Ophthalmology MCQs With Answer

Ophthalmology MCQs ……………………………………………………….….Tanta university Ophthalmology MCQs Questions Bank With answer 1 Ophthalmology MCQs ……………………………………………………….…. Tanta university CONJUNCTIVA Dr Osama shalaby 1- Conjunctival injection is characterized by the following except: a-Bright red colour. b-Movable. c-Not affected by vasoconstrictors. C d-Individual vessels are easily distinguished. 2- One of these is not manifested by ciliary injection: a-Corneal ulcer b-Viral conjunctivitis. B c-Acute congestive glaucoma. d-Acute iridocyclitis. 3- Persistent unilateral conjunctivitis is usually due to: a-Purulent conjunctivitis. b-Chronic dacryocystitis. B c-Mucopurulent conjunctivitis. d-Foreign body. 4- In ophthalmia neonatorum, all are true except: a-Caused by birth trauma. A b-Frequently caused by gonococcal infection. c-Maternal infection plays a role. d-Silver nitrate drops were used as a prophylaxis. 5- All the following can be caused by chlamydial infection except: a-Ophthalmia neonatorum b-Trachoma. c-Inclusion Conjunctivitis. d-Central corneal ulcer. D 6- These organisms can be seen normally in the conjunctiva: a-Koch- Weeks bacillus. b-Pneumococci. c-Corynobacterium xerosis. C d-Corynobacterium diphtheria. 7- Most common organism in purulent conjunctivitis is: a-Pneumococci. b-Streptococci. 2 Ophthalmology MCQs ……………………………………………………….…. Tanta university c-Gonococci. C d-Herpes simplex virus. 8- Subconjunctival hemorrhage is not caused by: a-Trauma. b-Mucopurulent conjunctivitis. b c-Adenoviral infection. d-Acute hemorrhagic conjunctivitis. 9- Which is true about vernal conjunctivitis : a-Always unilateral. b-Usually occurs in young boys. b c-Antibiotic drops are the main therapy. d-Main symptom is foreign body sensation. 10- Patient presented with itching, lacrimation, excoriation and macerated outer canthus, the claimed organism is: a-Morax Axenfeld diplobacillus. a b-Haemophylus influenza. c-Pnumococci.. d-Koch- Weeks diplobacillus. 11- Old asthmatic hypertensive patient, presented with severe red eye after acute attack of cough, most propably may be due to: a-Corneal abrasion. b-Acute conjunctivitis. c c-Spontaneous subconjunctival hemorrhage. d-Acute iritis. 12- All are sure signs of trachoma except: a-Arlt’s line. b-Papillae of upper tarsal conjunctiva. b c-Herbert’s Pits. d-Expressible follicles. 13- Itching is common with: a-Spring catarrh. b-Trachoma. a c-Mucopurulrnt conjunctivitis. d-Corneal ulcer. 14- The secretions of spring catarrh are rich in: 3 Ophthalmology MCQs ……………………………………………………….…. Tanta university a-Eosinophils. a b-Neutrophils. c-Basophils. d-Lymphocytes. 15- Pinguecula is: a-Fatty degeneration. b-Hyaline degeneration. c-Elastoid hyaline degeneration. c d-Elastoid degeneration. 16- Giant papillary conjunctivitis can be caused by the following except: a-Artificial prosthesis. b-Spring catarrh. c-Contact lens wear. d d-Acute conjunctivitis. 17- Topical treatment used for phlyctenular conjunctivitis is: a-Antibiotic drops. b-Vasoconstrictor drops. c-Corticosteroid drops. c d-Antiviral drops. 18- These may cause pterygium, except: a-Exposure to ultra violet rays. b-Viral infection. b c-Pinguecula. d-Living in tropical area. 19- Patient had a pterygium, excised since one month, and starts to see double vision, this may be due to: a-Medial rectus weakness. b-Lateral rectus paralysis. c-Symblepharon formation c d-Recurrence. 20- These treatments are useful in preventing the recurrence after pterygium excision except: a-Topical antibiotics. b-Topical corticosteroids. a c-Beta irradiation. 4 Ophthalmology MCQs ……………………………………………………….…. Tanta university d-5 FU eye drops. 21- Which of the following is specific for the diagnosis of allergic conjunctivitis? a-Eye redness b-Itching c-Foreign body sensation b d-Excessive lacrimation ********************************************************************** EYE LID Dr Osama shalaby 22-A patient suffered from acute onset of facial palsy, the first line of treatment is: a-Frequent ocular lubrication. b-Lateral tarsorrhaphy c-Topical corticosteroids. a d-Levator muscle resection. 23- The levator palpebrae superioris is inserted into the following structures except: a-Skin of upper eye lid b-Upper border of tarsus c-Bulbar conjunctiva d-Medial orbital margin & medial palpebral ligament c 24- Rolling in of the lower lid margin can be due to: a-Thermal injury of lid skin b-Facial palsy c-Trachoma c d-Ophthalmoplegia 25- The most important examination in case of congenital ptosis is: a-The state of extraocular muscles b-Fundus examination c-Amount of levator function c d-Pupillary light reflex 26- Stye is an acute suppurative inflammation of: a-Meibomian glands b-Accessory lacrimal glands c-Zeiss glands of the lash follicles c 5 A male patient is C / O chronic eye lid redness and frequent loss of lashes.Ophthalmology MCQs ……………………………………………………….Chalazion is defined as: a-Acute suppurative inflammation of meibomian glands b-Chronic suppurative inflammation of meibomian glands c c-Chronic inflammatory lipogranuloma of meibomian glands. yellow crustations.In recurrent squamous blepharitis you should: a-Give long acting corticosteroids b-Give long acting antibiotics c c-Correct any refractive errors d-Give maintenance dose of vitamins. Tanta university d-Lid margin 27. 29. The treatment include all the following except: a-Local lid hygeine b-Rubbing the lid margin by antibiotic ointment c-Elctrolysis c d-Systemic antibiotic 33. The most propable diagnosis is a-Cicatricial entropion b-Squamous blepharitis c c-Ulcerative blepharitis d-Active trachoma 32.Epilation of maldirected lashes is indicated in: 6 . The best treatment is: a-Epilation of affected lashes b-Electrolysis c-Hot fomentations and local antibiotics c d-Systemic corticosteroids 28. d-Chronic non granulomatous inflammation of meibomian glands 30.A case presented with hypermic lid margin. matting of eye lashes.….A female patient C / O diffuse hyperemic lid margin with multiple grayish yellow crustations covering the lashes.Chalazion can cause the following complications except: a-Irrigular astigmatism b-Mechanical ptosis c-Anterior uveitis d-Internal hordeolum c 31. 36. 34. b-Trichiasis and entropion of the upper eye lid. c d-Anbormal head posture.Ophthalmology MCQs ……………………………………………………….Lagophthalmos can be caused by the following except: a-Hyperthyroidism.Congenital ptosis may be associated with the following congenital anomalies except: a-Blepharophimosis b-Telecanthus c-Epicanthus d d-Naso lacrimal duct obstruction. 38. c-Congenital c d-Mechanical. c d-Can be treated by antibiotics. b-Facial palsy. c-Can be caused by Morax Axenfeld bacillus. c-Ectropion of the lower eye lid. 35. b d-Paralytic entropion of the lower eye lid. 7 . c-Complicated cataract. c-Severe entropion c d-Lid coloboma. 37. Tanta university a-When the number is less than four b-When the lashes are close together c-In presence of acute corneal ulcer c d-In cases of high refractive error. b-Amblyopia.All these are true about ulcerative blepharitis except: a-Can cause madarosis.…. 39.Lid splitting and everting sutures is an operation used for the correction of: a-Pure trichiasis of the upper eye lid.Complications of congenital causes include the following except: a-Ocular torticollis. b-Can be complicated by ulcerative keratitis.The commonest cause of bilateral ptosis is: a-Horner syndrome. b-Third nerve palsy. b c-Modified meibomian glands. Levator action less than 5 mm. d-Palpebral conjunctiva & meibomian gland orifices. Tanta university 40. a d-circular. c d-All of the above. 44. 46.Ankyloblepharon is : a-The adhesion of the lids. 41. b-Horizontal. b-The adhesion between palpebral and bulbar canjunctiva. b-Tarsus & canjunctiva. c-Excision and curette evacuation. The best management is: a-Systemic antibiotic and steroids. c-Any shape. c-Epilation b d-Weiss procedure. Levator action 5-8 mm.Glands of Zeis are: a-Modified sweat glands. c d-None of above.A patient has about 10 maldirected localized lashes of the upper eye lid. b-Excision and histopathological evaluation. c-Mild ptosis. a-Vertical. 