A female patient 18 years old, who is contact lens wearer since two years, is complaining of redness, lacrimation and foreign body sensation of both eyes. On examination, visual acuity was 6/6 with negative fluorescein test. The expected diagnosis can be: a. Acute anterior uveitis. b. Giant papillary conjunctivitis. c. Bacterial corneal ulcer. d. Acute congestive glaucoma

A female patient 18 years old, who is contact lens wearer since two years, is complaining of redness, lacrimation and foreign body sensation of both eyes. On examination, visual acuity was 6/6 with negative fluorescein test. The expected diagnosis can be: a. Acute anterior uveitis. b. Giant papillary conjunctivitis. c. Bacterial corneal ulcer. d. Acute congestive glaucoma  
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ANSWER: B 
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Related questions

After 48 hours of a cataract extraction operation, a patient complained of ocular pain and visual loss. On examination, this eye looked red with ciliary injection, corneal oedema and absent red reflex. The first suspicion must be: a. Secondary glaucoma. b. Anterior uveitis. c. Bacterial endophthalmitis. d. Acute conjunctivitis

Description : After 48 hours of a cataract extraction operation, a patient complained of ocular pain and visual loss. On examination, this eye looked red with ciliary injection, corneal oedema and absent red ... a. Secondary glaucoma. b. Anterior uveitis. c. Bacterial endophthalmitis. d. Acute conjunctivitis  

Last Answer : ANSWER: C

A 30 years old male presents with a history of injury to the eye with a leaf 5 days ago and pain, photophobia and redness of the eye for 2 days. What would be the most likely pathology? a. Anterior uveitis b. Conjunctivitis c. Fungal corneal ulcer d. Corneal laceration

Description : A 30 years old male presents with a history of injury to the eye with a leaf 5 days ago and pain, photophobia and redness of the eye for 2 days. What would be the most likely pathology? a. Anterior uveitis b. Conjunctivitis c. Fungal corneal ulcer d. Corneal laceration

Last Answer : ANSWER: C

A male patient 30 years old with visual acuity of 6/6 in both eyes. Twelve hours ago he presented with drop of vision of the left eye. On examination, visual acuity was 6/6 in the right eye and 6/60 in the left eye. Fundus examination showed blurred edges of the left optic disc. The most probable diagnosis is: a. Raised intra cranial pressure b. Raised ocular tension c. Central retinal artery occlusion d. Optic neuritis

Description : A male patient 30 years old with visual acuity of 6/6 in both eyes. Twelve hours ago he presented with drop of vision of the left eye. On examination, visual acuity was 6/6 in the ... : a. Raised intra cranial pressure b. Raised ocular tension c. Central retinal artery occlusion d. Optic neuritis

Last Answer : ANSWER: D

Patching of the eye is contraindicated in: a. Corneal abrasion b. Bacterial corneal ulcer c. Mucopurulent conjunctivitis d. After glaucoma surgery

Description : Patching of the eye is contraindicated in: a. Corneal abrasion b. Bacterial corneal ulcer c. Mucopurulent conjunctivitis d. After glaucoma surgery 

Last Answer : ANSWER: C 

A young child suffering from fever and sore throat began to complain of lacrimation. On examination, follicles were found in the lower palpebral conjunctiva with tender preauricular lymph nodes. The most probable diagnosis is: a. Trachoma b. Staphylococal conjunctivitis c. Adenoviral conjunctivitis d. Phlyctenular conjunctivitis

Description : A young child suffering from fever and sore throat began to complain of lacrimation. On examination, follicles were found in the lower palpebral conjunctiva with tender preauricular lymph ... is: a. Trachoma b. Staphylococal conjunctivitis c. Adenoviral conjunctivitis d. Phlyctenular conjunctivitis

Last Answer : ANSWER: C 

You have been referred a case of open angle glaucoma. Which of the following would be an important point in diagnosing the case? a. Shallow anterior chamber b. Optic disc cupping c. Narrow angle d. visual acuity and refractive error

Description : You have been referred a case of open angle glaucoma. Which of the following would be an important point in diagnosing the case? a. Shallow anterior chamber b. Optic disc cupping c. Narrow angle d. visual acuity and refractive error

Last Answer : ANSWER: B  

The sure diagnostic sign of corneal ulcer is a. Ciliary injection b. Blepharospasm c. Miosis d. Positive fluorescein test.

