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BOS ophthal

Total questions: 60

Worksheet time: 18mins

Name
Class
Date
1.

The predominant type of collagen in lens capsule is

a)

type i

b)

type iii

c)

type iv

d)

type ii

2.

Bilateral cataract in a 8 yr old with Aniridia, should be reffered to which specialist

a)

cardiologist

b)

nephrologist

c)

endocronologist

d)

neurologist

3.

You notice the finding in a 23yr male patient .

which of the following is not a feature .

a)

difficulty to release grip of door handle.

b)

cardiac conduction defect

c)

eyelid retraction

d)

early baldness

4.

what type of cataract is seencommonly in a young patient with the fundus picture

a)

anterior subcapsular

b)

cerulean

c)

mittenderfs dots

d)

post subcapsular

5.

Which of the following best represents the pathophysiology of this patient’s condition?

a)

Embolic phenomenon

b)

Thrombosis at the level of the lamina cribrosa

c)

Carotid stenosis

d)

Compression of the central retinal vein due to an atherosclerotic arteriole

6.

What is the approximate incidence of postintravitreal injection endophthalmitis?

a)

1 in 5,000

b)

1 in 10,000

c)

1 in 2,500

d)

1 in 7,500

7.

A 33-year-old female complains of bilateral vision loss for 4 months. Visual acuity measures CF and 20/100. All of the following may be associated with the development of this condition except:

a)

disseminated intravascular coagulation

b)

toxemia of pregnancy

c)

retinitis pigmentosa (RP)

d)

polyarteritisnodosa

8.

This layer represents the junction between the photoreceptor inner and outer segments:

a)

Z

b)

X

c)

V

d)

W

9.

This layer represents interconnections between photoreceptors, bipolar, and horizontal cells:

a)

W

b)

X

c)

Y

d)

Z

10.

Which one of the following conditions has been associated with foveal hypoplasia?

a)

Tay–Sachs disease

b)

Juvenile X-linked retinoschisis (JXLR)

c)

Aniridia

d)

Choroideremia

11.

Which one of the following about Coats disease is true?

a)

Usually bilateral

b)

Associated with microphthalmia

c)

Bimodal age distribution

d)

Equally common between males and females

12.

A copper intraocular foreign body can cause all of the following except:

a)

sunflower cataract

b)

Kayser–Fleischer rings

c)

suppurative endophthalmitis

d)

irreversibly flat ERG

13.

All findings are associated with sickle cell disease except:

a)

sunbursts

b)

Dalen–Fuchs nodules

c)

sea fan neovascularization

d)

salmon patch hemorrhages

14.

The most likely cause of the pigmentation depicted in this image is:

a)

melanin

b)

silver

c)

iron

d)

copper

15.

All of the following may be the underlying cause of the fundus appearance in ­Figure except?

a)

Severe chest compression trauma

b)

Acute pancreatitis

c)

Fat embolism syndrome

d)

Disseminated intravascular coagulation

16.

The most likely diagnosis is:

a)

post cataract surgery

b)

hypotony

c)

birth trauma

d)

enlarged corneAL NERVES

17.

The a, b, and c waves of the ERG originate from the following retinal structures, sequentially:

a)

RPE, ganglion cells, Müller cells

b)

ganglion cells, bipolar cells, RPE

c)

photoreceptors, bipolar cells, RPE

d)

Müller cells, ganglion cells, photoreceptors

18.

The vitreous particles of asteroid hyalosis are composed of:

a)

hyaline

b)

cholesterol

c)

calcium

d)

amyloid

19.

Findings in Stargardt disease may include all of the following except:

a)

RPE atrophy in the macula

b)

nonperfusion on fluorescein angiogram

c)

yellow flecks in the macula

d)

yellow flecks in the peripheral retina

20.

2. Tucking the superior oblique tendon?


E. b and c

a)

A.Is appropriate to correct superior oblique muscle palsy

b)

B,can result in Brown syndrome

c)

C.Is the procedure of choice when the symptoms and measurements indicate principally a torsional misalignment

d)

a and b

e)

b and c

21.

