Quiznetik
Ophthalmology | Set 2
1. The action of superior rectus is:
A. Elevation, intorsion, abduction
B. Elevation, intorsion, adduction
C. Elevation, extorsion, adduction
D. Elevation, extorsion, abduction.
Correct : B. Elevation, intorsion, adduction
2. The action of inferior oblique is:
A. Depression, extorsion, abduction
B. Depression, extorsion, adduction
C. Elevation, extorsion, adduction
D. Elevation, extorsion, abduction
Correct : D. Elevation, extorsion, abduction
3. The only extraocular muscle which does not arise from the apex of the orbit is:
A. Superior rectus
B. Superior oblique
C. Inferior oblique
D. Inferior rectus
Correct : C. Inferior oblique
4. In concomitant squint:
A. Primary deviation > Secondary deviation
B. Primary deviation < Secondary deviation
C. Primary deviation = Secondary deviation
D. None of the above
Correct : C. Primary deviation = Secondary deviation
5. In paralytic squint, the difference between primary and secondary deviation in the gaze of direction of the paralytic muscle:
A. Increases
B. Decreases
C. Remains the same
D. none
Correct : A. Increases
6. In grades of binocular vision; grade 2 is:
A. Simultaneous macular vision
B. Fusion
C. Stereopsis
D. none
Correct : B. Fusion
7. The best treatment for amblyopia is:
A. Orthoptic exercises
B. Occlusion
C. Surgery
D. Best treat after age 10 years
Correct : B. Occlusion
8. All the following are true about retina, except:
A. Composed of 10 separable layers
B. There is a loose attachment between neurosensory and Retinal pigment epithelium
C. The Fovea is not supplied by the central retinal artery
D. Soft exudates are swollen axons of ganglion cells
Correct : A. Composed of 10 separable layers
9. Cause of blindness in HIV (Human immunodeficiency virus) patient; one is true:
A. Cotton wool spots
B. HIV microangiopathy
C. Cytomegalovirus retinitis
D. Kaposi sarcoma
Correct : C. Cytomegalovirus retinitis
10. Pseudophakia is the loss of:
A. Accommodation
B. Conversion
C. Saccadic eye movements
D. Contrast sensitivity
Correct : A. Accommodation
11. All are used for treatment of myopia, except:
A. Convex lenses
B. Concave lenses
C. Lens refractive surgery
D. LASIK
Correct : A. Convex lenses
12. One of the following is indicative of past optic neuritis in multiple sclerosis patients:
A. Mild Relative afferent pupillary defect
B. Internuclear ophthalmoplegia
C. Nystagmus
D. Diplopia
Correct : A. Mild Relative afferent pupillary defect
13. Emmetropia is:
A. Parallel rays of light brought on retina
B. Visual acuity of 6/6
C. Parallel rays of light brought before retina
D. (A) & (B)
Correct : A. Parallel rays of light brought on retina
14. One of the following does not cause exophthalmos:
A. Orbital varix
B. Optic nerve tumor
C. Blow out fracture
D. Orbital cellulitis
Correct : C. Blow out fracture
15. One of the following is not a cause of entropion:
A. Facial nerve palsy
B. Congenital
C. Cicatricial pemphigoid
D. Conjunctival scaring
Correct : A. Facial nerve palsy
16. Which one is responsible for strongest refraction in the eye:
A. Tear film
B. Cornea
C. Lens
D. Vitreous
Correct : B. Cornea
17. Chronic blepharitis is associated with all, except:
A. Ectropion
B. Eyelid margin ulceration
C. Red eye
D. Obstruction of meibomian glands
Correct : B. Eyelid margin ulceration
18. Carotid–cavernous sinus fistula causes all the following, except:
A. Bruit over globe
B. Pulsatile tinnitus
C. Proptosis
D. Scleral veins congestion
Correct : B. Pulsatile tinnitus
19. All the following are risk factors for bacterial keratitis, except:
A. Chalazion
B. Contact lenses
C. Trauma
D. Dry eye
Correct : A. Chalazion
20. About trichiasis; all the following are true, except:
A. Signs of dry eye