Description : The sure diagnostic sign of corneal ulcer is a. Ciliary injection b. Blepharospasm c. Miosis d. Positive fluorescein test.  

Last Answer : ANSWER: D 

Ciliary injection is not seen in: a. Herpetic keratitis b. Bacterial ulcer c. Chronic iridocyclitis d. Catarrhal conjunctivitis e. Acute iridocyclitis

Description : Ciliary injection is not seen in: a. Herpetic keratitis b. Bacterial ulcer c. Chronic iridocyclitis d. Catarrhal conjunctivitis e. Acute iridocyclitis

Last Answer : ANSWER: D

The color of fluorescein staining in corneal ulcer is: a. Yellow b. Blue c. Green d. Royal blue

Description : The color of fluorescein staining in corneal ulcer is: a. Yellow b. Blue c. Green d. Royal blue

Last Answer : ANSWER: C 

Topical atropine is contraindicated in: a. Retinoscopy in children b. Iridocyclitis c. Corneal ulcer d. Primary angle closure glaucoma

Description : Topical atropine is contraindicated in: a. Retinoscopy in children b. Iridocyclitis c. Corneal ulcer d. Primary angle closure glaucoma

Last Answer : ANSWER: D

Topical steroids are contraindicated in a case of viral corneal ulcer for fear of: a. Secondary glaucoma b. Cortical cataract. c. Corneal perforation d. Secondary viral infection.

Description : Topical steroids are contraindicated in a case of viral corneal ulcer for fear of: a. Secondary glaucoma b. Cortical cataract. c. Corneal perforation d. Secondary viral infection. 

Last Answer : ANSWER: C 

A recurrent bilateral conjunctivitis occurring with the onset of hot weather in young boys with symptoms of burning, itching, and lacrimation with large flat topped cobble stone papillae raised areas in the palpebral conjunctiva is: A. Trachoma B. Phlyctenular conjunctivitis C. Mucopurulent conjunctivitis D. Vernal keratoconjunctivitis

Description : A recurrent bilateral conjunctivitis occurring with the onset of hot weather in young boys with symptoms of burning, itching, and lacrimation with large flat topped cobble stone papillae ... is: A. Trachoma B. Phlyctenular conjunctivitis C. Mucopurulent conjunctivitis D. Vernal keratoconjunctivitis 

Last Answer : ANSWER: D  

Neovascular glaucoma follows: a. Thrombosis of central retinal vein b. Acute congestive glaucoma c. Staphylococcal infection d. Hypertension

Description : Neovascular glaucoma follows: a. Thrombosis of central retinal vein b. Acute congestive glaucoma c. Staphylococcal infection d. Hypertension

Last Answer : ANSWER: A 

Lens induced glaucoma is least likely to occur in: a. Intumescent cataract. b. Anterior lens dislocation, c. Posterior subcapsular cataract d. Posterior lens dislocation

Description : Lens induced glaucoma is least likely to occur in: a. Intumescent cataract. b. Anterior lens dislocation, c. Posterior subcapsular cataract d. Posterior lens dislocation

Last Answer : ANSWER: C

Ten years old boy complains of itching. On examination, there are mucoid nodules with smooth rounded surface on the limbus, and mucous white ropy mucopurulent conjunctival discharge. He most probably suffers from: a. Trachoma b. Mucopurulent conjunctivitis c. Bulbar spring catarrh d. Purulent conjunctivitis

Description : Ten years old boy complains of itching. On examination, there are mucoid nodules with smooth rounded surface on the limbus, and mucous white ropy mucopurulent conjunctival discharge. He most ... from: a. Trachoma b. Mucopurulent conjunctivitis c. Bulbar spring catarrh d. Purulent conjunctivitis 

Last Answer : ANSWER: C 

A painful, tender, non itchy localized redness of the conjunctiva can be due to: a. Bulbar spring catarrh. b. Episcleritis. c. Vascular pterygium. d. Phlyctenular conjunctivitis.

