EYE Paper 7th Semester

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    EYE paper 7th semester

    by RAJ A SHAKEEL MUSHTAQ

    1. Most widely used mydratic in clinics is

    a) Phenylephrineb) Atropinec) Scopolamined) Homatropinee) Cyclopentolate

    2. Intraocular pressure in acute congestive glaucoma

    a) 10-21 mm hgb) 22-24 mm hgc) 30-35 mm hgd) 90-100 mm hg

    3. Best investigation for foreign body localization is

    a) B scanb) A scanc) MRId) CT scane) X ray

    4. Condition that develops in eyelid of a diabetic patient is

    a) Styeb) Chalazionc) Basal cell carcinomad) Ptosise) Sq cell carcinoma

    5. Regarding basal cell carcinoma of eyelid

    a) Grows slowly but is painful in natureb) Infiltrative in naturec) Is related to diabetes mellitusd) Is radiosensitivee) Is related to high rate of recurrence after excision

    6. Most common cause of cataract is

    a) Smokingb) Heredityc) Systemic disease such as diabetesd) Ageinge) Toxins

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    7. Most common cause of failure of surgical repair for tractional retnal detachment is

    a) Neovascular formationb) Proliferative viteroretinopathyc) Infection after surgeryd) Hemorrhagee) Retinal breaks

    8. Clinical assessment of cataract progression is done through

    a) Snellen visual acuity testb) Direct ophthalmoscopec) Indirect ophthalmoscoped) Retinoscopee) Premetry

    9. Which of the following is not the differential diagnosis of congenital glaucoma

    a) Megalocorneab) Corneal cloudingc) Traumatic rupture of descements layerd) Mucopolyscaccridosese) Calcification of lens

    10. Snowflake or punctuate dot cataract is seen in

    a) Traumab) Ocular contusionc) After cataract surgeryd) Diabetese) Hyperthyroid

    11. At the time of birth the eye of neonate is

    a) Hyperopicb) Astigmaticc) Myopicd) Presbyopic

    12. Tonometer used when corneal surface is irregular is

    a) Schiotiz tonometerb) Goldman tonometerc) Parkins tonometerd) Pneumatic tonometere) Tono pin

    13. A perimetry is used to measure

    a) Central and peripheral fieldsb) Visual acuity

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    c) ssIntra ocular pressured) Central field onlye) Peripheral field only

    14. Characteristic findings on fundoscope of a myopic eye is

    a) Tractional detachmentb) Hemorrhagic spotsc) Lacqer cracksd) Neovascularisatione) All of the above

    15. Soft lenses are made up of material named

    a) PMMAb) HEMAc) Siliconed) Cellulose acetatee) Perspex

    16. Kayser flescher ring is present in

    a) Pigment dispersion syndromeb) Traumatic hyphemac) Hepatolenticular degenerationd) Haematochromatosise) None of the above

    17. In marfan syndrome there is usual manifestation of

    a) Krukenberg spindlesb)

    Hyphemac) Ptosis

    d) Ectopic lense) Cataract

    18. Common treatment for posterior uveitis is

    a) Antibioticsb) Sympatamaticc) Steroidsd) NSAIDSe) Both a and c

    19. Most important infection in HIV is

    a) CMV retinitisb) Toxoplasmosisc) Tuberculous uveitisd) Sarcoidosis of eyee) Styphlococcus infection of lid and cornea

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    20. Photophobia is minimal in

    a) Styphlococcus keratitisb) Adenovirus keratitisc) Herpetic keratitisd) Varicella zoster keratitise) Exposure keratitis

    21. Rarest canalicular anomalies of lacrimal system is

    a) Imperforate punctab) Accessory punctac) Canalicular fistulad) Agenesis of canalicular systeme) All are common

    22. Most common cause of blindness in developing countries is

    a) Trachomab) Onchocerciasisc) Xeropthalmia d) Leprosye) Cataract

    23. WHO safe strategy is given for

    a) Herpes infectionb) Trachoma = = =c) Onchocerciasisd) Adenovirus infections

    24. Most common cause of cronic dacrocystitis

    a) Haemophilus infectionb) Staph aurus infectionc) Candida infectiond) Nasolacrimal duct obstructione) Nasolacrimal duct stenosis

    25. Keratomalacia is due to deficiency of

    a) vit Ab) vit bc) vit cd) vit de) vit e

    26. Most common cause of visual impairment in old age is

    a) Glaucomab) Cataractc) Macular degeneration

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    d) Retina; detachmente) Systemic disease

