MCQs for revision ophthalmology


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MCQs for revision ophthalmology

  1. 1. REVISION MCQs MCQs Professor Osama Shalaby 1
  3. 3. Pay attention to the head Single answer pattern Single answer pattern 3
  4. 4. blindness worldwide;• Senile cataract• Age related macular degeneration• Glaucoma• Diabetic retinopathy• Trachoma
  5. 5. blindness in Egypt:• Senile cataract• Age related macular degeneration• Glaucoma• Diabetic retinopathy• Trachoma
  6. 6. All of the following types ofentropion are known except• Spastic entropion• Senile entropion• Paralytic entropion• Cicatricial entropion
  7. 7. All of the following are causes of lagophthalmos except• Facial nerve palsy• Proptosis• Cicatricial ectropion• Third nerve paralysis
  8. 8. Corneal ulcers can occur with the following CN disorders• VII CN palsy• III CN affections• VI CN paralysis• IV CN paralysis
  9. 9. Ectropion of the upper lid most commonly:• Spastic ectropion• Senile ectropion• Paralytic ectropion• Cicatricial ectropion
  10. 10. Ectropion of the upper eyelid may be:• Senile• Paralytic• Congenital• Non of the above
  11. 11. A patient suffered from acuteonset of facial palsy, the first line of treatment is:• Frequent ocular lubrication.• Lateral tarsorrhaphy• Topical corticosteroids.• Levator muscle resection.
  12. 12. The levator palpebrae superioris isinserted into the followingstructures except: • Skin of upper eye lid • Upper border of tarsus • Bulbar conjunctiva • Medial orbital margin & medial palpebral ligament
  13. 13. Rolling in of the lid margin can be due to:• Thermal injury of lid skin• Facial palsy• Trachoma• Ophthalmoplegia
  14. 14. The most important examination in case of congenital ptosis is: • The state of extraocular muscles • Fundus examination • Amount of levator function • Pupillary light reflex
  15. 15. Stye is an acute suppurative inflammation of:• Meibomian glands• Accessory lacrimal glands• Zeiss glands of the lash follicles• Lid margin
  16. 16. A female patient C / O diffusehyperemic lid margin with multiplegrayish yellow crustations covering the lashes. The best treatment is: • Epilation of affected lashes • Electrolysis • Hot fomentations and local antibiotics • Systemic corticosteroids
  17. 17. In recurrent squamous blepharitis you should: • Give long acting corticosteroids • Give long acting antibiotics • Correct any refractive errors • Give maintenance dose of vitamins.
  18. 18. Chalazion is defined as:• Acute suppurative inflammation of meibomian glands• Chronic suppurative inflammation of meibomian glands• Chronic inflammatory lipogranuloma of meibomian glands.• Chronic non granulomatous inflammation of meibomian glands
  19. 19. Tarrsorraphy is essential in:• Bacterial corneal ulcer• Viral corneal ulcer• Exposure keratopathy• Traumatic corneal ulcer
  20. 20. Chalazion can cause the following complications except: • Irrigular astigmatism • Mechanical ptosis • Anterior uveitis • Internal hordeolum
  21. 21. A male patient is C / O chronic eye lid redness and frequent loss of lashes. The most propable diagnosis is The most propable diagnosis is • Cicatricial entropion • Squamous blepharitis • Ulcerative blepharitis • Active trachoma
  22. 22. A case presented with hypermic lid margin, matting of eye lashes, yellow crustations. The treatment include all the following except: • Local lid hygeine • Rubbing the lid margin by antibiotic ointment • Elctrolysis • Systemic antibiotic
  23. 23. Epilation of maldirected lashes is indicated in:• When the number is less than four• When the lashes are close together• In presence of acute corneal ulcer• In cases of high refractive error.
  24. 24. Congenital ptosis may beassociated with the followingcongenital anomalies except:• Blepharophimosis• Telecanthus• Epicanthus• Naso lacrimal duct obstruction.
  25. 25. Complications of congenital causes include the following except: • Ocular torticollis. • Amblyopia. • Complicated cataract. • Anbormal head posture.
