Year 1 - general mcq's

Question 1

the main elevator when the eye is in abduction is the

Answer 1

superior rectus

Question 2

the muscle which has actions of depression, abduction and intorsion is the

Answer 2

superior oblique

Question 3

the 6th cranial nerve supplies the

Answer 3

lateral rectus

Question 4

the main elevator when the eye is in adduction is the

Answer 4

inferior oblique

Question 5

a patient looks up and to the right this position is ……….

Answer 5

dextroelevation

Question 6

the left eye is occluded the right medial rectus moves the eye into

Answer 6

adduction

Question 7

the right inferior obliques main action is in

Answer 7

laoelevation

Question 8

the left superior obliques main action is

Answer 8

dextrodepression

Question 9

when a patients head is stationary and they are asked to move there eyes into the secondary position of gaze this is testing

Answer 9

• smooth pursuit

Question 10

if 75% of movement is present when the eye moves into elevation , the limitation of movement would be classed as

Answer 10

-1 the eye has moved three quarters of the position and is short by one quarter hence -1

Question 11

assuming the fundus and media are normal the first steps to consider in the management of any young children with manifest strabismus is

Answer 11

correction of refractive error and occlusion therapy for amblyopia

Question 12

a 8pd manifest deviaiton is present the angle of deviation returns to the original size when wearing a prism which initally corrrected the deviaition (prism adaptation test) this indicates

Answer 12

abnormal binocular single vision

Question 13

in patients with abnormal binocular single vision management for the strabismus is usually to do

Answer 13

nothing

Question 14

a patient with convergence excess esotropia , options to consider are

Answer 14

bifocals, surgery- the esotropia occurs when the patient accomodates for near

Question 15

a patient with fully accomodative esotropia will

Answer 15

have their deviaiton corrected by wearing a hypermetropic perscription plus perscription)- patient has no manifest deviaiton with glasses on but when they take their glasses off esotropia occurs this is because they have to accomodate without glasses to overcome the hypermetropic error.

Question 16

suitable surgery for a patient with esotropia would be

Answer 16

medial rectus recession and lateral resection