MCQs 2008 (1) With Key Answers
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MCQsMCQsMCQsMCQs
Prof Dr. Ashraf EL-Prof Dr. Ashraf EL-DesoukyDesouky
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The leading cause of preventable blindness
worldwide;
1. Senile cataract2. Age related macular
degeneration3. Glaucoma4. Diabetic retinopathy5. trachoma
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The term “mature cataract” means
1. A nuclear cataract present more than 10 years
2. A posterior subcapsular cataract that reduces visual acuity to 6/60 or worse
3. A cortical cataract that involves the entire cortex
4. An anterior subcapsular cataract that causes capsular wrinkling.
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Criteria of mature senile cataract
1. Visual acuity HM2. Absent RR3. Absent iris shadow 4. All of the above
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Topical steroids are contraindicated except in
1. Phlectenular fasicular ulcer2. Dendritic ulcer3. Typical hypopyon ulcer4. Atypical hypopyon ulcer
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The commonest sign of Graves’ disease
1. Exophthalmos2. Lid retraction3. Diplopia4. Peri orbital edema5. Conjunctival chemosis
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Acute proptosis may be due to
1. Trauma2. Orbital cellulitis3. Rhabdomyosarcoma4. All of the above
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Enophthalmos may be due to
1. Trauma2. Cachexia3. Post radiotherapy4. Secondaries of breast scirrhus
carcioma5. All of the above
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The commonest cause for night blindness
1. Congenital 2. Vitamine A defficiency3. Nuclear cataract4. Retinitis pigmentosa5. Liver diseases
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The only staphyloma with normal IOP is
1. Partial anterior staphyloma2. Ciliary staphyloma3. Intercalary staphyloma4. Equatorial staphyloma5. Posterior staphyloma
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Ectropion of the upper eyelid may be
1. Senile2. Paralytic3. Congenital4. Non of the above
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Episcleritis is similar to phlycten
clinically but differs in being
1. tender2. flat3. Pigmented4. multiple
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Pneumococci can cause
1. Acute dacryocystitis2. Chronic dacryocystitis3. Atypical hypopyon ulcer4. Ulcerative blepharitis
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Staphyloococci can cause
1. Acute dacryocystitis2. stye3. Atypical hypopyon ulcer4. Ulcerative blepharitis5. All of the above
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Etiology of ptrygium
1. Neoplastic2. Infection3. Inflamation4. degenerative
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Endogenous septic focus may cause All except :
1. Phlycten2. Hypopyon ulcer3. Iridocyclitis4. Metastatic endophthalmitis
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Optic nerve head in glaucomatous optic atrophy
has all except;
1. Large deep cup2. Interrupted retinal vessels3. Waxy yellow colour4. Overhanging margins
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Doctor sees nothing& patient sees nothing in
1. Papillitis2. Papilloedema3. Retrobulbar neuritis (toxic
amblyopia)4. All of the above
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Which of the following ttt is used for optic neuritis
1. prednisolon2. Observation3. Antibiotics4. Atropine
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Papilloedema leads to:
1. Rapid deterioration of vision2. Primary optic atrophy3. Pain on eye movements4. Optic disc edema more than 3 D
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Papilloedema leads to the following changes:
1. Nasal step2. Arcuate scotoma3. Cocentric contraction of
peripheral Feild4. Enlarged blind spot
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Consecutive optic atrophy occurs in allexcept
1. Degenerative myopia2. Chorioretinitis3. CRAO4. CRV thrombosis
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Afferent pupillary defect occurs in: All except
1. Papillitis2. Hysteria3. Optic atrphy4. Retrobulbar neuritis
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Rapid painful loss of vision
In all except1. AACG2. Blunt trauma3. Alkali burn4. CRAO
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CILIARY INJECTION
In all except;1. AACG2. CORNEAL ULCEER3. ANTERIOR UVEITIS4. EPISCLERITIS
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All the following are signs of lens sublaxation
except;
1. Phakodenesis2. Iridodnesis3. Irrigular anterior chamber4. Intact all zonule
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All of the following are lens induced glaucoma
except;
1. Phaco morphic glaucoma2. Phacoanaphylactic glaucoma3. Phacolytic glaucoma4. Neovascular glaucoma
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The eye susceptible to AACG
1. Hypermetropic eye2. Myopic eye3. Astigmatic eye4. Aphakic eye
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In an acute angle closure glaucoma’ the choice of surgery is decided after
1. Gonioscopic examination2. Fundus examination3. Tonometry4. Visual field examination
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All of the following are the characteristics of glaucomatus cup
except
1. Large deep cup2. Overhanging margins3. Retinal vessels appear broken at
the margin4. Lamina criprosa is not visible
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Acetazolamide lowers IOP by
1. Decreased aquous production2. Increased aquous drainage3. Lower episcleral venous
peressure4. All of above
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B. Blockers lower IOP by
1. Decreased aquous production2. Increased aquous drainage3. Lower episcleral venous
