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Ophthalmology > MCQs > Flashcards

MCQs Flashcards

1
Q

1- Entropion is

a-Rolling in of the lid margin.
b-Accessory row of eye lashes.
c-Downward drooping of the upper lid.
d-Loss of eye lashes.

A

a-Rolling in of the lid margin.

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2
Q

2- In ulcerative Blepharitis

a-Lid margin is not inflamed.
b-Scaly dandruff like material is seen between cilia.
c-Treatment is by antifungal drugs.
d-There are yellow crusts and ulcers on lid margin.

A

d-There are yellow crusts and ulcers on lid margin.

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3
Q

4- Fundus examination of background diabetic retinopathy may show the following EXCEPT:

a-Vitreous hemorrhage.
b-Tractional retinal detachment.
c-Hard exudates.
d-Microaneurysms.

A

a-Vitreous hemorrhage.

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4
Q

5- Myasthenia Gravis can be diagnosed by the following tests EXCEPT

a-lmproved ptosis with applying hot packs on lids.
b-lncreased ptosis with up gaze.
c-Rapid improvement of ptosis on intravenous injection of tensilon (edrophonium).
d-Demonstrating specific antibodies and electromyography.

A

a-lmproved ptosis with applying hot packs on lids.

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5
Q

6- Different Types of keratoplasties include the following EXCEPT

a-Penetrating keratoplasty PKP.
b-Deep lamellar keratoplasty.
c-Descemet’s membrane endothelial keratoplasty.
d-Application of intrastromal rings.

A

d-Application of intrastromal rings.

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6
Q

7-Aqueous humor is secreted by:

a-Angle of the anterior chamber.
b-The ciliary body.
c-Posterior surface of iris.
d-Lens.

A

b-The ciliary body.

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7
Q

8- The well-known causes of ptosis include the following EXCEPT:

a-Blunt trauma to the eyelid.
b-Hypertension.
c-Myasthenia gravis.
d-Horner’s syndrome.

A

b-Hypertension.

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8
Q

9-The following are signs of Dysthyroid eye disease EXCEPT:

a-Upper lid retraction.
b-Uveitis.
c-Unilateral or bilateral proptosis.
d-Lid lag.

A

b-Uveitis.

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9
Q

10-Complications of trachoma include the following EXCEPT:

a-Entropion.
b-Pannus.
c-Trichiasis.
d-Glaucoma.

A

d-Glaucoma.

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10
Q

11-The current standard technique for cataract extraction in adults is:

a- Trabeculectomy.
b- Extracapsular cataract extraction with hard PMMA intraocular lens (IOL). c- Combined phacoemulsification with trabeculectomy,
d- Phacoemulsification with posterior chamber foldable IOL.

A

d- Phacoemulsification with posterior chamber foldable IOL.

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11
Q

12-Causes of leukocoria include all of the following EXCEPT;

a- Congenital glaucoma.
b- Congenital cataract.
c- Retinopathy of prematurity.
d- Retinoblastoma.

A

a- Congenital glaucoma.

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12
Q

13- Forms of dry eye include the following (EXCEPT)

a- Deficiency of aqueous tears (Keratoconjunctivitis sicca)
b- Mucin deficiency due to wide spread loss goblet cell,
c- Dryness secondary to eye lid disease,
d- Dryness due to lid edema

A

d- Dryness due to lid edema

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13
Q

14-Opacitv of the crystalline lens is known as:

a-Leucoma.
b-Cataract.
c-Ciliary staphyloma.
d-lris bombe.

A

b-Cataract.

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14
Q

15-Aqueous humor is drained through:

a-Angle of the anterior chamber.
b-The ciliary body
c-Posterior surface of iris.
d-Lens

A

a-Angle of the anterior chamber.

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15
Q

16- Miosis may found in all EXCEPT:

a-lridocyclitis.
b-Old age (senile).
c-Homer’s syndrome.
d-Optic atrophy.

A

d-Optic atrophy.

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16
Q

17-With complete relaxation of accommodation, a myopic eye focuses images:

a-ln front of the lens.
b-ln front of the retina.
c-Behind the retina.
d-Behind the cornea

A

b-ln front of the retina.

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17
Q

18- In primary open angle glaucoma one of the following is true :

a- It usually presents with headache.
b- Optic disc analysis is mandatory.
c- It requires surgery in most cases,
d- Gonioscopy reveals areas of Synechiae

A

b- Optic disc analysis is mandatory.

