Ophthalmology DIAMS

1. The first sign of Cavernous sinus thrombosis 12. Rubeosis iridis is not seen in
a. Non reacting pupil a. CRVO
b. VIth nerve palsy b. Diabetic retinopathy
c. Proptosis c. Hypertensive retinopathy
d. Colour vision problems d. Ocular ischaemic syndrome
2. Commonest cause of bilateral proptosis in 13. Chorio retinitis is caused by all except
adults is seen in a. Oncocerciasis
a. Metastasis b. Cytomegalovirus
b. Thyrotoxicosis c. Toxoplamosis
c. Orbital cellulitis d. Cryptococcosis
d. Cavernous haemangioma 14. Which of them is a symptom of cataract
3. IOL is contraindicated in cataract due to a. Loss of visual field
a. Reiter’s syndrome b. Circumcorneal congestion
b. Ankylosing spondylitis c. Loss of contrast sensitivity
c. Juvenile rheumatoid arthritis d. Abnormal pupillary reactions
d. Fuchs heterochromic iridocylitis 15. Patient presents with IOP of 55mm Hg, deep AC,
4. A combination of mental retardation and lens some cells and flare, hypermature cataract, and is
subluxation is found in diabetic. Diagnosis is
a. Airport’s syndrome a. Angle closure glaucoma
b. Marfan’s syndrome b. Acute anterior uveitis
c. Down’s syndrome c. Phacolytic glaucoma
d. Homocystinuria d. Neovascular glaucoma
5. When the colour of one iris is different from 16. Herpes Zoster ophthalmicus in a 25 yrs old patient
the other, it is called is an indication for
a. Iridoschisis a. ANA for SLE
b. Iridodonesis b. ACE for sarcoidosis
c. Heterochromia iridis c. ELISA for HIV
d. Heterochromia iridum d. ANCA for Wegener’s granulomatosis
6. Cause of Oculosympathetic paralysis 17. A 40 yrs old rheumatoid arthritis patients presents
a. Keratoconus with gradual decrease in vision during the past few
b. Pancoast tumor months. Most probable diagnosis
c. Eales disease a. Age related Macular degeneration
d. Nystagmius b. Diabetic retinopathy
7. Commonest muscle to get involved in thyroid c. Steroid induced cataract
related ophthalmopathy d. Dry eyes
a. Inferior rectus 18. Amaurotic cat’s eye reflex is seen in
b. Superior rectus a. Retrolental fibroplasias
c. Medial rectus b. Retinoblastoma
d. Inferior oblique c. Complete retinal detachment
8. Vogt’s triad is seen in d. All
a. Keratoconus 19. Oculocardioc reflex is seen in which surgery
b. Post attack of herpes simplex a. Cararact
c. Post attack of acute angle closure b. Keratoplasty
glaucoma c. Strabismus
d. Pigmentary glaucoma d. Glaucoma
9. Young man presents with sudden painless 20. A constracted pupil responds to accommodation
loss of vision. On examination there are no but light reflex is absunt. It is
systemic problems. Most probable diagnosis a. Adie’s pupil
is b. Hutchinson pupil
a. Retinal detachment c. Argyll Robertson pupil
b. Cataract d. Marcus Gunn
c. Eales disease 21. Which of the following is a cause of sudden
d. OAG blindness in a quiet eye with normal media and
10. True about Mooren’s ulcer fundus
a. Painless a. Vitreous haemorrhage
b. Sudden loss of vision b. Retrobulbar neuritis
c. Requires steroids c. Iridocyclitis
d. Drug of choice is clindamicin d. Optic neuritis
11. Minimum endothelial cell density (per mm 22. Patient with 10 yrs of DM loss of vision, he
square) in cornea to maintain corneal complaints of NPDR. Most probable cause of loss
transparency is vision is
a. 3000 a. Vitreous haemorrhage
b. 1000 b. Cystoid macular edema
c. 500 c. Tractional detachment
d. 2500 d. Neovascular glaucoma

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Ophthalmology
23. Treatment of choice in Elschnia’s peals is
a. Trabeculotomy
b. Goniotomy
c. Nd – YAG capsulotomy
d. Para centesis
24. In the 25th week of her pregnancy patient
complaints of sudden painless loss of vision.