  26. 26. Lagophthalmos can be caused by the following except:• Hyperthyroidism.• Facial palsy.• Severe entropion• Lid coloboma.
  27. 27. The commonest cause of bilateral ptosis is:• Horner syndrome.• Third nerve palsy.• Congenital• Mechanical.
  28. 28. Lid splitting and everting sutures is anoperation used for the correction of: • Pure trichiasis of the upper eye lid. • Trichiasis and entropion of the upper eye lid. • Ectropion of the lower eye lid. • Paralytic entropion of the lower eye lid.
  29. 29. All these are true aboutulcerative blepharitis except:• Can cause madarosis.• Can be complicated by ulcerative keratitis.• Can be caused by Morax Axenfeld bacillus.• Can be treated by antibiotics.
  30. 30. A 65 ys old patient had recurrenceof chalazion after removal from the same site two times. The best management is:• Systemic antibiotic and steroids.• Excision and histopathological evaluation.• Excision and curette evacuation.• Excision and cautery of the edges.
  31. 31. A patient has about 10maldirected localized lashes of the upper eye lid. The treatment of choice is: • Snellen’s operation. • Lid splitting and cryo application. • Epilation • Weiss procedure.
  32. 32. Fasaenella operation for ptosis is carried out in cases with:• Severe ptosis. Levator action less than 5 mm.• Moderate ptosis. Levator action 5-8 mm.• Mild ptosis. Levator action more than 8 mm.• None of above.
  33. 33. Incision and curette of chalazion should be.• Vertical.• Horizontal.• Any shape.• circular.
  34. 34. Grey line indicates a tissue plane between:• Skin muscle layer & tarsus conjunctival layer.• Tarsus & canjunctiva.• Skin & meibomian glands.• Palpebral conjunctiva & meibomian gland orifices.
  35. 35. Ankyloblepharon is :• The adhesion of the lids.• The adhesion between palpebral and bulbar canjunctiva.• The adhesion of the margins of the two lids.• All of the above.
  36. 36. Glands of Zeis are:• Modified sweat glands.• Modified sebaceous glands.• Modified meibomian glands.• None of above.
  37. 37. Levator palpebrae is inserted into:• Upper border of the tarsus.• Skin of upper lid.• Upper fornix.• All of above.
  38. 38. Hordeolum externum is an acute suppurative inflammation of: • Gland of Zeis. • Gland of Moll. • Gland of Wolfring. • Gland of Krause.
  39. 39. All of the following types ofentropion are known except:• Spastic entropian.• Senile entropion.• Paralytic entropion.• Cicatricial entropion.
  40. 40. The amount of normal levator function is :• 5 mm.• 8 mm.• 25 mm.• 13 mm .
  41. 41. In brow suspension operation of ptosis, the best suspension material is :• Fascia lata.• Supramid.• Prolene.• Silicone.
  42. 42. All of the following are the causes of lagophthalmus except: • Facial nerve palsy. • Proptosis. • Lid fibrosis. • Third nerve paralysis.
  43. 43. 43
  44. 44. Conjunctival injection is characterized by the following except:• Bright red colour.• Movable.• Not affected by vasoconstrictors.• Individual vessels are easily distinguished.
  45. 45. One of these is not manifested by ciliary injection:• Corneal ulcer• Episcleritis• Acute congestive glaucoma.• Acute iridocyclitis.
  46. 46. Persistent unilateralconjunctivitis is usually due to:• Purulent conjunctivitis.• Chronic dacryocystitis.• Mucopurulent conjunctivitis.• Foreign body.
  47. 47. In ophthalmia neonatorum, all are true except:• Caused by birth trauma.• Frequently caused by gonococcal infection.• Maternal infection plays a role.• Silver nitrate drops were used as a prophylaxis.
  48. 48. All the following can be causedby chlamydial infection except:• Ophthalmia neonatorum• Trachoma.• Inclusion Conjunctivitis.• Central corneal ulcer.