B. Iris atrophy
C. Corneal opacity
D. Backward misdirection of eye lashes
Correct : B. Iris atrophy
21. All the following are true about herpetic infection, except:
A. A Dendritic ulcer is characteristic
B. Primary infection is asymptomatic
C. Caused by Herpes simplex virus type 2
D. Steroids may be used for treatment
Correct : D. Steroids may be used for treatment
22. All the following are used in treatment of open angle glaucoma, except:
A. Steroids
B. Parasympathomimetics
C. Betablockers
D. Alpha agonists
Correct : A. Steroids
23. All the following are true about open angle glaucoma, except:
A. Commonly causes headache
B. Optic disc cupping
C. Peripheral visual loss
D. Medical treatment is the first line of treatment
Correct : A. Commonly causes headache
24. All the following are signs of keratoconus, except:
A. Thickening of central cornea
B. Corneal thinning, especially in the inferior cornea
C. Munson sign
D. Prominent corneal nerves
Correct : A. Thickening of central cornea
25. All the following are used for the treatment of keratoconus, except:
A. LASIK
B. Intracorneal rings
C. Contact lenses
D. Keratoplasty
Correct : A. LASIK
26. what type of surgery is performed for a patient with large angle right esotropia:
A. Right recession
B. Right resection
C. Lateral rectus resection & medial rectus recession on right eye
D. Lateral rectus resection & medial rectus recession on left eye
Correct : C. Lateral rectus resection & medial rectus recession on right eye
27. All the following are true about branch vein occlusion, except:
A. Improves with time and minimal visual loss
B. Surgery is indicated if the macula is not involved
C. Steroids and anti-VGEF are rarely used
D. There are two types; ischemic & non ischemic
Correct : B. Surgery is indicated if the macula is not involved
28. In diabetic macular edema, one is true:
A. Pan retinal photocoagulation is the first line of management
B. Anti-VGEF is the first line of treatment
C. All treatment modules have poor visual acuity
D. Treatment protocol depends on presenting vision
Correct : D. Treatment protocol depends on presenting vision
29. All the following are true regarding retinal detachment, except:
A. Uveitis cause exudative type
B. DM cause tractional type
C. Posterior vitreous detachment causes rhegmatogenous type
D. Surgery indicated for all types
Correct : D. Surgery indicated for all types
30. One of the following regarding age-related macular degeneration is correct:
A. The dry type does not convert to the wet type
B. Anti-VEGF is the drug of choice
C. There is reduction in central vision
D. Fluorescein angiography and optical coherence tomography can be used for diagnosis
Correct : B. Anti-VEGF is the drug of choice
31. All the following are true regarding retinitis pigmentosa, except:
A. Day light vision spared all over life
B. Complains of loss of night vision
C. Autosomal Dominant type is the mildest form
D. Loss of peripheral vision
Correct : A. Day light vision spared all over life
32. All the following are related to angle closure glaucoma, except:
A. Common in high myopes
B. Painful red eye
C. Acute presentation
D. Treatment for both eyes
Correct : A. Common in high myopes
33. Most common nerve affected by blow-out fracture:
A. Infra-orbital nerve.
B. Supratrochlear nerve.
C. Optic nerve.
D. Nasocilliary nerve.
Correct : A. Infra-orbital nerve.
34. About choroidal melanoma, one of the following is true:
A. If there is no visual potential for the eye, enucleation is recommended
B. Can be preceded by choroidal nevus
C. Lymphatic spread is common
D. Brachytherapy can be used for tumors of any size
Correct : A. If there is no visual potential for the eye, enucleation is recommended