Reason
a. Acute angle closure glaucoma
b. Anterior uveitis
c. Exudative retinal detachment
d. Optic neuritis
25. All are true about Xanthelasma except
a. Raised yellow plaques on upper lids
b. Seen in elderly women
c. Associated with hypercholesterolemia
d. Is malignant
26. All are retinal changes in myopia except
a. Anterior staphyloma
b. Foster fuchs spot
c. Posterior staphyloma
d. Temporal crescent
27. All are true about anterior blepharitis except
a. Inflammation of margins of lids
b. Ulcerative blepharitis has small ulcers
at the base of eye lashes
c. Treatment requires doxycycline
d. Squamous blepharitis has small
scales
28. A diabetic develops severe glaucoma after 20
yrs, on examination IOP is 50 mm, has
corneal edema, new blood vessels at
pupillary margin, cup disc ratio of 0.8, which
kind of glaucoma is it
a. Pigmentary glaucoma
b. Neovascular glaucoma
c. Malignant glaucoma
d. Angle closure glaucoma
29. Microspherophakia is commonly seen in
a. Weil Marchesani syndrome
b. Marfan’s syndrome
c. Homocystinuria
d. Phenylketonuria
30. Sentinel vessels are seen in
a. Pituitary adenoma
b. Pleomorphic adenoma
c. Retinoblastoma
d. Malignant melanoma
31. Malignancies which mimic features of
anterior or posterior uveitis are called
a. Amaurosis
b. Masquerade syndrome
c. Microtropia
d. Opsoclonus
32. Which pair is incorrect
a. Rheumatoid arthritis - dry eye
b. Sarcoidosis - uveitis
c. Myeloid leukemia - chloroma
d. Behcets disease - corneal ulcer
33. Which pair is incorrect
a. HIV – Kaposi’s sarcoma
b. Reiter’s syndrome – Conjunctivitis
c. Tuberculosis - Phlyctenular
conjunctivitis
d. Leprosy - Optic neuritis
DIAMS
34. When adhesion of lid to globe takes place it is
called
a. Ankyloblepharon
b. Lagophthalmus
c. Symblepharon
d. Blepharophimosis
35. Hirschberg’s test reveals 3 mm temporal
displacement of corneal reflex. What is the
diagnosis
a. 3 degree exotropia
b. 3 degree esotropia
c. 21 degree exotropia
d. 21 degrees esotropia
36. Endophthalmitis include all except
a. Vitreous
b. Sclera
c. Uvea
d. Retina
37. Regarding corneal transplantation what is true
a. Whole eye preserved in tissue culture
b. Donor not accepted age > 60 yrs
c. HLA – matching required
d. Specular microscopy is used to count cells
38. A patient presenting with ptosis shows retraction of
lids on chewing cause is
a. Abducens paralysis
b. 3rd N palsy
c. Marcus Gunn phenomenon
d. Aberrant regeneration of 4th nerve
39. Arden index is seen in
a. ERG
b. EOG
c. VER
d. Perimetry
40. Young female presents with unilateral proptosis
which increases on bending forward, no thrill or
bruit. Diagnosis
a. Neurofibromatosis
b. Orbital varix
c. A-V fistula
d. Orbital encephalocele
41. Which of the following does not scavenge free
radicles in the lens
a. Vit. A
b. Vit. C
c. Vit. E
d. Catalase
42. All are important causes of childhood blindness in
India except
a. Glaucoma
b. Congenital dacryocystitis
c. Malnutrition
d. Ophthalmia neonatorum
43. Roseola – prominent dilated iris vessels is seen in
a. Tuberculosis
b. Syphilis
c. HIV
d. Leprosy
44. Synchysis refers to:
a. Liquefaction of vitreous
b. Black spots in- front of eye
c. Collapse of vitreous
d. Detachment of vitreous
45. Lisch nodules are seen in:
a. Retinoblastoma

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Ophthalmology DIAMS
b. Neuroblastoma 57. The corneal abrasion or an ulcer is stained by
c. Neuprfibromatosis which one of the following
d. Intraocular lymphoma a. Rose Bengal dye
46. Streak hemorrhage on the optic disc is sign b. Fluorescein dye
of: c. Methylene blue dye
a. Papillitis d. Alcian blue dye
b. papilloedema 58. The most common systemic association of scleritis
c. Glaucoma is which of the following
d. Retrobulbar neuritis a. Ehlers – Danlos syndrome
47. Relative afferent papillary defect (RAPD) b. Disseminated systemic sclerosis
signifie: c. Rheumatoid arthritis
a. Damage to anterior visual pathway d. Giant cell arteritis
b. Damage to suprageniculate pathway 59. The following structures are not derived from
c. Internal opthalmoplegia surface ectoderm