Description : A painful, tender, non itchy localized redness of the conjunctiva can be due to: a. Bulbar spring catarrh. b. Episcleritis. c. Vascular pterygium. d. Phlyctenular conjunctivitis.  

Last Answer : ANSWER: B

Corneal Herbert's rosettes are found in: a. Mucopurulent conjunctivitis b. Phlyctenular keratoconjunctivitis c. Active trachoma d. Spring catarrh

Description : Corneal Herbert's rosettes are found in: a. Mucopurulent conjunctivitis b. Phlyctenular keratoconjunctivitis c. Active trachoma d. Spring catarrh

Last Answer : ANSWER: C  

Corneal sensations are diminished in: a. Herpes simplex b. Conjunctivitis c. Fungal infections d. Marginal keratitis

Description : Corneal sensations are diminished in: a. Herpes simplex b. Conjunctivitis c. Fungal infections d. Marginal keratitis

Last Answer : ANSWER: A  

A patient complains of maceration of skin of the lids and conjunctiva redness at the inner and outer canthi. Conjunctival swab is expected to show: a. Slaphylococcus aureus. b. Streptococcus viridans. c. Streptococcus pneumonae d. Morax- Axenfeld diplobacilli

Description : A patient complains of maceration of skin of the lids and conjunctiva redness at the inner and outer canthi. Conjunctival swab is expected to show: a. Slaphylococcus aureus. b. Streptococcus viridans. c. Streptococcus pneumonae d. Morax- Axenfeld diplobacilli

Last Answer : ANSWER: D

The earliest feature of anterior uveitis includes: a. Keratic precipitates b. Hypopyon c. Posterior synechiae d. Aqueous flare

Description : The earliest feature of anterior uveitis includes: a. Keratic precipitates b. Hypopyon c. Posterior synechiae d. Aqueous flare  

Last Answer : ANSWER: D 

In anterior uveitis the pupil is generally: a. Of normal size b. Constricted c. Dilated

Description : In anterior uveitis the pupil is generally: a. Of normal size b. Constricted c. Dilated 

Last Answer : ANSWER: B

One of the earliest features of anterior uveitis includes: a. Keratic precipitates b. Hypopyon c. Posterior synechiae d. Aqueous flare

Description : One of the earliest features of anterior uveitis includes: a. Keratic precipitates b. Hypopyon c. Posterior synechiae d. Aqueous flare

Last Answer : ANSWER: D

Verrryy long scenario of old age pt with DM, HTN, hx of multiple cardiac attack, CVA, came for routine check up in PHC, u found bilateral opacification in both lenses, with decreasing of visual acuity, u will: Refer to lazer therapist refer to cataract surgeon refer to ophthalmologist follow up 60-patient on glaucoma medication for weeks came with SOB, cough the cause a- timolol b- betoxolol c- pilocarpin

Description : Verrryy long scenario of old age pt with DM, HTN, hx of multiple cardiac attack, CVA, came for routine check up in PHC, u found bilateral opacification in both lenses, with decreasing of visual ... glaucoma medication for weeks came with SOB, cough the cause a- timolol b- betoxolol c- pilocarpin

Last Answer : a- timolol

Retro-bulbar optic neuritis is characterized by: a. Marked swelling of the optic disc. b. Impaired direct light reflex in the affected eye c. Impaired consensual light reflex in the affected eye d. Normal visual acuity

Description : Retro-bulbar optic neuritis is characterized by: a. Marked swelling of the optic disc. b. Impaired direct light reflex in the affected eye c. Impaired consensual light reflex in the affected eye d. Normal visual acuity  

Last Answer : ANSWER: B 

A young patient with sudden painless loss of vision, with systolic murmur and ocular examination reveals a cherry red spot with clear AC, the likely diagnosis is: a. Central Retinal Artery Occlusion b. Central Retinal Vein Occlusion c. Diabetes Mellitus d. Branch Retinal Vein Occlusion

Description : A young patient with sudden painless loss of vision, with systolic murmur and ocular examination reveals a cherry red spot with clear AC, the likely diagnosis is: a. Central Retinal Artery Occlusion b. Central Retinal Vein Occlusion c. Diabetes Mellitus d. Branch Retinal Vein Occlusion  