45.A 65 ys old patient had recurrence of chalazion after removal from the same site two times.Incision and curette of chalazion should be.Grey line indicates a tissue plane between: a-Skin muscle layer & tarsus conjunctival layer. a c-Skin & meibomian glands. Levator action more than 8 mm. 43.Fasaenella operation for ptosis is carried out in cases with: a-Severe ptosis. 8 . 42. b-Modified sebaceous glands. b-Moderate ptosis. The treatment of choice is: a-Snellen’s operation. b-Lid splitting and cryo application. c-The adhesion of the margins of the two lids. b d-Excision and cautery of the edges.Ophthalmology MCQs ……………………………………………………….…. Gland of Krause.Third nerve paralysis.The amount of normal levator function is : a-5 mm. d-13 mm .Hordeolum externum is an acute suppurative inflammation of: a-Gland of Zeis. a 53. d-Cicatricial entropion. d *********************************************************************** OCULAR TRAUMA Dr Osama shalaby 9 . b-Supramid. 47. c-Lid fibrosis. b-Skin of upper lid. 48. c-Paralytic entropion. d d-All of above. c 50. the best suspension material is : a-Fascia lata. b. Tanta university d-None of above.All of the following are the causes of lagophthalmus except: a-Facial nerve palsy. d 51. c-25 mm. c. c-Prolene. a d. b-Proptosis.Gland of Moll. c-Upper fornix. b-Senile entropion.All of the following types of entropion are known except: a-Spastic entropian.Levator palpebrae is inserted into: a-Upper border of the tarsus. b-8 mm. d-Silicone. d. 49.Ophthalmology MCQs ……………………………………………………….….In brow suspension operation of ptosis.Gland of Wolfring. The first line of treatment in acid burn of the eye is: a-Eye patching. b-Iridodialysis. c d-Incipient immature cataract. b d-Neutralization of the acid with alkali. 58. c-Hyphema. b d-Corneal pannus. c-Vascularized corneal scar.A 30 ys old patient was subjected to face burn with strong acid. b d-Instilling atropine eye drops. you will expect to have: a-Hypopion ulcer. 56. Tanta university 54. c-Paralytic ectropion. the first aid management is: a-Washing with plain water. c-Traumatic hyphema. he is unable to to close his eye properly.A 10 ys old boy. 11 .A patient is C / O monocular diplopia after blunt ocular trauma.…. received blunt ocular trauma by tennis ball to his right eye. 57. b-Cicatricial ectropion. b-Blood staining of the cornea. b-Sterile eye bandage. The explanation of this may be: a-Mechanical ectropion. 55.A patient subjected to vertical lid wound. the following could cause this except: a-Sublaxated lens. c d-Tractional retinal detachment. c-Application of antibiotic ointment.Ophthalmology MCQs ………………………………………………………. This condition can lead to: a-Corneal scarring b-Exposure keratopathy.A patient had penetrating eye injury in the right eye. b-Immediate wash with plain water. b d-Corneal ulcer. two months later he presented with watering and inability to close his left eye. c-Instilling local antibiotic drops. 59. c-Posterior subcapsular cataract. c d-Dilated pupil. The cause might be: a-Orbital hematoma.the most important diagnistic tool is: a-Automated field of vision .Trauma to the eye cannot cause: a-Vitreous hemorrhage. c-Central retinal vein occlusion.…. 64. b d-Angle recession. b-Anterior subcapsular cataract.Blunt ocular trauma commonly results in: a-Blue dot cataract. 61. 11 . b-Manual field of vision. c-Orbital blow out fracture. c-Conjunctival chemosis.A aptient had history of blunt ocular trauma 3 months ago. c-Pupil showing lens equator. Examination of this patient would reveal: a-Miotic pupil.A patient had blunt ocular trauma & C / O double vision that disappears on covering either eye. 65. b-Macular edema. now is C / O severe headache due to increased intraocular pressure. now he is C / O severe visual defect. the cause of this may be due to: a-Anteflexion of the pupil. b-Ectropion uveae. c-Gonioscopic examination.A patient had blunt ocular trauma. 63.Ophthalmology MCQs ………………………………………………………. c d-Iridodialysis. Tanta university 60. 62. c d-Retinal breaks. c d-Fundus examination. b-Corneal edema. b-Berlin’s edema. c d-Coronary cataract.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 the right eye. ….Retained Intra Orbital FB may not be removed if a-Sterile & inert b-Mild visual affection c-Its removal will affect the vision.Metallic IOFB can be localized by the following methods except a-Limbal ring & X ray b-CT scan c-US d-MRI d 72. d 71.Prodromal symptoms of sympathetic ophthalmia is: a-Pain b-Redness c-Photophobia d-lacrimation c 69.A patient with recent history of ocular trauma & C/ O blurry vision. Tanta university 66.Ophthalmology MCQs ………………………………………………………. c-Acute suppuration c d-Iris encarceration. 67. b-Fluorescein angiography. 70.ocular motility was normal.Pathognomonic sign of IOFB a-Corneal wound b-Root in the iris c-Traumatic cataract 12 . d-All of the above.Sympathetic ophthalmia is rarely seen in: a-Corneo scleral wounds b-PECCE. d d-Performing CT brain.Etiology of sympathetic ophthalmia is: a-Viral b-Allergic c-Bacterial b d-None 68. c-Field of vision. the most needed investigation is: a-Ocular ultrasound. a c-Gamma radiation. b-Infra red heat burn.Blunt trauma coming down & out.Which of the following conditions does NOT require emergency ophthalmological management? a-Anterior uveitis b-Acute angle-closure glaucoma c-Orbital floor fracture c d-Orbital cellulitis 79. Tanta university d-hyphema b 73. iron gets: a-Deposited in membranes b-Combined with cell proteins c-Both c d-None 74.Worker with arc light is exposed to: a-UVR corneal burn. d-X ray radiation.….Solar viewing during an eclipse can cause: a-Corneal ulcer b-Orbital cellulitis 13 .The following iris lesions caused by blunt trauma except: a-Aniridia b-Anteflexion c-Retroflection d-Heterochromia iridum d 75. the sclera ruptures: a-Down & out. 77.Ophthalmology MCQs ………………………………………………………. c-up &in c d-Down & in.In siderosis bulbi. 78.The weakest part of the eye affected by blunt trauma is: a-Canal of Schlemm b-Muscle insertion c-Equator a d-Lens zonules 76. b-Up & out. …. b-Cycloplegics. 85-All of the following is true about Angle alpha except: 14 . 84-The term Ametropia refers to: a-Myopia b-Hypermetropia c-Asigmatism d d-All of the above.Which of the following is not advised in the early management of a patient with hyphema? a-Admission to hospital. *********************************************************************** Error of refraction Dr Moataz Sabry 82-All of the following are true about the nodal point of the eye except: a-Rays undergo refraction b-Lies just anterior to the posterior pole of the lens c-Optic and visual axis intersect at the nodal point a d-Optical center of the eye.Patient had right maxillary tumours treated successfully with multiple doses of radiotherapy. Tanta university c-Macular burn c d-Retinal tear 80. b-Anterior uveitis. b-Infront of the retina. b c-IOP lowering agents. after that he noted dramatic decrease of visual acuity of the right eye. the explanation of this may be due to: a-Complicated cataract. c-Central retinal vein thrombosis. c d-Might be all of the above. 83-In Emmetropia parallel rays come to a focus: a-Behind the retina.Ophthalmology MCQs ………………………………………………………. d-None of the above. 81. c-On the retina. a d-Acute congestive glaucoma. 88-The term manifest hypermetropia means: a-Hypermetropia without atropine. 87-All of the following is true about hyperopic eye except: a-Small axial length. b-Hypermetropia with atropine. b-Deep anterior chamber. b c-Flat cornea d-Positive angle alpha. b-Always positive in myopia. c-Hypermetropia with ciliary muscle paralysis.Ophthalmology MCQs ………………………………………………………. a 89-In myopia parallel rays come to a focus: a-On the retina b-Behind the retina c-Infront of the retina. 