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100 opthalmology questions for practice 09/07/2011 2 Comments
1.
The first sign of Cavernous sinus thrombosis
a.
Non reacting pupil
b.
VIth nerve palsy
c.
Proptosis
d.
Colour vision problems
2.
Commonest cause of bilateral proptosis in adults is seen in
a.
Metastasis
b.
Thyrotoxicosis
c.
Orbital cellulitis
d.
Cavernous haemangioma
3.
IOL is contraindicated in cataract due to
a.
Reiter’s syndrome
b.
Ankylosing spondylitis
c.
Juvenile rheumatoid arthritis
d.
Fuchs heterochromic iridocylitis
4.
A combination of mental retardation and lens subluxation is found in
a.
Airport’s syndrome
b.
Marfan’s syndrome
c.
Down’s syndrome
d.
Homocystinuria
5.
When the colour of one iris is different from the other, it is called
a.
Iridoschisis
b.
Iridodonesis
c.
Heterochromia iridis
d.
Heterochromia iridum
6.
Cause of Oculosympathetic paralysis
a.
Keratoconus
b.
Pancoast tumor
c.
Eales disease
d.
Nystagmius
7.
Commonest muscle to get involved in thyroid related ophthalmopathy
a.
Inferior rectus
b.
Superior rectus
c.
Medial rectus
d.
Inferior oblique
8.
Vogt’s triad is seen in
a.
Keratoconus
b.
Post attack of herpes simplex
c.
Post attack of acute angle closure glaucoma
d.
Pigmentary glaucoma
9. Young man presents presents with sudden sudden painless loss of vision. On examination there are are no systemic problems. Most probable diagnosis is
a.
Retinal detachment
b.
Cataract
c.
Eales disease
d.
OAG
10. True about Mooren’s ulcer
a.
Painless
b.
Sudden loss of vision
c.
Requires steroids
d.
Drug of choice is clindamicin
11.
Minimum endothelial cell density (per mm square) in cornea to maintain corneal transparency is
a.
3000
b.
1000
c.
500
d.
2500
12.
Rubeosis iridis is not seen in
a.
CRVO
b.
Diabetic retinopathy
c.
Hypertensive retinopathy
d.
Ocular ischaemic syndrome
13.
Chorio retinitis is caused by all except
a.
Oncocerciasis
b.
Cytomegalovirus
c.
Toxoplamosis
d.
Cryptococcosis
14.
Which of them is is a symptom of cataract
a.
Loss of visual field
b.
Circumcorneal congestion
c.
Loss of contrast sensitivity
d.
Abnormal pupillary reactions
15. Patient presents with IOP of 55mm Hg, deep AC, some cells and flare, hypermature cataract, and is diabetic. Diagnosis is
a.
Angle closure glaucoma
b.
Acute anterior uveitis
c.
Phacolytic glaucoma
d.
Neovascular glaucoma
16.
Herpes Zoster ophthalmicus in a 25 yrs old patient is an indication indication for
a.
ANA for SLE
b.
ACE for sarcoidosis
c.
ELISA for HIV
d.
ANCA for Wegener’s granulomatosis granuloma tosis
17. A 40 yrs old rheumatoid arthritis patients presents with gradual decrease in vision during the past few months. Most probable diagnosis
a.
Age related Macular degeneration
b.
Diabetic retinopathy
c.
Steroid induced cataract
d.
Dry eyes
18.
Amaurotic cat’s eye reflex is seen in
a.
Retrolental fibroplasias
b.
Retinoblastoma
c.
Complete retinal detachment
d.
All
19.
Oculocardioc reflex is seen in which surgery
a.
Cararact
b.
Keratoplasty
c.
Strabismus
d.
Glaucoma
20.
A constracted pupil responds responds to accommodation but but light reflex is absunt. absunt. It is
a.
Adie’s pupil
b.
Hutchinson pupil
c.
Argyll Robertson pupil
d.
Marcus Gunn
21.
Which of the following is a cause of of sudden blindness blindness in a quiet eye with normal media and fundus
a.
Vitreous haemorrhage
b.
Retrobulbar neuritis
c.
Iridocyclitis
d.
Optic neuritis
22. Patient with 10 yrs yrs of DM loss of vision, he complaints complaints of NPDR. NPDR. Most probable probable cause of loss loss vision is
a.
Vitreous haemorrhage
b.
Cystoid macular edema
c.
Tractional detachment
d.