Last Answer : ANSWER: A

Irrespective of the etiology of a corneal ulcer, the drug always indicated is: a. Corticosteroid b. Atropine c. Antibiotics d. Antifungal

Description : Irrespective of the etiology of a corneal ulcer, the drug always indicated is: a. Corticosteroid b. Atropine c. Antibiotics d. Antifungal

Last Answer : ANSWER: B 

The commonest cause of hypopyon corneal ulcer is: a. Moraxella b. Gonococcus c. Pneumococcus d. Staphylococcus

Description : The commonest cause of hypopyon corneal ulcer is: a. Moraxella b. Gonococcus c. Pneumococcus d. Staphylococcus

Last Answer : ANSWER: C  

Irrespective of the etiology of a corneal ulcer, the drug always indicated is: a. Corticosteroids b. Cycloplegics c. Antibiotics d. Antifungals

Description : Irrespective of the etiology of a corneal ulcer, the drug always indicated is: a. Corticosteroids b. Cycloplegics c. Antibiotics d. Antifungals

Last Answer : ANSWER: B 

Unilateral aphakia is likely to be corrected by any of the following except: a. Anterior chamber intraocular lens b. Posterior chamber intraocular lens c. Contact tens d. Glasses

Description : Unilateral aphakia is likely to be corrected by any of the following except: a. Anterior chamber intraocular lens b. Posterior chamber intraocular lens c. Contact tens d. Glasses 

Last Answer : ANSWER: D  

Herpes simplex keratitis is characterized by: a. Presence of pus in the anterior chamber b. No tendency to recurrence c. Corneal hyposthesia d. Tendency to perforate

Description : Herpes simplex keratitis is characterized by: a. Presence of pus in the anterior chamber b. No tendency to recurrence c. Corneal hyposthesia d. Tendency to perforate 

Last Answer : ANSWER: C

A one-month old baby is brought with complaints of photophobia and watering. Clinical examination shows normal tear passages and clear but large cornea. The most likely diagnosis is: a. Congenital dacryocystitis b. Interstitial keratitis c. Keratoconus d. Buphthalmos

Description : A one-month old baby is brought with complaints of photophobia and watering. Clinical examination shows normal tear passages and clear but large cornea. The most likely diagnosis is: a. Congenital dacryocystitis b. Interstitial keratitis c. Keratoconus d. Buphthalmos 

Last Answer : ANSWER: D 

A 55 year-old female complaining of vague tiredness is found to have a serum corrected calcium concentration of 2.9 mmol/l. Examination was unremarkable. Which of the following results confirms the suspected diagnosis of primary hyperparathyroidism? 1) High normal 1,25-dihydroxyvitamin D concentration 2) High normal 24 hour urinary calcium concentration 3) High normal plasma parathyroid hormone concentration 4) Low normal plasma phosphate concentration 5) Low normal serum 25-hydroxyvitamin D concentration

Description : A 55 year-old female complaining of vague tiredness is found to have a serum corrected calcium concentration of 2.9 mmol/l. Examination was unremarkable. Which of the following results ... 4) Low normal plasma phosphate concentration 5) Low normal serum 25-hydroxyvitamin D concentration

Last Answer : Answers-3 Bit too easy really. A high or even normal PTH concentration in the presence of hypercalcaemia would support the diagnosis of hyperparathyroidism. A high urinary Calcium concentration may ... but neither confirm the diagnosis. Elevated 1,25 VitD suggests a diagnosis of hypervitaminosis D.

