Multiple choice Questions of ophthalmology part: 22

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Multiple choice Questions of ophthalmology part: 22, mcq hubs


Multiple choice Questions of ophthalmology part: 22, mcq hubs


01. Most of the thickness of cornea is formed by:

  1. a. Epithelial layer
  2. b. Substantia propria
  3. c. Descemet's membrane
  4. d. Endothelium
ANSWER: B

02. 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?

  1. a. Anterior uveitis
  2. b. Conjunctivitis
  3. c. Fungal corneal ulcer
  4. d. Corneal laceration
ANSWER: C

03. Ptosis and mydriasis are seen in:

  1. a. Facial palsy
  2. b. Peripheral neuritis
  3. c. Oculomotor palsy
  4. d. Sympathetic palsy
ANSWER: C

04. Commonest cause of posterior staphyloma is:

  1. a. Glaucoma
  2. b. Retinal detachment
  3. c. Iridocyclitis
  4. d. High myopia
ANSWER: D

05. In DCR, the opening is made at:

  1. a. Superior meatus
  2. b. Middle meatus
  3. c. Inferior meatus
ANSWER: B

06. Schirmer’s test is used for diagnosing:

  1. a. Dry eye
  2. b. Infective keratitis
  3. c. Watering eyes
  4. d. Horner’s syndrome
ANSWER: A

07. 3 months old infant with watering lacrimal sac on pressing causes regurgitation of mucopus material. What is the appropriate treatment?

  1. a. Dacryocystorhinostomy
  2. b. Probing
  3. c. Probing with syringing
  4. d. Massage with antibiotics up to age of 6 months
  5. e. Dacryocystectomy
ANSWER: D

08. Most common cause of adult unilateral proptosis

  1. a. Thyroid orbitopathy
  2. b. Metastasis
  3. c. Lymphoma
  4. d. Meningioma
ANSWER: A

09. Evisceration is:

  1. a. Excision of the entire eyeball
  2. b. Excision of all the inner contents of the eyeball including the uveal tissue
  3. c. Photocoagulation of the retina
  4. d. Removal of orbit contents
ANSWER: B

10. Lagophthalmos can occur in all of the following except;

  1. a. 7th cranial nerve paralysis
  2. b. 5th cranial nerve paralysis
  3. c. Thyrotoxic exophthalmos
  4. d. Symblepharon
ANSWER: B

11. The most important symptom differentiating orbital cellulitis from
panophthalmitis is:

  1. a. Vision
  2. b. Pain
  3. c. Redness
  4. d. Swelling
ANSWER: A

12. The commonest cause of unilateral exophthalmos is:

  1. a. Thyroid eye disease
  2. b. Lacrimal gland tumour
  3. c. Orbital cellulitis
  4. d. Cavernous sinus thrombosis
ANSWER: A

13. Proptosis is present in the following condition except:

  1. a. Horner's syndrome
  2. b. Orbital cellulitis
  3. c. Thyroid ophthalmopathy
  4. d. Cavernous sinus thrombosis
ANSWER: A

14. All of the following are part of uvea except:

  1. a. Pars plicata
  2. b. Pars plana
  3. c. Choroid
  4. d. Schwalbe’s line
ANSWER: D

15. One of the earliest features of anterior uveitis includes:

  1. a. Keratic precipitates
  2. b. Hypopyon
  3. c. Posterior synechiae
  4. d. Aqueous flare
ANSWER: D

16. In anterior uveitis the pupil is generally:

  1. a. Of normal size
  2. b. Constricted
  3. c. Dilated
ANSWER: B

17. Koeppe’s nodules are found in:

  1. a. Cornea
  2. b. Sclera
  3. c. Iris
  4. d. Conjunctiva
ANSWER: C

18. Aqueous humour is formed by:

  1. a. Epithelium of ciliary body
  2. b. Posterior surface of iris
  3. c. Lens
  4. d. Pars plana
ANSWER: A

19. The earliest feature of anterior uveitis includes:

  1. a. Keratic precipitates
  2. b. Hypopyon
  3. c. Posterior synechiae
  4. d. Aqueous flare
ANSWER: D


20. Which laser is used for capsulotomy?

  1. a. Diode laser
  2. b. Carbon dioxide laser
  3. c. Excimer laser
  4. d. ND: YAG laser
ANSWER: D

21. Unilateral aphakia is likely to be corrected by any of the following except:

  1. a. Anterior chamber intraocular lens
  2. b. Posterior chamber intraocular lens
  3. c. Contact tens
  4. d. Glasses
ANSWER: D