Neovascular glaucoma
23.
Treatment of choice in Elschnia’s peals is
a.
Trabeculotomy
b.
Goniotomy
c.
Nd – YAG capsulotomy
d.
Para centesis
24.
In the 25th week of her pregnancy patient complaints of sudden painless loss of vision. Reason
a.
Acute angle closure glaucoma
b.
Anterior uveitis
c.
Exudative retinal detachment
d.
Optic neuritis
25.
All are true about Xanthelasma except
a.
Raised yellow plaques on upper lids
b.
Seen in elderly women
c.
Associated with hypercholesterolemia
d.
Is malignant
26.
All are retinal changes in myopia except
a.
Anterior staphyloma
b.
Foster fuchs spot
c.
Posterior staphyloma
d.
Temporal crescent
27.
All are true about anterior blepharitis except
a.
Inflammation of margins of lids
b.
Ulcerative blepharitis has small ulcers at the base of eye lashes
c.
Treatment requires doxycycline
d.
Squamous blepharitis has small scales
28. A diabetic develops severe severe glaucoma after after 20 yrs, on examination IOP is 50 mm, has corneal edema, new blood vessels at pupillary margin, cup disc ratio of 0.8, which kind of glaucoma is it
a.
Pigmentary glaucoma
b.
Neovascular glaucoma
c.
Malignant glaucoma
d.
Angle closure glaucoma
29. Microspherophakia is commonly seen in
a.
Weil Marchesani syndrome
b.
Marfan’s syndrome
c.
Homocystinuria
d.
Phenylketonuria
30.
Sentinel vessels are seen in
a.
Pituitary adenoma
b.
Pleomorphic adenoma
c.
Retinoblastoma
d.
Malignant melanoma
31. Malignancies which mimic mimic features of anterior or posterior uveitis are called
a.
Amaurosis
b.
Masquerade syndrome
c.
Microtropia
d.
Opsoclonus
32.
Which pair is incorrect
a.
Rheumatoid arthritis - dry eye
b.
Sarcoidosis
- uveitis
c.
Myeloid leukemia
- chloroma
d.
Behcets disease
- corneal ulcer
33.
Which pair is incorrect
a.
HIV
– Kaposi’s sarcoma
b.
Reiter’s syndrome – Conjunctivitis
c.
Tuberculosis
- Phlyctenular conjunctivitis
d.
Leprosy Le prosy
- Optic neuritis
34.
When adhesion adhesion of lid to globe takes place it is called
a.
Ankyloblepharon
b.
Lagophthalmus
c.
Symblepharon
d.
Blepharophimosis
35.
Hirschberg’s test reveals 3 mm temporal temporal displacement of corneal reflex. What is the diagnosis
a.
3 degree exotropia
b.
3 degree esotropia
c.
21 degree exotropia
d.
21 degrees esotropia
36.
Endophthalmitis include all except
a.
Vitreous
b.
Sclera
c.
Uvea
d.
Retina
37.
Regarding corneal transplantation what is true
a.
Whole eye preserved in tissue culture
b.
Donor not accepted age > 60 yrs
c.
HLA – matching required
d.
Specular microscopy is used to count cells
38.
A patient presenting with ptosis shows shows retraction of lids on chewing cause is
a.
Abducens paralysis
b.
3rd N palsy
c.
Marcus Gunn phenomenon
d.
Aberrant regeneration of 4th nerve
39.
Arden index is seen in
a.
ERG
b.
EOG
c.
VER
d.
Perimetry
40. Young female presents with unilateral proptosis proptosis which increases on bending forward, no thrill or bruit. Diagnosis
a.
Neurofibromatosis
b.
Orbital varix
c.
A-V fistula
d.
Orbital encephalocele
41.
Which of the following following does not scavenge free radicles in the lens
a.
Vit. A
b.
Vit. C
c.
Vit. E
d.
Catalase
42.
All are important important causes of childhood blindness in India except
a.
Glaucoma
b.
Congenital dacryocystitis
c.
Malnutrition
d.
Ophthalmia neonatorum
43. Roseola – prominent dilated iris vessels is seen in
a.
Tuberculosis
b.
Syphilis
c.
HIV
d.
Leprosy
44.
Synchysis refers to:
a.
Liquefaction of vitreous
b.
Black spots in- front of eye
c.
Collapse of vitreous
d.
Detachment of vitreous
45.
Lisch nodules are seen in:
a.
