mcqs 2008 1 with key answers

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Prof Dr. Ashraf EL-Prof Dr. Ashraf EL-DesoukyDesouky

The leading cause of preventable blindness

worldwide;

1. Senile cataract2. Age related macular

degeneration3. Glaucoma4. Diabetic retinopathy5. trachoma

The term “mature cataract” means

1. A nuclear cataract present more than 10 years

2. A posterior subcapsular cataract that reduces visual acuity to 6/60 or worse

3. A cortical cataract that involves the entire cortex

4. An anterior subcapsular cataract that causes capsular wrinkling.

Criteria of mature senile cataract

1. Visual acuity HM2. Absent RR3. Absent iris shadow 4. All of the above

Topical steroids are contraindicated except in

1. Phlectenular fasicular ulcer2. Dendritic ulcer3. Typical hypopyon ulcer4. Atypical hypopyon ulcer

The commonest sign of Graves’ disease

1. Exophthalmos2. Lid retraction3. Diplopia4. Peri orbital edema5. Conjunctival chemosis

Acute proptosis may be due to

1. Trauma2. Orbital cellulitis3. Rhabdomyosarcoma4. All of the above

Enophthalmos may be due to

1. Trauma2. Cachexia3. Post radiotherapy4. Secondaries of breast scirrhus

carcioma5. All of the above

The commonest cause for night blindness

1. Congenital 2. Vitamine A defficiency3. Nuclear cataract4. Retinitis pigmentosa5. Liver diseases

The only staphyloma with normal IOP is

1. Partial anterior staphyloma2. Ciliary staphyloma3. Intercalary staphyloma4. Equatorial staphyloma5. Posterior staphyloma

Ectropion of the upper eyelid may be

1. Senile2. Paralytic3. Congenital4. Non of the above

Episcleritis is similar to phlycten

clinically but differs in being

1. tender2. flat3. Pigmented4. multiple

Pneumococci can cause

1. Acute dacryocystitis2. Chronic dacryocystitis3. Atypical hypopyon ulcer4. Ulcerative blepharitis

Staphyloococci can cause

1. Acute dacryocystitis2. stye3. Atypical hypopyon ulcer4. Ulcerative blepharitis5. All of the above

Etiology of ptrygium

1. Neoplastic2. Infection3. Inflamation4. degenerative

Endogenous septic focus may cause All except :

1. Phlycten2. Hypopyon ulcer3. Iridocyclitis4. Metastatic endophthalmitis

Optic nerve head in glaucomatous optic atrophy

has all except;

1. Large deep cup2. Interrupted retinal vessels3. Waxy yellow colour4. Overhanging margins

Doctor sees nothing& patient sees nothing in

1. Papillitis2. Papilloedema3. Retrobulbar neuritis (toxic

amblyopia)4. All of the above

Which of the following ttt is used for optic neuritis

1. prednisolon2. Observation3. Antibiotics4. Atropine

Papilloedema leads to:

1. Rapid deterioration of vision2. Primary optic atrophy3. Pain on eye movements4. Optic disc edema more than 3 D

Papilloedema leads to the following changes:

1. Nasal step2. Arcuate scotoma3. Cocentric contraction of

peripheral Feild4. Enlarged blind spot

Consecutive optic atrophy occurs in allexcept

1. Degenerative myopia2. Chorioretinitis3. CRAO4. CRV thrombosis

Afferent pupillary defect occurs in: All except

1. Papillitis2. Hysteria3. Optic atrphy4. Retrobulbar neuritis

Rapid painful loss of vision

In all except1. AACG2. Blunt trauma3. Alkali burn4. CRAO

CILIARY INJECTION

In all except;1. AACG2. CORNEAL ULCEER3. ANTERIOR UVEITIS4. EPISCLERITIS

All the following are signs of lens sublaxation

except;

1. Phakodenesis2. Iridodnesis3. Irrigular anterior chamber4. Intact all zonule

All of the following are lens induced glaucoma

except;

1. Phaco morphic glaucoma2. Phacoanaphylactic glaucoma3. Phacolytic glaucoma4. Neovascular glaucoma

The eye susceptible to AACG

1. Hypermetropic eye2. Myopic eye3. Astigmatic eye4. Aphakic eye

In an acute angle closure glaucoma’ the choice of surgery is decided after

1. Gonioscopic examination2. Fundus examination3. Tonometry4. Visual field examination

All of the following are the characteristics of glaucomatus cup

except

1. Large deep cup2. Overhanging margins3. Retinal vessels appear broken at

the margin4. Lamina criprosa is not visible

Acetazolamide lowers IOP by

1. Decreased aquous production2. Increased aquous drainage3. Lower episcleral venous

peressure4. All of above

B. Blockers lower IOP by

1. Decreased aquous production2. Increased aquous drainage3. Lower episcleral venous

peressure4. All of above

Pre auricular lymphadenopathy

Occurs with the following conjunctivitis

1. Vernal keratoconjunctivitis2. Phlyctenular keratoconjunctivitis3. Viral conjunctivitis4. Angular conjunctivitis

Tremulous iris can be seen in:

