3. *A- what additional history would you
ask about?
B- what other findings would you look
for on examination, and what other
tests may be helpful?
C- what is the most likely diagnosis and
its usual aetiology?
D- How would you treat this case?
Case 1
A mother coming to our outpatient clinic complaining that the
eyes of her 5-month-old girl have been tearing and red with
discharge crusting her lashes for a week. The mother says that
the right eye of her daughter has been tearing for 4 months.
4. Case 2
A 42-years old woman coming to outpatient clinic complaining
that her right eye has been tearing for a year . She reported
that she had previous multiple attacks of sudden pain, redness
and tenderness around her right eye especially in the medial
canthal region.
5. A- what additional history would you ask her about?
B- what other findings would you look for on examination, and what
other tests may be helpful ?
C- what are the most likely diagnosis and other differential diagnosis?
D- what are the possible complications of this case and its
predisposing factors?
E- How would you treat this case?
6. Case 3
A mother coming to our outpatient clinic complaining that the eyes of
her 11-year-old son have been tearing ,red and itchy for 2 months. No
complain of change of vision but occasionally has some discharge. He
has tried Visine with minimal relief.
7. A- What additional history would you ask mother about?
B- what other findings would you look for on examination, and what
other tests may be helpful ?
C- what are the most likely diagnosis and other differential
diagnosis?
D- What is the treatment ?
E- What are the possible complications?
8. Case 4
A 60-years old woman coming to outpatient clinic
reporting that her right eye has been irritated, red ,and
tearing for months. Artificial tears help briefly but don't
really alleviate the scratchy sensation she experiences
9. A- What other history would be helpful?
B- What are the diagnosis and possible aetiologies ?
C- What would you look for on examination to help
determine the cause?
D- what are the possible complications of this case ?
E- How would you manage this patient ?
10. Case 5: A 24-year-old female reported red itchy and watery eyes for the past
month. Her primary physician treated her with gentamicin E.D. for 2 weeks with no
improvement. She was then given Blephamide E.D. (Sulphacetamide +
Dexamethasone) for 1 week, which helped, but the symptoms recurred after she
stopped the drops. She has not used any drops for 1 week and she denies any
change in VA or discharge.
A. Diagnosis.
B. Possible aetiologies.
C. What other signs would
you look for?
D. What are the causes of
membranous
conjunctivitis?
11.
12. Corneal Thickness is measured by:
A.Perimetry
B.Pachymetry
C.Biometry
D.Keratometry
May 2013
20. A. Name this sign.
B. 2 Investigations
required.
C. 3 lines of
treatment.
21. Irrespective of the etiology of corneal ulcer, the drug
always indicated is:
A.Anti-biotcs
B.Anti-viral
C.Anti-fungal
D.Steroids
22. A 2 month old Egyptian male has excessive tearing from his left eye for
weeks. There is no conjunctival injection or evidence of purulent
discharge. Congenital nasolacrimal duct obstruction is suspected.
The statement regarding this patient’s condition is which of the
following:
A.Prophylactic topical antibiotic eye drops are not indicated
B.Probing of the nasolacrimal duct is indicated immediately
C.In most cases, the problem resolves within 10 months
D.Massaging of the lacrimal sac is not useful
May 2010
23. Which one of the following signs disappears with
treatment:
A.Pannus siccus
B.Arlt’s line
C.Tranta’s spots
D.Arcus senilis
May 2010
24. A 50 year old male man is complaining of pain in his right eye for
several days, watering, photophobia and blurred vision. These
symptoms were recurrent. He also had an acute attack of
common cold the week before. Examination revealed normal
fundus and normal IOP.
The most probable cause is:
A.Catarrhal conjunctivitis
B.Narrowing of the nasolacrimal duct
C.Chronic dacryocystitis
D.Dendritic ulcer
E.Narrow angle glaucoma
May 2010
25. Indications for penetrating keratoplasty include all the
following except:
A.Advanced keratinous
B.Macular dystrophy of the cornea
C.Thick corneal scar
D.Perforating corneal ulcer
E.Age related macular degeneration
Jul 2011
30. Metaherpetic corneal ulcer can be caused by:
A.Active herpetic infection
B.Immune reaction in the stroma
C.Stromal scarring
D.Epithelial toxicity to topical medications
31. Resistant bacterial corneal ulcer is not due to:
A.Diminshed corneal sensation
B.Dry eye
C.Virulent organism
D.Cornealvascularisation
34. A farmer had a left eye injury with a piece of cotton
wood, two weeks later, he developed redness and
defective vision. He received broad spectrum antibiotic
drops and ointments for two weeks but he deteriorated
more. The next step is:
A.Culture and sensitivity for specific antibiotics
B.Culture for virus
C.Culture for fungus
D.Culture for Acanthamoeba
