Eye to Eye BCQs

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bcqs ophthalmology

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Eye to Eye BCQs.1. Most widely used mydratic in clinics isPhenylephrineAtropineScopolamineHomatropineCyclopentolate

2. Intraocular pressure in acute congestive glaucoma10-21 mm hg22-24 mm hg30-35 mm hg90-100 mm hg

3. Best investigation for foreign body localization isB scanA scanMRICT scanX ray

4. Condition that develops in eyelid of a diabetic patient isStyeChalazionBasal cell carcinomaPtosisSq cell carcinoma

5. Regarding basal cell carcinoma of eyelidGrows slowly but is painful in natureInfiltrative in natureIs related to diabetes mellitusIs radiosensitiveIs related to high rate of recurrence after excision

6. Most common cause of cataract isSmokingHereditySystemic disease such as diabetesAgeingToxins

7. Most common cause of failure of surgical repair for tractional retnal detachment isNeovascular formationProliferative viteroretinopathyInfection after surgeryHemorrhageRetinal breaks

8. Clinical assessment of cataract progression is done throughSnellen visual acuity testDirect ophthalmoscopeIndirect ophthalmoscopeRetinoscopePremetry

9. Which of the following is not the differential diagnosis of congenital glaucomaMegalocorneaCorneal cloudingTraumatic rupture of descements layerMucopolyscaccridosesCalcification of lens

10. Snowflake or punctuate dot cataract is seen inTraumaOcular contusionAfter cataract surgeryDiabetesHyperthyroid

11. At the time of birth the eye of neonate isHyperopicAstigmaticMyopicPresbyopic

12. Tonometer used when corneal surface is irregular isSchiotiz tonometerGoldman tonometerParkins tonometerPneumatic tonometerTono pin

13. A perimetry is used to measureCentral and peripheral fieldsVisual acuityssIntra ocular pressureCentral field onlyPeripheral field only

14. Characteristic findings on fundoscope of a myopic eye isTractional detachmentHemorrhagic spotsLacqer cracksNeovascularisationAll of the above

15. Soft lenses are made up of material namedPMMAHEMASiliconeCellulose acetatePerspex

16. Kayser flescher ring is present inPigment dispersion syndromeTraumatic hyphemaHepatolenticular degenerationHaematochromatosisNone of the above

17. In marfan syndrome there is usual manifestation ofKrukenberg spindlesHyphemaPtosisEctopic lensCataract

18. Common treatment for posterior uveitis isAntibioticsSympatamaticSteroidsNSAIDSBoth a and c

19. Most important infection in HIV isCMV retinitisToxoplasmosisTuberculous uveitisSarcoidosis of eyeStyphlococcus infection of lid and cornea

20. Photophobia is minimal inStyphlococcus keratitisAdenovirus keratitisHerpetic keratitisVaricella zoster keratitisExposure keratitis

21. Rarest canalicular anomalies of lacrimal system isImperforate punctaAccessory punctaCanalicular fistulaAgenesis of canalicular systemAll are common

22. Most common cause of blindness in developing countries isTrachomaOnchocerciasisXeropthalmiaLeprosyCataract

23. WHO safe strategy is given forHerpes infectionTrachoma = = =OnchocerciasisAdenovirus infections

24. Most common cause of cronic dacrocystitisHaemophilus infectionStaph aurus infectionCandida infectionNasolacrimal duct obstructionNasolacrimal duct stenosis

25. Keratomalacia is due to deficiency ofit Avit bvit cvit dvit e

26. Most common cause of visual impairment in old age isGlaucomaCataractMacular degenerationRetina; detachmentSystemic disease

27. Drug that causes retinopathy due to long term usage isChlorthiazideChloroquinineVigabatrinCorticosteroidsPhenothiazine

28. Hypopyon is seen inBacterial infectionViral infectionfungal infectionall of theseboth a and c

29. Indication for cataract surgeryUveitisGlaucomaLoss of visionRetinal diseaseBoth b and c

30. Most of the refraction occurs at the site ofAnt surface of corneaPost surface of corneaLensAqueous humorVitrous

31. Glands present at the anterior margin of eyelid areZeis glandsMoll glandsMeibomian glandsAll of theseBoth a and b

32. Proliferative diabetic retinopathy is best treated byPan retinal photocoagulationPneumatic retinopexyScleral bucklingPar plana vitrectomyGas tamponade

33. Success rate of scelral buckling in retina detachment is50%60-65%70-75%80-90%90-94%

34. Vitreous is composed mostly ofCollagen fiber matrixHyauronic acidWaterAll three are in equal proportion

35. Surgical treatment for myopia with minimal complicationsClear lens extractionLasikContact lenses or spectaclesLasekPrk

