MCQs
Prof Dr. Ashraf EL-Desouky
The leading cause of preventable
blindness worldwide;
Senile cataract
Age related macular degeneration
Glaucoma
Diabetic retinopathy
trachoma
The term “mature cataract”
means
• A nuclear cataract present more than 10
years
• A posterior subcapsular cataract that
reduces visual acuity to 6/60 or worse
• A cortical cataract that involves the
entire cortex
• An anterior subcapsular cataract that
causes capsular wrinkling.
Criteria of mature senile
cataract
Visual acuity HM
Absent RR
Absent iris shadow
All of the above
Topical steroids are
contraindicated except in
• Phlectenular fasicular ulcer
• Dendritic ulcer
• Typical hypopyon ulcer
• Atypical hypopyon ulcer
The commonest sign of Graves’
disease
• Exophthalmos
• Lid retraction
• Diplopia
• Peri orbital edema
• Conjunctival chemosis
Acute proptosis may be
due to
• Trauma
• Orbital cellulitis
• Rhabdomyosarcoma
• All of the above
Enophthalmos may be due to
• Trauma
• Cachexia
• Post radiotherapy
• Secondaries of breast scirrhus
carcioma
• All of the above
The commonest cause for night
blindness
• Congenital
• Vitamine A defficiency
• Nuclear cataract
• Retinitis pigmentosa
• Liver diseases
The only staphyloma with
normal IOP is
• Partial anterior staphyloma
• Ciliary staphyloma
• Intercalary staphyloma
• Equatorial staphyloma
• Posterior staphyloma
Ectropion of the upper
eyelid may be
Senile
Paralytic
Congenital
Non of the above
Episcleritis is similar to phlycten
clinically but differs in being
tender
flat
Pigmented
multiple
Pneumococci can cause
Acute dacryocystitis
Chronic dacryocystitis
Atypical hypopyon ulcer
Ulcerative blepharitis
Staphyloococci can cause
Acute dacryocystitis
stye
Atypical hypopyon ulcer
Ulcerative blepharitis
All of the above
Etiology of ptrygium
• Neoplastic
• Infection
• Inflamation
• degenerative
Endogenous septic focus
may cause All except :
• Phlycten
• Hypopyon ulcer
• Iridocyclitis
• Metastatic endophthalmitis
Optic nerve head in
glaucomatous optic atrophy has
all except;
• Large deep cup
• Interrupted retinal vessels
• Waxy yellow colour
• Overhanging margins
Doctor sees nothing&
patient sees nothing in
• Papillitis
• Papilloedema
• Retrobulbar neuritis (toxic
amblyopia)
• All of the above
Which of the following ttt is
used for optic neuritis
• prednisolon
• Observation
• Antibiotics
• Atropine
Papilloedema leads to:
• Rapid deterioration of vision
• Primary optic atrophy
• Pain on eye movements
• Optic disc edema more than 3 D
Papilloedema leads to the
following changes:
• Nasal step
• Arcuate scotoma
• Cocentric contraction of peripheral
Feild
• Enlarged blind spot
Consecutive optic atrophy
occurs in allexcept
• Degenerative myopia
• Chorioretinitis
• CRAO
• CRV thrombosis
Afferent pupillary defect occurs
in: All except
• Papillitis
• Hysteria
• Optic atrphy
• Retrobulbar neuritis
Rapid painful loss of
vision
In all except
• AACG
• Blunt trauma
• Alkali burn
• CRAO
CILIARY INJECTION
In all except;
• AACG
• CORNEAL ULCEER
• ANTERIOR UVEITIS
• EPISCLERITIS
All the following are signs
of lens sublaxation except;
• Phakodenesis
• Iridodnesis
• Irrigular anterior chamber
• Intact all zonule
All of the following are lens
induced glaucoma except;
• Phaco morphic glaucoma
• Phacoanaphylactic glaucoma
• Phacolytic glaucoma
• Neovascular glaucoma
The eye susceptible to
AACG
• Hypermetropic eye
• Myopic eye
• Astigmatic eye
• Aphakic eye
In an acute angle closure
glaucoma’ the choice of
surgery is decided after
• Gonioscopic examination
• Fundus examination
• Tonometry
• Visual field examination
All of the following are the characteristics
of glaucomatus cup except
• Large deep cup
• Overhanging margins
• Retinal vessels appear broken at
the margin
• Lamina criprosa is not visible
Acetazolamide lowers
IOP by
• Decreased aquous production
• Increased aquous drainage
• Lower episcleral venous peressure
• All of above
B. Blockers lower IOP by
• Decreased aquous production
• Increased aquous drainage
• Lower episcleral venous peressure