In infantile esotropia: all are true except

a)

amblyopia is uncommon

b)

the majority of patients have associated neurological deficit

c)

a high refractive error is common

d)

dissociated vertical deviation is found in 75% of cases

e)

monocular opticokinetic asymmetry is a feature

22.

Which one of the following concerning the manifestations of Sarcoidosis is false?

a)

. The uveitis may be granulomatous or nongranulomatous

b)

you can get bilateral painless enlargement of the lacrimal gland

c)

Candle-wax drippings (taches de bougie) are actually irregular granulomas along retinal venules

d)

The anterior uveitis of sarcoidosis is nonscarring (i.e., few or no synechiae)

23.

Eyelid edema in thyroid eye disease is called as

a)

Enroth's sign

b)

Boston's sign

c)

Goldzeiher's sign

d)

Stellwag's sign

24.

Gyrate atrophy is characterized by all of the following except:

a)

peripheral RPE affected initially

b)

high serum ornithine levels

c)

ornithine transcarbamylase deficiency

d)

abnormalities of chromosome 10

25.

Most common type of rhabdomyosarcoma

a)

Botryoid

b)

Embryonal

c)

Alveolar

d)

Pleomorphic

26.

Organised vitreous hemorrhage is known as?

a)

Ochre membrane

b)

Coloidal membreane

c)

Hyaloid membrane

d)

Vitheam membrane

27.

Name the ophthalmologist who received Nobel Prize for his contribution towards understanding of eye as a refractive organ and dioptrics of eye.

a)

Ragnar granit

b)

Von graefe

c)

Allvar Gulstrand

d)

George Wald

28.

Name this pioneer in ophthalmology.

a)

Sir willam scott.

b)

Nicholas Harold Ridley.

c)

Ridley scott.

d)

Nicholas butler.

29.

Identify this well known person?

a)

Charles Schepens

b)

Charles burnord

c)

Von Helmholtz

d)

Von Willebrand

30.

WILSONS DISEASE

a)

Christmas cataract

b)

White dot cat

c)

Sunflower cat

d)

Snow flake cat

31.

What is the contribution of Sir Earnst Custodis in ophthalmology?

a)

Gas n RD

b)

PFCL in vitrectomy

c)

implants in RD

d)

Endolight in vitrectomy

32.

Which phakomatosis does not have characteristic retinal findings?

a)

Louis–Bar

b)

Wyburn–Mason

c)

Bourneville’s

d)

von Hippel–Lindau

33.

This scan is highly suggestive of ?

a)

Tuberculoma

b)

Aspergilloma

c)

Cysticercous

d)

Retinoblastoma

34.

Surfers eye refers to

a)

ca-insitu of conjuctiva

b)

hydrops

c)

plyctenullar conjuctivitis

d)

pterygium

35.

METAL USED IN TREATMENT OF KERATOCONUS

a)

Iron

b)

Manganese

c)

Copper

d)

selenium

36.

Z SYNDROME IS A complication of which iol

a)

tecnis symphony

b)

Restor

c)

Iris claw

d)

Crystalens

37.

true of The tear film except

a)

has a lower concentration of glucose than the serum

b)

the oily component is secreted by the meibomian glands

c)

the glands of Wolfring secrete the mucous component

d)

the glands of Krause secrete the aqueous component

38.

A 36-year-old asymptomatic male is referred with the following ocular findings (Fig.). The following historical facts may be pertinent in determining the underlying diagnosis except:

a)

history of liver transplantation

b)

history of multiple, nonspecific episodes of weakness and numbness

c)

history of high-risk sexual behavior

d)

history of polydipsia, polyphagia, polyuria

39.

WHICH OF THESE DRUGS IS ASSOCIATED WITH AION

a)

tamoxifen

b)

chloroquine

c)

ergotamine

d)

Tadalafil

40.

According to the Diabetic Retinopathy Study, all of the following meet the high-risk criteria for significant visual loss with proliferative diabetic retinopathy (PDR) except:

a)

1 disk area (DA) isolated neovascularization elsewhere (NVE)

b)

1/2 DA NVE with preretinal hemorrhage

c)

1/4 DA NVD with VH

d)

1/3 DA neovascularization of the disk (NVD)

41.

