Final MCQs

Keratoconus:

a. is a progressive condition
b. is a disease of the fifth and six
decade
c. is caused by increased intraocular
pressure
d. can be treated with soft contact lens

e. is made worse by eye rubbing

Keratoconus (all are right
except)
a. Apex of cone is below and nasal
b. Causes myopia and astigmatism
c. Is a progressive condition .
d. Lens subluxation is a known
complication.
e. May cause Corneal Opacity.
Orbital cellulites
a.       Blunt trauma is a common cause
b.      Most common causative agent is
Pseudomonas Aurogenosa
c.       Ultrasound for subperiosteal
abscess
d.      Conjunctival swab reveals positive
organisms
e.       Presence of contralateral proptosis
shows Cavrnous Sinus thrombosis.
 
Ans. a.F b.F c.F d.F e.T
Halos around light

a.       Dry eye

b.      Adenoviral conjunctivitis
c.       Intumescent cataract
d.     keratitis without corneal
oedema
e.       Prodromal stage of AACG
 
Ans. a.F b.F c.F d.F e.T
In phacolytic Glaucoma
a.       Lymphocytes obstruct the outflow
channels
b.      The fellow eye shows signs of uveitis
c.       The anterior chamber is shallow and
peripheral anterior synechiae are common.
d.      Pupil is dilated and vertically oval
e.       Cataract surgery with removal of all
the lens matter is indicated rather than
glaucoma filtration surgery.
Ans. a.F b.F c.F d.F e.T
In relation to congenital
glaucoma

a.       Buphthalmos may develop without tears

in Descemet’s membrane.
b.      Congenital megalocornea is an important
DD.
c.       Aplanation is superior to Schiotz
tonometer in measuring IOP in infants.
d.      Trabeculotomy is indicated in opaque
corneas with diameters larger than 14.0 mm
e.       Congenital NLD obstruction is an
important DD.
Ans. a.T b.T c.T d.F e.T
 
Horner’s Syndrome

a.       Lid retraction

b.      Unequal pupils
c.       Direct and consensual LR both
lost
d.      Hemifacial atrophy
e.      Caused by   Internal Carotid
occlusion
Ans. a.F b.T c.F d.F e.F
A grey reflex in the
papillary area at birth
may be due to:
a.retrolental fibroplasia
b. congenital cataract
c. endophthalmitis
d. congenital glaucoma
e. retinoblastoma

Ans. a.T b.T c.T d.F e.T

Which of the following are not
features of vernal conjunctivitis 
(Spring catarrh):

a. Taranta’s spots
b. mucous discharge
c. tarsal papillae
d. corneal ulceration
e. Bitot’s spots

Ans. a.T b.T c.T d.T e.F

Atrophy of the iris is a recognised
complication in which of  the following
conditions :

a. prolonged exposure to UV
irradiation
b. acute angle closure glaucoma
c. hyphaema
d. anterior segment necrosis
e. iris malignant melanoma

Ans. a.F b.T c.F d.F e.F

A “blow-out” fracture of the
orbital floor can result in all
except:
 
a. diplopia
b. delayed exophthalmos
c. paraesthesia in the distribution of
the infraorbital nerve
d. depression of the globe
e. limited elevation

Ans. a.T b.F c.T d.T e.T

 Regarding a patient with acute angle closure
glaucoma,       which of the following statements is
incorrect:

  a. an attack may be precipated after some

time in
    the dark
b. the optic disc is seen to be cupped at the
height  of an attack
c. surgical treatment is seldom
recommended
d. the eye may show iris atrophy and sub
capsular  lens opacities after an attack
e. the patient should avoid mydriatics

Ans. a.T b.F c.T d.T e.T

Lid retraction is a
characteristic sign of

a. acute facial nerve palsy 

b. myasthenia gravis 
c. thyrotoxicosis 
d. myotonic dystrophy 
e. Diabetic third cranial nerve 
palsy
In relation to the orbit, paranasal sinuses are
located in each except which of the following
areas?

– Medial
– lateral
– superior
– inferior
Which one of the following rectus muscle
tendons inserts on the sclera farthest from the
corneal limbus?

n superior rectus
n inferior rectus
n medial rectus
n lateral rectus
The advantages of
phacoemulsification over
extracapsular cataract surgery
include all except:

a. faster recovery
b. less astigmatism
c. smaller incision
d. less corneal oedema
e. better for very dense cataract
Which of the following
statements is not correct about
vortex veins?
a. there are usually about 4 to 7 in each
eye
b. they drain the venous system of the
retina
c. they drain the venous system of the
choroid and anterior uvea
d. they are visible in posterior segment
examination

f. Ans. a.T b.F c.T d.T

Which of the following
statements is not correct about
vortex veins?
 there are usually about 4 to 7 in each
eye
 they drain the venous system of the
retina
 they drain the venous system of the
choroid and anterior uvea
 they are visible in posterior segment
examination
The lens: all are true
except

a. is completely surrounded by a layer

of cuboidal cells underneath the
capsule
b. becomes more spherical during
accommodation
c. is derive from the surface ectoderm
d. provides most of the ocular
refractive power
e. power increases with nuclear
sclerosis
Conditions and its vision
loss association:( mark
the wrong)

a. nasal step & glaucoma

b. ring scotoma & retinitis
pigmentosa
c. right homonymous hemianopia
& right occipital lobe lesion
d. right homonymous hemianopia
& left occipital lobe lesion
e. increased blind spot &
Regarding retrobulbar
neuritis:
  a. there is pain when moving the
eye 
b. the diameter of the foramen
magnum is incraesed at
radiography 
c. there is poor central vision 
d. vision is poor color vision 
e. steroids are beneficial 
Degenerative myopia have
the following features
except:

a. posterior staphyloma
b. optic atrophy
c. peripheral retinal degeneration

d. peripapillary retinal atrophy

e. Fuch’s spots
Systemic hypertension
causes:

a. papilloedema
b. macular exudates
c. glaucoma
d. optic nerve ischaemia
e. central retinal vein occlusion
Polychromatic Luster
is seen in
n Senile Cortical Cataract
n Nuclear Cataract
n Posterior Subcapsular Cataract
n Zonular Cataract
Uniocular polyopia is
seen in which stage
n Intumescent
n Hypermature
n Mature
n incipient
Rosette cataract is
seen due to
n Trauma
n Diabetes M
n Hyperparathyroidism
n Cu Foreign body
Snow Flack cataract is
seen due to
n Trauma
n Diabetes M
n Galactosaemia
n Rubella
The movement of one eye
by itself is called a:

 
A. version
B. duction 
C. phoria
D. tropia
Which is a primary
action of the S.
oblique muscles?
 
A. intortion
B. elevation
C. depression
D. adduction
Which of the EOMs does not
originate in the Annulus of
Zinn?
 
A. inferior rectus
B. superior rectus
C. superior oblique
D. inferior oblique
Type of discharge in
spring catarrh is

a. Ropy white discharge,

b. Purulent discharge,
c. Mucopurulent discharge,
d. Orange fluorescent discharge.
Second sight is seen in

a. intumescent cataract
b. Morgagnian cataract
c. Nuclear cataract,
d. Cortical cataract.
Rosette cataract is
most commonly seen
in

a. Cu-IOFB
b. Concussion injury,
c. Diabetes,
d. Hypertension.
Consecutive optic
atrophy occurs in All
except
n CRVO
n Chorioretinitis
n CRAO
n papilledema