MCQs

Prof Dr. Ashraf EL-Desouky

The leading cause of preventable
blindness worldwide;

 Senile cataract
 Age related macular degeneration
 Glaucoma
 Diabetic retinopathy
 trachoma
 The term “mature cataract”
means
• A nuclear cataract present more than 10
years
• A posterior subcapsular cataract that
reduces visual acuity to 6/60 or worse
• A cortical cataract that involves the
entire cortex
• An anterior subcapsular cataract that
causes capsular wrinkling.
 Criteria of mature senile
cataract
 Visual acuity HM
 Absent RR
 Absent iris shadow
 All of the above
 Topical steroids are
contraindicated except in

• Phlectenular fasicular ulcer

• Dendritic ulcer
• Typical hypopyon ulcer
• Atypical hypopyon ulcer
The commonest sign of Graves’
disease
• Exophthalmos
• Lid retraction
• Diplopia
• Peri orbital edema
• Conjunctival chemosis
 Acute proptosis may be
due to
• Trauma
• Orbital cellulitis
• Rhabdomyosarcoma
• All of the above
Enophthalmos may be due to
• Trauma
• Cachexia
• Post radiotherapy
• Secondaries of breast scirrhus
carcioma
• All of the above
 The commonest cause for night
blindness

• Congenital
• Vitamine A defficiency
• Nuclear cataract
• Retinitis pigmentosa
• Liver diseases
 The only staphyloma with
normal IOP is

• Partial anterior staphyloma

• Ciliary staphyloma
• Intercalary staphyloma
• Equatorial staphyloma
• Posterior staphyloma
 Ectropion of the upper
eyelid may be

 Senile
 Paralytic
 Congenital
 Non of the above
Episcleritis is similar to phlycten
clinically but differs in being

 tender
 flat
 Pigmented
 multiple
 Pneumococci can cause
 Acute dacryocystitis
 Chronic dacryocystitis
 Atypical hypopyon ulcer
 Ulcerative blepharitis
Staphyloococci can cause
 Acute dacryocystitis
 stye
 Atypical hypopyon ulcer
 Ulcerative blepharitis
 All of the above
 Etiology of ptrygium
• Neoplastic
• Infection
• Inflamation
• degenerative
 Endogenous septic focus
may cause All except :

• Phlycten
• Hypopyon ulcer
• Iridocyclitis
• Metastatic endophthalmitis
 Optic nerve head in
glaucomatous optic atrophy has
all except;

• Large deep cup

• Interrupted retinal vessels
• Waxy yellow colour
• Overhanging margins
 Doctor sees nothing&
patient sees nothing in
• Papillitis
• Papilloedema
• Retrobulbar neuritis (toxic
amblyopia)
• All of the above
Which of the following ttt is
used for optic neuritis

• prednisolon
• Observation
• Antibiotics
• Atropine
 Papilloedema leads to:

• Rapid deterioration of vision

• Primary optic atrophy
• Pain on eye movements
• Optic disc edema more than 3 D
Papilloedema leads to the
following changes:
• Nasal step
• Arcuate scotoma
• Cocentric contraction of peripheral
Feild
• Enlarged blind spot
 Consecutive optic atrophy
occurs in allexcept

• Degenerative myopia
• Chorioretinitis
• CRAO
• CRV thrombosis
 Afferent pupillary defect occurs
in: All except

• Papillitis
• Hysteria
• Optic atrphy
• Retrobulbar neuritis
 Rapid painful loss of
vision
In all except
• AACG
• Blunt trauma
• Alkali burn
• CRAO
 CILIARY INJECTION

In all except;
• AACG
• CORNEAL ULCEER
• ANTERIOR UVEITIS
• EPISCLERITIS
All the following are signs
of lens sublaxation except;

• Phakodenesis
• Iridodnesis
• Irrigular anterior chamber
• Intact all zonule
All of the following are lens
induced glaucoma except;

• Phaco morphic glaucoma

• Phacoanaphylactic glaucoma
• Phacolytic glaucoma
• Neovascular glaucoma
 The eye susceptible to
AACG

• Hypermetropic eye
• Myopic eye
• Astigmatic eye
• Aphakic eye
 In an acute angle closure
glaucoma’ the choice of
surgery is decided after

• Gonioscopic examination
• Fundus examination
• Tonometry
• Visual field examination
All of the following are the characteristics
of glaucomatus cup except

• Large deep cup

• Overhanging margins
• Retinal vessels appear broken at
the margin
• Lamina criprosa is not visible
 Acetazolamide lowers
IOP by

