CONJUNCTIVACONJUNCTIVA

MCQs

Conjunctival injection is characterized by the following

except:

• Bright red colour.

• Movable.

• Not affected by vasoconstrictors.

• Individual vessels are easily distinguished.

One of these is not manifested by ciliary injection:

• Corneal ulcer

• Viral conjunctivitis.

• Acute congestive glaucoma.

• Acute iridocyclitis.

Persistent unilateral conjunctivitis is usually due to:

• Purulent conjunctivitis.

• Chronic dacryocystitis.

• Mucopurulent conjunctivitis.

• Foreign body.

In ophthalmia neonatorum, all are true except:

• Caused by birth trauma.

• Frequently caused by gonococcal infection.

• Maternal infection plays a role.

• Silver nitrate drops were used as a prophylaxis.

All the following can be caused by chlamydial infection except:

• Ophthalmia neonatorum

• Trachoma.

• Inclusion Conjunctivitis.

• Central corneal ulcer.

These organisms can be seen normally in the conjunctiva:

• Koch- Weeks bacillus.

• Pneumococci.

• Corynobacterium xerosis.

• Corynobacterium diphtheria.

Most common organism in purulent conjunctivitis is:

• Pneumococci.

• Streptococci.

• Gonococci.

• Herpes simplex virus.

Subconjunctival hemorrhage is not caused by:

• Trauma.

• Mucopurulent conjunctivitis.

• Adenoviral infection.

• Acute hemorrhagic conjunctivitis.

Which is true about vernal conjunctivitis :

• Always unilateral.

• Usually occurs in young boys.

• Antibiotic drops are the main therapy.

• Main symptom is foreign body sensation.

Patient presented with itching, lacrimation, excoriation and

macerated outer canthus, the claimed organism is:

• Morax Axenfeld diplobacillus.

• Haemophylus influenza.

• Pnumococci..

• Koch- Weeks diplobacillus.

Old asthmatic hypertensive patient, presented with severe red eye after

acute attack of cough, most propably may be due to:

• Corneal abrasion.

• Acute conjunctivitis.

• Spontaneous subconjunctival hemorrhage.

• Acute iritis.

All are sure signs of trachoma except:

• Arlt’s line.

• Papillae of upper tarsal conjunctiva.

• Herbert’s Pits.

• Expressible follicles.

Itching is common with:

• Spring catarrh.

• Trachoma.

• Mucopurulrnt conjunctivitis.

• Corneal ulcer.

The secretions of spring catarrh are rich in:

• Eosinophils.

• Neutrophils.

• Basophils.

• Lymphocytes.

Pinguecula is:

• Fatty degeneration.

• Hyaline degeneration.

• Elastoid hyaline degeneration.

• Elastoid degeneration.

Giant papillary conjunctivitis can be caused by the following

except:

• Artificial prosthesis.

• Spring catarrh.

• Contact lens wear.

• Acute conjunctivitis.

Topical treatment used for phlyctenular conjunctivitis is:

• Antibiotic drops.

• Vasoconstrictor drops.

• Corticosteroid drops.

• Antiviral drops.

These may cause pterygium, except:

• Exposure to ultra violet rays.

• Viral infection.

• Pinguecula.

• Living in tropical area.

Patient had a pterygium, excised since one month, and

starts to see double vision, this may be due to:

• Medial rectus weakness.

• Lateral rectus paralysis.

• Symblepharon formation.

• Recurrence.

These treatments are useful in preventing the recurrence after

pterygium excision except:

• Topical antibiotics.

• Topical corticosteroids.

• Beta irradiation.

• 5 FU eye drops.

Which of the following is specific for the diagnosis of

allergic conjunctivitis?

• Eye redness

• Itching

• Foreign body sensation

• Excessive lacrimation

EYE LID

A patient suffered from acute onset of facial palsy, the first line of

treatment is:•Frequent ocular lubrication.

•Lateral tarsorrhaphy

•Topical corticosteroids.

•Levator muscle resection.

The levator palpebrae superioris is inserted into the following structures except:

• Skin of upper eye lid

• Upper border of tarsus

• Bulbar conjunctiva

• Medial orbital margin & medial palpebral ligament

Rolling in of the lower lid margin can be due to:

• Thermal injury of lid skin

• Facial palsy

• Trachoma

• Ophthalmoplegia

The most important examination in case of

congenital ptosis is:

• The state of extraocular muscles

• Fundus examination

• Amount of levator function

• Pupillary light reflex

Stye is an acute suppurative

inflammation of:•Meibomian glands

•Accessory lacrimal glands

•Zeiss glands of the lash follicles

•Lid margin

A female patient C / O diffuse hyperemic lid margin with

multiple grayish yellow crustations covering the

lashes. The best treatment is:

• Epilation of affected lashes

• Electrolysis

• Hot fomentations and local antibiotics

• Systemic corticosteroids

In recurrent squamous blepharitis you should:

• Give long acting corticosteroids

• Give long acting antibiotics

• Correct any refractive errors

• Give maintenance dose of vitamins.