36. Treatment for after cataract surgery consequences isExtra capsular extractionCo2 laser surgeryYaq laserArgon laserPhecoemulsification

37. Pigmented retinal scar or macular hole is seen inCentral serous chorioretinopathyCommotion retinaeMyopic eyeMacular edemaAngiod streaks

38. Most common age related corneal degeneration isArcus seniliskeratoconusband keratopathySalzmann s nodular degenerationDroplet keratopathy

39. Large ant chamber is seen in conditionMyopiaGlaucomaHyperopiaAstigmatismPresbyopia

40. Refractive index of cornea is11.31.51.82

41. Immediate treatment of acute angle closure glaucoma isAcetazolamideapraclonidinepilocarpineepinephrinemannitol

42. Rubeosis iridis is seen inCentral retinal vein occlusionCentral retinal artery occlusionHypertensionHyperthyroidismGlaucoma

43. Best examination for lens is withSlit lamp onlySlit lamp and dilated pupilDirect ophthalmoscopeIndirect ophthalmoscopeFundoscope

44. Most common acquired cause of cataract in young patientsSmokingConnective tissue disorderTraumaInfectionMalignancy of any part of eye

45. Visual acquity of 1/60 implies that a person isLow visionMyopicHyperopicPresbyopicLegally blind

46. Most common type of myopia isAxialcurvaturerefractivesimpleall of these are equally frequent

47. Symptoms with which a person present with spring catarrha areSevere itching ropy dischargeexudationtearingprearicular adenopathyhyperemia and itching

48. Aqueous humor isProteineous material in ant chamberWatery material in ant chamberWatery material in post chamberConnective tissue material in ant chamber

49. Prulent conjunctivitis is caused byGram positive cocciGram negative cocciGram positive bacilliGram negative bacilliAcid fast bacteria

50. Profuse tearing occur inViral conjunctivitisBacterial = = =Chlamydial = = =Allergic = = =All of these

51. Sore throat and fever are occasionally associated withViral conjunctivitisBacterial = = =Chlamydial = = =Allergic = = =Both a and b

52. Infection associated with soft contact lens usingHerpesStaphylococcusAcanthomamebaFungal infectionAdenovirus

53. Characteristic finding associated with pharangioconjuctival fever isNon tender lymph nodesTender lymph nodesRaspberry tonguetonsilitisprulent conjunctivitis

54. Herberts pits are found inTrachomaEctropionFungal keratitisHerpetic keratitisNone of these

55. Sceleral buckling is done inProliferative diabetic retinopathyRetina detachmentRetinal edemaRetinal hemorrhageAngiod streaks

56. Regarding keratoconusDegenerative unilateral common diseaseAssociated with turner syndromeCorneal clouding and pointing of cornea are symptomsVogts lines are found in basements membraneIs one of the coomon indications for corneal transplant

57. Regarding Salzmann s nodular degenerationDegeneration of superficial layer occursDeep layer degeneration occursRigid lenses have no effective roleSymptoms include itchingFleischer s rings are visible in cornea

58. Earliest finding in diabetic retinopathy isMicro aneurysmMacro aneurysmBoth of aboveNone of above

59. Glaucoma causesCentral 30 degree field lossCentral 60 degree field lossPeripheral 30 degree field lossPeripheral 60 degree field loss

60. Tractional retinal detachemnet occur inDiabetesHypertensionCarotid artery stenosisPolycythemiaarteritis

61. Major complication of trachoma that can cause blinding isCorneal scaring and entropionFollicles formationPapillary hypertrophyCorneal scaring and ectropion

62. Ideal site for intacapasular lens transplant isPosterior chamberAnterior chamberVitreousAqueous humorBoth a and d are favourable

63. Most common cause of optic atrophy in young patients isMultiple sclerosisTobacco and alcohol amblyopiaDrug induced optic atrophytraumaincreased intracranial pressure

64. Most common cause of proptosis in children isDermoidSinus mucceleMeningoceleOrbital cellulitisRetinoblastoma

65. Most common epithelial tumor of lacrimal gland isSq cell carcinomaPleomorphic adenomaAdenoid cystic tumorMixed tumorAdenosarcoma

66. The lesions to optic chiasma are most due toBony erosionPituitary gland tumorsCraniophrangiomaHemangioma of cavernous sinusAll causes are frequent

67. Which of the following is not associated with amaurosis fuqax (transient retinal ischemia)Retinal emboliArterial diseaseHaematologic diseaseMechanical diseaseHyperthyroidism

