Optometry and ophthalmology mcq part: 08

01. Chalazion is the infection of:

1. A. Meibomian gland✓
2. B. Zeis gland
3. c. Lacrimal gland
4. d. Molls gland

02. Koeppe's nodules are seen on

1. A. Lid margin
2. B. Pupillary margin✓
3. C. Limbus
4. D. Conjunctiva

03. D-shaped pupil occurs in:

1. a. Iridocyclitis
2. b. Iridodenesis
3. c. Cyclodialsis
4. d. Iridodialysis✓

04. Everbusch operation is for

1. A. Ptosis✓
2. B. Proptosis
3. C. Lagophthalmos
4. D. Entropion

05. False regarding pseudo pterygium

1. A. Stationary
2. B. Seen at any site
3. C. Probe cannot be passed✓
4. D. Can occur at any age

06. Abnormal dryness is seen in

1. A. Xerophthalmia✓
2. B. Trichiasis
3. C. Hordeolum
4. D. Pterygium

07. Satellite nodules in the cornea are caused by

1. a. bacteria
2. b. virus
3. c. fungus✓
4. d. rickettsia

The presence of satellite lesions strongly suggests a fungal infection

08. ‘Salmon patches’ are seen in

1. a. haemorrhage into the cornea
2. b. interstitial keratitis ✓
3. c. retinitis pigmentosa
4. d. phlyctenular keratitis

In Interstitial keratitis (IK) vascular invasion and stromal necrosis cause the pinkish discoloration of corneal tissue called as Salmon patch of Hutchinson.

09. The deposits seen in arcus senilis is

1. a. lipid ✓
2. b. calcium
3. c. hyaline
4. d. none of the above

Arcus senilis is a white or gray opaque ring or arc that develops around the cornea of the eye. The arc or ring that occurs due to lipids (fats) or cholesterol deposit in the cornea.

10. Cornea is thinned in

1. a. keratoconus✓
2. b. Fuchs’ dystrophy
3. c. keratoglobus
4. d. all of the above

11. Band-shaped keratopathy is due to

1. a. calcareous degeneration ✓
2. b. hyaline degeneration
3. c. fatty degeneration
4. d. elastotic degeneration

12. Munson’s sign is seen in

1. a. episcleritis
2. b. chalcosis
3. c. keratoconus✓
4. d. retinal detachment

14. Common cause of non-healing corneal ulcer

1. a. chronic dacryocystitis
2. b. raised intraocular pressure
3. c. diabetes mellitus
4. d. all of the above✓

16. The earliest symptom to occur in corneal ulcer is

1. a. pain
2. b. photophobia✓
3. c. loss of sensation
4. d. diminished vision

17. Fascicular ulcer is present in

1. a. Mooren’s ulcer
2. b. neuroparalytic keratitis✓
3. c. herpes zoster
4. d. marginal ulcer

18. Rupture of Descemet’s membrane is seen in

1. a. keratoconus✓
2. b. rubella
3. c. glaucoma
4. d. retinoblastoma

20. Bullous keratopathy involves

1. a. Descemet’s membrane
2. b. epithelium
3. c. endothelium✓
4. d. Bowman’s membrane

21. In case of central dense leucoma treatment of choice is

1. a. penetrating keratoplasty✓
2. b. lamellar keratoplasty
3. c. tattooing
4. d. enucleation

22. Ciliary congestion is most marked at the:

1. A.sclera
2. B.fornix
3. C.bulbar conjunctiva
4. D.limbus✓

Ciliary congestion is most marked at Limbus and conjunctival congestion is most marked in the fornices.

23. Which of the following bacteria most commonly involves in acute dacryocystitis?

1. A. Staphylococci✓
2. B. Pneumococci
3. C. Hemophilus Influenzae
4. D. Pseudomonas aeruginosa

24. Cobble stone pappilae are pathogenesis of:

1. A.trachoma
2. B.inclusion conjunctivitis
3. C.vernal conjunctivitis✓
4. D.adenoviral conjunctivitis

Vernal keratoconjunctivitis (VKC) is also known as spring catarrh

25. Following bacteria penetrate intact epithelium:

1. a) Gonococcus.✓
2. b) Pneumococcus.
3. c) Diplococcus.
4. d) Tubercle bacillus.
5. e) Aspergillus.