    27. Drug that causes retinopathy due to long term usage is

    a) Chlorthiazideb) Chloroquininec) Vigabatrind) Corticosteroidse) Phenothiazine

    28. Hypopyon is seen in

    a) Bacterial infectionb) Viral infectionc) fungal infectiond) all of thesee) both a and c

    29. Indication for cataract surgery

    a) Uveitisb) Glaucomac) Loss of visiond) Retinal diseasee) Both b and c

    30. Most of the refraction occurs at the site of

    a) Ant surface of corneab) Post surface of corneac) Lensd) Aqueous humore) Vitrous

    31. Glands present at the anterior margin of eyelid are

    a) Zeis glandsb) Moll glandsc) Meibomian glandsd) All of thesee) Both a and b

    32. Proliferative diabetic retinopathy is best treated by

    a) Pan retinal photocoagulationb) Pneumatic retinopexyc) Scleral bucklingd) Par plana vitrectomye) Gas tamponade

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    33. Success rate of scelral buckling in retina detachment is

    a) 50%b) 60-65%c) 70-75%d) 80-90%e) 90-94%

    34. Vitreous is composed mostly of

    a) Collagen fiber matrixb) Hyauronic acidc) Waterd) All three are in equal proportion

    35. Surgical treatment for myopia with minimal complications

    a) Clear lens extractionb) Lasikc) Contact lenses or spectaclesd) Laseke) Prk

    36. Treatment for after cataract surgery consequences is

    a) Extra capsular extractionb) Co2 laser surgeryc) Yaq laserd) Argon lasere) Phecoemulsification

    37. Pigmented retinal scar or macular hole is seen in

    a) Central serous chorioretinopathyb) Commotion retinaec) Myopic eyed) Macular edemae) Angiod streaks

    38. Most common age related corneal degeneration is

    a) Arcus senilisb) keratoconusc) band keratopathyd) Salzmann s nodular degeneratione) Droplet keratopathy

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    39. Large ant chamber is seen in condition

    a) Myopiab) Glaucomac) Hyperopiad) Astigmatisme) Presbyopia

    40. Refractive index of cornea is

    a) 1b) 1.3c) 1.5d) 1.8e) 2

    41. Immediate treatment of acute angle closure glaucoma is

    a) Acetazolamideb) apraclonidinec) pilocarpined) epinephrinee) mannitol

    42. Rubeosis iridis is seen in

    a) Central retinal vein occlusionb) Central retinal artery occlusionc) Hypertensiond) Hyperthyroidisme) Glaucoma

    43. Best examination for lens is with

    a) Slit lamp onlyb) Slit lamp and dilated pupilc) Direct ophthalmoscoped) Indirect ophthalmoscopee) Fundoscope

    44. Most common acquired cause of cataract in young patients

    a) Smokingb) Connective tissue disorderc) Traumad) Infectione) Malignancy of any part of eye

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    45. Visual acquity of 1/60 implies that a person is

    a) Low visionb) Myopicc) Hyperopicd) Presbyopice) Legally blin

    46. Most common type of myopia is

    a) Axialb) curvaturec) refractived) simplee) all of these are equally frequent

    47. Symptoms with which a person present with spring catarrha are

    a) Severe itching ropy dischargeb) exudationc) tearingd) prearicular adenopathye) hyperemia and itching

    48. Aqueous humor is

    a) Proteineous material in ant chamberb) Watery material in ant chamberc) Watery material in post chamberd) Connective tissue material in ant chamber

    49. Prulent conjunctivitis is caused by

    a) Gram positive coccib) Gram negative coccic) Gram positive bacillid) Gram negative bacillie) Acid fast bacteria

    50. Profuse tearing occur in

    a) Viral conjunctivitisb) Bacterial = = =c) Chlamydial = = =d) Allergic = = =e) All of these

    51. Sore throat and fever are occasionally associated with

    a) Viral conjunctivitisb) Bacterial = = =

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    c) Chlamydial = = =d) Allergic = = =e) Both a and b

    52. Infection associated with soft contact lens using

    a) Herpesb) Staphylococcusc) Acanthomamebad) Fungal infectione) Adenovirus

    53. Characteristic finding associated with pharangioconjuctival fever is

    a) Non tender lymph nodesb) Tender lymph nodesc) Raspberry tongued) tonsilitise) prulent conjunctivitis

    54. Herberts pits are found in

    a) Trachomab) Ectropionc) Fungal keratitisd) Herpetic keratitise) None of these

    55. Sceleral buckling is done in

    a) Proliferative diabetic retinopathyb)