  49. 49. These organisms can be seen normally in the conjunctiva:• Koch- Weeks bacillus.• Pneumococci.• Corynobacterium xerosis.• Corynobacterium diphtheria.
  50. 50. Most common organism in purulent conjunctivitis is:• Pneumococci.• Streptococci.• Gonococci.• Herpes simplex virus.
  51. 51. Subconjunctival hemorrhage is not caused by:• Trauma.• Mucopurulent conjunctivitis.• Adenoviral infection.• Acute hemorrhagic conjunctivitis.
  52. 52. conjunctivitis:• Vernal keratoconjunctivitis• Phlyctenular keratoconjunctivitis• Viral conjunctivitis• Angular conjunctivitis
  53. 53. Which is true about vernal conjunctivitis :• Always unilateral.• Usually occurs in young boys.• Antibiotic drops are the main therapy.• Main symptom is foreign body sensation.
  54. 54. All of the following are non-specific signs in conjunctivitis except• Subconjunctival hemorrhage• Papillae• Follicles• pseudomembranes
  55. 55. Patient presented with itching, lacrimation, excoriation and macerated outer canthus, the claimed organism is:• Morax Axenfeld diplobacillus.• Haemophylus influenza.• Pnumococci..• Koch- Weeks diplobacillus.
  56. 56. presented with severe red eye after acute attack of cough, most propably may be due to:• Corneal abrasion.• Acute conjunctivitis.• Spontaneous subconjunctival hemorrhage.• Acute iritis.
  57. 57. All are sure signs of trachoma except:• Arlt’s line.• Papillae of upper tarsal conjunctiva.• Herbert’s Pits.• Expressible follicles.
  58. 58. Itching is common with:• Spring catarrh.• Trachoma.• Mucopurulrnt conjunctivitis.• Corneal ulcer.
  59. 59. The secretions of spring catarrh are rich in:• Eosinophils.• Neutrophils.• Basophils.• Lymphocytes.
  60. 60. Pinguecula is:• Fatty degeneration.• Hyaline degeneration.• Elastoid hyaline degeneration.• Elastoid degeneration.
  61. 61. Giant papillary conjunctivitis can be caused by the following except:• Artificial prosthesis.• Spring catarrh.• Contact lens wear.• Acute conjunctivitis.
  62. 62. Topical treatment used for phlyctenular conjunctivitis is:• Antibiotic drops.• Vasoconstrictor drops.• Corticosteroid drops.• Antiviral drops.
  63. 63. These may cause pterygium, except:• Exposure to ultra violet rays.• Viral infection.• Pinguecula.• Living in tropical area.
  64. 64. Etiology of ptrygium is:• Neoplastic• Infection• Inflammation• Degenerative
  65. 65. Pneumococci can cause:• Acute dacryocystitis• Chronic dacryocystitis• Atypical hypopyon ulcer• Ulcerative blepharitis
  66. 66. Staphyloococci can cause:• Acute dacryocystitis• Stye• Atypical hypopyon ulcer• Ulcerative blepharitis• All of the above
  67. 67. Episcleritis is similar to phlycten clinically but differs in being: • Tender • Flat • Pigmented • Multiple
  68. 68. Patient had a pterygium, excised since one month, and starts to see double vision, this may be due to:• Medial rectus weakness.• Lateral rectus paralysis.• Symblepharon formation.• Recurrence.
  69. 69. These treatments are useful in preventing the recurrence after pterygium excision except:• Topical antibiotics.• Topical corticosteroids.• Beta irradiation.• 5 FU eye drops.
  70. 70. Which of the following is specific forthe diagnosis of allergic conjunctivitis?• Eye redness• Itching• Foreign body sensation• Excessive lacrimation
  71. 71. 71
  72. 72. The corneal touch reflex involves the following cranial nerves:• II and III• II and IV• V and III• V and VI• V and VII
  73. 73. The corneal light reflex depends on the following, except: • Healthy tear film. • The convex mirror property of the cornea. • Corneal nerve fibers are demyelinated. • Intact corneal epithelium. • The corneal epithelium is non-keratinized.