68. Probable diagnosis of painless visual loss within period of seconds is due toTraumaRetinal detachementMacular edemaCommotio retinaeCebtrak retinal artery occlusion

69. Reduced visual acuity in the absence of detectable anatomic defect in the eye or visual pathway isAmetropiaAmblyopiaXerosisScotomaPresbyopia

70. Which condition is not associated glaucomaRubeosis iridisUveal tract melanomaChandler s syndromeUveitisCorneal degenerative diseases

71. Cause of glaucoma in pleateau iris is due toDepth of ant chamber is very shallowAnt position of ciliary processOcclusion of mesh formationAniridiaLens dislocation

72. Glaucoma is more common inMyopic personsAstigmatic personsHyperopic personsCorneal degenerationBoth a and b

73. Keratic precipitates if found are usually located inCalots triangleArlt s triangleHeislebach triangleMayo triangle

74. Keratorefractive surgery impliesChanging curvature of ant eye surfaceSurgery to treat myopiaSurgery to treat hyperopiaSurgery to treat glaucoma

75. Retinoblastoma is associated in some cases withOsteoid osteomaOsteomaOsteosarcomaFibrosarcomaLiposarcoma

01 A 26 C 51 E 02 C 27 B 52 C 03 D 28 E 53 A 04 B 29 C 54 A 05 D 30 A 55 B 06 D 31 E 56 E 07 B 32 A 57 A 08 A 33 E 58 A 09 E 34 C 59 A 10 D 35 B 60 A 11 A 36 C 61 A 12 D 37 B 62 A 13 A 38 A 63 A 14 C 39 A 64 D 15 B 40 B 65 B 16 41 A 66 B 17 D 42 A 67 E 18 C 43 B 68 E 19 A 44 C 69 B 20 C 45 E 70 E 21 D 46 A 71 B 22 E 47 A 72 A 23 B 48 A 73 B 24 D 49 B 74 A 25 A 50 A 75 C

Eye Bcqs part 21.The first line of treatment in chemical injury isa. admission if severeb. topical antibioticsc. topical cycloplegiad. neutralization of pH by irrigatione. oral analgesia

2.In blow out fracture the commonest bone to fracture isa. maxillary (floor)b. zygomatic (lateral wall)c. lachrymal (medial wall)d. frontal (roof)e. ethmoidal (medial wall)

3.Following are the features of orbital floor fracturea. diplopa on upgaze and downgazeb. damage to supra-orbital nervec. haemoptysisd. numbness of lateral canthuse. haziness of ethmiodal sinus on x ray

4.The commonest painless lid swelling isa. styeb.cyst of mollc.cyst of zeisd.internal hordeolume. chalazion

5.The most commont cause of proptosis isa. orbital infectionb. orbital hemorrhagec. orbital tumord. orbital pseudo-tumore. thyroid ophthalmopathy

6.A patient presents with red eye, decreased visual acuity, raised Intraocular pressure & shallow anterior chamber. The likely diagnosis isa. cataractb. open angle glaucomac. retinal detachmentd. hyphemae. acute angle closure glaucoma

7.Female with uncontrolled diabetes presents with painful red eye and visual acuity is also decreased. On examination there was raised Intraocular Pressure and new blood vessels on the iris. The treatment includes all except.a. atropineb. beta blockersc. steriodsd. pain killerse. pilocarpine

8.The commonest cause of cataract isa. traumab. diabetesc. hypo-parathyroidismd. TORCH infectionse. old age

9.Regarding Phaco-Emulsification, better visual outcome is expected whena. Operation is performed via superior clear corneal incisionb. Operation is performed via superior scleral tunnel incisionc. Operation is performed via supero-temperal clear corneal incisiond. Operation is performed via temporal clear corneal incisione. Operation is performed via temporal scleral tunnel operation

10.Phaco-Emulsification is done except ina. Immature cataractb. Mature cataractc. Hyper-mature cataractd. Hype-mature morgagnian cataracte. Dislocated cataract

11.On gonioscopy following structures are visiblea. Most anterior is bowmans layerb. Next is trabecular meshworkc. Next scleral spurd. Next ciliary bodye. And lastly iris recess

12.In Addition to High IOP and High vertical cup-disc ratio, risk factors for POAG include all of the following excepta.Old ageb.Family historyc.Retinal nerve fibre defectsd.Parapapillary changese.Hypermetropia

13.The earliest visual field defect in POAG isa.Isolated paracentral nasal scotomab.Bjerrums scotomac.Arcuate scotomad.Altitudinal Scotomae.Centrocecal scotoma