d. Damage to puspillary sphincter a. Crystalline lens
48. Photo opthalmia is caused by: b. Sclera
a. Infrared rays c. Corneal epithelium
b. Ultraviolet rays d. Epithelium of Lacrimal glands
c. X-rays 60. The most serious complication of perforating ocular
d. ß- radiation trauma is which one of the following
49. Most common malignancy of conjunctivia is: a. Loss of vision in traumatized eye
a. Sebaceous cell carcinoma b. Infection
b. Malignant melanoma c. Sympathetic ophthalmia
c. Squamous cell carcinoma d. Retinal detachment
d. Basal cell carcinoma 61. Retinal haemorrhages with white centres seen in
50. Intraocular Pressure measured by Goldmann SABE are known as
applanation tonometer over a thin cornea is: a. Lisch nodules
a. Normal b. Foster – Fucus spots
b. Higher than normal c. Roth’s spots
c. Lower than normal d. Cerulean dots
d. None of the above 62. Krukenberg’s spindle is pigmentation seen on
51. Altitudinal field defect is seen in: corneal endothelium
a. Optic neuritis a. Malignant Glaucoma
b. Papilloedema b. Retinal Detachment
c. Traumatic optic neuropathy c. Uveitis
d. Anterior ischemic optic neuropathy d. Pigmentary Glaucoma
52. Earliest sign of recurrent ocular herpes 63. A young man using glasses for last 10 yrs present
simplex infection is: with history of photopsiae and sudden loss of vision
a. Vesicles on the lids in right eye which is the best examination
b. Acute follicular conjunctivitis technique?
c. Punctate epithelial keratitis a. Cycloplegic refraction
d. Dendritic epithelial keratitis b. Indirect ophthalmoscopy
53. Blue sclera may be associated with all c. Schiotz tonometry
except: d. Gonioscopy
a. Marfan’s syndrome 64. Crowding phenomena is seen in
b. Buphtalmos a. Myopia
c. Exophtalmos b. Presbyopia
d. High myopia c. Hypermetropia
54. The afferent pathway for light papillary reflex d. Amblyopia
is which one of the following 65. patient trescents with cell flare mutton fat K.Ps
a. Trigeminal nerve best investigation of choice
b. Optic nerve a. X-ray sacro-iliac joint
c. Abducent nerve b. Rheumatoid factor
d. Ciliary nerve c. Serum ACE level
55. Alteration of 1 mm in axial length of the eye d. Blood-sugar
results in ametropis of how many diaptres 66. A Hypertensive patient complains of sudden and
a. 1 D painless loss of vision. On retinal examination , the
b. 2 D entire retina is white with a central red glow
c. 3 D coming from fovea .diagnosis is
d. 4 D a. CRAO
56. Inverted Purkinje images are seen on b. BRAO
a. Anterior surface of cornea c. CRVO
b. Posterior surface of cornea d. Hypertensive retinopathy
c. Anterior surface of lens 67. Most important factor governing convergence of
d. Posterior surface of lens light rays on the retina is

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Ophthalmology DIAMS
a. Axial length c. Myopia
b. Corneal curvature d. Retinal detachment
c. AC depth 78. Neuroparalytic keratitis is seen in injury to
d. Lens thickness a. Optic nerve
68. Surgery for congenital ptosis b. Oculomotor nerve
a. LPS resection c. Facial nerve
b. Wedge resection d. Trigeminal nerve
c. Occlusion 79. Watered silk appearance of fundus is seen in
d. Tarsal fracture a. Myopia
69. Which of these field defects is not due to b. Astigmatism
glaucoma? c. Hypermetropia
a. Nasal step d. Presbyopia
b. Binasal hemianopia 80. A 55 years old patient with Irvine Gass syndrome
c. Arcuate scotoma . has
d. Generalized depression a. Retinitis with bright light
70. A 7 year old girl is brought in for evaluation b. ipsilateral optic atrophy, contralateral disc
of “left lazy eye” refraction is R eye -0.75 edema
DS, LE + 6.0 DS Treatment of choice c. CME after cataract surgery
a. Orthoptics d. Angle closure glaucoma
b. Glasses 81. On retinoscopy at 67 cms refraction is +1.5 he is
c. Surgery a. Myopic
d. Glasses followed by occlusion b. Hypermetropic
71. Commonest tumor of the orbit in children c. Astigmatic
a. Retinoblastoma d. Emmetropic
b. Rhabdomyosarcoma 82. Regarding occurrence of sympathetic ophthalmitis,
c. Neuroblastoma all of the following are true except