All of these are IOL formulas for post lasik patients except

a)

Double-K

b)

Haigis L

c)

Shammas

d)

Masket

42.

Scharioth macula lens is a

a)

90 D lens

b)

78 D lens

c)

fresnel prism

d)

IOL

43.

Which is the most common of the traumatic retinal tears after blunt ocular injury?

a)

Tears around lattice

b)

Giant retinal tears

c)

Inferotemporal dialysis

d)

Superonasal dialysis

44.

Tonometer used in irregular cornea is :

a)

Mackay-Marg tonometer

b)

Rebound tonometer

c)

Draeger’s tonometer

d)

Maklakov tonometer

45.

8.Critical angle of air-cornea interface:

a)

46 degrees

b)

64 degrees

c)

24 degrees

d)

36 degrees

46.

18.A 60-years-old male presents with coloured haloes. On Fincham’s test, the haloes split and then reunite. The most probable diagnosis is

a)

1. Acute congestive glaucoma

b)

2. Open-angle glaucoma

c)

3. Senile immature cataract

d)

4. Mucopurulent conjunctivitis

47.

Oral doxycycline helps blepharitis patients by:

a)

a. therapeutic antibiotic tear secretion

b)

b. changing lipid viscosity

c)

c. inhibiting cytokine release

d)

d. improved lacrimal gland excretion

48.

Blood in Schlemm's canal is seen in all except:

a)

Sturge-Weber's syndrome

b)

Carotid-cavernous fistula

c)

Angle recession glaucoma

d)

Hypotony

49.

Vertical gaze is not, impaired in the following condition:

a)

walled-eye syndrome

b)

Juvenile Gaucher disease

c)

Progressive supranuclear palsy

d)

Sylvian aqueduct syndrome

50.

Father of PRK surgery

a)

Jose Barraquer.

b)

Rangaswamy Srinivasan,

c)

Tsutomu Sato

d)

Stephen Trokel,

51.

Ocular features of sturge – weber syndrome include all of the following except one:

a)

a) Ipsilateral glaucoma .

b)

b) Iris haemangioma .

c)

c) Iris heterochromia.

d)

d) Diffuse choroidal heamangioma.

52.

‐The associations with floppy eyelid syndrome include all the following except :

a)

a) Keratoconus .

b)

b) Skin hyperelasticity .

c)

c) Joint hypomobility .

d)

d) Obstructive sleep apnoea .

53.

The ocular complication of bacterial orbital cellulitis include all the following except :

a)

a) Exposure keratopathy .

b)

b) Ocular hypotony .

c)

c) Occlusion of the central retinal artery or vein .

d)

d) Endophthalmitis .

54.

‐The most common isolates in Acute bacterial conjunctivitis are (all true except ) :

a)

a) S. pneumonia .

b)

b) S. aureus .

c)

c) Strep. Cocci .

d)

d) H. influenza .

55.

The percentage of silver nitrate that use as prophylaxis for neonatal conjunctivitisis :

a)

1%

b)

1.5%

c)

2%

d)

2.5%

56.

The number of cornel endothelial cells decreases per year at about : .

a)

a) 0.2% .

b)

b) 0.6% .

c)

c) 0.9% .

d)

d) 1 %

57.

Regarding Posner–Schlossman syndrome( all true expect

a)

a) Also called glaucomatoyclitiscrisis .

b)

b) 40% of patients are positive for HLA‐BW54 .

c)

c) Goinoscopy shows a closed angle.

d)

d) Is characterised by recurrent attacks of unilateral acute glaucoma with mild anterior uveitis .

58.

Which of these is not a Rabinowitz criteria for Keratoconus

a)

mean K > 47.2

b)

Sup -Inf asymmetry >1.5D

c)

mean keratometry inter eye difference >1D

d)

skewing of radial axis <20 degrees

59.

Munnerlyns formula in refractive surgery gives

a)

residula stromal thickness

b)

flap thickness

c)

ablation depth

d)

mean abberation

60.

The number of corneal endothelial cells decreases per year at about :

a)

a) 0.2% .

b)

b) 0.6% .

c)

c) 0.9% .

d)

d) 1 % .