• Decreased aquous production

• Increased aquous drainage
• Lower episcleral venous peressure
• All of above
B. Blockers lower IOP by

• Decreased aquous production

• Increased aquous drainage
• Lower episcleral venous peressure
• All of above
 Pre auricular
lymphadenopathy
Occurs with the following
conjunctivitis
• Vernal keratoconjunctivitis
• Phlyctenular keratoconjunctivitis
• Viral conjunctivitis
• Angular conjunctivitis
 Tremulous iris can be
seen in:
• Aphakia
• Sublaxation of the lens
• Hypermature cataract
• Posterior dislocation of the lens
• All of above
Posterior polar cataract markedly
affects vision because:

• 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

• Myopia
• Hypermetropia
• Astigmatism
• No change
 Most common cause of diminution
of vision after ECCE is

• Cystoid macular edema

• Posterior capsule opacification
• Corneal decompansation
• Retinal detachment
The best treatment for Posterior
capsule opacification

• Surgical excision
• Laser opening
• Surgical polishing
• Leave alone
The type of laser used to treat
Posterior capsule opacification

• Yag laser
• Argon laser
• Diode laser
• Excimer laser
All of the following types of
entropion are known except

• Spastic entropion
• Senile entropion
• Paralytic entropion
• Cicatricial entropion
All of the following are causes
of lagophthalmos except

• Facial nerve palsy

• Proptosis
• Cicatricial ectropion
• Third nerve paralysis
 Ectropion of the upper
lid most commonly;

• Spastic ectropion
• Senile ectropion
• Paralytic ectropion
• Cicatricial ectropion
 Munson’ sign in:
 Corneal fistula
 Corneal dystrophy
 Keratoconus
 Corneal facet
 In corneal edema all
except:
 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:

 trichiasis
 dryness
 Lagophthalmos and exposure
 All of the above
Double staining pattern of the
cornea is characteristic for:
 Fungal corneal ulcer
 Herpetic corneal ulcer
 Exposure keratopathy
 Acanthaembic corneal ulcer
 Corticosteroids is given
in:
 Bacterial corneal ulcer
 Herpetic corneal ulcer
 Fasicular phlyctenular ulcer
 Stromal fungal keratitis
Tarrsorraphy is essential
in:
 Bacterial corneal ulcer
 Viral corneal ulcer
 Exposure keratopathy
 Traumatic corneal ulcer
Blood staining of the cornea is due
to:

 Hyphema
 Hyphema with rise of IOP
 Corneal edema
 Corneal FB
 The pupil in acute Ant.
Uveitis is:

 Constricted
 Dilated
 Festooned
 Vertically oval
 Infective corneal ulcers
include:

 Bacterial corneal ulcer

 Fungal corneal ulcer
 Mooren’s ulcer
 Viral corneal ulcer
In treating bacterial corneal
ulcer all except:

 Antibiotics drops
 Vitamin A,C
 Mydriatics and cycloplegics drops
 Corticosteroids drops
 All of the following are non-
specific signs in conjunctivitis
except

 Subconjunctival hemorrhage
 Papillae
 Follicles
 pseudomembranes
 In buphthalmos we should
exclude all of the following
• Except
 Retinoblastoma
 Megalocornea
 High myopia
 Babies of diabetic mothers
 In buphthalmos which of the
following is a late presentation

 Lacrimation and sneezing

 Optic cupping
 Enlarged hazy cornea
 Flattened sublaxated lens
 In a patient with HM vision,
visual feild can be tested by;

 Projection of light
 Cofrentation test
 Automated perimetry
 Bjerrum screen
Which of the following is
not a test for visual feild

 Projection of light
 Cofrentation test
 Automated perimetry
 Bjerrum screen
 Percepton of light
Glaucoma inversus can occur
in

 Post sublaxated lens

 Post dislocated lens
 Intumescent cataract
 Non of the above
Glaucoma inversus can be
treated by:

 Pilocarpine + anti-inflammatories
 Pilocarpine + removal of the lens
 Atropine
 cyclocryotherapy
Amaurotic cat’s eye reflex,
In all except
 Retinoblastoma
 PHPV
 Coat’s disease(retinal telangiectasia
 Toxocara
 MM choroid
 Third C nerve innervate all
except

• Superior oblique muscle

• Levator palpebre muscle
• Inferior oblique muscle
• Medial rectus muscle
 Horner’s syndrome
 Ptosis + myosis + enophthalmos +
anhydrosis
 Ptosis + mydriasis + enophthalmos +
anhydrosis
 lagophthalmos + myosis +
enophthalmos + anhydrosis
 diplopia + myosis + enophthalmos +
anhydrosis