Retinoblastoma
b.
Neuroblastoma
c.
Neuprfibromatosis
d.
Intraocular lymphoma
46.
Streak hemorrhage hemorrhage on the optic disc disc is sign of:
Intraocular Pressure measured by Goldmann applanation tonometer over a thin cornea is: is:
a.
Normal
b.
Higher than normal
c.
Lower than normal
d.
None of the above
51.
Altitudinal field defect is seen in:
a.
Optic neuritis
b.
Papilloedema
c.
Traumatic optic neuropathy
d.
Anterior ischemic optic neuropathy
52.
Earliest sign of recurrent ocular herpes simplex infection infection is: is:
a.
Vesicles on the lids
b.
Acute follicular conjunctivitis
c.
Punctate epithelial keratitis
d.
Dendritic epithelial keratitis
53.
Blue sclera may be be associated associated with with all except:
a.
Marfan’s syndrome
b.
Buphtalmos
c.
Exophtalmos
d.
High myopia
54.
The afferent pathway for for light papillary papillary reflex is which one of the following
a.
Trigeminal nerve
b.
Optic nerve
c.
Abducent nerve
d.
Ciliary nerve
55.
Alteration of 1 mm in axial length of the eye results results in ametropis of how many diaptres
a.
1D
b.
2D
c.
3D
d.
4D
56.
Inverted Purkinje images are seen on
a.
Anterior surface of cornea
b.
Posterior surface of cornea
c.
Anterior surface of lens
d.
Posterior surface of lens
57.
The corneal abrasion or an ulcer ulcer is stained stained by which one of the following following
a.
Rose Bengal dye
b.
Fluorescein dye
c.
Methylene blue dye
d.
Alcian blue dye
58.
The most most common systemic association association of scleritis is which of the following
a.
Ehlers – Danlos syndrome
b.
Disseminated systemic sclerosis
c.
Rheumatoid arthritis
d.
Giant cell arteritis
59.
The following structures are not derived from surface ectoderm
a.
Crystalline lens
b.
Sclera
c.
Corneal epithelium
d.
Epithelium of Lacrimal glands
60.
The most serious complication complication of perforating ocular trauma is which one of the following following
a.
Loss of vision in traumatized eye
b.
Infection
c.
Sympathetic ophthalmia
d.
Retinal detachment
61.
Retinal haemorrhages with white centres seen in SABE are known as
a.
Lisch nodules
b.
Foster – Fucus spots
c.
Roth’s spots
d.
Cerulean dots
62.
Krukenberg’s Krukenberg’s spindle spindle is pigmentation pigmentation seen on corneal corneal endothelium endothelium
a.
Malignant Glaucoma
b.
Retinal Detachment
c.
Uveitis
d.
Pigmentary Glaucoma
63. A young man using glasses glasses for last 10 yrs present with history of photopsiae and and sudden loss loss of vision in right eye which is the best examination technique?
a.
Cycloplegic refraction
b.
Indirect ophthalmoscopy
c.
Schiotz tonometry
d.
Gonioscopy
64.
Crowding phenomena is seen in
a.
Myopia
b.
Presbyopia
c.
Hypermetropia
d.
Amblyopia
65.
patient trescents with cell flare mutton fat K.Ps best investigation investigation of choice choice
a.
X-ray sacro-iliac joint
b.
Rheumatoid factor
c.
Serum ACE level
d.
Blood-sugar
66. A Hypertensive patient patient complains of sudden and and painless loss loss of vision. vision. On retinal examination , the entire retina is white with a central red g low coming from fovea .diagnosis is
a.
CRAO
b.
BRAO
c.
CRVO
d.
Hypertensive retinopathy
67.
Most important important factor governing convergence of light light rays on the retina is
a.
Axial length
b.
Corneal curvature
c.
AC depth
d.
Lens thickness
68.
Surgery for congenital ptosis
a.
LPS resection
b.
Wedge resection
c.
Occlusion
d.
Tarsal fracture
69.
Which of these these field defects is is not not due to glaucoma? glaucoma?
a.
Nasal step
b.
Binasal hemianopia
c.
d.
Arcuate scotoma .
Generalized depression
70. A 7 year old girl is brought in for evaluation of “left lazy eye” refraction is R eye -0.75 DS, LE + 6.0 DS Treatment of choice
a.
Orthoptics
b.
Glasses
c.
Surgery
d.
Glasses followed by occlusion
71.