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18
Q

19- Secondary glaucoma may develop after all of the following EXCEPT:

a- Uveitis.
b- Prolonged steroid use.
c- Proliferative diabetic retinopathy.
d- Entropion.

A

d- Entropion.

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19
Q

20- Hordeolum extemum (stye) is an acute inflammation of:

a- Hair follicle.
b- Zeis’ gland.
c- Sweat gland,
d- Wolfring’s gland.

A

a- Hair follicle.

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20
Q

21 clinical picture of glaucomatous optic neuropathy include the following except:

a- Well defined overhanging edge
b- Large deep cup
c- vessels are sheathed
d- Well seen lamina cribrosa

A

c- vessels are sheathed

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21
Q

22-A deep corneal opacity can be treated by:

a-LASIK.
b-Penetrating keratoplasty.
c-lridectomy.
d-Phacoemulsifi cation.

A

b-Penetrating keratoplasty.

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22
Q

23-The presentation of exotropia in primary position with ptosis & limited adduction is suggestive of:

a-Third nerve palsy.
b-Optic atrophy.
c-Fourth nerve palsy.
d-Sixth nerve palsy.

A

a-Third nerve palsy.

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23
Q

24- Acanthamoeba keratitis:

a- A mild corneal infection.
b- Easily treated.
c- Is a painless infection.
d- Occurs in wearers of contact lens

A

d- Occurs in wearers of contact lens

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24
Q

25- Intraocular foreign body effects include

a- Diplopia.
b- Mechanical effects (as perforation) on cornea and sclera,
c- Central retinal artery occlusion.
d- Ptosis.

A

b- Mechanical effects (as perforation) on cornea and sclera,

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25
Q

26- One of the following is a cause of exudative retinal detachment

a- Retinal traction.
b- Proliferative diabetic retinopathy.
c- Choroidal tumors as melanoma.
d- Retinal tear.

A

c- Choroidal tumors as melanoma.

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26
Q

27- Complications of high myopia include the following EXCEPT:

a- Retinal detachment.
b- Macular hole.
c- Corneal ulcer,
d- Choroidal neovascular membrane.

A

c- Corneal ulcer,

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27
Q

28- Regular astigmatism is characterized by:

a- The steep and flat axes are perpendicular.
b- The transition between the steep and flat meridian is acute,
c- Cannot be corrected by cylindrical lenses,
d- Associates corneal opacities.

A

a- The steep and flat axes are perpendicular.

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28
Q

29- One of the following surgeries is considered refractive surgery

a-Trabeculectomy.
b- Posterior capsulotomy.
c- Laser in situ assisted keratomileusis (LASIK).
d- Vitrectomy.

A

c- Laser in situ assisted keratomileusis (LASIK).

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29
Q

30-A triangular encroachment of the conjunctiva over the cornea is called:

a-Bulbar spring catarrh.
b-Symblepharon
c-Pterygium.
d-Phlyctenular conjunctivitis.

A

c-Pterygium.

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30
Q

31- Ptosis in Horner’s syndrome, is due to paralysis of:

a. Riolan’s muscle.
b. Horner’s muscle.
c. Muller’s muscle
d. The levator palpebral muscle.

A

c. Muller’s muscle

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31
Q

32- Regarding keratoconus, choose the WRONG answer:

a-lt is conical thinning and protrusion of the cornea.
b-lt causes progressively increasing myopia and myopic astigmatism, c-lt can be diagnosed by corneal topography,
d-lt presents in old age.

A

d-lt presents in old age.

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32
Q

33- Ciliary injection is:

a- Seen in iridocyclitis.
b- Seen in conjunctivitis.
c- Not seen in acute angle closure glaucoma.
d- Not seen in corneal ulcer.

A

a- Seen in iridocyclitis.

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33
Q

34- Regarding buphthalmos all is true except :

a-lt can lead to permanent damage to the optic nerve. b-Can lead to watery eye.
c-lts treatment is essentially surgical.
d-lt is always associated with small corneal diameter

A

d-lt is always associated with small corneal diameter

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34
Q

36- Causes of pseudo-strabismus:

a- Extraocular muscle paralysis.
b- Presence of large or small interpupillary distance.
c-Cranial nerve palsy.
d- Extraocular muscle surgery.

A

b- Presence of large or small interpupillary distance.

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35
Q

37- In open angle glaucoma Field changes include the following EXCEPT

a-Tubular field in advanced cases.
b- Upper or lower arcuate scotoma.
c- Bitemporal hemianopia.
d- Isolated scotoma in the form of nasal step.

