mcq ophthalmo
TRANSCRIPT
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MCQsMCQs
Prof Dr. mishqat ullah kundiProf Dr. mishqat ullah kundi
MBBS(PAK),FCPS(EYE)MBBS(PAK),FCPS(EYE)
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The leading cause of preventableblindness worldwide;
1. Senile cataract
2. Age related macular degeneration. !laucoma
". #iabetic retinopath$
%. trachoma
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The term &mature cataract'
means1. A nuclear cataract present more than 1(
$ears
2. A posterior subcapsular cataract thatreduces visual acuit$ to )*)( or worse
. A cortical cataract that involves the entirecorte+
". An anterior subcapsular cataract thatcauses capsular wrin,ling.
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Criteria of mature senile
cataract1. -isual acuit$ M
2. Absent //. Absent iris shadow
". All of the above
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Topical steroids are
contraindicated e+cept in
1. 0hlectenular fasicular ulcer
2. #endritic ulcer. T$pical h$pop$on ulcer
". At$pical h$pop$on ulcer
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The commonest sign of !raves
disease1. +ophthalmos
2. 3id retraction. #iplopia
". 0eri orbital edema
%. Con4unctival chemosis
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Acute proptosis ma$ be
due to1. Trauma
2. 5rbital cellulitis. /habdom$osarcoma
". All of the above
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nophthalmos ma$ be due to
1. Trauma
2. Cache+ia
. 0ost radiotherap$". Secondaries of breast scirrhus
carcioma
%. All of the above
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The commonest cause for night
blindness
1. Congenital
2. -itamine A defficienc$
. 6uclear cataract
". /etinitis pigmentosa
%. 3iver diseases
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The onl$ staph$loma with
normal 750 is1. 0artial anterior staph$loma
2. Ciliar$ staph$loma. 7ntercalar$ staph$loma
". 8uatorial staph$loma
%. 0osterior staph$loma
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ctropion of the upper
e$elid ma$ be
1. Senile
2. 0aral$tic. Congenital
". 6on of the above
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piscleritis is similar to phl$ctenclinicall$ but differs in being
1. tender
2. flat. 0igmented
". multiple
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0neumococci can cause1. Acute dacr$oc$stitis
2. Chronic dacr$oc$stitis. At$pical h$pop$on ulcer
". 9lcerative blepharitis
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Staph$loococci can cause
1. Acute dacr$oc$stitis
2. st$e
. At$pical h$pop$on ulcer". 9lcerative blepharitis
%. All of the above
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tiolog$ of ptr$gium1. 6eoplastic
2. 7nfection. 7nflamation
". degenerative
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ndogenous septic focus
ma$ cause All e+cept :
1. 0hl$cten
2. $pop$on ulcer
. 7ridoc$clitis
". Metastatic endophthalmitis
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5ptic nerve head inglaucomatous optic atroph$ has
all e+cept;
1. 3arge deep cup
2. 7nterrupted retinal vessels. a+$ $ellow colour
". 5verhanging margins
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#octor sees nothing
". All of the above
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hich of the following ttt is
used for optic neuritis
1. prednisolon
2. 5bservation. Antibiotics
". Atropine
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0apilloedema leads to:
1. /apid deterioration of vision
2. 0rimar$ optic atroph$. 0ain on e$e movements
". 5ptic disc edema more than #
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0apilloedema leads to the
following changes:1. 6asal step
2. Arcuate scotoma
. Cocentric contraction of peripheral?eild
". nlarged blind spot
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Consecutive optic atroph$
occurs in alle+cept1. #egenerative m$opia
2. Chorioretinitis. C/A5
". C/- thrombosis
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Afferent pupillar$ defect occurs
in: All e+cept
1. 0apillitis
2. $steria. 5ptic atrph$
". /etrobulbar neuritis
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/apid painful loss of
vision7n all e+cept1. AAC!
