#5

Question 1

False projection is absent

Answer 1

Comitant Squint

Question 2

Diplopia is usually present

Answer 2

Incomitant Squint

Question 3

Ocular movements are restricted

Answer 3

Incomitant Squint

Question 4

Abnormal head posture is absent

Answer 4

Comitant Squint

Question 5

Always commences in childhood

Answer 5

Esotropia

Question 6

More common in Caucasians

Answer 6

Esotropia

Question 7

In, unilateral squints of long standing, this eye may remain motionless or move only slightly

Answer 7

None of the choices (Eccentric fixation)

Question 8

Vision is better if letters are presented in a row than in single letters

Answer 8

None of the choices (Crowding Phenomenon)

Question 9

The px is asked to look in the direction in which movement is being tested and the maximum range noted. The eyeball is then held at the opposite limbus with a
toothed forceps and rotated maximally further in the same direction.

Answer 9

Forced Duction Test

Question 10

To judge if the limitation of the full range of eye movement is purely paralytic or whether there is some physical restriction

Answer 10

Forced Duction Test

Question 11

The anaesthetized limbus is grasped with a forceps and a ‘tug’ is appreciated when the px ‘attempts’ to move the eye in the affected direction if the muscle is not paralysed but only ‘mechanically restricted’ in making the eye move

Answer 11

Force Generation Test

Question 12

Result that indicates restriction

Answer 12

Positive

Question 13

Result that indicates paresis

Answer 13

Negative

Question 14

In Hirschberg Test, what is the approximate magnitude of deviation if the reflex is at:
- pupil margin
- halfway between center of pupil and corneal margin
- halfway between pupil margin and corneal margin
- corneal margin

Answer 14

• 15°
• None of the choices (20° ana naa sa book) *some would say na ang ans here is 45PD idk why,wa sd ko kabasa ana hue
• 30°
• None of the choices(45°)

Question 15

TRUE/FALSE
- A constant deviation of > 10 deg exotropia warrants surgery

• A constant deviation of > 25 deg exotropia warrants surgery
• A constant deviation of > 5 PD hypertropia warrants surgery
• A constant deviation of > 25 PD esotropia warrants surgery
• Conservative therapy includes training prisms

Answer 15

• False
• False
• False
• False
• True

Question 16

TRUE/FALSE
Vertical deviations give the greatest discomfort of all

Answer 16

False (Cyclophoria)

Question 17

TRUE/FALSE
Exophoria with 5-10 PD of deviation usually has
asthenopia

Answer 17

False (5-10°)

Question 18

TRUE/FALSE
Converging power can be raised to 50 deg with training

Answer 18

True

Question 19

TRUE/FALSE
Diverging power should be 5PD

Answer 19

False (4-5°)

Question 20

TRUE/FALSE
Normal limits of super and subduction should be 1.5 to 2.5 deg

Answer 20

True

Question 21

Fully corrected by and add for near work

Answer 21

Non-Refractive

Question 22

Eso at D is greater than N

Answer 22

Refractive

Question 23

Eso at D = Eso at N

Answer 23

Non-accommodative

Question 24

Fully corrected by hyperopic correction for D

Answer 24

Refractive

Question 25

No change with refraction correction

Answer 25

Non-accommodative

Question 26

-Compensatory chin deppression
- Compensatory chin elevation
- Overaction of IO
- Weakness of SO

Answer 26

• A exo (since V eso/A exo)
• A eso (since V exo/A eso)
• V pattern
• V pattern

Question 27

Weakens the muscle without altering its attachment site

Answer 27

Marginal Myotomy

Question 28

Weakens the function by changing the attachment site of the muscle on the eyeball

Answer 28

Recession

Question 29

Strengthens the muscle by shortening the muscle and reattaching to its original position

Answer 29

Resection