Chalazion is defined as:

• Acute suppurative inflammation of meibomian glands

• Chronic suppurative inflammation of meibomian glands

• Chronic inflammatory lipogranuloma of meibomian glands.

• Chronic non granulomatous inflammation of meibomian glands

Chalazion can cause the following complications

except:

• Irrigular astigmatism

• Mechanical ptosis

• Anterior uveitis

• Internal hordeolum

A male patient is C / O chronic eye lid redness and frequent

loss of lashes. The most propable diagnosis is

• Cicatricial entropion

• Squamous blepharitis

• Ulcerative blepharitis

• Active trachoma

A case presented with hypermic lid margin, matting

of eye lashes, yellow crustations. The treatment

include all the following except:• Local lid hygeine

• Rubbing the lid margin by antibiotic ointment

• Elctrolysis

• Systemic antibiotic

Epilation of maldirected lashes is indicated in:

• When the number is less than four

• When the lashes are close together

• In presence of acute corneal ulcer

• In cases of high refractive error.

Congenital ptosis may be associated with the following congenital anomalies except:

• Blepharophimosis

• Telecanthus

• Epicanthus

• Naso lacrimal duct obstruction.

Complications of congenital causes include the following except:

• Ocular torticollis.

• Amblyopia.

• Complicated cataract.

• Anbormal head posture.

Lagophthalmos can be caused by the following

except:

• Hyperthyroidism.

• Facial palsy.

• Severe entropion

• Lid coloboma.

The commonest cause of bilateral ptosis is:

• Horner syndrome.

• Third nerve palsy.

• Congenital

• Mechanical.

Lid splitting and everting sutures is an operation used

for the correction of:

• Pure trichiasis of the upper eye lid.

• Trichiasis and entropion of the upper eye lid.

• Ectropion of the lower eye lid.

• Paralytic entropion of the lower eye lid.

All these are true about ulcerative blepharitis

except:

• Can cause madarosis.

• Can be complicated by ulcerative keratitis.

• Can be caused by Morax Axenfeld bacillus.

• Can be treated by antibiotics.

A 65 ys old patient had recurrence of chalazion after

removal from the same site two times. The best management is:

• Systemic antibiotic and steroids.

• Excision and histopathological evaluation.

• Excision and curette evacuation.

• Excision and cautery of the edges.

A patient has about 10 maldirected localized lashes

of the upper eye lid. The treatment of choice is:

• Snellen’s operation.

• Lid splitting and cryo application.

• Epilation

• Weiss procedure.

Fasaenella operation for ptosis is carried out in cases

with:

• Severe ptosis. Levator action less than 5 mm.

• Moderate ptosis. Levator action 5-8 mm.

• Mild ptosis. Levator action more than 8 mm.

• None of above.

Incision and curette of chalazion should be.

• Vertical.

• Horizontal.

• Any shape.

• circular.

Grey line indicates a tissue plane between:

• Skin muscle layer & tarsus conjunctival layer.

• Tarsus & canjunctiva.

• Skin & meibomian glands.

• Palpebral conjunctiva & meibomian gland orifices.

Ankyloblepharon is :

• The adhesion of the lids.

• The adhesion between palpebral and bulbar canjunctiva.

• The adhesion of the margins of the two lids.

• All of the above.

Glands of Zeis are:

• Modified sweat glands.

• Modified sebaceous glands.

• Modified meibomian glands.

• None of above.

Levator palpebrae is inserted into:

• Upper border of the tarsus.

• Skin of upper lid.

• Upper fornix.

• All of above.

Hordeolum externum is an acute suppurative inflammation of:

• Gland of Zeis.

• Gland of Moll.

• Gland of Wolfring.

• Gland of Krause.

All of the following types of entropion are known

except:

• Spastic entropian.

• Senile entropion.

• Paralytic entropion.

• Cicatricial entropion.

The amount of normal levator function is :

• 5 mm.

• 8 mm.

• 25 mm.

• 13 mm .

1. In brow suspension operation of ptosis, the best

suspension material is :

• Fascia lata.

• Supramid.

• Prolene.

• Silicone.

All of the following are the causes of lagophthalmus

except:

• Facial nerve palsy.

• Proptosis.

• Lid fibrosis.

• Third nerve paralysis.

فالله خير حافظا وهوأرحم الراحمينفالله خير حافظا وهوأرحم الراحمين•

OCULAR TRAUMA

A 30 ys old patient was subjected to face burn with strong acid, two months later he presented with

watering and inability to close his left eye. The explanation of this

may be:

• Mechanical ectropion.