35. All the following are caused by blunt trauma, except:
A. Uveitis
B. Glaucoma
C. Cataract
D. Sympathetic ophthalmitis
Correct : D. Sympathetic ophthalmitis
36. About chemical injury of the eye, all the following are true, except:
A. Alkali is neutralized with weak acid
B. Alkali most severe
C. Limbal ischemia means poor prognosis
D. Do not use Vit. C in non-alkali burns
Correct : A. Alkali is neutralized with weak acid
37. All the following are side effects of acetazolamide, except:
A. Bronchial asthma
B. Renal stones
C. Aplastic anemia
D. Steven Johnson syndrome
Correct : A. Bronchial asthma
38. One of the following does not cause leukocoria:
A. Retinitis pigmentosa
B. Cataract
C. Retinoblastoma
D. Old total retinal detachment
Correct : A. Retinitis pigmentosa
39. Which of the following is an indication for oral steroids in thyroid eye disease?
A. Corneal exposure
B. Periorbital edema
C. Chemosis
D. Dry eyes
Correct : A. Corneal exposure
40. Bitemporal hemianopia is caused by a problem in the:
A. Optic chiasm
B. Optic radiation
C. Thalamus
D. Optical cortex
Correct : A. Optic chiasm
41. Which of the following is present only in acute phase of thyroid eye disease?
A. Lid retraction
B. Lid lag
C. Diplopia
D. Chemosis
Correct : D. Chemosis
42. Which of the following is not part of the thyroid eye disease?
A. Optic disc swelling
B. Choroidal neovascular membrane
C. Restrictive myopathy
D. Ophthalmoplegia
Correct : B. Choroidal neovascular membrane
43. Which cataract does improve near vision?
A. Cortical
B. Sutural
C. Nuclear
D. Morgagnian
Correct : C. Nuclear
44. In which cataract does vision improve with changing glasses or wearing glasses?
A. Christmas tree
B. Nuclear
C. Hypermature
D. Lamellar
Correct : B. Nuclear
45. Which cataract is associated with intraocular inflammation?
A. Nuclear
B. Posterior subcapsular
C. Hypermature
D. Cortical
Correct : B. Posterior subcapsular
46. Which of the following Least systemic diseases to cause least peripheral ulcerative keratitis:
A. Systemic lupus erythematosus
B. Rheumatoid arthritis
C. Weigner granulomatosis
D. Sarcoidosis
Correct : D. Sarcoidosis
47. Regarding the optic nerve, which of the following is false?
A. The intracanalicular segment is the longest
B. The intraocular segment is the shortest
C. It has a central cavity called the cup
D. It represents the blind spot
Correct : A. The intracanalicular segment is the longest
48. Which is most common type of cataract due to chronic use of steroids:
A. Posterior subcapsular
B. Nuclear
C. Anterior subcortical
D. Christmas tree
Correct : A. Posterior subcapsular
49. Ethambutol (used to treat tuberculosis) causes:
A. Optic neuropathy
B. Cataract
C. Glaucoma
D. Keratopathy
Correct : A. Optic neuropathy
50. The left eye is looking straight on primary position, while the right eye is looking upward, which of the following is true?
