a
117-d
123-a
129-b
135-b
141-c
147-c
4-b
10-d
16-a
22-c
28-b
34-b
40-d
46-c
52-b
58-b
64-c
70-d
76-b
82-e
88-a
94-d
100-a
106-c
112-c
118-a
124-a
130-b
136-d
142-d
5-a
11-a
17-d
23-d
29-d
35-e
41-c
47-a
53-c
59-c
65-c
71-b
77-c
83-b
89-d
95-c
101-c
107-a
113-b
119-b
125-b
131-b
137-c
143-b
6-d
12-b
18-c
24-a
30-e
36-e
42-d
48-c
54-c
60-d
66-a
72-a
78-d
84-b
90-d
96-b
102-a
108-b
114-c
120-b
126-a
132-a
138-b
144-b
Ophthalmology MCQs