• Cicatricial ectropion.

• Paralytic ectropion.

• Corneal ulcer.

A patient subjected to vertical lid wound, he is unable to to close his eye properly. This

condition can lead to:

• Corneal scarring

• Exposure keratopathy.

• Vascularized corneal scar.

• Corneal pannus.

The first line of treatment in acid burn of the eye is:

• Eye patching.

• Immediate wash with plain water.

• Instilling local antibiotic drops.

• Neutralization of the acid with alkali.

A 10 ys old boy, received blunt ocular trauma by tennis ball to his right eye, you will expect to

have:

• Hypopion ulcer.

• Blood staining of the cornea.

• Hyphema.

• Tractional retinal detachment.

A patient had penetrating eye injury in the right eye, the first

aid management is:

• Washing with plain water.

• Sterile eye bandage.

• Application of antibiotic ointment.

• Instilling atropine eye drops.

A patient is C / O monocular diplopia after blunt ocular

trauma, the following could cause this except:

• Sublaxated lens.

• Iridodialysis.

• Traumatic hyphema.

• Incipient immature cataract.

A patient had blunt ocular trauma, now he is C / O severe visual defect, the cause of this

may be due to:

• Anteflexion of the pupil.

• Berlin’s edema.

• Conjunctival chemosis.

• Angle recession.

Blunt ocular trauma commonly results in:

• Blue dot cataract.

• Anterior subcapsular cataract.

• Posterior subcapsular cataract.

• Coronary cataract.

A patient with a history of blunt trauma to the left eye C / O double vision that disappears on covering the left eye & persists on covering the right eye. Examination of this

patient would reveal:

• Miotic pupil.

• Ectropion uveae.

• Pupil showing lens equator.

• Dilated pupil.

Trauma to the eye cannot cause:

• Vitreous hemorrhage.

• Macular edema.

• Central retinal vein occlusion.

• Retinal breaks.

A patient had blunt ocular trauma & C / O double vision that disappears on covering

either eye. The cause might be:

• Orbital hematoma.

• Corneal edema.

• Orbital blow out fracture.

• Iridodialysis.

A aptient had history of blunt ocular trauma 3 months ago, now is C / O severe headache due to

increased intraocular pressure.the most important diagnistic tool is:

• Automated field of vision .

• Manual field of vision.

• Gonioscopic examination.

• Fundus examination.

A patient with recent history of ocular trauma & C/ O blurry

vision.ocular motility was normal, the most needed investigation

is:

• Ocular ultrasound.

• Fluorescein angiography.

• Field of vision.

• Performing CT brain.

Etiology of sympathetic ophthalmia is:

• Viral

• Allergic

• Bacterial

• None

Prodromal symptoms of sympathetic ophthalmia is:

• Pain

• Redness

• Photophobia

• lacrimation

Sympathetic ophthalmia is rarely seen in:

• Corneo scleral wounds

• PECCE.

• Acute suppuration

• Iris encarceration.

Retained Intra Orbital FB may not be removed if

• Sterile & inert

• Mild visual affection

• Its removal will affect the vision.

• All of the above.

Metallic IOFB can be localized by the following methods

except

• Limbal ring & X ray

• CT scan

• US

• MRI

Pathognomonic sign of IOFB

• Corneal wound

• Root in the iris

• Traumatic cataract

• hyphema

In siderosis bulbi, iron gets:

• Deposited in membranes

• Combined with cell proteins

• Both

• None

The following iris lesions caused by blunt trauma except:

• Aniridia

• Anteflexion

• Retroflection

• Heterochromia iridum

The weakest part of the eye affected by blunt trauma is:

• Canal of Schlemm

• Muscle insertion

• Equator

• Lens zonules

Blunt trauma coming down & out, the sclera ruptures:

• Down & out.

• Up & out.

• Up & in.

• Down & in.

Worker with arc light is exposed to:

• UVR corneal burn.

• Infra red heat burn.

• Gamma radiation.

• X ray radiation.

Which of the following conditions does NOT require emergency ophthalmological

management?

• Anterior uveitis

• Acute angle-closure glaucoma

• Orbital floor fracture

• Orbital cellulitis

Solar viewing during an eclipse can cause:

• Corneal ulcer

• Orbital cellulitis

• Macular burn

• Retinal tear

Patient had right maxillary tumours treated successfully with multiple

doses of radiotherapy, after that he noted dramatic decrease of visual

acuity of the right eye, the explanation of this may be due to:

• Complicated cataract.

• Anterior uveitis.

• Central retinal vein thrombosis.

• Acute congestive glaucoma.

Which of the following is not advised in the early

management of a patient with hyphema?

• Admission to hospital.

• Cycloplegics.

• IOP lowering agents.

• None of the above.

GOOD LUCK

FinallyI wish you all