Quiznetik

Ophthalmology | Set 1

1. Distichiasis is:

Correct : B. Accessory row of eyelashes

2. Band shaped keratopathy is commonly caused by deposition of:

Correct : B. Calcium salt

3. Irrespective of the etiology of a corneal ulcer, the drug always indicated is:

Correct : B. Cycloplegics

4. Dense scar of cornea with incarceration of iris is known as:

Correct : A. Adherent Leucoma

5. Corneal sensations are diminished in:

Correct : A. Herpes simplex

6. The color of fluorescein staining in corneal ulcer is:

Correct : C. Green

7. Phlycten is due to:

Correct : A. Endogenous allergy

8. A recurrent bilateral conjunctivitis occurring with the onset of hot weather in young boys with symptoms of burning, itching, and lacrimation with large flat topped cobble stone papillae raised areas in the palpebral conjunctiva is:

Correct : D. Vernal keratoconjunctivitis

9. Which of the following organism can penetrate intact corneal epithelium?

Correct : D. Corynebacterium diphtheriae

10. A 12 years old boy receiving long term treatment for spring catarrh, developed defective vision in both eyes. The likely cause is:

Correct : A. Posterior subcapsular cataract

11. 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:

Correct : C. Adenoviral conjunctivitis

12. Patching of the eye is contraindicated in:

Correct : C. Mucopurulent conjunctivitis

13. 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 conjunctival discharge. He most probably suffers from:

Correct : C. Bulbar spring catarrh

14. In viral epidemic kerato-conjunctlvitis characteristically there is usually:

Correct : C. Excessive watery lacrimation

15. Corneal Herbert's rosettes are found in:

Correct : C. Active trachoma

16. A patient complains of maceration of skin of the lids and conjunctiva redness at the inner and outer canthi. Conjunctival swab is expected to show:

Correct : D. Morax- Axenfeld diplobacilli

17. Tranta's spots are noticed in cases of:

Correct : B. Bulbar spring catarrh

18. A painful, tender, non itchy localized redness of the conjunctiva can be due to:

Correct : A. Bulbar spring catarrh.

19. In trachoma the patient is infectious when there is:

Correct : D. Follicles and papillae in the palpebral conjunctiva.

20. 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 negative fluorescein test. The expected diagnosis can be:

Correct : B. Giant papillary conjunctivitis.

21. Fifth nerve palsy could cause:

Correct : C. Neuropathic keratopathy

22. Topical steroids are contraindicated in a case of viral corneal ulcer for fear of:

Correct : C. Corneal perforation

23. The sure diagnostic sign of corneal ulcer is

Correct : D. Positive fluorescein test.

24. The effective treatment of dendritic ulcer of the cornea is:

Correct : D. Acyclovir ointment

25. Herpes simplex keratitis is characterized by:

Correct : C. Corneal hyposthesia

26. Bacteria, which can attack normal corneal epithelium:

Correct : A. Neisseria gonorrhea.

27. Advanced keratoconus is least to be corrected when treated by:

Correct : C. Spectacles.

28. Organisms causing angular conjunctivitis are:

Correct : A. Moraxella Axenfeld bacilli

29. Chalazion is a chronic inflammatory granuloma of

Correct : A. Meibomian gland

30. Deep leucoma is best treated by:

Correct : D. Penetrating keratoplasty

31. Blood vessels in a trachomatous pannus lie:

Correct : D. Between Bowman's membrane & Epithelium.

32. In vernal catarrh, the characteristic cells are:

Correct : B. Eosinophils

33. Ptosis in Horner's syndrome, is due to paralysis of:

Correct : C. Muller's muscle

34. Severe congenital ptosis with no levator function can be treated by:

Correct : C. Fascia lata sling operation

35. The commonest cause of hypopyon corneal ulcer is:

Correct : C. Pneumococcus

36. Irrespective of the etiology of a corneal ulcer, the drug always indicated is:

Correct : B. Atropine

37. Fleischer ring is found in:

Correct : A. Keratoconus

38. Intercalary staphyloma is a type of:

Correct : C. Scleral staphyloma

39. Cornea is supplied by nerve fibers derived from:

Correct : C. Trigeminal nerve

40. Ciliary injection is not seen in:

Correct : D. Catarrhal conjunctivitis

41. Most of the thickness of cornea is formed by:

Correct : B. Substantia propria

42. 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?

Correct : C. Fungal corneal ulcer

43. Ptosis and mydriasis are seen in:

Correct : C. Oculomotor palsy

44. Commonest cause of posterior staphyloma is:

Correct : D. High myopia

45. In DCR, the opening is made at:

Correct : B. Middle meatus

46. Schirmer’s test is used for diagnosing:

Correct : A. Dry eye

47. 3 months old infant with watering lacrimal sac on pressing causes regurgitation of mucopus material. What is the appropriate treatment?

