MCQs

Prof Dr. mishqat ullah kundi

MBBS(PAK),FCPS(EYE)

The leading cause of preventable

blindness worldwide;
1.
2.
3.
4.
5.

Senile cataract
Age related macular degeneration
Glaucoma
Diabetic retinopathy
trachoma

The term mature cataract

means
1.

A nuclear cataract present more than 10

years
2. A posterior subcapsular cataract that
reduces visual acuity to 6/60 or worse
3. A cortical cataract that involves the entire
cortex
4. An anterior subcapsular cataract that
causes capsular wrinkling.

Criteria of mature senile

cataract
1.
2.
3.
4.

Visual acuity HM
Absent RR
Absent iris shadow
All of the above

Topical steroids are

contraindicated except in
1.
2.
3.
4.

Phlectenular fasicular ulcer

Dendritic ulcer
Typical hypopyon ulcer
Atypical hypopyon ulcer

The commonest sign of Graves

disease
1.
2.
3.
4.
5.

Exophthalmos
Lid retraction
Diplopia
Peri orbital edema
Conjunctival chemosis

Acute proptosis may be

due to
1.
2.
3.
4.

Trauma
Orbital cellulitis
Rhabdomyosarcoma
All of the above

Enophthalmos may be due to

1.
2.
3.
4.

Trauma
Cachexia
Post radiotherapy
Secondaries of breast scirrhus
carcioma
5. All of the above

The commonest cause for night

blindness
1.
2.
3.
4.
5.

Congenital
Vitamine A defficiency
Nuclear cataract
Retinitis pigmentosa
Liver diseases

The only staphyloma with

normal IOP is
1.
2.
3.
4.
5.

Partial anterior staphyloma

Ciliary staphyloma
Intercalary staphyloma
Equatorial staphyloma
Posterior staphyloma

Ectropion of the upper

eyelid may be
1.
2.
3.
4.

Senile
Paralytic
Congenital
Non of the above

Episcleritis is similar to phlycten

clinically but differs in being
1.
2.
3.
4.

tender
flat
Pigmented
multiple

Pneumococci can cause

1.
2.
3.
4.

Acute dacryocystitis
Chronic dacryocystitis
Atypical hypopyon ulcer
Ulcerative blepharitis

Staphyloococci can cause

1.
2.
3.
4.
5.

Acute dacryocystitis
stye
Atypical hypopyon ulcer
Ulcerative blepharitis
All of the above

Etiology of ptrygium
1.
2.
3.
4.

Neoplastic
Infection
Inflamation
degenerative

Endogenous septic focus

may cause All except :
1.
2.
3.
4.

Phlycten
Hypopyon ulcer
Iridocyclitis
Metastatic endophthalmitis

Optic nerve head in

glaucomatous optic atrophy has
all except;
1.
2.
3.
4.

Large deep cup

Interrupted retinal vessels
Waxy yellow colour
Overhanging margins

Doctor sees nothing&

patient sees nothing in
1. Papillitis
2. Papilloedema
3. Retrobulbar neuritis (toxic
amblyopia)
4. All of the above

Which of the following ttt is

used for optic neuritis
1.
2.
3.
4.

prednisolon
Observation
Antibiotics
Atropine

Papilloedema leads to:

1.
2.
3.
4.

Rapid deterioration of vision

Primary optic atrophy
Pain on eye movements
Optic disc edema more than 3 D

Papilloedema leads to the

following changes:
1. Nasal step
2. Arcuate scotoma
3. Cocentric contraction of peripheral
Feild
4. Enlarged blind spot

Consecutive optic atrophy

occurs in allexcept
1.
2.
3.
4.

Degenerative myopia
Chorioretinitis
CRAO
CRV thrombosis

Afferent pupillary defect occurs

in: All except
1.
2.
3.
4.

Papillitis
Hysteria
Optic atrphy
Retrobulbar neuritis

Rapid painful loss of

vision
In
1.
2.
3.
4.

all except
AACG
Blunt trauma
Alkali burn
CRAO

CILIARY INJECTION
In all except;
1.
2.
3.
4.

AACG
CORNEAL ULCEER
ANTERIOR UVEITIS
EPISCLERITIS

All the following are signs

of lens sublaxation except;
1.
2.
3.
4.

Phakodenesis
Iridodnesis
Irrigular anterior chamber
Intact all zonule

All of the following are lens

induced glaucoma except;
1.
2.
3.
4.

Phaco morphic glaucoma

Phacoanaphylactic glaucoma
Phacolytic glaucoma
Neovascular glaucoma

The eye susceptible to

AACG
1.
2.
3.
4.

Hypermetropic eye
Myopic eye
Astigmatic eye
Aphakic eye

In an acute angle closure

glaucoma the choice of
surgery is decided after
1.
2.
3.
4.

Gonioscopic examination
Fundus examination
Tonometry
Visual field examination

All of the following are the characteristics

of glaucomatus cup except

1. Large deep cup

2. Overhanging margins
3. Retinal vessels appear broken at
the margin
4. Lamina criprosa is not visible

Acetazolamide lowers
IOP by
1.
2.
3.
4.

Decreased aquous production

Increased aquous drainage
Lower episcleral venous peressure
All of above

B. Blockers lower IOP by

1.
2.
3.
4.