14.Chronic simple glaucoma, is a generally bilateral, but not always symmetrical disease, characterized by:a. An IOP 21mmHg.b. Angle grade II.c. Glaucomatous optic nerve head damage.d. Altitudinal field defects

15.Specific sign of glaucomatous damage isa. Baring of circumlinear blood vesselsb. Bayonetingc. The laminar dot signd. Disc haemorrhagese. Superior or inferior polar notching of the cup

16.in myopiaa. Length of eye ball is shortb. Corneal radius of curvature is lessc. Lens is less sphericald. Image forms in front of the retina when the patient accommodatese. Patient can see far objects clearly when he exerts accommodation

17.Symptoms of cataract include all of the following excepta. Halosb. Decreased vision in low illuminationc. Decreased vision in bright lightd. Glaree. Sudden loss of vision

18.Treatment options in POAG may include all excepta. pilocarpineb. beta blockersc. prostaglandin analoguesd. carbonic anhydrase inhibitorse. atropine

19.WHO grading of trachoma includes all excepta. TF folliclesb. TI inflammationc. TS scarringd. TT trichiasise. TP pannus

20.Least common cause of sudden loss of vision isa. Vitreous hemorrhageb. Optic neuritisc. Central retinal venous occlusiond. Central retina artery occlusione. Retinal detachment

21.Best vision in moderate myopia is achieved bya. glassesb. soft contact lensesc. rigid gas permeable lensesd. Laser vision correction procedurese. kerato-melieusis

22.Complications of contact lenses include all of the following excepta. Allergyb. Corneal infiltratesc. Corneal ulcerd. Permanent loss of visione. Corneal pigmentation

23.Pupil in acute anterior uveitis isa. miosed and regular with poor reactionb. miosed and irregular with poor reactionc. dilated and irregular with good reactiond. dilated and regular with poor reactione. mid-dilated and oval with poor reaction

24.According to WHO a person is blind whena. vision in better eye is less than 2/60 and/or visual field is less than 30 degrees in better eyeb. vision in better eye is less than 3/60 and/or visual field is less than 30 degrees in better eyec. vision in better eye is less than 3/60 and/or visual field is less than 20 degrees in better eyed. vision in better eye is less than 3/60 and/or visual field is less than 60 degrees in better eyee. vision in better eye is less than 5/60 and/or visual field is less than 30 degrees in better eye

25.The most common cause of reduced vision in the world isa. trachomab. diabetic retinopathyc. refractive errorsd. glaucomae. cataract

26.Ayoung male of 22years present with gradual decrease of visual acuity in both eyes and change of refractive error on examination with retinoscope there was high astigmatism. Give likely diagnosis?a.keratoglobusb.keratoconusc.megalocornead.buphthalmose.keratitis

27.A young boy presented in emergency with watering and photophobia in right eye. Which test is appropriate?a. Schirmer testb.Tear breakup timec.Rose Bengal stainingd.Applanation tonometrye.Flouroscine staining

28.When the eye is medially rotated, the prime depressor muscle of eye balla.Inferior rectusb.Inferior obliquec.Superior obliqued.Inferior rectus and inferior obliquee.Lateral rectus

29.A patient on slit lamp examination shows hypopyeon in anterior chamber after trauma, which is due toa.Pus in anterior chamberb.Cells in anterior chamberc.Protein in anterior chamberd.Blood in anterior chambere.Foreign body in anterior chamber

30.A patient have blunt trauma with tennis ball and having hyphema, which isa.Pus in anterior chamberb.Foreign body in anterior chamberc.Uveal tissued.Blood in anterior chambere.Cells in anterior chamber31.Calculation of IOL power is calleda. Biometryb. Pachymetryc. Tonometryd. Keratometrye. Ophthalmoscopy

32.Benign tumors of eye excepta.Limbal dermoidb.Chlazionc.Orbital cystd.Dermoid cyste.Rhabdomyosarcoma

33.An infant presented with sticky discharge both eyes and extreme congestion of conjunctiva. Provisional diagnosis is the ophthalmia neonatroum which is caused bya. Gonococcusb. E.Colic. Staph.aureousd. Streptococcuse. Diphtheria

34.Timolol isa.Beta blockerb.Carbonic anhydrase inhibitorc.Antibioticd.Alpha blockere.Calcium channel blocker

35.Aphakia can be corrected by followinga. Specticlesb. Contact lensesc. Anterior chamber IOLd. Posterior chamber IOLe. All of above

36.A patient presented with diplopia in primary position along with ptosis in left eye. The eye was deviated infrolaterally. The diagnosis will bea. Fourth nerve palsyb. Third nerve palsyc. Sixth nerve palsyd. Seventh nerve palsye. All above

