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Ophthal quiz

Total questions: 10

Worksheet time: 5mins

Name
Class
Date
1.

What are the fundus fluroscein angiography findings in patients of Posterior scleritis ?

a)

Perilesional hyperfluroscein in early phase

b)

Intralesional hyperfluroscein in early phase

c)

Pin point leakage in early and late phase

d)

Diffuse pin point leak with CNP

2.

What type of collagen is found in scleral tissue ?

a)

Type 1 , 3, 5 and 6

b)

Type 1, 3, 5 and 9

c)

Type 1, 3, 4 and 9

d)

Type 1, 3, 5 and 10

3.

Scleritis is associated

with which immunological phenomenon?

a)

Autoimmune phenomenon

b)

Auto inflammatory phenomenon

c)

Both

d)

None

4.

Which cytokines are raised in scleritis?

a)

TNF-alpha, MMP 9, IL-17

b)

TNF-Y, MMP 5, IL-2

c)

TNF-Y, MMP 2, IL-22

d)

IFN-Y, TNF- alpha, IL-2

5.

Which of the following are close different diagnosis for scleritis?

a)

VKH, CSCR

b)

CHOROIDAL METASTASIS

c)

Retinitis and Choroiditis

d)

CNVM

6.

What is the most common microbial cause of scleritis post Pterygium surgery?

a)

Pseudomonas A

b)

Streptococcus Epidermidis

c)

Staphylococcus A

d)

H. Influenza

7.

A 32 year old female, had complaints of headache and fever. She felt pain and heaviness in both more at mid night. Her eyes were red and consulted an general ophthalmologist where she was diagnosed as posterior scleritis. FA was done which showed diffuse pin point leaks in early and late phase. What would be your next step ?

a)

Reconsider diagnosis

b)

Start on Immunosuppressive agent

c)

Ask for ANA, ANCA, ESR CRP and CXR before starting the therapy

d)

Do a B scan and ICGA

8.

Which ocular investigation would help in diagnosing posterior scleritis?

a)

FFA ICGA MRI

b)

FAF

c)

CT scan orbit

d)

OCT and CT scan

9.

A 26 year old female with recurrent posterior scleritis of right eye is under maintenance therapy with Tab Methotrexate 15mg on every Sunday. Which investigation is routinely advised for the patient?

a)

Complete blood picture and liver function test

b)

Complete blood picture and renal function test

c)

Random blood sugar level and Serum homocysteine level

d)

Complete blood picture and Ultrasound abdomen

10.

What are the Scleral constituents?

a)

Collagen fibres and GAGs

b)

Dermatan sulphate and chondroitin sulphate proteoglycans

c)

Both a and b

d)

Collagen fibres, keratan sulphate and chondroitin sulphate proteoglycans