A. Left hypertropia
B. Left hypotropia
C. Right hypertropia
D. Left hypermetropia
Correct : C. Right hypertropia
51. Left esotropia surgical correction includes:
A. Right medial rectus recession and left lateral rectus recession
B. Left lateral rectus recession only
C. Left lateral rectus recession and medial rectus recession
D. None of the listed
Correct : D. None of the listed
52. The yoke muscle of right superior oblique is:
A. Left inferior rectus
B. Left lateral rectus
C. Left superior rectus
D. Left superior oblique
Correct : A. Left inferior rectus
53. All the following regarding fungal keratitis are true, except:
A. Can be cause by eye trauma to plant
B. Amphotericin B are used in the treatment
C. Caused by fusarium
D. Surgery is contraindicated in active infection
Correct : D. Surgery is contraindicated in active infection
54. All the following are true regarding acute closed angle glaucoma, except:
A. Corneal edema
B. Fix dilated pupil
C. Optic disc cupping
D. Severe headache
Correct : C. Optic disc cupping
55. Regarding optic neuritis in adults, all the following are true, except:
A. More in white
B. Usually, bilateral
C. Central scotoma
D. Loss of color vision
Correct : B. Usually, bilateral
56. Ultrasound is used in dense cataract patient to show:
A. Optic atrophy
B. Macula edema
C. Macula hole
D. Retinal detachment
Correct : D. Retinal detachment
57. The most common ophthalmologic complication in multiple sclerosis is:
A. Optic neuritis
B. Intranuclear ophthalmoplegia
C. Diplopia
D. Nystagmus
Correct : A. Optic neuritis
58. Patient with benign intracranial hypertension, one of the following is true:
A. Lumbar puncture is diagnostic and therapeutic
B. 3rd nerve palsy
C. Abnormal imaging
D. Carbonic anhydrase inhibitor is contraindicated
Correct : A. Lumbar puncture is diagnostic and therapeutic
59. All the following are risk factorsfor glaucoma, except:
A. Steroids
B. Myopia
C. Thin cornea
D. Being black, Asian, or Hispanic
Correct : C. Thin cornea
60. Best method to deal with alkali trauma:
A. Irrigation with copious fluids
B. Mild steroids
C. Patching
D. Neutralize alkali with weak acid
Correct : A. Irrigation with copious fluids
61. What is true about the commonest ocular tumor in adults?
A. Has good prognosis
B. Hematogenous spread
C. Primary metastasis is to the bone
D. It is rhabdomyosarcoma
Correct : B. Hematogenous spread
62. The eyelid tumor with the worst prognosis:
A. Sebaceous gland carcinoma
B. Basel cell carcinoma
C. Squamous cell carcinoma
D. Merkel cell carcinoma
Correct : A. Sebaceous gland carcinoma
63. Large eyesare associated with:
A. Axial myopia
B. Refractive myopia
C. High myopia
D. Index myopia
Correct : C. High myopia
64. In third cranial nerve palsy, all are true, except:
A. Diplopia
B. Dilated pupils
C. Absent pupillary reflex
D. Relative afferent pupillary defect
Correct : D. Relative afferent pupillary defect
65. Neural fiber layer of retina is:
A. Axons of bipolar cells
B. Axons of photoreceptors
C. Axons of ganglion cells
D. None of the above
Correct : C. Axons of ganglion cells
66. Patient with unilateral cataract, the most common etiology is:
A. Trauma
B. Intrauterine infection
C. Posterior pole tumors
D. Posterior lenticonus
Correct : A. Trauma
67. All the following can be used to differentiate between orbital cellulitis and preseptal cellulitis, except:
A. Ptosis
B. Proptosis
C. Decreased ocular motility
D. Decreased visual acuity
Correct : A. Ptosis
68. All the following are risk factors for glaucoma, except:
A. White race
B. Central corneal thinning
C. Positive family history
D. Black, Asian, or Hispanic
Correct : A. White race
69. All the following are seen in blow-out fractures, except:
A. Exophthalmos
B. Double vision
C. Bruising, tenderness and swelling around the eye
D. Limitation of eye movement
Correct : A. Exophthalmos
70. Dysthyroid eye disease has which of the following complications:
A. Macular edema
B. Retinal detachment
C. Decrease in visual acuity
D. Cataract
Correct : C. Decrease in visual acuity
71. Allthe following cause ectropion, except:
A. Age
B. Burn of the face
C. 3rdcranial nerve palsy
D. Congenital
Correct : C. 3rdcranial nerve palsy
72. The most important risk factor for retinal vein occlusion is:
A. Diabetes Mellitus
B. Hypertension
C. Age
D. Cardiovascular disease
Correct : B. Hypertension
73. All the following are true about chemical burn treatment, except:
A. Acids cause worse injury than alkali
B. Irrigation is the treatment of choice
C. Evert and double evert lids for all cases
D. No patching is done
Correct : A. Acids cause worse injury than alkali
74. The main risk factor regardingdiabetic retinopathy:
A. Duration of the DM
B. Control of DM
C. (A) & (B)
D. Age
Correct : C. (A) & (B)
75. All the following are true regarding dermoid cysts, except:
A. Located at the superio-lateral aspect
B. Main treatment is by excision
C. It is commonly seen in adulthood (mainly in children)
D. Present at birth
Correct : C. It is commonly seen in adulthood (mainly in children)
76. One of the following is considered as motor adaption for strabismus:
A. Head tilt
B. Face turn
C. Chin elevation
D. All the above
Correct : D. All the above
77. One of the following statements is true:
A. The most common cause of tractional retinal detachment is diabetic retinopathy
B. Rhegmatogenous retinal detachment is always treated by surgery
C. The most common cause of rhegmatogenous detachment is hypertension
D. In exudative retinal detachment, there are holes and tears in the retina
Correct : A. The most common cause of tractional retinal detachment is diabetic retinopathy