92-All of the following are types of myopia except: 15 . b d-Associated with retinal complications.…. c-Reaches higher degrees. c d-All of the above. b-Stabilizes around the age of 18 years old. b-Deep anterior chamber. c-Lies at the nodal point of the eye. 86-In hypermetropia parallel rays come to a focus: a-On the retina b-Behind the retina c-Infront of the retina. a 91-All of the following is true about progressive myopia except: a-Starts at younger age. d-Hypermetropia corrected by accommodation. 90-All of the following is true about myopic eye except: a-Small axial length. b d-More than 5 degrees in hypermetropia. b d-All of the above. Tanta university a-Angle between optic and visual axes. c-Steep cornea d-High refractive power. 93-Progressive myopia might be associated with the following except: a-Tigroid fundus. 94-All of the following is true about astigmatism except: a-Parallel rays come to a point focus on the retina. 95-Astigmatism with rule is: a-Less common than against the rule. b-Pseudo-papillitis. c-Congenital myopia. c-Horizontal meridian more curved. c-Convex lenses. a d-Occurs with keratoconus. d-All of the above. b d-Concave lenses. 96-All of the following is true about irregular astigmatism except: a-Could be corrected with glasses. b-Cylindrical lenses. a d-Concave lenses. Tanta university A-Simple myopia. b-Could be corrected with rigid lenes. 98-In glasses for compound regular astigmatism we use: a-Sphero-cylindrical lenses. b-Vertical meridian more curved.….Ophthalmology MCQs ………………………………………………………. c-Myopic crescent b d-Posterior staphyloma. c-Convex lenses. 99-All of the following is correct about anisometropia except: 16 . c-Occurs with corneal opacities. b-Cylindrical lenses. 97-In glasses for simple regular astigmatism we use: a-Sphero-cylindrical lenses. b-Facultative myopia. b d-Progressive myopia. a c-Might be congenital of postoperative. b d-None of the above. b-Might be regular or irregular. Ahmed Lotfy 101-Snow flakes cataract is found in cases with  a) gout  b) rheumatoid arthritis  c) diabetes mellitus c  d) hypothyroidism 102-Bitemporal hemianopia is due to  a) cavernous sinus thrombosis  b) pituitary gland tumours b  c) orbital apex syndrome  d) pineal body tumour 103-Hyperglycemia may cause  a) index hypermetropia  b) index myopia b  c) axial hypermetropia  d) axial myopia 104-Bitot. Tanta university a-Difference in refraction between both eyes.s spots may be caused by  a) vernal keratoconjunctivitis  b) vit A deficiency b  c) vit B deficiency  d) trachoma 105-Thyroid orbital myopathy affects 17 . d d-All of the above. c-Preferred working distance. b-Best corrected with glasses. *********************************************************************** Eye Systemic Diseases Dr.…. d-Might be congenital.Ophthalmology MCQs ………………………………………………………. b c-Might lead to amblyopia. 100-The following are factors affecting the onset of presbyopia: a-Age b-Refractive error. A and B only e. Corneal epithelial edema 111-An early sign of congenital glaucoma is : 18 . Shallow anterior chamber C.…. Tarek Ragaey 109-Which of the following is TRUE concerning the intraocular pressure? a. Normal value is 10-21 mmHg c. It varies during the day with a peak in the early morning b. rounded pupil B. It can be normal in patients with glaucoma E d.Ophthalmology MCQs ………………………………………………………. High intraocular pressure a E. All of the above 110-Which of the following is not a sign of acute angle-closure glaucoma: A. Ciliary congestion D. Constricted. Tanta university  a) the lateral rectus then the superior rectus muscles b  b) the inferior rectus then the medial rectus muscles  c) the medial rectus then the superior rectus muscles 106-Termination of pregnancy in cases of eclampsia is indicated when  a) there is microangiopathy  b) there is vaso dilatation b  c) there is retinal infarction and exudative retinal detachment  107-Scleral show and upper lid retraction may be caused by  a) Horner syndrome  b) Hyperthyroidism b  c) entropion 108-Right optic nerve atrophy and left papilledema may be caused by  a) Right occipital lobe mass  b) Left occipital lobe mass  c) Right frontal lobe mass c  d) Left frontal lobe mass Glucoma Dr. …. Intumescent cataract B. Grayish white E 19 . Corneal edema C. Jet black C. The anterior chamber is shallow c D.8 C. Uveitis C. Yellow B. B. Krukenberg spindle\ C.Ophthalmology MCQs ………………………………………………………. cyclophotocoagulation 115-Pigmentary glaucoma is characterized by all of the following except: A. IOP is usually high 117-The color of the pupil in Acute congestive glaucoma is: A. Laser iridotomy B. Cup/disc ratio of 0. Ptosis 112-All of the following are true concerning open angle glaucoma except: A. Amblyopia B. Pigmentary glaucoma c D. IOP above 25 mm Hg. Iris transillumination defect B. The cornea is enlarged B. Tanta university A. Anterior lens dislocation 114-The procedure of choice after medical control of acute angle closure glaucoma is: A. Parents has glaucoma c 113-Secondary angle closure glaucoma may be associated with all of the following except: A. Leukocoria b D. Goniotomy a C. The anterior chamber angle is closed c D. Habb`s striae C. High Intraocular pressure 116-All of the following are signs of congenital glaucoma except: A. Visual fields are normal D. Phacoanaphylactic C. uveitis) C.g. Congenital glaucoma with clear cornea and diameter less than 13 mm. Congenital glaucoma with corneal cloudiness. Greenish blue 118-Neovascular glaucoma is due to all of the following except : A. All of the above E E.Ophthalmology MCQs ………………………………………………………. photophobia and blepharospasm in a newly born infant occurs in: A. Lens dislocation E E. A and B 21 . Congenital naso-lacrimal duct obstruction. Intumescent cataract D. Congenital glaucoma E. CRVO C. Congenital glaucoma after failure of goniotomy and trabeculotomy D. Brown E. 120-Epiphora. All of the above 124-RING scotoma is a characteristic field defect in: A. Narrow angle glaucoma after failure of LPI C C. Narrow Angle Glaucoma after faliure of LPI D C. POAG after failure of medical treatment B. Pitutary adenoma D. POAG after faliure of medical tretment B. B.…. D. Mature senile cataract 119-Goniotomy is Indicated in: A.g. Ocular inflammation (e. Severe primary open angle glaucoma B. Corneal injury (e. Chronoic uveitis D. All of the above 121-All of the following are causes of lens induced glaucoma except: A. abrasion) E D. Tanta university D. Retinitis pigmentosa C. Proliferative Diabetic retinopathy B. macrophage-induced ) B. lens-protein glaucoma (phacolytic. Nuclear sclerosis 123-Trabeculectomy is indicated in: A. B d-Compound hypermetropic astigmatism. c-Simple myopic astigmatism. e-No changes. and can regenerate. Laser peripheral iridotomy E D. b-Easily destroyed. 128.All these drugs decrease aqueous production except: A. ……………………………………………………………………………………………. E 21 . Pilocarpine eye drops E. All of the above *********************************************************************** CORNEA Dr Waleed A.2 mm in all meridia results in: a-Myopia. Tanta university 125. NONSELECTIVE α -ADRENERGIC AGONISTS 126-Interventions to decrease the IOP in patients with acute angle closure glaucoma include: A. Acetazolamide E. Allam 127. of the total diopteric power of the eye. and never regenerates. b-Hypermetropia.If the average radius of curvature of the anterior surface of the cornea is 8 mm. ………………………………………………………………………………………… 129.…. Prostaglandins B D. a-1/2 b-3/4 c-2/3 d-4/5 e-Non of the above. Acetazolamide B. Timolol B. a radius of 8.The cornea represents ………….Ophthalmology MCQs ……………………………………………………….. Mannitol C..Descemet’s Membrane is characterized by: a-Easily destroyed. e-Non of the above. and can regenerate.. ……………………………………………………………………………………………. b-The convex mirror property of the cornea. c-V and III. ……………………………………………………………………………………………. and never regenerates. 