MCQs MCQs
Prof Dr. Ashraf EL-Desouky
The leading cause of preventable blindness worldwide;
1. 1. 2. 3. 4. Senile cataract Age related macular degeneration Glaucoma Diabetic retinopathy trachoma
The term mature cataract means
1. A nuclear cataract present more than 10 years 2. A posterior subcapsular cataract that reduces visual acuity to 6/60 or worse 1. A cortical cataract that involves the entire cortex 1. An anterior subcapsular cataract that causes capsular wrinkling.
Criteria of mature senile cataract
1. 2. 3. 1. Visual acuity HM Absent RR Absent iris shadow All of the above
Topical steroids are contraindicated except in 1. 1. 2. 3. Phlectenular fasicular ulcer Dendritic ulcer Typical hypopyon ulcer Atypical hypopyon ulcer
The commonest sign of Graves disease
1. 1. 1. 2. 3. Exophthalmos Lid retraction Diplopia Peri orbital edema Conjunctival chemosis
Acute proptosis may be due to
1. 2. 3. 1. Trauma Orbital cellulitis Rhabdomyosarcoma All of the above
Enophthalmos may be due to
1. 2. 3. 4. Trauma Cachexia Post radiotherapy Secondaries of breast scirrhus carcioma 1. All of the above
The commonest cause for night blindness 1. 1. 2. 3. 4. Congenital Vitamine A defficiency Nuclear cataract Retinitis pigmentosa Liver diseases
The only staphyloma with normal IOP is
1. 2. 3. 4. 1. Partial anterior staphyloma Ciliary staphyloma Intercalary staphyloma Equatorial staphyloma Posterior staphyloma
Ectropion of the upper eyelid may be
1. 2. 3. 1. Senile Paralytic Congenital Non of the above
Episcleritis is similar to phlycten clinically but differs in being
1. 1. 2. 3. tender flat Pigmented multiple
Pneumococci can cause
1. 1. 1. 2. Acute dacryocystitis Chronic dacryocystitis Atypical hypopyon ulcer Ulcerative blepharitis
Staphyloococci can cause
1. 2. 3. 4. 1. Acute dacryocystitis stye Atypical hypopyon ulcer Ulcerative blepharitis All of the above
Etiology of ptrygium
1. 2. 3. 1. Neoplastic Infection Inflamation degenerative
Endogenous septic focus may cause All except :
1. 1. 1. 2. Phlycten Hypopyon ulcer Iridocyclitis Metastatic endophthalmitis
Optic nerve head in glaucomatous optic atrophy has all except;
1. 2. 1. 1. Large deep cup Interrupted retinal vessels Waxy yellow colour Overhanging margins
Doctor sees nothing& patient sees nothing in
1. Papillitis 2. Papilloedema 1. Retrobulbar neuritis (toxic amblyopia) 1. All of the above
Which of the following ttt is used for optic neuritis
1. 1. 2. 3. prednisolon Observation Antibiotics Atropine
Papilloedema leads to:
1. 2. 3. 1. Rapid deterioration of vision Primary optic atrophy Pain on eye movements Optic disc edema more than 3 D
Papilloedema leads to the following changes:
1. Nasal step 2. Arcuate scotoma 3. Cocentric contraction of peripheral Feild 1. Enlarged blind spot
Consecutive optic atrophy occurs in allexcept
1. 2. 3. 1. Degenerative myopia Chorioretinitis CRAO CRV thrombosis
Afferent pupillary defect occurs in: All except 1. 1. 1. 2. Papillitis Hysteria Optic atrphy Retrobulbar neuritis
Rapid painful loss of vision
In all except 1. AACG 2. Blunt trauma 3. Alkali burn 1. CRAO
CILIARY INJECTION
In all except;
1. 2. 3. 1. AACG CORNEAL ULCEER ANTERIOR UVEITIS EPISCLERITIS
All the following are signs of lens sublaxation except;
1. 2. 3. 1. Phakodenesis Iridodnesis Irrigular anterior chamber Intact all zonule
All of the following are lens induced glaucoma except;
1. 2. 3. 1. Phaco morphic glaucoma Phacoanaphylactic glaucoma Phacolytic glaucoma Neovascular glaucoma
The eye susceptible to AACG
1. 1. 2. 3. Hypermetropic eye Myopic eye Astigmatic eye Aphakic eye
In an acute angle closure glaucoma the choice of surgery is decided after
1. 1. 2. 3. Gonioscopic examination Fundus examination Tonometry Visual field examination
All of the following are the characteristics of glaucomatus cup except
1. Large deep cup 2. Overhanging margins 3. Retinal vessels appear broken at the margin 1. Lamina criprosa is not visible
Acetazolamide lowers IOP by
1. 1. 2. 3. Decreased aquous production Increased aquous drainage Lower episcleral venous peressure All of above
B. Blockers lower IOP by
