mcqs 2008 1 with key answers
TRANSCRIPT
MCQsMCQsMCQsMCQs
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