22. Phakolytic glaucoma is best treated by:

  1. a. Fistulizing operation
  2. b. Cataract extraction
  3. c. Cyclo-destructive procedure
  4. d. Miotics and Beta blockers
ANSWER: B

23. Lens induced glaucoma is least likely to occur in:

  1. a. Intumescent cataract.
  2. b. Anterior lens dislocation,
  3. c. Posterior subcapsular cataract
  4. d. Posterior lens dislocation
ANSWER: C

24. Earliest visual rehabilitation occurs with:

  1. a. Phacoemulsification plus intraocular lens implantation
  2. b. Intracapsular cataract extraction plus intraocular lens implantation
  3. c. Extracapsular cataract extraction plus intraocular lens implantation
  4. d. Small incision cataract extraction
ANSWER: A

25. Best site where intraocular lens is fitted:

  1. a. Capsular ligament
  2. b. Endosulcus
  3. c. Ciliary supported
  4. d. Capsular bag
ANSWER: D

26. 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:

  1. a. Secondary glaucoma.
  2. b. Anterior uveitis.
  3. c. Bacterial endophthalmitis.
  4. d. Acute conjunctivitis
ANSWER: C

27. All the following associated open angle glaucoma include all the following except:

  1. a. Roenne’s nasal step
  2. b. Enlarged blind spot
  3. c. Generalized depression of isopters
  4. d. Loss of central fields
  5. e. Tubular vision
ANSWER: D

28. The treatment of choice for the other eye in angle closure glaucoma is:

  1. a. Surgical peripheral iridectomy
  2. b. Yag laser iridotomy
  3. c. Trabeculotomy
  4. d. Trabeculectomy
ANSWER: B

29. Topical atropine is contraindicated in:

  1. a. Retinoscopy in children
  2. b. Iridocyclitis
  3. c. Corneal ulcer
  4. d. Primary angle closure glaucoma
ANSWER: D

30. Neovascular glaucoma follows:

  1. a. Thrombosis of central retinal vein
  2. b. Acute congestive glaucoma
  3. c. Staphylococcal infection
  4. d. Hypertension
ANSWER: A

31. A one-month old baby is brought with complaints of photophobiaand watering. Clinical examination shows normal tear passages and clear but large cornea. The most likely diagnosis is:

  1. a. Congenital dacryocystitis
  2. b. Interstitial keratitis
  3. c. Keratoconus
  4. d. Buphthalmos
ANSWER: D

32. You have been referred a case of open angle glaucoma. Which of the
following would be an important point in diagnosing the case?

  1. a. Shallow anterior chamber
  2. b. Optic disc cupping
  3. c. Narrow angle
  4. d. visual acuity and refractive error
ANSWER: B

33. Number of layers in neurosensory retina is:

  1. a. 9
  2. b. 10
  3. c. 11
  4. d. 12
ANSWER: A

34. In retinal detachment, fluid accumulates between:

  1. a. Outer plexiform layer and inner nuclear layer.
  2. b. Neurosensory retina and layer of retinal pigment epithelium
  3. c. Nerve fiber layer and rest of retina.
  4. d. Retinal pigment epithelium and Bruch’s membrane.
ANSWER: B

35. 100 days glaucoma is seen in:

  1. a. Central Retinal Artery Occlusion
  2. b. Branch Retinal Artery Occlusion
  3. c. Central Retinal Vein Occlusion
  4. d. Branch Retinal Vein Occlusion
ANSWER: C

36. A young patient with sudden painless loss of vision, with systolic murmur and ocular examination reveals a cherry red spot with clear AC, the likely diagnosis is:

  1. a. Central Retinal Artery Occlusion
  2. b. Central Retinal Vein Occlusion
  3. c. Diabetes Mellitus
  4. d. Branch Retinal Vein Occlusion
ANSWER: A

37. Amaurotic cat's eye reflex is seen in:

  1. a. Papilloedema
  2. b. Retinoblastoma
  3. c. Papillitis
  4. d. Retinitis
ANSWER: B

38. Commonest lesion which hinders vision in diabetic retinopathy is:

  1. a. Macular oedema
  2. b. Microaneurysm
  3. c. Retinal hemorrhage
  4. d. Retinal detachment
ANSWER: A

39. Commotio retinae is seen in:

  1. a. Concussion injury
  2. b. Papilloedema
  3. c. Central retinal vein thrombosis
  4. d. Central retinal artery thrombosis
ANSWER: A

40. Night blindness is caused by:

  1. a. Central retinal vein occlusion
  2. b. Dystrophies of retinal rods
  3. c. Dystrophies of the retinal cones
  4. d. Retinal detachment
ANSWER: B
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