133. …………………………………………………………………………………………….The corneal light reflex depends on the following.Corneal transparency results from the following anatomical factors. e-Non of the above. b-Pneumococci. E e-V and VII. d-Resistant to destruction. c-Corneal nerve fibers are demyelinated. C d-Intact corneal epithelium. e-The corneal epithelium is non-keratinized. D c-The corneal nerve fibers are demyelinated. d-Corneal scarring. ……………………………………………………………………………………………... except: a-Healthy tear film. 132.The following bacteria can invade an intact corneal epithelium: a-Gonococci. b-The cornea is devoid of lymphatic vessels. except: a-The cornea is devoid of blood vessels. 131.. Tanta university c-Resistant to destruction.The substantia propria of the cornea proper receives its blood supply from: a-Medial and lateral palpebral arteries. 135.….the corneal touch reflex involves the following cranial nerves: a-II and III. E d-Circulus arteriosus minor. b-II and IV. B e-Corneal ulcer. e-The stromal lamellae are regularly arranged. b-Corneal edema. ……………………………………………………………………………………………. c-Circulus arteriosus major.Ophthalmology MCQs ………………………………………………………. …………………………………………………………………………………………… 130. b-Anterior ciliary arteries. 134. c-Corneal hyposthesia. A 22 . d-V and VI. d-The corneal epithelium is non-keratinized simple columnar epithelium.The direct and immediate consequence of corneal endothelial injury is: a-Corneal vascularization.. 138. except: a-Thick. b-Contains Pneumococci. B e-Indicates associated iridocyclitis. A e-Accompanies severe intra-ocular infections. d-May elevate the IOP. ……………………………………………………………………………………………. …………………………………………………………………………………………….. e-Photophobia. 137. c-Violecious color.A patient with central corneal nebula was able to see uncorrected vision of 6/36. Tanta university C-Streptococci.The following facts are true about hypopyon in a case of typical hypopyon corneal ulcer. D d-Corneal edema. 140. b-Involves the 4 mm circumlimbal area. 141.…. d-Staphylococci. d-Rhizops nigricans. E e-Non of the above. ……………………………………………………………………………………………. 139. d-Not constricted by adrenaline drops.Ciliary injection is characterized by the following.The following fungus is able to invade an intact corneal epithelium: a-Candida albicans.. except: a-Lacrimation.Leucoma non-adherent is one of the complications of perforating corneal ulcers that may occur in: 23 . tortuous blood vessels. b-Aspergillus niger..Ophthalmology MCQs ………………………………………………………. 136. If this is a central macula instead. the vision would be: a-6/12 b-6/18 c-6/24 d-6/36 E e-6/60 ……………………………………………………………………………………………. ……………………………………………………………………………………………. c-Blepharospasm.Symptoms of corneal involvement include the following. e-Pseudomonas. except: a-Contains large molecular weight proteins. b-Pricking pain.. dilated. c-Actinomyces bovis. c-Contains fibrin.. .Non-specific treatment of corneal ulcers should include the following.. B e-Pseudomonas. e-Non of the above. c-Streptococci. …………………………………………………………………………………………….Ophthalmology MCQs ………………………………………………………. Tanta university a-Healed central Descematocele. d-Keratomalacia. ……………………………………………………………………………………………. ……………………………………………………………………………………………. c-Aqueous humor. ……………………………………………………………………………………………. b-Edges of the ulcer. except: a-Mydriatic cycloplegic drops. except: a-Atheromatous corneal ulcers.Descematocele formation is uncommon with: a-Gonococci. b-Small central perforation with no iris prolapse. d-Staphylococci.Fluorescein stain helps diagnose perforating corneal ulcers complicated with fistula formation. B e-Pseudomonas. C e-Corneal stroma. C e-Heat application. d-Dead epithelium.…. c-Antibiotics. 144. c-Streptococci.. b-Pneumococci. d-Staphylococci. b-Neuroparalytic corneal ulcers. 143.The following bacteria is responsible for typical hypopyon corneal ulcers: a-Gonococci. C 24 . c-Central dendritic corneal ulcer. 146. b-Pneumococci. c-Phlyctenular corneal ulcers. 145.. 142. B d-Dense central KPs.The following are primary non-infective corneal ulcers.. b-Pain medications. Fluorescein will stain: a-Floor of the ulcer. ……………………………………………………………………………………………. d-Eye bandage. ……………………………………………………………………………………………..Ophthalmology MCQs ………………………………………………………. c-Acanthameba corneal ulcers. 152. e-Neuroparalytic corneal ulcers. c-Acanthameba corneal ulcers. e-Mooren’s ulcers. C d-Lagophthalmos corneal ulcers. e-Neuroparalytic corneal ulcers. d-Lagophthalmos corneal ulcers. A d-Acanthameba corneal ulcers. 150. b-Herpetic corneal ulcers. e-Mooren’s ulcers. C d-Acanthameba corneal ulcers. …………………………………………………………………………………………….. e-Anywhere allover the cornea. b-Typical hypopyon corneal ulcers. c-The upper third of the cornea. except: a-Fascicular ulcer. Tanta university e-Mooren’s ulcers. 148.Pain is a constant feature in corneal ulcers. b-The middle third of the cornea.…. …………………………………………………………………………………………….. ……………………………………………………………………………………………. C e-Marginal ring ulcer. Pain is most in: a-Typical hypopyon corneal ulcers. C 149. Pain is least in: a-Typical hypopyon corneal ulcers. c-Atypical hypopyon corneal ulcers.Corneal hyposthesia is one of the diagnostic signs of: a-Herpetic corneal ulcers.Pain is a constant feature in corneal ulcers. b-Typical trachomatous ulcer.Lagophthalmos corneal ulcers usually start at: a-The lower third of the cornea. b-Herpetic corneal ulcers. ……………………………………………………………………………………………. d-Mooren’s ulcer. c-Atypical hypopyon corneal ulcers. 147. b-Typical hypopyon corneal ulcers. 151.Coagulated (pyramidal) hypopyon is a sign of: a-Herpetic corneal ulcers.. c-Typical hypopyon ulcer.The following corneal ulcers usually start near the limbus. 25 .. A d-The center of the cornea. 155. d-Intracorneal ring segments. b-Keratoconus. except: a-Frequent change of glasses.. 26 . d-Herpetic interstitial keratitis. B d-All of the above. b-Fungal corneal ulcers. 158. …………………………………………………………………………………………….Pseudocornea is a term used to describe: a-Keratectasia. progressive keratoconus leads to the following. C e-Penetrating keratoplasty. C e-Anywhere allover the cornea.. c-LASIK.. c-Progressive hypermetropia. b-Keratoconus. c-Keratomalacia. 157.…. b-The middle third of the cornea. D e-Acanthameba corneal ulcers. c-The upper third of the cornea.. 153. b-Rigid contact lenses.Typically. C d-Fleisher ring.. 154. c-Dendritic corneal ulcers. 156.Topical steroids are contraindicated in the following conditions. …………………………………………………………………………………………….Ophthalmology MCQs ………………………………………………………. except: a-Typical hypopyon corneal ulcers. …………………………………………………………………………………………….Non-inflammatory corneal ectasia include: a-Keratectasia. Tanta university ……………………………………………………………………………………………. d-The center of the cornea. e-Non of the above. b-Progressive irregular astigmatism.Keratoconus can be managed by the following. except: a-Glasses. e-Vogt stria. D d-Total anterior staphyloma. e-Non of the above. …………………………………………………………………………………………….Typical trachomatous corneal ulcers usually start at: a-The lower third of the cornea. c-Keratomalacia. Tanta university *********************************************************************** MCQs Prof Dr.….Ophthalmology MCQs ………………………………………………………. • a-Senile cataract • b-Age related macular degeneration E • c-Glaucoma • d-Diabetic retinopathy • e-trachoma 160-The term “mature cataract” means • a-A nuclear cataract present more than 10 years • b-A posterior subcapsular cataract that reduces visual acuity to 6/60 or worse C • c-A cortical cataract that involves the entire cortex • d-An anterior subcapsular cataract that causes capsular wrinkling. Ashraf EL-Desouky Single answer pattern True and false pattern Take care of every word in the statement 159-The leading cause of preventable blindness worldwide. 