Commonest tumor of the orbit in children
a.
Retinoblastoma
b.
Rhabdomyosarcoma
c.
Neuroblastoma
d.
Choroidal melanoma
72. Which stromal dystrophy is is autosomal recessive in nature, spreads to the limbus, limbus, has no clear spaces in the middle and has poor vision at an e arly age
a.
Granular
b.
Macular
c.
Lattice
d.
Fuchs’ Endothelial
73. patient present with bride bride red conjunctiva conjunctiva serous serous discharge and preauricular preauricular lymphadenopathy. lymphadenopathy. Many patients have presented from same community. Diagnosis is
a.
entero virus – 70
b.
streptococcus
c.
adeno virus
d.
Chlamydia
74.
‘Hard stop’ on probing is seen in
a.
Common canalicular block
b.
Lacrimal pump failure
c.
Lower canalicular block
d.
Nasolacrimal duct block
75.
Posterior staphyloma is seen in
a.
Digenerative myopia
b.
Scleromalacia perforans
c.
Glaucoma
d.
Trauma
76. Patient is hit with a tennis ball in the eye and has enophthalmos, diplopia diplopia and anaesthesia over eyelid. Diagnosis
a.
Macular edema
b.
Uveitis
c.
Blow out fracture
d.
Rosette cataract
77.
Patient has 6/18 vision but pinhole vision improves improves to 6/6 diagnosis is is
a.
CRVO
b.
Cataract
c.
Myopia
d.
Retinal detachment
78.
Neuroparalytic keratitis is seen in injury to
a.
Optic nerve
b.
Oculomotor nerve
c.
Facial nerve
d.
Trigeminal nerve
79.
Watered silk silk appearance of fundus is seen in in
a.
Myopia
b.
Astigmatism
c.
Hypermetropia
d.
Presbyopia
80.
A 55 years old patient patient with Irvine Gass syndrome has
On retinoscopy retinoscopy at 67 cms refraction is +1.5 he is
a.
Myopic
b.
Hypermetropic
c.
Astigmatic
d.
Emmetropic
82.
Regarding occurrence of sympathetic ophthalmitis, all of the following following are true except
a.
It almost always follows a perforating wound
b.
Wounds in the ciliary region are more prone it
c.
More common in adults than in children
d.
Less common when actual suppuration develops in the injured eye
83.
A salmon salmon colored lesion lesion in the cul-de-sac usually means
a.
Lymphoma
b.
Haemangioma
c.
Graves ophthalmopathy
d.
Trauma
84.
Vascular congestion over insertions of the rectus muscles (particularly lateral rectus) is seen in
a.
Lymphoma
b.
Haemangioma
c.
Graves ophthalmopathy
d.
Trauma
85.
The cranial nerve nerve with the longest longest intra caranial course is
a.
VI nerve
b.
V nerve
c.
IV nerve
d.
VII nerve
86. A 25 year old executive presents with metamorphopsia metamorphopsia in his right eye. On examination the fundus shows a shallow detachment at the macula. The fluorescein angiography shows a smoke stack sign. Which of the following management should be given?
a.
Topical antibiotic corticosteroid combination
b.
Systemic corticosteroid for two week and then taper
c.
Pulsemethy prednisolone for three days and then pater
d.
Just wait and watch for spontaneous recovery
87.
Commonest site for for a foreign body body to lodge is in:
a.
Cornea
b.
Limbus
c.
Conjuctiva
d.
Superior sub-tarsal sulcus
88.
Treatment of accommodative squint in children is by
a.
Surgery
b.
Convergence exercises
c.
Occlusion
d.
Refractive error correction
89.
All are true about Arcus Senilis except:
a.
Universally present in elderly
b.
Due to hypercholesterolemia
c.
Lipid infiltration of cornea
d.
Begins as a crescentric gray line
90.
Fortification spectra (Teichopsia) are present in
a.
Diplopia
b.
Amblyopia
c.
Migraine
d.
Color Blindness
91.
Fluctuating ptosis and diplopia is the presenting feature in
a.
Sympathetic Ophthalmitis
b.
Angle closure glaucoma
c.
High myopia
d.
Myasthania gravis
92. Patient present with with painless round firm swelling in the upper lid lid and associated Acne Rosacea likely diagnosis is:
a.
Stye
b.
Cyst of Moll
c.
Chalazion
d.
Cyst of Zeis
93.
Royal Air Force (RAF) ruler is used to measure measure