• All of above
Pre auricular
lymphadenopathy
Occurs with the following
conjunctivitis
• Vernal keratoconjunctivitis
• Phlyctenular keratoconjunctivitis
• Viral conjunctivitis
• Angular conjunctivitis
Tremulous iris can be
seen in:
• Aphakia
• Sublaxation of the lens
• Hypermature cataract
• Posterior dislocation of the lens
• All of above
Posterior polar cataract markedly
affects vision because:
• Its shadow lies on the macula
• Close to the nodal point
• It matures early
• It blocks the pupillary area
Nuclear cataract changes the
refraction of the eye into
• Myopia
• Hypermetropia
• Astigmatism
• No change
Most common cause of diminution
of vision after ECCE is
• Cystoid macular edema
• Posterior capsule opacification
• Corneal decompansation
• Retinal detachment
The best treatment for Posterior
capsule opacification
• Surgical excision
• Laser opening
• Surgical polishing
• Leave alone
The type of laser used to treat
Posterior capsule opacification
• Yag laser
• Argon laser
• Diode laser
• Excimer laser
All of the following types of
entropion are known except
• Spastic entropion
• Senile entropion
• Paralytic entropion
• Cicatricial entropion
All of the following are causes
of lagophthalmos except
• Facial nerve palsy
• Proptosis
• Cicatricial ectropion
• Third nerve paralysis
Ectropion of the upper
lid most commonly;
• Spastic ectropion
• Senile ectropion
• Paralytic ectropion
• Cicatricial ectropion
Munson’ sign in:
Corneal fistula
Corneal dystrophy
Keratoconus
Corneal facet
In corneal edema all
except:
There is increase in corneal diameter
There is increase in corneal thickness
Cloudy cornea
Predispose to Corneal vascularization
Corneal damage with trachoma is due
to:
trichiasis
dryness
Lagophthalmos and exposure
All of the above
Double staining pattern of the
cornea is characteristic for:
Fungal corneal ulcer
Herpetic corneal ulcer
Exposure keratopathy
Acanthaembic corneal ulcer
Corticosteroids is given
in:
Bacterial corneal ulcer
Herpetic corneal ulcer
Fasicular phlyctenular ulcer
Stromal fungal keratitis
Tarrsorraphy is essential
in:
Bacterial corneal ulcer
Viral corneal ulcer
Exposure keratopathy
Traumatic corneal ulcer
Blood staining of the cornea is due
to:
Hyphema
Hyphema with rise of IOP
Corneal edema
Corneal FB
The pupil in acute Ant.
Uveitis is:
Constricted
Dilated
Festooned
Vertically oval
Infective corneal ulcers
include:
Bacterial corneal ulcer
Fungal corneal ulcer
Mooren’s ulcer
Viral corneal ulcer
In treating bacterial corneal
ulcer all except:
Antibiotics drops
Vitamin A,C
Mydriatics and cycloplegics drops
Corticosteroids drops
All of the following are non-
specific signs in conjunctivitis
except
Subconjunctival hemorrhage
Papillae
Follicles
pseudomembranes
In buphthalmos we should
exclude all of the following
• Except
Retinoblastoma
Megalocornea
High myopia
Babies of diabetic mothers
In buphthalmos which of the
following is a late presentation
Lacrimation and sneezing
Optic cupping
Enlarged hazy cornea
Flattened sublaxated lens
In a patient with HM vision,
visual feild can be tested by;
Projection of light
Cofrentation test
Automated perimetry
Bjerrum screen
Which of the following is
not a test for visual feild
Projection of light
Cofrentation test
Automated perimetry
Bjerrum screen
Percepton of light
Glaucoma inversus can occur
in
Post sublaxated lens
Post dislocated lens
Intumescent cataract
Non of the above
Glaucoma inversus can be
treated by:
Pilocarpine + anti-inflammatories
Pilocarpine + removal of the lens
Atropine
cyclocryotherapy
Amaurotic cat’s eye reflex,
In all except
Retinoblastoma
PHPV
Coat’s disease(retinal telangiectasia
Toxocara
MM choroid
Third C nerve innervate all
except
• Superior oblique muscle
• Levator palpebre muscle
• Inferior oblique muscle
• Medial rectus muscle
Horner’s syndrome
Ptosis + myosis + enophthalmos +
anhydrosis
Ptosis + mydriasis + enophthalmos +
anhydrosis
lagophthalmos + myosis +
enophthalmos + anhydrosis
diplopia + myosis + enophthalmos +
anhydrosis