161-Criteria of mature senile cataract a-Visual acuity HM b-Absent RR c-Absent iris shadow D d-All of the above 162-Topical steroids are contraindicated in corneal ulcers except: • a-Phlectenular fasicular ulcer • b-Dendritic ulcer A • c-Typical hypopyon ulcer • d-Atypical hypopyon ulcer 163-The commonest sign of Graves’ disease • a-Exophthalmos • b-Lid retraction B 27 . …. Tanta university • c-Diplopia • d-Conjunctival chemosis 164-Acute proptosis may be due to • a-Trauma • b-Orbital cellulitis • c-Rhabdomyosarcoma D • d-All of the above 165-Enophthalmos may be due to • a-Trauma • b-Cachexia • c-Post radiotherapy • d-Secondaries of breast scirrhus carcinoma E • e-All of the above 166-The commonest cause for night blindness • a-Congenital • b-Vitamine A deficiency A • c-Nuclear cataract • d-Retinitis pigmentosa • e-Liver diseases 167-The only staphyloma with normal IOP is • a-Partial anterior staphyloma • b-Ciliary staphyloma • c-Intercalary staphyloma E • d-Equatorial staphyloma • e-Posterior staphyloma 168-Ectropion of the upper eyelid may be  a-Senile  b-Paralytic  c-Congenital D  d-Non of the above 169-Episcleritis is similar to phlycten clinically but differs in being 28 .Ophthalmology MCQs ………………………………………………………. • A-Large deep cup • B-Interrupted retinal vessels C • C-Waxy yellow colour • D-Overhanging margins 29 . Tanta university  a-tender  b-flat  c-Pigmented A  d-multiple 170-Pneumococci can cause  a-Acute dacryocystitis  b-Chronic dacryocystitis  c-Atypical hypopyon ulcer B  d-Ulcerative blepharitis 171-Staphyloococci can cause  a-Acute dacryocystitis  b-stye  c-Atypical hypopyon ulcer E  d-Ulcerative blepharitis  e-All of the above 172-Etiology of ptrygium • a-Neoplastic • b-Infection • c-Inflammation D • d-degenerative 173-Endogenous septic focus may cause All except : • A-Phlycten B • B-Hypopyon ulcer • C-Iridocyclitis • D-Metastatic endophthalmitis 174-Optic nerve head in glaucomatous optic atrophy has all except.….Ophthalmology MCQs ………………………………………………………. Tanta university 175-Doctor sees nothing & patient sees nothing in • A-Papillitis • B-Papilloedema C • C-Retrobulbar neuritis (toxic amblyopia) • D-All of the above 176-Which of the following ttt is used for optic neuritis • A-prednisolon • B-Observation A • C-Antibiotics • D-Atropine 177-Papilloedema leads to: • A-Rapid deterioration of vision • B-Amaurosis Fugax • C-Pain on eye movements B • D-Early loss of color vision 178-Papilloedema leads to the following Feild changes: • A-Nasal step • B-Arcuate scotoma D • C-Cocentric contraction of peripheral Feild • D-Enlarged blind spot 179-All are correct except Consecutive optic atrophy occurs in: • A-Degenerative myopia D • B-Chorioretinitis • C-CRAO • D-CRV thrombosis 180-Afferent pupillary defect occurs in: All except • A-Papillitis B • B-Hysteria 31 .Ophthalmology MCQs ……………………………………………………….…. in all except • A-AACG • B-Blunt trauma D • C-Alkali burn • D-CRAO 183-CILIARY INJECTION. In all except.…. Tanta university • C-Optic atrphy • D-Retrobulbar neuritis 181-In a baby with watery eyes which may be the cause. • A-Congenital NLD obstruction • B-Buphthalmos • C-Viral conjunctivitis E • D-Corneal abrasion • E-All of the above 182-Rapid painful loss of vision.Ophthalmology MCQs ………………………………………………………. • A-AACG • B-CORNEAL ULCEER • C-ANTERIOR UVEITIS D • D-EPISCLERITIS 184-All the following are signs of lens sublaxation except. • A-Phaco morphic glaucoma • B-Phacoanaphylactic glaucoma D • C-Phacolytic glaucoma • D-Neovascular glaucoma 31 . • A-Phakodenesis • B-Iridodnesis • C-Irrigular anterior chamber D • D-Intact all zonule 185-All of the following are lens induced glaucoma except. …. Tanta university 186-The eye more susceptible to AACG • A-Hypermetropic eye • B-Myopic eye A • C-Astigmatic eye • D-Aphakic eye 187-In an acute angle closure glaucoma’ the choice of surgery is decided after • A-Gonioscopic examination • B-Fundus examination A • C-Tonometry • D-Visual field examination 188-All of the following are the characteristics of glaucomatus cup except • A-Large deep cup • B-Overhanging margins • C-Retinal vessels appear broken at the margin D • D-Lamina criprosa is not visible 189-Acetazolamide lowers IOP by • A-Decreased aquous production • B-Increased aquous drainage A • C-Lower episcleral venous peressure • D-All of above 190-B.Ophthalmology MCQs ………………………………………………………. Blockers lower IOP by • A-Decreased aquous production • B-Increased aquous drainage A • C-Lower episcleral venous peressure • D-All of above 191-Pre auricular lymphadenopathy Occurs with the following conjunctivitis • A-Vernal keratoconjunctivitis • B-Phlyctenular keratoconjunctivitis C • C-Viral conjunctivitis 32 . …. Tanta university • D-Angular conjunctivitis 192-Tremulous iris can be seen in: • A-Aphakia • B-Sublaxation of the lens E • C-Hypermature cataract • D-Posterior dislocation of the lens • E-All of above 193-Posterior polar cataract markedly affects vision because: • A-Its shadow lies on the macula B • B-Close to the nodal point • C-It matures early • D-It blocks the pupillary area 194-Nuclear cataract changes the refraction of the eye into • A-Myopia • B-Hypermetropia A • C-Astigmatism • D-No change 195-Most common cause of diminution of vision after phakoemulsificatio is • A-Cystoid macular edema B • B-Posterior capsule opacification • C-Corneal decompansation • D-Retinal detachment 196-The best treatment for Posterior capsule opacification • A-Surgical excision B • B-Laser opening • C-Surgical polishing • D-Leave alone 33 .Ophthalmology MCQs ………………………………………………………. • A-Spastic ectropion • B-Senile ectropion D • C-Paralytic ectropion • D-Cicatricial ectropion 201-Munson’ sign in:  A-Corneal fistula  B-Corneal dystrophy C  C-Keratoconus 34 . Tanta university 197-The type of laser used to treat Posterior capsule opacification • A-Yag laser • B-Argon laser • C-Diode laser A • D-Excimer laser 198-All of the following types of entropion are known except • A-Spastic entropion • B-Senile entropion C • C-Paralytic entropion • D-Cicatricial entropion 199-All of the following are causes of lagophthalmos except • A-Facial nerve palsy • B-Proptosis • C-Cicatricial ectropion • D-Third nerve paralysis D 200-Corneal ulcers can occur with the following CN disorders • A-VII CN palsy • B-III CN affections • C-VI CN paralysis A • D-IV CN paralysis 201-Ectropion of the upper lid most commonly.Ophthalmology MCQs ……………………………………………………….…. Ophthalmology MCQs ……………………………………………………….  A-There is increase in corneal diameter  B-There is increase in corneal thickness  C-Cloudy cornea A  D-Epthelial bullae  E-Predispose to Corneal vascularization 203-Corneal damage with trachoma is due to:  A-trichiasis  B-dryness  C-Lagophthalmos and exposure D  D-All of the above 204-Double staining pattern of the cornea is characteristic for:  A-Fungal corneal ulcer  B-Herpetic corneal ulcer  C-Exposure keratopathy B  D-Acanthaembic corneal ulcer 205-Corticosteroids is given in:  A-Bacterial corneal ulcer  B-Herpetic corneal ulcer C  C-Fasicular phlyctenular ulcer  D-Stromal fungal keratitis 206-Tarrsorraphy is essential in:  A-Bacterial corneal ulcer  B-Viral corneal ulcer C  C-Exposure keratopathy  D-Traumatic corneal ulcer 207-Blood staining of the cornea is due to:  A-Hyphema  B-Hyphema with rise of IOP  C-Corneal edema B  D-Corneal FB 208-The pupil in acute Ant.…. all are true except. Uveitis is:  A-Constricted 35 . Tanta university  D-Corneal facet 202-In corneal edema. C D  C-Mydriatics and cycloplegics drops  D-Corticosteroids drops 211-All of the following are non-specific signs in conjunctivitis except  A-Subconjunctival hemorrhage C  B-Papillae  C-Follicles  D-pseudomembranes 212-In buphthalmos we should exclude all of the following • Except  A-Retinoblastoma  B-Megalocornea D  C-High myopia  D-Babies of diabetic mothers 213-In buphthalmos which of the following is a late presentation  A-Lacrimation and sneezing B 36 . Tanta university  B-Dilated A  C-Festooned  D-Vertically oval 209-Infective corneal ulcers include all except:  A-Bacterial corneal ulcer  B-Fungal corneal ulcer C  C-Mooren’s ulcer  D-Viral corneal ulcer 210-In treating bacterial corneal ulcer all are true except:  A-Antibiotics drops  B-Vitamin A.