78. In right 6th nerve palsy, one of the following is true?
A. Esotropia + limitation of adduction
B. Esotropia + limitation of abduction
C. Exotropia + limitation of adduction
D. Exotropia + limitation of abduction
Correct : B. Esotropia + limitation of abduction
79. All the following are considered as complications of anterior uveitis, except:
A. Glaucoma
B. Cataract
C. Macular edema
D. Retinal detachment
Correct : D. Retinal detachment
80. Regarding hyphema, all the following are true, except:
A. Atropine will be used in treatment
B. Always treated by surgical evacuation
C. Iris & ciliary body are source of blood
D. May cause increased intra ocular pressure
Correct : B. Always treated by surgical evacuation
81. One of the following is the most common cause of amblyopia?
A. Farsightedness
B. Strabismus
C. Nearsightedness
D. Deprivation
Correct : B. Strabismus
82. One of the following is caused by infection:
A. External hordeolum
B. Sebaceous cyst
C. Milia
D. Eccrine hidrocystoma
Correct : A. External hordeolum
83. In optic tract lesion, all the following are true, except:
A. Central scotoma
B. Normalvisual acuity
C. Normal color vision
D. Positive RAPD
Correct : A. Central scotoma
84. Regarding the fovea, all the following are true, except:
A. Rich in cons
B. Lateral to optic disc
C. Responsible for color
D. Sensitive in dim light
Correct : D. Sensitive in dim light
85. Regarding giant cell arteritis, all the following is true, except:
A. ESR> 60mm/h
B. Anterior ischemic neuropathy
C. Jaw claudication may be presented
D. Gradual loss of vision
Correct : D. Gradual loss of vision
86. Regarding antiglaucoma medications, which one of the following is true?
A. Timolol is contraindicated in bronchial asthma
B. Sympathomimetic drug used as anti-glaucoma
C. Prostaglandins analogue treat glaucoma by increase the outflow of aqueous humor
D. All the above
Correct : D. All the above
87. Optic tract lesion is:
A. Bitemporal hemianopia
B. Homonymoushemianopia
C. Congruous hemianopia
D. Incongruous hemianopia
Correct : B. Homonymoushemianopia
88. Least one to cause severe ptosis is:
A. Congenital ptosis
B. Involutional ptosis
C. Third nerve palsy
D. Horner's syndrome
Correct : D. Horner's syndrome
89. Regarding myopia, all are true, except:
A. Corrected by convex spectacles
B. Corrected by concave spectacles
C. Corrected by contact lenses
D. Corrected b a minus lens
Correct : A. Corrected by convex spectacles
90. All are found in carotid cavernous fistula, except:
A. Bruit over the globe
B. Lid retraction
C. Proptosis
D. Ophthalmoplegia
Correct : B. Lid retraction
91. Subluxated lens is found in all the following, except:
A. Marfan Syndrome
B. Homocystinuria
C. Trauma.
D. Heterochromic Fuchs' syndrome
Correct : D. Heterochromic Fuchs' syndrome
92. Which type of cataract is associated with myopic shift?
A. Anterior subcapsular
B. Sclerosing nuclear
C. Posterior subcapsular
D. Diabetic
Correct : B. Sclerosing nuclear
93. Safest method to treat myopia:
A. Glasses
B. Contact lens
C. LASIK
D. PRk
Correct : A. Glasses
94. Which is wrong about the optic nerve?
A. Intraorbital segment is the longest
B. Have 4 compartments
C. Pial vessels supply most of the course
D. It passes out of the eye through the cribriform plate of the sclera
Correct : C. Pial vessels supply most of the course
95. First line of treatment for diabetic macular edema:
A. Panretinal photocoagulation
B. Intravitreal Steroids Injection
C. Intravitreal anti-VEGF
D. Focal/Grid Laser
Correct : C. Intravitreal anti-VEGF
96. First line of treatment for old man with wet AMD:
A. Panretinal photocoagulation
B. Intravitreal Steroids Injection
C. Intravitreal anti-VEGF
D. Focal/Grid Lase
Correct : C. Intravitreal anti-VEGF
97. Which muscle is mostly affected in dysthyroid eye disease:
A. Superior rectus
B. Inferior rectus
C. Medial rectus
D. Lateral rectus
Correct : B. Inferior rectus
98. 30 year-old female complains that she is annoyed by car flashlight at night. What is most likely diagnosis?
A. Vortex keratopathy
B. Optic neuritis
C. Posterior subscapular cataract
D. Myasthenia gravis
Correct : C. Posterior subscapular cataract
99. 60 year-old female with Systemic lupus erythematosusis on systemic steroids. What type of cataract she could have?
A. Posterior subscapular
B. Nuclear
C. Cortical
D. Anterior subscapular
Correct : A. Posterior subscapular
100. 60 year-old male assumes that he can read without using glasses. What type of cataract he has?
A. Posterior subscapular
B. Nuclear
C. Cortical
D. Anterior subcapsular
Correct : B. Nuclear