A

c- Bitemporal hemianopia.

36
Q

38- Medical treatment of open angle glaucoma includes the following EXCEPT

a- Prostaglandin analogues.
b- Beta blockers.
c-Topical steroids.
d- Carbonic anhydrase inhibitors.

A

c-Topical steroids.

37
Q

39- Results of central retinal artery occlusion:

a- cherry red spot
b- Macular edema.
c- Retinal detachment.
d- Reduced blood coagulation.

A

a- cherry red spot

38
Q

40- Treatment of the wet type of age related macular degeneration ARMD:

a-Antibiotics.
b-Repeated intravitreal injections of anti VEGF.
c- Yag laser.
d- Correction of high myopia.

A

b-Repeated intravitreal injections of anti VEGF.

39
Q

41- Retinitis pigmentosa:

a- Flat electroretinogram (ERG) is diagnostic..
b- Can not be genetically determined.
c- Several lines of successful treatment are present,
d- Generally affects old age.

A

a- Flat electroretinogram (ERG) is diagnostic..

40
Q

42- Relative afferent pupillary defect occurs in the following conditions

a-Acute iridocyclitis.
b- Open angle glaucoma.
c- When flash light is projected to one eye.
d- Unilateral optic nerve diseases.

A

d- Unilateral optic nerve diseases.

41
Q

43- Causes of mydriasis include the following EXCEPT

a-3rd nerve palsy.
b- Paralytic stage of cerebral compression.
c- Trauma.
d- Pontine hemorrhage

A

d- Pontine hemorrhage

42
Q

44- Central retinal vein occlusion can be treated by;

a- Antibiotics.
b- Parasympathomimetics.
c- Anti-vascular endothelial growth factor,
d- Analgesics.

A

c- Anti-vascular endothelial growth factor,

43
Q

45-Retinoblastoma:

a- Causes leukocoria. (it can also present withOUT leukocona)
b- Does not spread through the optic nerve,
c- Can be diagnosed at the age of 4 years,
d-lt is never associated with inflammation.

A

c- Can be diagnosed at the age of 4 years,

44
Q

46- A patient with Behcet’s disease suffers from :

a- Iritis, hypopyon panuveitis and oro-genital ulcers,
b- Hyphema.
c- Lens subluxation.
d- Esotropia.

A

a- Iritis, hypopyon panuveitis and oro-genital ulcers,

45
Q

47- Blunt trauma can affect the iris as follows EXCEPT

a- Traumatic mydriasis.
b- Iridodialysis and D shaped pupi..
c- Lost anterior chamber and anterior iris displacement,
d- Iris sphincter tear.

A

c- Lost anterior chamber and anterior iris displacement,

46
Q

48- Uveitis associated with vitiligo and poliosis often presents in patients with:

a. Behcet’s disease.
b. Vogt Koyanagi Harrada.
c. Toxoplasmosis.
d. HLA B27 -associated sero- negative arthritis

A

b. Vogt Koyanagi Harrada.

47
Q

3- In squamous Blepharitis

a-Lid margin is not inflamed.
b-Scaly dandruff like material is seen between cilia.
c-Treatment is by antifungal drugs.
d-Causes ulcers on lid margin.

A

b-Scaly dandruff like material is seen between cilia.

48
Q

4-Congenital ptosis is due to

a-lncreased weight of the upper lid.
b-Levator tendon injury.
c-3rd nerve palsy.
d-Dystrophy of the levator muscle

A

d-Dystrophy of the levator muscle

49
Q

14- Causes of vitreous hemorrhage include the following (EXCEPT)

a-Trauma.
b- Posterior vitreous detachment causing retinal tear.
c- Extracapsular cataract extraction.
d- Ruptured neovascularization at the disc or elsewhere in retina in proliferative diabetic retinopathy.

A

c- Extracapsular cataract extraction.

50
Q

15- The following stain is used to diagnose a viral corneal ulcer:

a- Atropine.
b- Tetracaine.
c- Rose Bengal.
d- Acyclovir.

A

c- Rose Bengal.

51
Q

16- Glaucomflecken can be found in:

a- Acute angle closure glaucoma.
b- Congenital cataract.
c- Traumatic cataract.
d- Hyper mature cataract

A

a- Acute angle closure glaucoma.

52
Q

20-The following drug is used in the treatment of infective corneal ulcers:

a- Pilocarpine.
b- Latanoprost.
c- cycloplegics.
d- Prednisolone.