Decreased aquous production

Increased aquous drainage
Lower episcleral venous peressure
All of above

Pre auricular
lymphadenopathy
Occurs with the following
conjunctivitis
1. Vernal keratoconjunctivitis
2. Phlyctenular keratoconjunctivitis
3. Viral conjunctivitis
4. Angular conjunctivitis

Tremulous iris can be

seen in:
1.
2.
3.
4.
5.

Aphakia
Sublaxation of the lens
Hypermature cataract
Posterior dislocation of the lens
All of above

Posterior polar cataract markedly

affects vision because:
1.
2.
3.
4.

Its shadow lies on the macula

Close to the nodal point
It matures early
It blocks the pupillary area

Nuclear cataract changes the

refraction of the eye into
1.
2.
3.
4.

Myopia
Hypermetropia
Astigmatism
No change

Most common cause of diminution

of vision after ECCE is
1.
2.
3.
4.

Cystoid macular edema

Posterior capsule opacification
Corneal decompansation
Retinal detachment

The best treatment for Posterior

capsule opacification
1.
2.
3.
4.

Surgical excision
Laser opening
Surgical polishing
Leave alone

The type of laser used to treat

Posterior capsule opacification
1.
2.
3.
4.

Yag laser
Argon laser
Diode laser
Excimer laser

All of the following types of

entropion are known except
1.
2.
3.
4.

Spastic entropion
Senile entropion
Paralytic entropion
Cicatricial entropion

All of the following are causes

of lagophthalmos except
1.
2.
3.
4.

Facial nerve palsy

Proptosis
Cicatricial ectropion
Third nerve paralysis

Ectropion of the upper

lid most commonly;
1.
2.
3.
4.

Spastic ectropion
Senile ectropion
Paralytic ectropion
Cicatricial ectropion

Munson sign in:

1.
2.
3.
4.

Corneal fistula
Corneal dystrophy
Keratoconus
Corneal facet

In corneal edema all

except:
1.
2.
3.
4.

There is increase in corneal diameter

There is increase in corneal thickness
Cloudy cornea
Predispose to Corneal vascularization

Corneal damage with trachoma is due

to:
1.
2.
3.
4.

trichiasis
dryness
Lagophthalmos and exposure
All of the above

Double staining pattern of the

cornea is characteristic for:
1.
2.
3.
4.

Fungal corneal ulcer

Herpetic corneal ulcer
Exposure keratopathy
Acanthaembic corneal ulcer

Corticosteroids is given
in:
1.
2.
3.
4.

Bacterial corneal ulcer

Herpetic corneal ulcer
Fasicular phlyctenular ulcer
Stromal fungal keratitis

Tarrsorraphy is essential
in:
1.
2.
3.
4.

Bacterial corneal ulcer

Viral corneal ulcer
Exposure keratopathy
Traumatic corneal ulcer

Blood staining of the cornea is due

to:
1.
2.
3.
4.

Hyphema
Hyphema with rise of IOP
Corneal edema
Corneal FB

The pupil in acute Ant.

Uveitis is:
1.
2.
3.
4.

Constricted
Dilated
Festooned
Vertically oval

Infective corneal ulcers

include:
1.
2.
3.
4.

Bacterial corneal ulcer

Fungal corneal ulcer
Moorens ulcer
Viral corneal ulcer

In treating bacterial corneal

ulcer all except:
1.
2.
3.
4.

Antibiotics drops
Vitamin A,C
Mydriatics and cycloplegics drops
Corticosteroids drops

All of the following are nonspecific signs in conjunctivitis

except
1.
2.
3.
4.

Subconjunctival hemorrhage
Papillae
Follicles
pseudomembranes

In buphthalmos we should
exclude all of the following

1.
2.
3.
4.

Except
Retinoblastoma
Megalocornea
High myopia
Babies of diabetic mothers

In buphthalmos which of the

following is a late presentation
1.
2.
3.
4.

Lacrimation and sneezing

Optic cupping
Enlarged hazy cornea
Flattened sublaxated lens

In a patient with HM vision,

visual feild can be tested by;
1.
2.
3.
4.

Projection of light
Cofrentation test
Automated perimetry
Bjerrum screen

Which of the following is

not a test for visual feild
1.
2.
3.
4.
5.

Projection of light
Cofrentation test
Automated perimetry
Bjerrum screen
Percepton of light

Glaucoma inversus can occur

in
1.
2.
3.
4.

Post sublaxated lens

Post dislocated lens
Intumescent cataract
Non of the above

Glaucoma inversus can be

treated by:
1.
2.
3.
4.

Pilocarpine + anti-inflammatories
Pilocarpine + removal of the lens
Atropine
cyclocryotherapy

Amaurotic cats eye reflex,

In all except
1.
2.
3.
4.
5.

Retinoblastoma
PHPV
Coats disease(retinal telangiectasia
Toxocara
MM choroid

Third C nerve innervate all

except

Superior oblique muscle

Levator palpebre muscle
Inferior oblique muscle
Medial rectus muscle

Horners syndrome
1. Ptosis + myosis + enophthalmos +
anhydrosis
2. Ptosis + mydriasis + enophthalmos +
anhydrosis
3. lagophthalmos + myosis + enophthalmos
+ anhydrosis
4. diplopia + myosis + enophthalmos +
anhydrosis