Quick tip 😜

Organisms Eat the cornea AS LuNCH

• *A* -Acanthomeba (perineural)
• *S* -Shigella
• *L* -Listeria
• *N* -Neisseria (gonorrhea and meningitis)
• *C* -Corynebacteria diphtheria
• *H* -Haemophilus aegyptius

27. Resistance to infection inside the eye is low because of:

1. a) Low temperature.
2. b) High pressure.
3. c) No direct blood supply.✓
4. d) Easy metastasis.
5. e) Very high metabolism.

28. Herbert’s pits are seen on the

1. a. lid margin
2. b. palpebral conjunctiva
3. c. Arlt’s line
4. d. limbus✓

Acute trachoma is characterized by a follicular conjunctivitis that is usually bilateral and usually more prominent on the superior tarsal conjunctiva. Follicles may also appear at the limbus, and when these heal, they form the pathognomonic cicatrial scars, known as Herbert's pits.

29. Tranta's spots are noticed in cases of:

1. a. Active trachoma
2. b. Vernal kerato conjunctivitis✓
3. c. Corneal phlycten
4. d. Vitamin A deficiency

Bulbar form of VKC is characterised by dusky red triangular congestion of bulbar conjunctiva in palpebral area, gelatinous thickened accumulation of tissue around limbus and presence of discrete whitish raised dots along the limbus known as Tranta's spots.

30. Organism causing ophthalmia neonatorum is

1. a. Neisseria gonorrhoeae✓
2. b. staphylococci
3. c. streptococci
4. d. Neisseria meningitidis

31. Bitot’s spots are associated with

1. a. vitamin A deficiency✓
2. b. vitamin D deficiency
3. c. vitamin E dificiency
4. d. all of the above

Signs of vitamin A deficiency, as graded by the WHO, are:

• Night blindness (XN)
• Conjunctival xerosis (X1A)
• Bitot's spots (X1B)
• Corneal xerosis (X2)
• Corneal ulcer covering less than 1/3 of the cornea (X3A)
• Corneal ulcer covering at least 1/3 of the cornea, defined as keratomalacia (X3B)
• Corneal scarring (XS)

32. Phlyctenular conjunctivitis is due to

1. a. pneumococcus
2. b. Pseudomonas pyocyanea
3. c. allergy to endogenous protein✓
4. d. allergy to exogenous protein

33. Blood vessels in a trachomatous pannus lie

1. a. beneath the Descemet’s membrane
2. b. in the stroma
3. c. between Bowman’s membrane and stroma
4. d. between Bowman’s membrane & epithelium✓

34. Cobblestone appearance of the conjunctiva is seen in

1. a. spring catarrh✓
2. b. angular conjunctivitis
3. c. eczematous conjunctivitis
4. d. trachoma

35. As a complication of acute mucopurulent conjunctivitis, the corneal ulcers that develop are

1. a. marginal✓
2. b. central
3. c. anywhere on cornea
4. d. no where

36. Pupil is pinpoint in

1. a. optic atrophy
2. b. absolute glaucoma
3. c. atropine
4. d. iritis✓

37. Cogan’s syndrome is associated with?

1. A. Keratitis✓
2. B. Conjunctivitis
3. C. Iritis
4. D. Myopia

Cogan’s syndrome is seen in middle aged adults. The features include interstitial keratitis, acute tinnitus, vertigo and deafness. Treatment is by usage of topical and systemic corticosteroids. Early treatment is necessary to prevent permanent deafness and blindness.

38. Which of the following is seen in Lowe’s syndrome?

1. A. Glaucoma✓
2. B. Choroiditis
3. C. Secondary cataract
4. D. Myopia

Note : Lowe’s syndrome is oculo-cerebro-renal syndrome. It is an inborn error of amino acid metabolism. Congenital cataract and glaucoma are the ocular features. Mental retardation, dwarfism, osteomalacia and muscular hypotonia are the other features seen in this syndrome.

39. Paralysis of which cranial nerve cause neuroparalytic keratitis

1. A. 3rd
2. B. 4th
3. C. 5th✓
4. D. 6th

40. Weiss operation is done for?

1. A. Cicatricial entropion
2. B. Senile entropion✓
3. C. Senile ectropion
4. D. Cicatricial ectropion.