2. @lunt trauma. Al,ali burn
". C/A5
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C737A/ 76BCT756
7n all e+cept;
1. AAC!2. C5/6A3 93C/
. A6T/75/ 9-7T7S
". 07SC3/7T7S
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All the following are signs
of lens subla+ation e+cept;1. 0ha,odenesis
2. 7ridodnesis. 7rrigular anterior chamber
". 7ntact all onule
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All of the following are lens
induced glaucoma e+cept;1. 0haco morphic glaucoma
2. 0hacoanaph$lactic glaucoma. 0hacol$tic glaucoma
". 6eovascular glaucoma
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The e$e susceptible to
AAC!1. $permetropic e$e
2. M$opic e$e. Astigmatic e$e
". Apha,ic e$e
7n an acute an le closure
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7n an acute angle closureglaucoma the choice of
surger$ is decided after
1. !onioscopic e+amination
2. ?undus e+amination. Tonometr$
". -isual field e+amination
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All of the following are the characteristics
of glaucomatus cup e+cept
1. 3arge deep cup
2. 5verhanging margins. /etinal vessels appear bro,en at
the margin
". 3amina criprosa is not visible
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Acetaolamide lowers
750 b$1. #ecreased a8uous production
2. 7ncreased a8uous drainage. 3ower episcleral venous peressure
". All of above
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@. @loc,ers lower 750 b$1. #ecreased a8uous production
2. 7ncreased a8uous drainage. 3ower episcleral venous peressure
". All of above
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0re auricular
l$mphadenopath$5ccurs with the followingcon4unctivitis
1. -ernal ,eratocon4unctivitis2. 0hl$ctenular ,eratocon4unctivitis
. -iral con4unctivitis
". Angular con4unctivitis
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Tremulous iris can be
seen in:1. Apha,ia
2. Subla+ation of the lens
. $permature cataract
". 0osterior dislocation of the lens
%. All of above
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0osterior polar cataract mar,edl$
affects vision because:
1. 7ts shadow lies on the macula
2. Close to the nodal point. 7t matures earl$
". 7t bloc,s the pupillar$ area
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6uclear cataract changes the
refraction of the e$e into
1. M$opia
2. $permetropia. Astigmatism
". 6o change
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Most common cause of diminution
of vision after CC is
1. C$stoid macular edema
2. 0osterior capsule opacification. Corneal decompansation
". /etinal detachment
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The best treatment for 0osterior
capsule opacification
1. Surgical e+cision
2. 3aser opening. Surgical polishing
". 3eave alone
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The t$pe of laser used to treat0osterior capsule opacification
1. ag laser
2. Argon laser. #iode laser
". +cimer laser
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All of the following t$pes of
entropion are ,nown e+cept
1. Spastic entropion
2. Senile entropion. 0aral$tic entropion
". Cicatricial entropion
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All of the following are causes
of lagophthalmos e+cept
1. ?acial nerve pals$
2. 0roptosis. Cicatricial ectropion
". Third nerve paral$sis
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ctropion of the upper
lid most commonl$;
1. Spastic ectropion
2. Senile ectropion. 0aral$tic ectropion
". Cicatricial ectropion
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Munson sign in:1. Corneal fistula
2. Corneal d$stroph$. Deratoconus
". Corneal facet
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7n corneal edema all
e+cept:1. There is increase in corneal diameter
2. There is increase in corneal thic,ness
. Cloud$ cornea
". 0redispose to Corneal vasculariation
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Corneal damage with trachoma is due
to:1. trichiasis
2. dr$ness. 3agophthalmos and e+posure
". All of the above
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#ouble staining pattern of the
cornea is characteristic for:1. ?ungal corneal ulcer
2. erpetic corneal ulcer
. +posure ,eratopath$
". Acanthaembic corneal ulcer
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Corticosteroids is given
in:1. @acterial corneal ulcer
2. erpetic corneal ulcer
. ?asicular phl$ctenular ulcer
". Stromal fungal ,eratitis
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Tarrsorraph$ is essential
in:1. @acterial corneal ulcer
2. -iral corneal ulcer
. +posure ,eratopath$
". Traumatic corneal ulcer
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@lood staining of the cornea is dueto:
1. $phema
2. $phema with rise of 750
. Corneal edema
". Corneal ?@
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The pupil in acute Ant.
9veitis is:1. Constricted
2. #ilated. ?estooned
". -erticall$ oval
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7nfective corneal ulcers
include:
1. @acterial corneal ulcer
2. ?ungal corneal ulcer. Moorens ulcer
". -iral corneal ulcer
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7n treating bacterial corneal
ulcer all e+cept:
1. Antibiotics drops
2. -itamin AEC. M$driatics and c$cloplegics drops
". Corticosteroids drops
All of the following are nonF
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All of the following are nonspecific signs in con4unctivitis
e+cept
1. Subcon4unctival hemorrhage
2. 0apillae. ?ollicles
". pseudomembranes
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7n buphthalmos we should
e+clude all of the followingG +cept1. /etinoblastoma
2. Megalocornea. igh m$opia
". @abies of diabetic mothers
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7n buphthalmos which of the
following is a late presentation
1. 3acrimation and sneeing
2. 5ptic cupping. nlarged ha$ cornea
". ?lattened subla+ated lens
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7n a patient with M visionE
visual feild can be tested b$;
1. 0ro4ection of light
2. Cofrentation test. Automated perimetr$
". @4errum screen
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hich of the following is
not a test for visual feild1. 0ro4ection of light
2. Cofrentation test. Automated perimetr$
". @4errum screen
%. 0ercepton of light
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!laucoma inversus can occur
in
1. 0ost subla+ated lens
2. 0ost dislocated lens. 7ntumescent cataract
". 6on of the above
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!laucoma inversus can be
treated b$:1. 0ilocarpine H antiFinflammatories
2. 0ilocarpine H removal of the lens. Atropine
". c$clocr$otherap$
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Amaurotic cats e$e refle+E
7n all e+cept1. /etinoblastoma2. 00-
. Coats disease=retinal telangiectasia". To+ocara
%. MM choroid
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Third C nerve innervate all
e+ceptG Superior obli8ue muscle
G 3evator palpebre muscleG 7nferior obli8ue muscle
G Medial rectus muscle
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orners s$ndrome1. 0tosis H m$osis H enophthalmos Hanh$drosis
2. 0tosis H m$driasis H enophthalmos Hanh$drosis
. lagophthalmos H m$osis H enophthalmosH anh$drosis
". diplopia H m$osis H enophthalmos Hanh$drosis