  74. 74. The direct and immediateconsequence of corneal endothelial injury is:• Corneal vascularization.• Corneal edema.• Corneal hyposthesia.• Corneal scarring.• Corneal ulcer.
  75. 75. Munson’ sign is seen in:• Corneal fistula• Corneal dystrophy• Keratoconus• Corneal facet
  76. 76. In corneal edema; all are true except:• There is increase in corneal diameter• There is increase in corneal thickness• Cloudy cornea• Epithelial bullae
  77. 77. Corneal damage with trachoma is due to:• Trichiasis• Dryness• Lagophthalmos and exposure• All of the above
  78. 78. Double staining pattern of the cornea is characteristic for:• Fungal corneal ulcer• Herpetic corneal ulcer• Exposure keratopathy• Acanthaembic corneal ulcer
  79. 79. Corticosteroids are given in:• Bacterial corneal ulcer• Herpetic corneal ulcer• Fasicular ulcer• Stromal fungal keratitis
  80. 80. Corticosteroids are the main line in the treatment of:• Bacterial corneal ulcer• Herpetic corneal ulcer• Interstitial desciform keratitis• Stromal fungal keratitis
  81. 81. Blood staining of the cornea is due to:• Hyphema• Hyphema with rise of IOP• Corneal edema• Corneal FB
  82. 82. Infective corneal ulcers include all except:• Bacterial corneal ulcer• Fungal corneal ulcer• Mooren’s ulcer• Viral corneal ulcer
  83. 83. In treating bacterial corneal ulcer all are true except:• Antibiotics drops• Vitamin A,C• Mydriatics and cycloplegics drops• Corticosteroids drops
  84. 84. In treating bacterial corneal ulcer all are true except:• Antibiotics drops• Vitamin A,C• Mydriatics and cycloplegics drops• Corticosteroids drops
  85. 85. • Gonococci• Pneumococci• Staphylococci• Pseudomonas
  86. 86. corneal ulcers:• Gonococci• Pneumococci• Staphylococci• Pseudomonas
  87. 87. • Gonococci• Pneumococci• Staphylococci• Pseudomonas
  88. 88. • Typical hypopyon corneal ulcers.• Herpetic corneal ulcers.• Acanthameba corneal ulcers.• Neuroparalytic corneal ulcers.
  89. 89. • Typical hypopyon corneal ulcers.• Herpetic corneal ulcers.• Acanthameba corneal ulcers.• Neuroparalytic corneal ulcers.
  90. 90. • Fascicular ulcer.• Typical trachomatous ulcer.• Typical hypopyon ulcer.• Mooren’s ulcer.
  91. 91. include:• Keratectasia.• Keratoconus.• All of the above.• Non of the above
  92. 92. keratoconus progression except:• Frequent change of glasses.• Progressive irregular astigmatism.• Progressive hypermetropia.• Appearance of Fleisher ring.
  93. 93. except:• Rigid gas permeable contact lenses• Laser in situ keratomileusis (LASIK)• Intracorneal ring segment implantation• Penetrating or lamellar keratoplasty
  94. 94. 94
  95. 95. • 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.