    Retina detachmentc) Retinal edema

    d) Retinal hemorrhagee) Angiod streaks

    56. Regarding keratoconus

    a) Degenerative unilateral common diseaseb) Associated with turner syndromec) Corneal clouding and pointing of cornea are symptomsd) Vogts lines are found in basements membranee) Is one of the coomon indications for corneal transplant

    57. Regarding Salzmann s nodular degeneration

    a) Degeneration of superficial layer occursb) Deep layer degeneration occursc) Rigid lenses have no effective roled) Symptoms include itchinge) Fleischer s rings are visible in cornea

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    58. Earliest finding in diabetic retinopathy is

    a) Micro aneurysmb) Macro aneurysmc) Both of aboved) None of above

    59. Glaucoma causes

    a) Central 30 degree field lossb) Central 60 degree field lossc) Peripheral 30 degree field lossd) Peripheral 60 degree field loss

    60. Tractional retinal detachemnet occur in

    a) Diabetesb) Hypertensionc) Carotid artery stenosisd) Polycythemiae) arteritis

    61. Major complication of trachoma that can cause blinding is

    a) Corneal scaring and entropionb) Follicles formationc) Papillary hypertrophyd) Corneal scaring and ectropion

    62. Ideal site for intacapasular lens transplant is

    a)

    Posterior chamberb) Anterior chamberc) Vitreousd) Aqueous humore) Both a and d are favourable

    63. Most common cause of optic atrophy in young patients is

    a) Multiple sclerosisb) Tobacco and alcohol amblyopiac) Drug induced optic atrophyd) traumae) increased intracranial pressure

    64. Most common cause of proptosis in children is

    a) Dermoidb) Sinus muccelec) Meningoceled) Orbital cellulitis

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    e) Retinoblastoma65. Most common epithelial tumor of lacrimal gland is

    a) Sq cell carcinomab) Pleomorphic adenomac) Adenoid cystic tumord) Mixed tumore) Adenosarcoma

    66. The lesions to optic chiasma are most due to

    a) Bony erosionb) Pituitary gland tumorsc) Craniophrangiomad) Hemangioma of cavernous sinuse) All causes are frequent

    67. Which of the following is not associated with amaurosis fuqax (transient retinal ischemia)

    a) Retinal embolib) Arterial diseasec) Haematologic diseased) Mechanical diseasee) Hyperthyroidism

    68. Probable diagnosis of painless visual loss within period of seconds is due to

    a) Traumab) Retinal detachementc) Macular edemad)

    Commotio retinaee) Cebtrak retinal artery occlusion

    69. Reduced visual acuity in the absence of detectable anatomic defect in the eye or visual pathway is

    a) Ametropiab) Amblyopiac) Xerosisd) Scotomae) Presbyopia

    70. Which condition is not associated glaucoma

    a) Rubeosis iridisb) Uveal tract melanomac) Chandler s syndromed) Uveitise) Corneal degenerative diseases

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    71. Cause of glaucoma in pleateau iris is due to

    a) Depth of ant chamber is very shallowb) Ant position of ciliary processc) Occlusion of mesh formationd) Aniridiae) Lens dislocation

    72. Glaucoma is more common in

    a) Myopic personsb) Astigmatic personsc) Hyperopic personsd) Corneal degeneratione) Both a and b

    73. Keratic precipitates if found are usually located in

    a) Calots triangleb) Arlt s trianglec) Heislebach triangled) Mayo triangle

    74. Keratorefractive surgery implies

    1.a) Changing curvature of ant eye surface2.b) Surgery to treat myopia3.c) Surgery to treat hyperopia4.d) Surgery to treat glaucoma

    75. Retinoblastoma is associated in some cases with

    1.a) Osteoid osteoma1.b) Osteoma1.c) Osteosarcoma1.d) Fibrosarcoma1.e) Liposarcoma

    OPHTHALMOLOGY - V

    ANSWERS KEY

    01 A 26 C 51 E 02 C 27 B 52 C 03 D 28 E 53 A 04 B 29 C 54 A 05 D 30 A 55 B 06 D 31 E 56 E 07 B 32 A57 A 08 A 33 E 58 A 09 E 34 C 59 A 10 D 35 B 60 A 11 A 36 C 61 A 12 D 37 B 62 A 13 A 38 A 63 A 14

    C 39 A 64 D 15 B 40 B 65 B 16 41 A 66 B 17 D 42 A 67 E 18 C 43 B 68 E 19 A 44 C 69 B 20 C 45 E 70

    E 21 D 46 A 71 B 22 E 47 A 72 A 23 B 48 A 73 B 24 D 49 B 74 A 25 A 50 A 75 C

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