Correct : D. Massage with antibiotics up to age of 6 months

48. Most common cause of adult unilateral proptosis

Correct : A. Thyroid orbitopathy

49. Evisceration is:

Correct : B. Excision of all the inner contents of the eyeball including the uveal tissue

50. Lagophthalmos can occur in all of the following except;

Correct : B. 5th cranial nerve paralysis

51. The most important symptom differentiating orbital cellulitis from panophthalmitis is:

Correct : A. Vision

52. The commonest cause of unilateral exophthalmos is:

Correct : A. Thyroid eye disease

53. Proptosis is present in the following condition except:

Correct : A. Horner's syndrome

54. All of the following are part of uvea except:

Correct : D. Schwalbe’s line

55. One of the earliest features of anterior uveitis includes:

Correct : D. Aqueous flare

56. In anterior uveitis the pupil is generally:

Correct : B. Constricted

57. Koeppe’s nodules are found in:

Correct : C. Iris

58. Aqueous humour is formed by:

Correct : A. Epithelium of ciliary body

59. The earliest feature of anterior uveitis includes:

Correct : D. Aqueous flare

60. Which laser is used for capsulotomy?

Correct : D. ND: YAG laser

61. Unilateral aphakia is likely to be corrected by any of the following except:

Correct : D. Glasses

62. Phakolytic glaucoma is best treated by:

Correct : B. Cataract extraction

63. Lens induced glaucoma is least likely to occur in:

Correct : C. Posterior subcapsular cataract

64. Earliest visual rehabilitation occurs with:

Correct : A. Phacoemulsification plus intraocular lens implantation

65. Best site where intraocular lens is fitted:

Correct : D. Capsular bag

66. After 48 hours of a cataract extraction operation, a patient complained of ocular pain and visual loss. On examination, this eye looked red with ciliary injection, corneal oedema and absent red reflex. The first suspicion must be:

Correct : C. Bacterial endophthalmitis.

67. All the following associated open angle glaucoma include all the following except:

Correct : D. Loss of central fields

68. The treatment of choice for the other eye in angle closure glaucoma is:

Correct : B. Yag laser iridotomy

69. Topical atropine is contraindicated in:

Correct : D. Primary angle closure glaucoma

70. Neovascular glaucoma follows:

Correct : A. Thrombosis of central retinal vein

71. A one-month old baby is brought with complaints of photophobia and watering. Clinical examination shows normal tear passages and clear but large cornea. The most likely diagnosis is:

Correct : D. Buphthalmos

72. You have been referred a case of open angle glaucoma. Which of the following would be an important point in diagnosing the case?

Correct : B. Optic disc cupping

73. Number of layers in neurosensory retina is:

Correct : A. 9

74. In retinal detachment, fluid accumulates between:

Correct : B. Neurosensory retina and layer of retinal pigment epithelium

75. 100 days glaucoma is seen in:

Correct : C. Central Retinal Vein Occlusion

76. A young patient with sudden painless loss of vision, with systolic murmur and ocular examination reveals a cherry red spot with clear AC, the likely diagnosis is:

Correct : A. Central Retinal Artery Occlusion

77. Amaurotic cat's eye reflex is seen in:

Correct : B. Retinoblastoma

78. Commonest lesion which hinders vision in diabetic retinopathy is:

Correct : A. Macular oedema

79. Commotio retinae is seen in:

Correct : A. Concussion injury

80. Night blindness is caused by:

Correct : B. Dystrophies of retinal rods

81. In Central retinal artery occlusion, a cherry red spot is due to:

Correct : D. The contrast between pale retina and reddish choroids

82. The most common primary intraocular malignancy in adults is:

Correct : B. Choroidal melanoma

83. A patient of old standing diabetes mellitus noticed sudden muscae volitanes. On examination, the red reflex was dim, with no details of fundus could be seen. He might have:

Correct : C. Vitreous hemorrhage

84. Occlusion of the lower nasal branch of the central retinal artery results in one of the following field defects:

Correct : C. Upper temporal field defect

85. Primary optic atrophy results from:

Correct : D. Neurological disease

86. Retro-bulbar optic neuritis is characterized by:

Correct : B. Impaired direct light reflex in the affected eye

87. The type of optic atrophy that follows retro-bulbar neuritis is:

Correct : A. Secondary optic atrophy

88. 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:

Correct : D. Optic neuritis

89. All are seen in 3rd nerve palsy except:

Correct : C. Miosis

90. Homonymous hemianopia is due to lesion at:

Correct : A. Optic tract

91. Which is not found in papilloedema?

Correct : C. Cupping of disc

92. Optic disc diameter is:

Correct : B. 1.5 mm

93. Optic nerve function is best studied by:

Correct : C. Perimetry

94. Optic nerve axon emerges from:

Correct : A. Ganglion cells

95. Papilloedema has all the following characteristics except:

Correct : A. Marked loss of vision

96. Homonymous hemianopia is the result of a lesion in:

Correct : C. optic tract

97. Mydriasis is present in all the following except:

Correct : B. Pontine haemorrhage

98. D-shaped pupil occurs in:

Correct : D. Iridodialysis

99. In complete third nerve paralysis the direction of the affected eye in the primary position is:

Correct : D. Outward and down

100. All the following are extraocular muscle of eye except:

Correct : B. Ciliary muscle