Opthalmologie

1.Distichiasis is: :
A. Misdirected eyelashes
B. Accessory row of eyelashes
C. Downward drooping of upper lid
D. Outward protrusion of lower lid
2. Corneal sensations are diminished in:
A. Herpes simplex
B. Conjunctivitis
C. Fungal infections
D. Marginal keratitis
3. The color of fluorescein staining in corneal ulcer is:
A. Yellow
B. Blue
C. Green
D. Royal blue
4. 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:
A. Trachoma
B. Phlyctenular conjunctivitis
C. Mucopurulent conjunctivitis
D. Vernal keratoconjunctivitis
5. Which of the following organism can penetrate intact corneal
A. Strept pyogenes
B. Staph aureus
C. Pseudomonas pyocyanaea
D. Corynebacterium diphtheriae
6. A 12 years old boy receiving long term treatment for spring catarrh, developed defective vision in both eyes. The likely cause is:
A. Posterior subcapsular cataract
B. Retinopathy of prematurity
C. Optic neuritis
D. Vitreous hemorrhage
7. 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:
A. Trachoma
B. Staphylococal conjunctivitis
C. Adenoviral conjunctivitis
D. Phlyctenular conjunctivitis
8. Patching of the eye is contraindicated in:
A. Corneal abrasion
B. Bacterial corneal ulcer
C. Mucopurulent conjunctivitis
D. After glaucoma surgery
9. In viral epidemic kerato-conjunctlvitis characteristically there is usually:
A. Copious purulent discharge
B. Copious muco-purulent discharge
C. Excessive watery lacrimation
D. Mucoid ropy white discharge
10. A painful, tender, non itchy localized redness of the conjunctiva can be due to:
A. Bulbar spring catarrh.
B. Episcleritis.
C. Vascular pterygium.
D. Phlyctenular conjunctivitis.
11. In trachoma the patient is infectious when there is:
A. Arlt's line
B. Herbert's pits
C. Post-trachomatous concretions.
D. Follicles and papillae in the palpebral conjunctiva.
12. 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:
A. Acute anterior uveitis
B. Giant papillary conjunctivitis.
C. Bacterial corneal ulcer.
D. Acute congestive glaucoma
13. Topical steroids are contraindicated in a case of viral corneal ulcer for fear of:
A. Secondary glaucoma
B. Cortical cataract.
C. Corneal perforation
D. Secondary viral infection.
14. The sure diagnostic sign of corneal ulcer is
A. Ciliary injection
B. Blepharospasm
C. Miosis
D. Positive fluorescein test.
15. The effective treatment of dendritic ulcer of the cornea is:
A. Surface anesthesia
B. Local corticosteroids
C. Systemic corticosteroids
D. Acyclovir ointment
16. Bacteria, which can attack normal corneal epithelium:
A. Neisseria gonorrhea.
B. Staphylococcal epidermidis
C. Moraxella lacunata.
D. Staphylococcal aureus
17. Advanced keratoconus is least to be corrected when treated by:
A. Hard contact Lens,
B. Rigid gas permeable (RGP) contact lens
C. Spectacles.
D. Keratoplasty.
18. Chalazion is a chronic inflammatory granuloma of
A. Meibomian gland
B. Zies’s gland
C. Sweat gland
D. Wolfring’s gland
19. Deep leucoma is best treated by:
A. Tattooing
B. Lamellar keratoplasty
C. Keratectomy
D. Penetrating keratoplasty
20. The commonest cause of hypopyon corneal ulcer is:
A. Moraxella
B. Gonococcus
C. Pneumococcus
D. Staphylococcus
21. Cornea is supplied by nerve fibers derived from:
A. Trochlear nerve
B. Optic nerve
C. Trigeminal nerve
D. Oculomotor nerve
22. Ciliary injection is not seen in:
A. Herpetic keratitis
B. Bacterial ulcer
C. Chronic iridocyclitis
D. Catarrhal conjunctivitis
E. Acute iridocyclitis
23. Most of the thickness of cornea is formed by:
A. Epithelial layer
B. Substantia propria
C. Descemet's membrane
D. Endothelium
24. 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?
A. Anterior uveitis
B. Conjunctivitis
C. Fungal corneal ulcer
D. Corneal laceration
25. Ptosis and mydriasis are seen in:
A. Facial palsy
B. Peripheral neuritis
C. Oculomotor palsy
D. Sympathetic palsy
26. Commonest cause of posterior staphyloma is:
A. Glaucoma
B. Retinal detachment
C. Iridocyclitis
D. High myopia
27. In DCR, the opening is made at:
A. Superior meatus
B. Middle meatus
C. Inferior meatus
28. Schirmer’s test is used for diagnosing:
A. Dry eye
B. Infective keratitis
C. Watering eyes
D. Horner’s syndrome
29. 3 months old infant with watering lacrimal sac on pressing causes regurgitation of mucopus material. What is the appropriate treatment?
A. Dacryocystorhinostomy
B. Probing
C. Probing with syringing
D. Massage with antibiotics up to age of 6 months
E. Dacryocystectomy
30. Most common cause of adult unilateral proptosis
A. Thyroid orbitopathy
B. Metastasis
C. Lymphoma
D. Meningioma
31. Evisceration is:
A. Excision of the entire eyeball
B. Excision of all the inner contents of the eyeball including the uveal tissue
C. Photocoagulation of the retina
D. Removal of orbit contents
32. The commonest cause of unilateral exophthalmos is:
A. Thyroid eye disease
B. Lacrimal gland tumour
C. Orbital cellulitis
D. Cavernous sinus thrombosis
33. In anterior uveitis the pupil is generally:
A. Of normal size
B. Constricted
C. Dilated
 
34. Koeppe’s nodules are found in:
A. Cornea
B. Sclera
C. Iris
D. Conjunctiva
35. Aqueous humour is formed by:
A. Epithelium of ciliary body
B. Posterior surface of iris
C. Lens
D. Pars plana
36. The earliest feature of anterior uveitis includes:
A. Keratic precipitates
B. Hypopyon
C. Posterior synechiae
D. Aqueous flare
37. Phakolytic glaucoma is best treated by:
A. Fistulizing operation
B. Cataract extraction
C. Cyclo-destructive procedure
D. Miotics and Beta blockers
38. Lens induced glaucoma is least likely to occur in:
A. Intumescent cataract.
B. Anterior lens dislocation,
C. Posterior subcapsular cataract
D. Posterior lens dislocation
39. Earliest visual rehabilitation occurs with:
A. Phacoemulsification plus intraocular lens implantation
B. Intracapsular cataract extraction plus intraocular lens implantation
C. Extracapsular cataract extraction plus intraocular lens implantation
D. Small incision cataract extraction
40. 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:
A. Secondary glaucoma.
B. Anterior uveitis.
C. Bacterial endophthalmitis.
D. Acute conjunctivitis
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