  96. 96. • Visual acuity HM• Absent RR• Absent iris shadow• All of the above
  97. 97. • Its shadow lies on the macula• Close to the nodal point• It matures early• It blocks the pupillary area
  98. 98. • Myopia• Hypermetropia• Astigmatism• No change in refraction
  99. 99. • Myopia• Hypermetropia• Astigmatism• No change in refraction
  100. 100. is:• Cystoid macular edema• Posterior capsule opacification• Corneal decompansation• Retinal detachment
  101. 101. • Surgical excision• Laser opening• Surgical polishing• Leave alone
  102. 102. • Yag laser• Argon laser• Diode laser• Excimer laser
  103. 103. • Decreased aqueous production• Increased aqueous drainage• Lower episcleral venous peressure• All of the above
  104. 104. 104
  105. 105. • Exophthalmos• Lid retraction• Diplopia• Conjunctival chemosis
  106. 106. • Trauma• Orbital cellulitis• Rhabdomyosarcoma• All of the above
  107. 107. • Trauma• Cachexia• Post radiotherapy• Secondaries of breast scirrhus carcinoma• All of the above
  108. 108. • Congenital• Vitamine A defficiency• Nuclear cataract• Retinitis pigmentosa
  109. 109. • Partial anterior staphyloma• Ciliary staphyloma• Intercalary staphyloma• Equatorial staphyloma• Posterior staphyloma
  110. 110. • Phlycten• Hypopyon ulcer• Iridocyclitis• Metastatic endophthalmitis
  111. 111. • Large deep cup• Interrupted retinal vessels• Waxy yellow colour• Overhanging margins
  112. 112. • Papillitis• Papilloedema• Retrobulbar neuritis• All of the above
  113. 113. • Prednisolone• Observation• Antibiotics• Atropine
  114. 114. • Rapid deterioration of vision• Amaurosis Fugax• Pain on eye movements• Early loss of color vision
  115. 115. • Nasal step• Arcuate scotoma• Cocentric contraction of peripheral field• Enlarged blind spot
  116. 116. pathologies except:• Degenerative myopia• Chorioretinitis• CRAO• CRV thrombosis
  117. 117. • Papillitis• Hysteria• Optic atrophy• Retrobulbar neuritis
  118. 118. 118
  119. 119. • Phaco morphic glaucoma• Phacoanaphylactic glaucoma• Phacolytic glaucoma• Neovascular glaucoma
  120. 120. • Hypermetropic eye• Myopic eye• Astigmatic eye• Aphakic eye
  121. 121. after:• Gonioscopic examination• Fundus examination• Tonometry• Visual field examination
  122. 122. except:• Large deep cup• Overhanging margins• Retinal vessels appear broken at the margin• Lamina cribrosa is not visible
  123. 123. • Decreased aqueous production• Increased aqueous drainage• Lower episcleral venous peressure• All of the above
  124. 124. • Retinoblastoma• Megalocornea• Congenital High myopia• Babies of diabetic mothers
  125. 125. • Lacrimation and sneezing• Optic cupping• Enlarged hazy cornea• Flattened sublaxated lens
  126. 126. • Projection of light• Cofrontation test• Automated perimetry• Bjerrum screen
  127. 127. • Projection of light• Cofrontation test• Automated perimetry• Bjerrum screen• Perception of light
  128. 128. • Post sublaxated lens• Post dislocated lens• Intumescent cataract• Anterior dislocated lens
  129. 129. • Pilocarpine + anti-inflammatories• Pilocarpine + beta blockers• Atropine• Cyclocryotherapy
  130. 130. Phakomorphic Glaucoma is:• Induced by intumescent cataract• Induces pupillary block• A closed angle secondary glaucoma• Urgent cataract extraction is indicated• All of the above are correct
  131. 131. Amaurotic cat’s eye reflex, In all except:• Retinoblastoma• Coat’s disease• Toxocariasis• Malignant melanoma of the choroid
  132. 132. Third cranial nerve innervates all the following except:• Superior oblique muscle• Levator palpebre muscle• Inferior oblique muscle• Medial rectus muscle
  133. 133. Horner’s syndrome• Ptosis + myosis + enophthalmos + anhydrosis• Ptosis + mydriasis + enophthalmos + anhydrosis• Lagophthalmos + myosis + enophthalmos + anhydrosis• Diplopia + myosis + enophthalmos + anhydrosis
  134. 134. Diplopia due to right 6 CN palsy increases while looking:• To the right• To the left• Up• Down
  135. 135. Diplopia due to right 4 CN palsy disappears on covering: • Right eye • Left eye • Either one • Neither one
  136. 136. The commonest cause of crossed eyes in the first year of life:• Infantile esotropia• Accomodative esotropia• Six CN palsy• Duane’s syndrome
  137. 137. Convergent squint may be due to: • Accommodative esotropia • 6 nerve palsy th • Graves’ disease • All of the above
  138. 138. 139
  139. 139. • Aphakia• Sublaxation of the lens• Hypermature cataract• Posterior dislocation of the lens• All of above
  140. 140. A 30 ys old patient was subjected to face burn with strong acid, two months later hepresented with watering and inability to close his left eye. The explanation of this may be:• Mechanical ectropion.• Cicatricial ectropion.• Paralytic ectropion.• Corneal ulcer.