37.Retinoscopy is done fora. Examination retinab. Examination optic nervec. Refractive power of eyed. Axial length of eyee. To find out the power of IOL

38.A patient presented with sudden painless loss of vision in left eye. Patient is known diabetic. How you are going to examine the patient excepta. Retinoscopyb. Direct ophthalmoscopyc. Indirect ophthalmoscopyd. Slit lamp examinatione. Examination with triple mirror

39.A young patient presented with Rosette shaped cataract which is characteristic ofa. Senile cataractb. Complicated cataractc. Secondary to diabetesd. Radiation induced cataracte. Traumatic cataract with blunt trauma

40.A patient presented with photophobia and watering in left eye. On examination with fluorescein staining revealed dendritic ulcer which is caused bya. Staphylococcib. Fungalc. Herpes simplex virusd. Herpes zoster viruse. Mycobacterium

41.Distichiasis isa.Misdirected eye lashesb.Accessory row of lashesc.Everted lid margind.Inverted lid margine.Drooping of upper lid

42.Traucoma is associated with excepta. Tranatas dotsb. Folliclesc. Papillaed. Herbit pitse. Corneal pannus

43.Nasolacrimal duct opens ina. Superior meatusb. Inferior meatusc. Middle meatusd. Nasopharynxe. None of above

44. A patient of 45 years old presented with facial palsy. The epiphora in this patient was due toa.Ectropionb.Entropionc.Lagophthalmosd.Lacrimal pump failuree.Hyper screction of tears

45.foreign body sensation can be produced by all excepta.Allergic conjunctivitisb.Viral conjunctivitisc.Cataractd.Contact lens weare.Trichiasis

46.Exophthalmos associated with thyroid ophthalmopathy have following clinical signs excepta.Proptosisb.Ptosisc.Lid retractiond.Conjunctival chemosise.Extraocular muscle thickening

47.A patient presented with gross decrease of vision. On torch examination there was conjunctival congestion and pupil miosed. Which is the probablediagnosisa.Anterior uveitisb.Acute congestive glaucomac.Conjunctivitisd.Scleritise.Foreign body

48. A patient with sudden painless loss of vision and no fundal view was possible. Which of the investigation is helpful to see the retina.a.Keratometryb.Pachymetryc.B-Scand.A-Scane.Indirect ophthmoscopy

49. A hypertensive and diabetic patient presented with sudden painless loss of vision. What are the possibilities excepta.CRAOb.CRVOc.Vitrous Hemorrhaged.Retinal detachmente.Neovascular glaucoma

50. Myopia is a condition which isa.Farsightednessb.Correction with concave lensc.Correction with convex lensd.Image formed behind the retinae.Eye ball is small

51. Hypermetropia is a condition in which excepta.Axial length of eye ball is smallb.Correction with convex lensc.Image formed behind the retinad.Refractive error can be diagnosed by retinoscopye.Rays of light converged behind the retina when accommodation reflex is active

52. A patient who was operated for cataract four months back comes to you with foggy vision. On examination there was posterior capsular thickening, which mode of treatment is most useful.a.Excimer laserb.YAG-Laserc.Argon laserd.Krypton lasere.Diode laser

53. In diabetic retinopathy the new vessel formation is due to following pathologya.Retinal hemorrhageb.Vitreous hemorrhagec.Retinal oedemad.Retinal ischemiae.Retinal breaks

54. Esotropia isa.Divergent squintb.Latent convergent squintc.Associated with accommodation reflexd.Associated with accommodation and hypermetropiae.None of above

55. Exophoria isa.Latent convergent squintb.Alternate divergent squintc.Associated with accommodation reflexd.Latent divergent squinte.None of above

56. Which of the following regarding atropine is truea.Increases IOPb.Used in neovasular glaucomac.Miosisd.Atropine is weak cycloplegice.All of above

57. Pathognomic clinical signs of proliferative diabetic retinopathy isa.Micro aneurysmsb.Hard exudatesc.Deep retinal hemorrhagesd.Neovascularization of retinae.Vitreous hemorrhage

58. A child of one year old presented with watering in left eye and sticky discharge. On examination regurgitation test was positive. What is the diagnosis?a.Nasolacrimal duct blockb.Common canaliculus blockc.Punctal atresiad.Buphthalmose.None of above

59. Regarding probing and syringing test, which statement is truea.Recommended for acute dacryocystitisb.Regurgitation is positivec.Congental nasolacrimal duct blockd.Chronic dacryocystitis in old agee.None of above

60. Optic disk oedema is seen in all excepta.Papilloedemab.CRVOc.Open angle glaucomad.Hypertensive retinopathye.Papilitis