….Ophthalmology MCQs ………………………………………………………. Tanta university  B-Optic cupping  C-Enlarged hazy cornea  D-Flattened sublaxated lens 214-In a patient with HM vision. • A-Iridectomy is indicated • B-Cycloplegics are helpful • C-IOP lowering medications are employed • D-Miotics are not helpful • E-Surgical lens removal may be indicated in some cases 37 .  A-Projection of light  B-Cofrentation test A  C-Automated perimetry  D-Bjerrum screen 215-Which of the following is not a test for visual feild  A-Projection of light  B-Cofrentation test  C-Automated perimetry E  D-Bjerrum screen  E-Percepton of light 216-Which of the following is not a test for visual feild  A-Projection of light  B-Cofrentation test  C-Automated perimetry E  D-Bjerrum screen  E-Percepton of light 217-Glaucoma inversus can occur in  A-Post sublaxated lens  B-Post dislocated lens D  C-Intumescent cataract  D-Anterior dislocated lens Glaucoma Inversus • Glaucoma inversus occurs with lens sublaxation or dislocaton caused by pupillary block induced by anteriorly displaced lens or herniated vitreous 218-TTT is directed at relieving the pupillary block.…. visual feild can be tested by.Ophthalmology MCQs ………………………………………………………. Tanta university 219-Glaucoma inversus can be treated by:  A-Pilocarpine + anti-inflammatories  B-Pilocarpine + beta blockers C  C-Atropine  D-cyclocryotherapy 220-Phakomorphic Glaucoma is.Ophthalmology MCQs ……………………………………………………….…. In all except  A-Retinoblastoma  B-PHPV  C-Coat’s disease E  D-Toxocara  E-MM choroid 222-Third C nerve innervate all except • A-Superior oblique muscle • B-Levator palpebre muscle • C-Inferior oblique muscle A • D-Medial rectus muscle 223-Horner’s syndrome  A-Ptosis + myosis + enophthalmos + anhydrosis  B-Ptosis + mydriasis + enophthalmos + anhydrosis A  C-lagophthalmos + myosis + enophthalmos + anhydrosis  D-diplopia + myosis + enophthalmos + anhydrosis 224-Diplopia due to right 6 CN palsy • A-Increases on looking to • B-To the right 38 .  A-Induced by intumescent cataract  B-Induces pupillary block  C-A closed angle secondary glaucoma E D-Urgent cataract extraction is indicated  E-All of the above 221-Amaurotic cat’s eye reflex. Tanta university • C-To the left B • D-Up • E-down 225-Diplopia due to right 4 th CN palsy • A-Disappear on covering . D • B-Right eye • C-Left eye • D-Either one 226-The commonest cause of crossed eyes in the first year of life • A-Infantile esotropia • B-Accomodative esotropia A • C-Six CN palsy • D-Duane’s syndrome 227-convergent squint may be due to: • A-Infentile esotrpia • B-Accommodative esotropia E • C-Six N.Ophthalmology MCQs ……………………………………………………….…. Iridectomy is indicated Cycloplegics are helpful IOP lowering medications are employed Miotics are not helpful Surgical lens removal may be indicated in some cases *************************************** MCQ model Dr Ashraf EL-Desouky MCQs 39 . palsy • D-Graves’ disease • E-All of the above Glaucoma Inversus Dr Ashraf EL-Desouky Glaucoma Inversus Glaucoma inversus occurs with lens sublaxation or dislocaton caused by pupillary block induced by anteriorly displaced lens or herniated vitreous TTT is directed at relieving the pupillary block. All of the following are symptoms of Retinal Detachment except. Afferent pupillary defect occurs in all except a) Papillitis b) Hysteria c) Orbital abscess B d) Optic atrphy e) Retrobulbar neuritis 4.….Doctor sees nothing& patient sees nothing in a) Papillitis b) Papilloedema c) toxic amblyopia (retrobulbar neuritis) C d) All of the above e) Non of the above 2. Ophthalmology MCQs ………………………………………………………. a) Floaters b) Flashes of light E c) Failing vision d) Field defect e) Ciliary injection 7.Enophthalmos may be caused by a) Blunt orbital trauma b) Schirrus carcinoma of the breast metastasis E c) Cachexia d) Radiotherapy close to orbital region e) all of the above 9. Convergent squint may be due to: a) Infentile esotrpia b) Accommodative esotropia E c) Six N. palsy d) Graves’ disease e) All of the above 5.Beta Blockers lower IOP mainly by 41 .All the following are signs of lens sublaxation except.Papilloedema lead to: a) Rapid deterioration of vision b) Primary optic atrophy c) Pain on eye movements D d) Enlarged blind spot e) Colored halos 3.In acute angle closure glaucoma’ the choice of surgery is decided after a) Gonioscopic examination b) Fundus examination A c) Tonometry d) Visual field examination e) Dark room test f) 8. Tanta university 1. a) Phakodenesis b) Iridodnesis c) Irrigular anterior chamber E d) High astigmatic error e) Intact all zonule 6. Papilloedema lead to: f) Rapid deterioration of vision g) Primary optic atrophy h) Pain on eye movements D i) Optic disc edema more than 3 D 4. May.V.Rapid painful loss of vision occurs in all except 41 .…. Afferent pupillary defect occurs in all except f) Papillitis g) Hysteria h) Optic atrphy G i) Retrobulbar neuritis 5.All of the following are causes of lagophthalmos except a) Facial nerve palsy b) Proptosis c) Cicatricial ectropion d) Third nerve paralysis e) Thyroid Associated orbitopathy 12. Ophthalmology MCQs ………………………………………………………. 2007 MCQs All questions are to be attempted Time allowed one hour Select only one answer 1.Pre auricular lymphadenopathy occurs with the following conjunctivitis a) Vernal keratoconjunctivitis b) Phlyctenular keratoconjunctivitis D c) Viral conjunctivitis d) Angular conjunctivitis e) Ocular cicatricial pemphigoid 11.Doctor sees nothing& patient sees nothing in f) Papillitis g) Papilloedema h) Retrobulbar neuritis (toxic amblyopia) i) All of the above 2.In corneal edema.Which of the following treatment is used for optic neuritis a) Prednisolon I. Tanta university a) Decreased aquous production b) Increased aquous drainage c) Lower episcleral venous peressure C d) All of above e) Increase suprachoroidal aquous outflow 10. b) Observation c) Pilocarpine 2% A d) Atropine 1% 3. all is true except a) There is increase in corneal diameter b) There is increase in corneal thickness c) Cloudy cornea d) Predispose to Corneal vascularization e) Wrinkled Descmet’ membrane Good Luck *********************************************************************** Tanta University Faculty of Medicine Under graduate mid year exam. All of the following are symptoms of Retinal Detachment except.All the following are signs of lens sublaxation except.Nuclear cataract changes the refraction of the eye into a) Myopia b) Hypermetropia A c) Astigmatism 42 .Pre auricular lymphadenopathy occurs with the following conjunctivitis f) Vernal keratoconjunctivitis g) Phlyctenular keratoconjunctivitis h) Viral conjunctivitis C i) Angular conjunctivitis 14. Tanta university a) Acute angle closure glaucoma b) Blunt trauma D c) Alkali burn d) CRAO 6.Tremulous iris can be seen in: a) Aphakia b) Hypermature cataract D c) Posterior dislocation of the lens d) All of above 15.Beta Blockers lower IOP mainly by f) Decreased aquous production D g) Increased aquous drainage h) Lower episcleral venous peressure i) All of above 13.All of the following are the characteristics of glaucomatus cup except a) Large deep cup b) Overhanging margins c) Retinal vessels appear broken of at the margin D d) Lamina criprosa is not visible 11.