In viral epidemic kerato-conjunctlvitis characteristically there is usually: a. Copious purulent discharge b. Copious muco-purulent discharge c. Excessive watery lacrimation d. Mucoid ropy white discharge

Description : In viral epidemic kerato-conjunctlvitis characteristically there is usually: a. Copious purulent discharge b. Copious muco-purulent discharge c. Excessive watery lacrimation d. Mucoid ropy white discharge

Last Answer : ANSWER: C 

A patient of old standing diabetes mellitus noticed sudden muscae volitanes. On examination, the red reflex was dim, with no details of fundus could be seen. He might have: a. Non proliferative diabetic retinopathy b. Cystoid macular edema c. Vitreous hemorrhage d. Central retinal vein occlusion

Description : A patient of old standing diabetes mellitus noticed sudden muscae volitanes. On examination, the red reflex was dim, with no details of fundus could be seen. He might have: a. Non proliferative diabetic retinopathy b. Cystoid macular edema c. Vitreous hemorrhage d. Central retinal vein occlusion 

Last Answer : ANSWER: C 

A patient is complaining of an open sore on the buccal mucosa. The lesion is painless, ulcerated, has indurated margins, 1.5 cm in diameter, covered by greyish-white exudate, enlarged lymph nodes and tender, negative tuberculin test and positive serology. The diagnosis is

Description : A patient is complaining of an open sore on the buccal mucosa. The lesion is painless, ulcerated, has  indurated margins, 1.5 cm in diameter, covered by greyish-white exudate, enlarged lymph nodes  and tender, negative tuberculin test and positive serology. The diagnosis is

Last Answer : Chancre /Primary lesion of syphilis 

Earliest visual rehabilitation occurs with: a. Phacoemulsification plus intraocular lens implantation b. Intracapsular cataract extraction plus intraocular lens implantation c. Extracapsular cataract extraction plus intraocular lens implantation d. Small incision cataract extraction

Description : Earliest visual rehabilitation occurs with: a. Phacoemulsification plus intraocular lens implantation b. Intracapsular cataract extraction plus intraocular lens implantation c. Extracapsular cataract extraction plus intraocular lens implantation d. Small incision cataract extraction

Last Answer : ANSWER: A

Organisms causing angular conjunctivitis are: a. Moraxella Axenfeld bacilli b. Pneumococci c. Gonococci d. Adenovirus

Description : Organisms causing angular conjunctivitis are: a. Moraxella Axenfeld bacilli b. Pneumococci c. Gonococci d. Adenovirus 

Last Answer : ANSWER: A

A 19 year-old female is referred following a visit to the dentist where marked erosion of her teeth was noted. She was entirely asymptomatic and her only medication was the oral contraceptive pill. On examination her blood pressure was 110/70 mmHg and her body mass index was 21.5 kg/m2 (18 - 25). Investigations sodium 135 mmol/l potassium 2.1 mmol/l bicarbonate 42 mmol/l urea 2.6 mol/L corrected calcium 2.08 mmol/ alkaline phosphatase 201 iu/l (50-110) What is the most likely diagnosis? 1) Bulimia nervosa 2) Conn's syndrome 3) Laxative abuse 4) Pregnancy 5) Primary hypoparathyroidism

Description : A 19 year-old female is referred following a visit to the dentist where marked erosion of her teeth was noted. She was entirely asymptomatic and her only medication was the oral contraceptive pill ... ) Bulimia nervosa 2) Conn's syndrome 3) Laxative abuse 4) Pregnancy 5) Primary hypoparathyroidism

Last Answer : Answers-5 This patient has tooth erosion associated with hypokalaemic metabolic alkalosis and hypocalcaemia. This suggests a diagnosis of hypoparathyroidism. Conn's is unlikely in this age group, is ... raised alkaline phosphatase would not be expected. Early pregnancy would not fit this picture.

What is true about Angioneurotic oedema, A. Puffiness around the eyes, oedema of the upper lip with redness and dryness B. Caused by several deep restorations in the anterior teeth C. There is no caries, negative thermal tests, negative percussion and negative response to palpation

Description : What is true about Angioneurotic oedema, A. Puffiness around the eyes, oedema of the upper lip with redness and dryness B. Caused by several deep restorations in the anterior teeth C. There is no caries, negative thermal tests, negative percussion and negative response to palpation

Last Answer : A. Puffiness around the eyes, oedema of the upper lip with redness and dryness B. Caused by several deep restorations in the anterior teeth

The most important symptom differentiating orbital cellulitis from panophthalmitis is: a. Vision b. Pain c. Redness d. Swelling

Description : The most important symptom differentiating orbital cellulitis from panophthalmitis is: a. Vision b. Pain c. Redness d. Swelling

Last Answer : ANSWER: A  

Advanced keratoconus is least to be corrected when treated by: a. Hard contact Lens, b. Rigid gas permeable (RGP) contact lens c. Spectacles. d. Keratoplasty.