d. Choroidal melanoma a. It almost always follows a perforating
72. Which stromal dystrophy is autosomal wound
recessive in nature, spreads to the limbus, b. Wounds in the ciliary region are more prone
has no clear spaces in the middle and has it
poor vision at an early age c. More common in adults than in children
a. Granular d. Less common when actual suppuration
b. Macular develops in the injured eye
c. Lattice 83. A salmon colored lesion in the cul-de-sac usually
d. Fuchs’ Endothelial means
73. patient present with bride red conjunctiva a. Lymphoma
serous discharge and preauricular b. Haemangioma
lymphadenopathy. Many patients have c. Graves ophthalmopathy
presented from same community. Diagnosis d. Trauma
is 84. Vascular congestion over insertions of the rectus
a. entero virus – 70 muscles (particularly lateral rectus) is seen in
b. streptococcus a. Lymphoma
c. adeno virus b. Haemangioma
d. Chlamydia c. Graves ophthalmopathy
74. ‘Hard stop’ on probing is seen in d. Trauma
a. Common canalicular block 85. The cranial nerve with the longest intra caranial
b. Lacrimal pump failure course is
c. Lower canalicular block a. VI nerve
d. Nasolacrimal duct block b. V nerve
75. Posterior staphyloma is seen in c. IV nerve
a. Digenerative myopia d. VII nerve
b. Scleromalacia perforans 86. A 25 year old executive presents with
c. Glaucoma metamorphopsia in his right eye. On examination
d. Trauma the fundus shows a shallow detachment at the
76. Patient is hit with a tennis ball in the eye and macula. The fluorescein angiography shows a
has enophthalmos, diplopia and anaesthesia smoke stack sign. Which of the following
over eyelid. Diagnosis management should be given?
a. Macular edema a. Topical antibiotic corticosteroid
b. Uveitis combination
c. Blow out fracture b. Systemic corticosteroid for two week and
d. Rosette cataract then taper
77. Patient has 6/18 vision but pinhole vision c. Pulsemethy prednisolone for three days
improves to 6/6 diagnosis is and then pater
a. CRVO d. Just wait and watch for spontaneous
b. Cataract recovery

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Ophthalmology DIAMS
87. Commonest site for a foreign body to lodge is c. Steven Johnson syndrome
in: d. Retinal detachment
a. Cornea 99. Pulsating exophthalmos is seen in
b. Limbus a. Blow out fracture
c. Conjuctiva b. Carotido – cavernous fistula
d. Superior sub-tarsal sulcus c. Orbital varix
88. Treatment of accommodative squint in d. Dermoid cyst
children is by 100. CSME is seen in
a. Surgery a. Hypertensive retinopathy
b. Convergence exercises b. Diabetic retinopathy
c. Occlusion c. Glaucomatous field defects
d. Refractive error correction d. Sympathetic ophthalmitis
89. All are true about Arcus Senilis except:
a. Universally present in elderly
b. Due to hypercholesterolemia
c. Lipid infiltration of cornea
d. Begins as a crescentric gray line
90. Fortification spectra (Teichopsia) are present
in
a. Diplopia
b. Amblyopia
c. Migraine
d. Color Blindness
91. Fluctuating ptosis and diplopia is the
presenting feature in
a. Sympathetic Ophthalmitis
b. Angle closure glaucoma
c. High myopia
d. Myasthania gravis
92. Patient present with painless round firm
swelling in the upper lid and associated Acne
Rosacea likely diagnosis is:
a. Stye
b. Cyst of Moll
c. Chalazion
d. Cyst of Zeis
93. Royal Air Force (RAF) ruler is used to measure
a. Near point of accommodation and
convergence
b. Squint
c. Glaucoma
d. IOL power calculation
94. Weiss ring is seen in
a. Trauma to lens
b. Uveitis
c. Posterior vitreous detachment
d. Sympathetic ophthalmitis
95. Amsler’s grid is used in testing for
a. Keratoconus
b. Age related macular degeneration
c. Epiphora
d. Uveitis
96. The graph of movement of the eye is called
a. Electro retinogram
b. Electroencephalogram
c. Electronystagmogram
d. Electrooculogram
97. D- shaped pupil is seen in
a. Anterior uveitis
b. Irododilysis
c. Chorio-retinitis
d. Marcus gunn pupil
98. Shaffer’s sign is seen in a
a. Open angle glaucoma
b. Trachoma

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