….Enophthalmos may be caused by f) Blunt orbital trauma g) Schirrus carcinoma of the breast metastasis h) cachexia i) all of the above 12.In acute angle closure glaucoma’ the choice of surgery is decided after g) Gonioscopic examination h) Fundus examination A i) Tonometry j) Visual field examination 10. f) Phakodenesis g) Iridodnesis h) Irrigular anterior chamber I i) Intact all zonule 7. f) Musca Volitants g) Flashes of light h) Deterioration of vision I i) Sever ocular pain 8.Posterior polar cataract markedly affects vision because: a) Its shadow lies on the macula b) Close to the nodal point B c) It matures early d) It blocks the pupillary area 16. Ophthalmology MCQs ……………………………………………………….The eyes susceptible to angle closure glaucoma are: a) Hypermetropic eye b) Myopic eye c) Astigmatic eye A d) Pseudophakic eye 9. all is true except f) There is increase in corneal diameter g) There is increase in corneal thickness A h) Cloudy cornea i) Predispose to Corneal vascularization 25. Tanta university d) No change 17.Blood staining of the cornea is due to: a) Hyphema b) Hyphema with rise of IOP c) Corneal edema 43 . Ophthalmology MCQs ……………………………………………………….All of the following types of entropion are known except a) Spastic entropion b) Senile entropion C c) Paralytic entropion d) Cicatricial entropion 21All of the following are causes of lagophthalmos except f) Facial nerve palsy g) Proptosis h) Cicatricial ectropion D i) Third nerve paralysis 22.Topical Corticosteroids are contraindicated except in: a) Bacterial corneal ulcer b) Herpetic corneal ulcer C c) Fasicular phlyctenular ulcer d) Stromal fungal keratitis 27.Ectropion of the upper lid most commonly.The best treatment for Posterior Capsule Opacification a) Surgical excision b) Laser opening c) Surgical polishing B d) Leave alone 19.Most common cause of diminution of vision after ECCE is a) Cystoid macular edema b) Posterior capsule opacification B c) Corneal decompansation d) Retinal detachment 18.Munson’ sign occurs in: a) Corneal fistula b) Corneal dystrophy C c) Keratoconus d) Corneal facet 24.Double staining pattern of the cornea is characteristic for: a) Fungal corneal ulcer b) Herpetic corneal ulcer B c) Exposure keratopathy d) Acanthaembic corneal ulcer 26.Tarrsorraphy is essential in: a) Bacterial corneal ulcer b) Viral corneal ulcer c) Exposure keratopathy C d) Traumatic corneal ulcer 28.In corneal edema. a) Spastic ectropion b) Senile ectropion c) Paralytic ectropion D d) Cicatricial ectropion 23.….The type of laser used to treat Posterior Capsule Opacification a) Yag laser b) Argon laser c) Diode laser d) Excimer laser 20. all the following muscles are supplied by Oculomotor nerve except: a) Superior oblique muscle b) Inferior oblique muscle A c) Inferior rectus muscle d) Levator palpebre muscle Good Luck MCQsmodel 2 Ophthalmologic manifestations of rheumatoid arthritis may include all of the following. Ophthalmology MCQs ………………………………………………………. Tanta university d) Corneal FB 29 All are infective corneal ulcers except a) Typical hypopion ulcer b) Atypical hypopion ulcer C c) Fasicular ulcer d) Dendritic corneal ulcer 30.…. Scleritis C. Corneal melts E. b. By what age should the patient be referred for surgical evaluation? A) 2 weeks B) 6 months C) 12 months D) 24 months E) 36 months Correct is A What is the shape of pupil in acute iridocyclitis a.small and irregular c. Ischemic optic atrophy You examine a 2-week-old infant and find a dense congenital cataract in the left eye.none B Drug of choice in angular conjunctivitis is a. Oxytetracycline. except A. Episcleritis D.oval and dilated b. Chlormycetin. Secondary Sjögren's syndrome with sicca complex B. 44 .large and round d. diabetes mellitus c. d. Ropy white discharge. A Which of the following is contraindicated in the treatment of acute congestive glaucoma a. c. Ciprofloxacin.timolol d.concussion injury b. Nuclear cataract. b. c.atropine b. d. Gentamycin A Type of discharge in spring catarrh is a. Tanta university c. C Rosette shaped cataract is a feature of a. Wilson's Disease The Correct Answer is B Contusion cataract is usually stellate or rosette-shaped involving the axial posterior lens capsule 4) After cataract refers to : a) Refractive error following cataract surgery b) Opacity following ECCE B c) A complication following ICCE d) Intraocular implants after cataract extraction 45 . Morgagnian. Cortical cataract.Congenital Rubella d. Purulent discharge. b. Ophthalmology MCQs ………………………………………………………. Orange fluorescent discharge. Lental sclerosis.pilocarpine c. Mucopurulent discharge.dorzolamide A Second sight is seen in a. d.…. 3 wks after sustaining a gunshot injury to his left eye. d) The sample should be refrigerated for the initial 3 hours and then incubated at 37 Degrees C 8) A 20 yr old man complains of difficulty in reading the news paper with his right eye.….Ophthalmology MCQs ………………………………………………………. . and lacrimation with raised polygonal areas in the palpebral conjunctiva is: a) Trachoma b) Phlyctenular conjunctivitis c) Mucopurulent conjunctivitis D d) Vernal keratoconjunctivitis 10) A patient is on follow up with you after enucleation of a painful blind eye. itching. Tanta university 5) Seasonal allergic conjunctivitis is : a) Bilateral & recurrent b) Associated with watery colorless secretion A c) Persists throughout life d) Topical steroids are the mainstay of therapy 6) Which of the following is a cause of unilateral amblyopia? a) Uremia b) Meningitis c) Hysteria D d) High anisometropia 7) A vitreous aspirate has been collected in an emergency at 9 pm. a proper sized artificial prosthetic eye is advised after a postoperative period of: 46 . What advice you like to give to the staff on duty regarding the overnight storage of the sample: a) The sample should be kept at 4 Degrees C b) The sample should be incubated at 37 Degrees C B c) The sample should be refrigerated in deep freezer. After enucleation of the eyeball. The most likely diagnosis is - a) Macular edema b) Sympathetic ophthalmia B c) Optic nerve avulsion d) Delayed Vitreous hemorrhage 9) A recurrent bilateral conjunctivitis occuring with the onset of hot weather in young boys with symptoms of burning. Tanta university a) about 10 days b) About 20 days D c) 6 . b) 13p14 A c) 14p13 d) 14q13 13) A 1 yr old child having leucocoria was detected to be having a unilateral. The following is the best drug for treatment: a) Propamidine b) Neosporine c) Ketoconazole A d) Polyhexamethylene biguanide 12) Hereditary retinoblastomas develop the following chromosomal deletion: a) 13q14 .….8 wks d) 12 .24 wks 11) A patient using contact lens develops corneal infection. Current therapy would involve: a) Enucleation b) Chemotherapy with local dyes c) Direct Laser Ablation using photodynamic cryotherapy A d) Scleral radiotherapy followed by chemotherapy 14) Type IV hypersensitivity to Mycobacterium tuberculosis antigen may manifest as: a) Iridocyclitis b) Polyarteritis nodosa C c) Phlyctenular conjunctivitis d) Giant cell arteritis 15) In a patient with AIDS chorioretinitis is typically caused by: a) Cytomegalovirus b) Toxoplasma gondii c) Cryptococcus neoformans A d) Histoplasma capsulatum 47 .Ophthalmology MCQs ………………………………………………………. Laboratory diagnosis of acanthamoeba keratitis was established. large retinoblastoma filling half the globe. Ophthalmology MCQs ……………………………………………………….Keratinized stratified squamous epithelium. d. B c. The corneal epithelium is : a.Non keratinized stratified squamous epithelium. 48 . Tanta university 16) The operation of plication of inferior lid retractors is indicated in: a) Senile ectropion b) Senile entropion c) Cicatricial entropion B d) Paralytic entropion 17) Fasanella Servat operation is specifically indicated in: a) Congential ptosis b) Steroid induced ptosis D c) Myasthenia gravis d) Horner's syndrome 18) A lady wants LASIK surgery for her daughter. b. This child should be operated: a) Immediately b) At 2 months of age c) At 1 yr of age when the globe becomes normal sized A d) After 4 yrs of age when the entire ocular and orbital growth become normal 20) Vortex vein invasion is commonly seen in: a) Retinoblastoma b) Malignant melanoma c) Optic nerve glioma B d) Medullo-epitheliomas 1.Tall columnar epithelium.