A

c- cycloplegics.

53
Q

23- One cause of exudative retinal detachment

a- Occurs due to retinal traction.
b- Associates proliferative diabetic retinopathy,
c- Occurs with choroidal tumors as melanoma,
d- Occurs due to retinal tear.

A

c- Occurs with choroidal tumors as melanoma,

54
Q

24- Complications of high myopia include the following EXCEPT:

a- Retinal detachment.
b- Macular hole.
c- Corneal ulcer.
d- Choroidal neovascular membrane.

A

c- Corneal ulcer.

55
Q

25- Regular astigmatism is characterized by:

a- The steep and flat axes are perpendicular.
b- The transition between the steep and flat meridian is acute,
c- Cannot be corrected by cylindrical lenses,
d- Associates corneal opacities.

A

a- The steep and flat axes are perpendicular.

56
Q

28- Thyroid Ophthalmopathy can present with all EXCEPT:

a- Diplopia.
b- Proptosis.
c- Corneal ulcer.
d- Ptosis.

A

d- Ptosis.

57
Q

29- Cilliary injection is:

a- Seen in iridocyclitis.
b- Seen in conjunctivitis.
c- Not seen in acute angle closure glaucoma.
d- Not seen in corneal ulcer.

A

a- Seen in iridocyclitis.

58
Q

30- . Proptosis is present in the following EXCEPT

a- Orbital cellulitis.
b- Cavernous sinus thrombosis.
c- Thyroid eye disease.
d- Acute angle closure glaucoma.

A

d- Acute angle closure glaucoma.

59
Q

31- Regarding cranial nerves palsy

a- 6th nerve palsy cases limitation of abduction.
b- 4th nerve palsy causes limitation of elevation.
c- 3rd nerve palsy causes limitation of downward movement,
d- 5th nerve palsy causes limitation of adduction.

A

a- 6th nerve palsy cases limitation of abduction.

60
Q

33- Regarding facts about Cataract

a- Mature cataract alone can cause no perception of light
b- Intumescent cataract can cause 2ndary glaucoma
c- Complicated cataract can be caused by Astigmatism
d- Medical treatment is possible

A

b- Intumescent cataract can cause 2ndary glaucoma

61
Q

34- Causes of pseudo-strabismus:

a- Extraocular muscle paralysis.
b- Presence of large or small interpupillary distance,
c- Cranial nerve palsy,
d- Extraocular muscle surgery.

A

b- Presence of large or small interpupillary distance,

62
Q

39- Retinitis pigmentosa:

a- Flat electroretinogram (ERG) is diagnostic..
b- Can not be genetically determined.
c- Several lines of successful treatment are present,
d- Generally affects old age.

A

a- Flat electroretinogram (ERG) is diagnostic..

63
Q

40- Relative afferent pupillary defect occurs in the following conditions

a- Acute iridocyclitis.
b- Open angle glaucoma.
c- When flash light is projected to one eye.
d- Unilateral optic nerve diseases.

A

d- Unilateral optic nerve diseases.

64
Q

41-Causes of mydriasis include the following EXCEPT

a-3rd nerve palsy.
b- Paralytic stage of cerebral compression.
c- Trauma.
d- Pontine hemorrhage.

A

d- Pontine hemorrhage.

65
Q

43-Regarding retinoblastoma:

a- Causes leukocoria.
b- Does not spread through the optic nerve.
c- The age of diagnosis is 4 years.
d-lt is never associated with inflammation.

A

c- The age of diagnosis is 4 years.

66
Q

46- Blunt trauma can affect the iris as follows EXCEPT

a- Traumatic mydriasis.
b- Iridodialysis and D shaped pupi..
c- Lost anterior chamber and anterior iris displacement,
d- Iris sphincter tear.

A

c- Lost anterior chamber and anterior iris displacement,

67
Q

48- The following is characteristic of diabetic maculopathy EXCEPT:

a- Hard exudates.
b- Neovascularization.
c- Macular edema.
d- Microaneurysms.

A

b- Neovascularization.

68
Q

4- Tearing in a infant aged 6 month can be caused by all of the following Except:

a. Nasolacrimal duct obstruction.
b. Mucopurulent conjunctivitis.
c. Congenital corneal opacity.
d. Congenital glaucoma.

A

c. Congenital corneal opacity.

69
Q

7- The simplest treatment of astigmatism is:

a. Cycloplegia.
b. Cylindrical lenses glass prescription.
c. Laser surgery.
d. Keratoplasty.