  141. 141. A patient subjected to vertical lidwound, he is unable to to close his eye properly. This condition can lead to:• Corneal scarring• Exposure keratopathy.• Vascularized corneal scar.• Corneal pannus.
  142. 142. The first line of treatment in acid burn of the eye is:• Eye patching.• Immediate wash with plain water.• Instilling local antibiotic drops.• Neutralization of the acid with alkali.
  143. 143. A 10 ys old boy, received blunt oculartrauma by tennis ball to his right eye, you will expect to have:• Hypopion ulcer.• Blood staining of the cornea.• Hyphema.• Tractional retinal detachment.
  144. 144. A patient had penetrating eye injury inthe right eye, the first aid management is:• Washing with plain water.• Sterile eye bandage.• Application of antibiotic ointment.• Instilling atropine eye drops.
  145. 145. A patient is C / O monocular diplopiaafter blunt ocular trauma, the following could cause this except:• Sublaxated lens.• Iridodialysis.• Traumatic hyphema.• Incipient immature cataract.
  146. 146. A patient had blunt ocular trauma, now he is C / O severe visual defect, the cause of this may be due to:• Anteflexion of the pupil.• Berlin’s edema.• Conjunctival chemosis.• Angle recession.
  147. 147. A patient with a history of blunt trauma to the left eye C / O double vision that disappears on covering the left eye & persists on covering theright eye. Examination of this patient would reveal:• Miotic pupil.• Ectropion uveae.• Pupil showing lens equator.• Dilated pupil.
  148. 148. Trauma to the eye cannot cause:• Vitreous hemorrhage.• Macular edema.• Central retinal vein occlusion.• Retinal breaks.
  149. 149. A patient had blunt ocular trauma & C / O double vision that disappears oncovering either eye. The cause might be:• Orbital hematoma.• Corneal edema.• Orbital blow out fracture.• Iridodialysis.
  150. 150. A aptient had history of blunt ocular trauma3 months ago, now is C / O severe headache due to increased intraocular pressure.the most important diagnistic tool is:• Automated field of vision .• Manual field of vision.• Gonioscopic examination.• Fundus examination.
  151. 151. A patient with recent history of ocular trauma & C/ O blurry vision.ocular motility was normal, the most needed investigation is:• Ocular ultrasound.• Fluorescein angiography.• Field of vision.• Performing CT brain.
  152. 152. Sympathetic ophthalmia is rarely seen in:• Corneo scleral wounds• PECCE.• Acute suppuration• Iris encarceration.
  153. 153. Metallic IOFB can be localized by the following methods except• Limbal ring & X ray• CT scan• US• MRI
  154. 154. Pathognomonic sign of IOFB• Corneal wound• Root in the iris• Traumatic cataract• hyphema
  155. 155. The weakest part of the eye affected by blunt trauma is:• Canal of Schlemm• Muscle insertion• Equator• Lens zonules
  156. 156. Worker with arc light is exposed to:• UVR corneal burn.• Infra red heat burn.• Gamma radiation.• X ray radiation.
  157. 157. Which of the following conditions does NOT require emergency ophthalmological management?• Anterior uveitis• Acute angle-closure glaucoma• Orbital floor fracture• Orbital cellulitis
  158. 158. Patient had right maxillary tumours treated successfully with multiple doses of radiotherapy,after that he noted dramatic decrease of visual acuity of the right eye, the explanation of this may be due to: • Complicated cataract. • Anterior uveitis. • Central retinal vein thrombosis. • Acute congestive glaucoma.
  159. 159. Which of the following is not advised inthe early management of a patient with hyphema?• Admission to hospital.• Cycloplegics.• IOP lowering agents.• None of the above.
  160. 160. GOODLUCK FOR ALL