…. She asks for your opinion.Cuboidal epithelium. All of the following things are suitable for performing LASIK except: a) Myopia of -4D b) Age of 15 years c) Stable refraction for 1 yr B d) Corneal thickness of 600 microns 19) A child has got a congenital cataract involving the visual axis which was detected by the parents right at birth. d. Corneal power and curvature is measured by: a.Gonioscope.Skiascopy.Regular arrangement of stromal collagen fibrils.Specular microscope. b.New fibres are not regularly arranged.Diffuse macula. 9.Stromal layer with epithelium. b.All of above. b. c. C d.…. c.M is not regenerated.None of above. Healing of corneal ulcer results into an opacity because: a. A d.None of them. D d. b. Endothelial cell layer of the cornea are examined by : a.P.Both A & B.Three layers namely epithelium. b. Pseudo .Slit lamp. 4. Tanta university 2. 10.Psuedomonas. The type of corneal opacity that affects vision more is : a.Dense leucoma.Only epithelial layer. 6.Keratometry. Corneal diameter is measured by: a. b. c.Slit lamp biomicroscopy. B d. d.Topography. Ophthalmology MCQs ……………………………………………………….All of above. stroma & endothelium.Retinoscopy.Intact epithelium and endothelium.O. 8.cornea is formed of: a. A c. b. 7. Corneal thickness is measured by: a.Ophthalmoscope. B c.Keratometry. d. d. c. B c.Biometry. Only one organism of the following can invade normal corneal epithelium : a. d.Staphylococcus. 49 .Pneumococcus.Perimetry.Caliper & Ruler. b. D c.All corneal layers.Diffuse nebula. c.B.Keratometry.Pachymetry. b.Gonococcus. 5. 3. One of these factors contributes to corneal transparency: a.Normal I. Ciliary ganglion. The followings are true about hypopyon except: a. b. C c. c. Ophthalmology MCQs ………………………………………………………. b. In recurrent neuroparalytic keratitis the best treatment is : a. c. d.Auto immune ulcer. d. 12.Closure of lacrimal puncta.Infective ulcer. 18. b. b. 16. 20.Peripheral anterior synechia. C d.Keratoglobas.Refractive surgery.Gasserian ganglion.Complete cure.Antibiotic drops & ointment.Hypopyon ulcer.Neuroparalytic ulcer. c. b. Fleischer's ring on the corneal epithelium is seen in : a.Corneal fistula. 19. 51 . c. b.Staphylococci.It is fluid & cells.Tarsorrhaphy.It is absorbed with therapy. In advanced keratoconus.It is infected fluid containing pus cells. ' b. d. b. Tanta university 11.Dendritic ulcer.Keratomalacia B. A d. 17. C d.It is leucocytosis due to bacterial toxins. d. 15. D d.Streptococci.Inferior cervical ganglion. the best treatment is : a.Superior cervical ganglion.Artificial tears.Soft Contact lenses. The reservoir of infection in herpes zoster ophthalmicus is: a.Hard contact lenses. d.Keratoconus. Small peripheral corneal perforation leads to: a. b.Anterior staphyloma.Anterior staphyloma.. Mooren's ulcer is : a.…. 13. The possible occurrence is: a.Anterior polar cataract. b.Disciform keratitis.Mycotic ulcer.Pneumocucci.Degenerative ulcer. Steroids are indicated topically in : a. A patient with corneal ulcer noticed sudden cessation of pain & relieve of other symptoms. c. c. D c.Gonococci.Penetrating keratoplasty. C c. 14. Ulcer serpens is caused by : a.Perforation. b. b. c. 6. b. d. d. b.Endophthalmitis.Corneal fistula. A d. c.O. 5.Pachymetry.New fibres are not regularly arranged.None of them. b.Skiascopy.Perimetry. Ophthalmology MCQs ……………………………………………………….Cuboidal epithelium. The corneal epithelium is : a. c. Healing of corneal ulcer results into an opacity because: a.B.Dense leucoma. d. Endothelial cell layer of the cornea are examined by : a.…. d. b.Specular microscope. c.Topography. 1.Slit lamp.Non keratinized stratified squamous epithelium. One of these factors contributes to corneal transparency: a. d.All corneal layers.P.All of above. Corneal diameter is measured by: a. Tanta university c.All of above. 4.Diffuse macula. d.Keratometry. b.Tall columnar epithelium.M is not regenerated.Keratinized stratified squamous epithelium. 51 .Three layers namely epithelium. Corneal thickness is measured by: a.cornea is formed of: a.Keratometry. stroma & endothelium. b. c. The type of corneal opacity that affects vision more is : a. b. d. 7.Intact epithelium and endothelium.None of above. d.Staphylococcus. 8.Regular arrangement of stromal collagen fibrils. c. b. c.Gonococcus. c. 2. d.Caliper & Ruler.Psuedomonas. 3. 9. Corneal power and curvature is measured by: a. Only one organism of the following can invade normal corneal epithelium : a.Slit lamp biomicroscopy.Pneumococcus. Pseudo .Gonioscope. 10.Retinoscopy.Ophthalmoscope.Both A & B. c.Normal I.Diffuse nebula.Keratometry.Biometry. 16. d. The followings are true about hypopyon except: a. b. d. d.Artificial tears.It is leucocytosis due to bacterial toxins.Hypopyon ulcer. b.Gonococci. b. 18. c.….Superior cervical ganglion. Fleischer's ring on the corneal epithelium is seen in : a. c. the best treatment is : a.Keratomalacia.Neuroparalytic ulcer. b.Degenerative ulcer.Refractive surgery. d.It is infected fluid containing pus cells. Tanta university c. Mooren's ulcer is : a. 19. 17.Penetrating keratoplasty. In recurrent neuroparalytic keratitis the best treatment is : a. b.Hard contact lenses.Inferior cervical ganglion..Streptococci. In advanced keratoconus.Disciform keratitis.Keratoconus. d.Antibiotic drops & ointment.Tarsorrhaphy.Pneumocucci.It is fluid & cells.Dendritic ulcer.Closure of lacrimal puncta.Staphylococci.Ciliary ganglion. 14. 11. 12. d.Auto immune ulcer. d. Steroids are indicated topically in : a.Mycotic ulcer. Small peripheral corneal perforation leads to: 52 . c. c.Stromal layer with epithelium. d.Keratoglobas.It is absorbed with therapy. 15. c. b. The reservoir of infection in herpes zoster ophthalmicus is: a. Ophthalmology MCQs ……………………………………………………….Anterior staphyloma. 13. d. Ulcer serpens is caused by : a.Soft Contact lenses.Only epithelial layer.Infective ulcer. c. c. ' b. b.Gasserian ganglion. c. b. b) a wave is negative . d) loss of vision is not as rapid as in retianl artery occlusion e)typical fundual picture is thunder blood fundus.specificity is related with 2 F flexner rosette and fleuters.…. e)related to usher syndrome . d) b wave is generated from the neural layer . c)causes cataract d)causes tunnel vision. answers all are true 2) regarding retinoblastoma : a)amaurotic cat reflex is seen . retinitis pigmentosa : a) it is usually bilateral b)usually hereditary.neither pseudorosette nor homer wright rosette are specific of disease .Peripheral anterior synechia. c. c) c wave is positive deflection. b. 20. Ophthalmology MCQs ………………………………………………………. 4) regarding management of retinoblastoma : a) in stage 1 @ 2 enuclation is done b)in stage exentration of orbit is done. e)photocoagulation by argon laser. d. answers amaurotic cat reflex yellow or white pupillary reflex classically noted by parents convergent squint is seen and the second most common manifestation of disease . answers all are true . d)chemotherapy based on cyclophosphamide vincristine and adrimycin.Anterior polar cataract.in 75% cases calcification is seen on x ray .Endophthalmitis. c)cobalt radiotherapy. 53 . answer all are true best mneumonic is ERCP ENCULEATION EXENTRATION RADIOTHERAPY CHEMOTHERAPY CRYOTHERAY PHOTOCOAGULATION. pseudohypopyon is the rare maifestation of the disease . b)in younger age group facial erysiplas can do it c)90 day galucoma can occur . e) show charactersitic pattern in retinitis pigmentosa. A patient with corneal ulcer noticed sudden cessation of pain & relieve of other symptoms. The possible occurrence is: a. b)divergent squint is the most common manifestation. c.Complete cure.Anterior staphyloma. d. d)pseudohypopyon is usual manifestation e)it is usually calcified .Corneal fistula. 3) Central retinal vein occlusion: a)most common cause in elderly is diabetes . c)pseudorosette is specific feature .Perforation. 5)REGARDING ELECTRORETINOGRAM A) there are three wave pattern . Tanta university a.Corneal fistula. …. Tanta university 54 .Ophthalmology MCQs ……………………………………………………….