1. 1. 2. 3. Decreased aquous production Increased aquous drainage Lower episcleral venous peressure All of above
Pre auricular lymphadenopathy
Occurs with the following conjunctivitis 1. Vernal keratoconjunctivitis 2. Phlyctenular keratoconjunctivitis 1. Viral conjunctivitis 1. Angular conjunctivitis
Tremulous iris can be seen in:
1. 2. 3. 4. 1. Aphakia Sublaxation of the lens Hypermature cataract Posterior dislocation of the lens All of above
Posterior polar cataract markedly affects vision because: 1. 1. 1. 2. 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
1. 1. 2. 3. Myopia Hypermetropia Astigmatism No change
Most common cause of diminution of vision after ECCE is 1. 1. 1. 2. Cystoid macular edema Posterior capsule opacification Corneal decompansation Retinal detachment
The best treatment for Posterior capsule opacification
1. 1. 1. 2. Surgical excision Laser opening Surgical polishing Leave alone
The type of laser used to treat Posterior capsule opacification
1. 1. 2. 3. Yag laser Argon laser Diode laser Excimer laser
All of the following types of entropion are known except
1. 2. 1. 1. Spastic entropion Senile entropion Paralytic entropion Cicatricial entropion
All of the following are causes of lagophthalmos except
1. 2. 3. 1. Facial nerve palsy Proptosis Cicatricial ectropion Third nerve paralysis
Ectropion of the upper lid most commonly;
1. 2. 3. 1. Spastic ectropion Senile ectropion Paralytic ectropion Cicatricial ectropion
Munson sign in:
1. 2. 1. 1. Corneal fistula Corneal dystrophy Keratoconus Corneal facet
In corneal edema all except:
1. 1. 2. 3. 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:
1. 2. 3. 1. trichiasis dryness Lagophthalmos and exposure All of the above
Double staining pattern of the cornea is characteristic for:
1. 1. 1. 2. Fungal corneal ulcer Herpetic corneal ulcer Exposure keratopathy Acanthaembic corneal ulcer
Corticosteroids is given in:
1. 2. 1. 1. Bacterial corneal ulcer Herpetic corneal ulcer Fasicular phlyctenular ulcer Stromal fungal keratitis
Tarrsorraphy is essential in:
1. 2. 1. 1. Bacterial corneal ulcer Viral corneal ulcer Exposure keratopathy Traumatic corneal ulcer
Blood staining of the cornea is due to: 1. 1. 1. 2. Hyphema Hyphema with rise of IOP Corneal edema Corneal FB
The pupil in acute Ant. Uveitis is:
1. 1. 2. 3. Constricted Dilated Festooned Vertically oval
Infective corneal ulcers include:
1. 2. 1. 1. Bacterial corneal ulcer Fungal corneal ulcer Moorens ulcer Viral corneal ulcer
In treating bacterial corneal ulcer all except:
1. 2. 3. 1. Antibiotics drops Vitamin A,C Mydriatics and cycloplegics drops Corticosteroids drops
All of the following are nonspecific signs in conjunctivitis except
1. 2. 1. 1. Subconjunctival hemorrhage Papillae Follicles pseudomembranes
In buphthalmos we should exclude all of the following
1. 2. 3. 1. Except Retinoblastoma Megalocornea High myopia Babies of diabetic mothers
In buphthalmos which of the following is a late presentation
1. 1. 1. 2. Lacrimation and sneezing Optic cupping Enlarged hazy cornea Flattened sublaxated lens
In a patient with HM vision, visual feild can be tested by;
1. 1. 2. 3. Projection of light Cofrentation test Automated perimetry Bjerrum screen
Which of the following is not a test for visual feild
1. 2. 3. 4. 1. Projection of light Cofrentation test Automated perimetry Bjerrum screen Percepton of light
Glaucoma inversus can occur in
1. 2. 1. 1. Post sublaxated lens Post dislocated lens Intumescent cataract Non of the above
Glaucoma inversus can be treated by:
1. 1. 1. 1. Pilocarpine + anti-inflammatories Pilocarpine + removal of the lens Atropine cyclocryotherapy
Amaurotic cats eye reflex, In all except
1. 2. 3. 4. 1. Retinoblastoma PHPV Coats disease(retinal telangiectasia Toxocara MM choroid
Third C nerve innervate all except
Superior oblique muscle Levator palpebre muscle Inferior oblique muscle Medial rectus muscle
Horners syndrome
1. Ptosis + myosis + enophthalmos + anhydrosis 1. Ptosis + mydriasis + enophthalmos + anhydrosis 2. lagophthalmos + myosis + enophthalmos + anhydrosis 3. diplopia + myosis + enophthalmos + anhydrosis