peressure4. All of above
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Pre auricular lymphadenopathy
Occurs with the following conjunctivitis
1. Vernal keratoconjunctivitis2. Phlyctenular keratoconjunctivitis3. Viral conjunctivitis4. Angular conjunctivitis
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Tremulous iris can be seen in:
1. Aphakia2. Sublaxation of the lens3. Hypermature cataract4. Posterior dislocation of the lens5. All of above
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Posterior polar cataract markedly affects vision
because:
1. Its shadow lies on the macula2. Close to the nodal point3. It matures early4. It blocks the pupillary area
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Nuclear cataract changes the refraction of the eye into
1. Myopia2. Hypermetropia3. Astigmatism4. No change
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Most common cause of diminution of vision after
ECCE is
1. Cystoid macular edema2. Posterior capsule opacification3. Corneal decompansation4. Retinal detachment
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The best treatment for Posterior capsule
opacification
1. Surgical excision2. Laser opening3. Surgical polishing4. Leave alone
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The type of laser used to treat Posterior capsule
opacification
1. Yag laser2. Argon laser3. Diode laser4. Excimer laser
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All of the following types of entropion are known
except
1. Spastic entropion2. Senile entropion3. Paralytic entropion4. Cicatricial entropion
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All of the following are causes of lagophthalmos
except
1. Facial nerve palsy2. Proptosis3. Cicatricial ectropion4. Third nerve paralysis
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Ectropion of the upper lid most commonly;
1. Spastic ectropion2. Senile ectropion3. Paralytic ectropion4. Cicatricial ectropion
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Munson’ sign in:
1. Corneal fistula2. Corneal dystrophy3. Keratoconus4. Corneal facet
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In corneal edema all except:
1. There is increase in corneal diameter
2. There is increase in corneal thickness
3. Cloudy cornea4. Predispose to Corneal
vascularization
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Corneal damage with trachoma is due to:
1. trichiasis2. dryness3. Lagophthalmos and exposure4. All of the above
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Double staining pattern of the cornea is characteristic
for:
1. Fungal corneal ulcer2. Herpetic corneal ulcer3. Exposure keratopathy4. Acanthaembic corneal ulcer
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Corticosteroids is given in:
1. Bacterial corneal ulcer2. Herpetic corneal ulcer3. Fasicular phlyctenular ulcer4. Stromal fungal keratitis
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Tarrsorraphy is essential in:
1. Bacterial corneal ulcer2. Viral corneal ulcer3. Exposure keratopathy4. Traumatic corneal ulcer
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Blood staining of the cornea is due to:
1. Hyphema2. Hyphema with rise of IOP3. Corneal edema4. Corneal FB
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The pupil in acute Ant. Uveitis is:
1. Constricted2. Dilated3. Festooned4. Vertically oval
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Infective corneal ulcers include:
1. Bacterial corneal ulcer2. Fungal corneal ulcer3. Mooren’s ulcer4. Viral corneal ulcer
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In treating bacterial corneal ulcer all except:
1. Antibiotics drops 2. Vitamin A,C3. Mydriatics and cycloplegics
drops4. Corticosteroids drops
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All of the following are non-specific signs in
conjunctivitis except
1. Subconjunctival hemorrhage 2. Papillae3. Follicles4. pseudomembranes
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In buphthalmos we should exclude all of the
following• Except 1. Retinoblastoma2. Megalocornea3. High myopia4. Babies of diabetic mothers
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In buphthalmos which of the following is a late
presentation
1. Lacrimation and sneezing2. Optic cupping3. Enlarged hazy cornea4. Flattened sublaxated lens
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In a patient with HM vision, visual feild can be tested by;
1. Projection of light2. Cofrentation test3. Automated perimetry4. Bjerrum screen
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Which of the following is not a test for visual feild
1. Projection of light2. Cofrentation test3. Automated perimetry4. Bjerrum screen5. Percepton of light
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Glaucoma inversus can occur in
1. Post sublaxated lens2. Post dislocated lens3. Intumescent cataract 4. Non of the above
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Glaucoma inversus can be treated by:
1. Pilocarpine + anti-inflammatories2. Pilocarpine + removal of the lens3. Atropine4. cyclocryotherapy
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Amaurotic cat’s eye reflex,
In all except1. Retinoblastoma2. PHPV3. Coat’s disease(retinal
telangiectasia4. Toxocara 5. MM choroid
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Third C nerve innervate all except
• Superior oblique muscle• Levator palpebre muscle• Inferior oblique muscle• Medial rectus muscle
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Horner’s syndrome1. Ptosis + myosis + enophthalmos
+ anhydrosis2. Ptosis + mydriasis +
enophthalmos + anhydrosis3. lagophthalmos + myosis +
enophthalmos + anhydrosis4. diplopia + myosis + enophthalmos
+ anhydrosis