1. Aphakia2. Sublaxation of the lens3. Hypermature cataract4. Posterior dislocation of the lens5. All of above

Posterior polar cataract markedly affects vision

because:

1. Its shadow lies on the macula2. Close to the nodal point3. It matures early4. It blocks the pupillary area

Nuclear cataract changes the refraction of the eye into

1. Myopia2. Hypermetropia3. Astigmatism4. No change

Most common cause of diminution of vision after

ECCE is

1. Cystoid macular edema2. Posterior capsule opacification3. Corneal decompansation4. Retinal detachment

The best treatment for Posterior capsule

opacification

1. Surgical excision2. Laser opening3. Surgical polishing4. Leave alone

The type of laser used to treat Posterior capsule

opacification

1. Yag laser2. Argon laser3. Diode laser4. Excimer laser

All of the following types of entropion are known

except

1. Spastic entropion2. Senile entropion3. Paralytic entropion4. Cicatricial entropion

All of the following are causes of lagophthalmos

except

1. Facial nerve palsy2. Proptosis3. Cicatricial ectropion4. Third nerve paralysis

Ectropion of the upper lid most commonly;

1. Spastic ectropion2. Senile ectropion3. Paralytic ectropion4. Cicatricial ectropion

Munson’ sign in:

1. Corneal fistula2. Corneal dystrophy3. Keratoconus4. Corneal facet

In corneal edema all except:

1. There is increase in corneal diameter

2. There is increase in corneal thickness

3. Cloudy cornea4. Predispose to Corneal

vascularization

Corneal damage with trachoma is due to:

1. trichiasis2. dryness3. Lagophthalmos and exposure4. All of the above

Double staining pattern of the cornea is characteristic

for:

1. Fungal corneal ulcer2. Herpetic corneal ulcer3. Exposure keratopathy4. Acanthaembic corneal ulcer

Corticosteroids is given in:

1. Bacterial corneal ulcer2. Herpetic corneal ulcer3. Fasicular phlyctenular ulcer4. Stromal fungal keratitis

Tarrsorraphy is essential in:

1. Bacterial corneal ulcer2. Viral corneal ulcer3. Exposure keratopathy4. Traumatic corneal ulcer

Blood staining of the cornea is due to:

1. Hyphema2. Hyphema with rise of IOP3. Corneal edema4. Corneal FB

The pupil in acute Ant. Uveitis is:

1. Constricted2. Dilated3. Festooned4. Vertically oval

Infective corneal ulcers include:

1. Bacterial corneal ulcer2. Fungal corneal ulcer3. Mooren’s ulcer4. Viral corneal ulcer

In treating bacterial corneal ulcer all except:

1. Antibiotics drops 2. Vitamin A,C3. Mydriatics and cycloplegics

drops4. Corticosteroids drops

All of the following are non-specific signs in

conjunctivitis except

1. Subconjunctival hemorrhage 2. Papillae3. Follicles4. pseudomembranes

In buphthalmos we should exclude all of the

following• Except 1. Retinoblastoma2. Megalocornea3. High myopia4. Babies of diabetic mothers

In buphthalmos which of the following is a late

presentation

1. Lacrimation and sneezing2. Optic cupping3. Enlarged hazy cornea4. Flattened sublaxated lens

In a patient with HM vision, visual feild can be tested by;

1. Projection of light2. Cofrentation test3. Automated perimetry4. Bjerrum screen

Which of the following is not a test for visual feild

1. Projection of light2. Cofrentation test3. Automated perimetry4. Bjerrum screen5. Percepton of light

Glaucoma inversus can occur in

1. Post sublaxated lens2. Post dislocated lens3. Intumescent cataract 4. Non of the above

Glaucoma inversus can be treated by:

1. Pilocarpine + anti-inflammatories2. Pilocarpine + removal of the lens3. Atropine4. cyclocryotherapy

Amaurotic cat’s eye reflex,

In all except1. Retinoblastoma2. PHPV3. Coat’s disease(retinal

telangiectasia4. Toxocara 5. MM choroid

Third C nerve innervate all except

• Superior oblique muscle• Levator palpebre muscle• Inferior oblique muscle• Medial rectus muscle

Horner’s syndrome1. Ptosis + myosis + enophthalmos

+ anhydrosis2. Ptosis + mydriasis +

enophthalmos + anhydrosis3. lagophthalmos + myosis +

enophthalmos + anhydrosis4. diplopia + myosis + enophthalmos

+ anhydrosis