Description : Advanced keratoconus is least to be corrected when treated by: a. Hard contact Lens, b. Rigid gas permeable (RGP) contact lens c. Spectacles. d. Keratoplasty.  

Last Answer : ANSWER: C  

Bacteria, which can attack normal corneal epithelium: a. Neisseria gonorrhea. b. Staphylococcal epidermidis c. Moraxella lacunata. d. Staphylococcal aureus

Description : Bacteria, which can attack normal corneal epithelium: a. Neisseria gonorrhea. b. Staphylococcal epidermidis c. Moraxella lacunata. d. Staphylococcal aureus 

Last Answer : ANSWER: A

Tranta's spots are noticed in cases of: a. Active trachoma b. Bulbar spring catarrh c. Corneal phlycten d. Vitamin A deficiency

Description : Tranta's spots are noticed in cases of: a. Active trachoma b. Bulbar spring catarrh c. Corneal phlycten d. Vitamin A deficiency

Last Answer : ANSWER: B

Which of the following organism can penetrate intact corneal epithelium? A. Strept pyogenes B. Staph aureus C. Pseudomonas pyocyanaea D. Corynebacterium diphtheriae

Description : Which of the following organism can penetrate intact corneal epithelium? A. Strept pyogenes B. Staph aureus C. Pseudomonas pyocyanaea D. Corynebacterium diphtheriae 

Last Answer : ANSWER: D

18 years old female weighting 52Kg and 163cm tall. On dental examination erosion of teeth on the most of her lingual surfaces is clearly showing. Dietary history revealed a daily rate of 5000 to 7000 Kcal/day. What is the most probable diagnosis? A. Alcoholism B. Drug abuse C. Bulimia D. Excessive smoking E. Diabetic mellitus type I

Description : 18 years old female weighting 52Kg and 163cm tall. On dental examination erosion of teeth on the most of her lingual surfaces is clearly showing. Dietary history revealed a daily rate of 5000 to 7000 ... . Alcoholism B. Drug abuse C. Bulimia D. Excessive smoking E. Diabetic mellitus type I

Last Answer : C. Bulimia

A 12 years old boy receiving long term treatment for spring catarrh, developed defective vision in both eyes. The likely cause is: a. Posterior subcapsular cataract b. Retinopathy of prematurity c. Optic neuritis d. Vitreous hemorrhage

Description : A 12 years old boy receiving long term treatment for spring catarrh, developed defective vision in both eyes. The likely cause is: a. Posterior subcapsular cataract b. Retinopathy of prematurity c. Optic neuritis d. Vitreous hemorrhage 

Last Answer : ANSWER: A 

A 20 yr. old female patient presents with pain in thyroid region of the neck since few days. She gives recent history of mumps. On palpation thyroid is tender and her thyroid function test reveals raised levels of T3, T4 and low TSH. Iodine uptake is also low. Probable diagnosis in this case is:

Description : Which of the following is the most common cause of Hypothyroidism in iodine sufficient area? Options: 1) Iatrogenic hypothyroidism 2) Post-partum thyroiditis 3) Autoimmune thyroiditis 4) Thyroid aplasia

Last Answer : Correct Answer: 3) Autoimmune thyroiditis

A 20 yr. old female patient presents with pain in thyroid region of the neck since few days. She gives recent history of mumps. On palpation thyroid is tender and her thyroid function test reveals raised levels of T3, T4 and low TSH. Iodine uptake is also low. Probable diagnosis in this case is:1) de Quervain’s thyroiditis 2) Silent thyroiditis 3) Primary thyrotoxicosis 4) Hashimoto’s thyroiditis

Description : A 20 yr. old female patient presents with pain in thyroid region of the neck since few days. She gives recent history of mumps. On palpation thyroid is tender and her thyroid function ... 1) de Quervain's thyroiditis 2) Silent thyroiditis 3) Primary thyrotoxicosis 4) Hashimoto's thyroiditis

Last Answer : Correct Answer: 1) de Quervain’s thyroiditis