A

b. Cylindrical lenses glass prescription.

70
Q

13- A child with dense congenital cataract can suffer from all of the following EXCEPT:

a. Amblyopia.
b. Strabismus.
c. Vitreous detachment.
d. Nystagmus.

A

c. Vitreous detachment.

71
Q

14- Mature intumescent cataract can be associated with:

a. Visual acuity better than 2/60.
b Secondary angle closure glaucoma.
c. Good red reflex on retinoscopy.
d. Can be treated medically.

A

b Secondary angle closure glaucoma.

72
Q

1$- A Subluxated lens whether clear or cataractpus:

a. Is always uniocular.
b. Is never hereditary.
c. Treatment is only conservative.
d. It can be associated with other ocular or non-ocular manifestations..

A

d. It can be associated with other ocular or non-ocular manifestations..

73
Q

19- Congenital glaucoma:

a- Should be treated by topical antiglaucoma eye drops only.
b- Surgical treatment is the definitive treatment.
c- Is best treated by lens extraction.
d- Does not cause blindness if not treated

A

b- Surgical treatment is the definitive treatment.

73
Q

22- Amblyopia;

a- Is a problem of Adolescence.
b- Occurs only after age 9.
c- Can be caused by congenital cataract and congenital corneal opacity,
d - Is not a serious problem that we should avoid.

A

c- Can be caused by congenital cataract and congenital corneal opacity,

73
Q

Define amblyopia

A

Lazy eye; it either wanders inward or outward; can occur anywhere from 6 months to 7 years old

74
Q

23- Esotropia can be due to all of the following EXCEPT:

a- High hypermetropia.
b- Oculomotor cranial Nerve palsy.
c- Abducent cranial nerve palsy.
d- Medial rectus overaction.

A

b- Oculomotor cranial Nerve palsy.

75
Q

30- Rhegmatogenous retinal detachment:

a- Is caused by a retinal tear and treated by surgery.
b- Is caused by a retinal tear and treatment is conservative.
c- Is a complication of diabetic retinopathy,
d- Is a disease of the choroid.

A

a- Is caused by a retinal tear and treated by surgery.

76
Q

32- Unresolving vitreous hemorrhage for more than 6 months, is treated by:

a. Argon laser photocoagulation.
b. Pars plana vitrectomy.
c. Oral anti-inflammatory drugs.
d. Phacoemulsification.

A

b. Pars plana vitrectomy.

76
Q

33- Risk factors for central retinal vein occlusion include:

a- Hypertension, diabetes, and glaucoma.
b- High bleeding time and low prothrombin concentration,
c- Hypotension.
d- Retinal detachment.

A

a- Hypertension, diabetes, and glaucoma.

76
Q

34- Multiple sclerosis can present with;

a- Optic neuritis in a young female.
b- Cataract in a young female.
c- Lid retraction.
d- proptosis.

A

a- Optic neuritis in a young female.

77
Q

35- The presence of papilledema Indicates:

a. High intra-ocular pressure.
b. High intracranial pressure.
c. Low intracranial pressure.
d. High myopia.

A

b. High intracranial pressure.

78
Q

42- Fundus picture of central retinal artery occlusion shows :

a. Cherry red spot.
b- Macular hemorrhage.
c- Retinal detachment.
d- Dilated Veins

A

a. Cherry red spot.

79
Q

44- Relative afferent pupillary defect occurs in the following condition:

a-Acute iridocyclitis.
b- Open angle glaucoma.
c-Thyroid eye disease.
d- Unilateral optic nerve disease.

A

d- Unilateral optic nerve disease.

80
Q

45-The following may be used in the treatment of central retinal vein occlusion:

a-Antibiotics.
b- Parasympathomimetic.
c- Anti-vascular endothelial growth factor.
d-Analgesics.

A

c- Anti-vascular endothelial growth factor.

81
Q

46- In a case of penetrating corneal laceration you should:

a- Put antibiotic eye drops frequently until surgical repair is done.
b- Patch the eye after examination, give systemic antibiotic and prepare for surgical repair.
c-Do ultrasound urgently to exclude IOFB.
d-Wash with betadine and prepare for surgery.

A

d-Wash with betadine and prepare for surgery.

82
Q

48- The following is a characteristic of diabetic maculopathy EXCEPT:

a- Hard exudates.
b- Neovascularization.
c- Macular edema.
d. Microaneurysms.

A

b- Neovascularization.

Ophthalmology (4 decks)

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