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

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  
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ANSWER: C
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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

Description : 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 ... uveitis. b. Giant papillary conjunctivitis. c. Bacterial corneal ulcer. d. Acute congestive glaucoma  

Last Answer : ANSWER: B 

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

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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 

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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

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

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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 

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Description : Phakolytic glaucoma is best treated by: a. Fistulizing operation b. Cataract extraction c. Cyclo-destructive procedure d. Miotics and Beta blockers 

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

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Last Answer : ANSWER: A

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

Last Answer : ANSWER: D 

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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

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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  

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

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Last Answer : ANSWER: C 

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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

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  

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

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Last Answer : ANSWER: D

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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 

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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 

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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

Which type of glaucoma presents an ocular emergency? a) Acute angle-closure glaucoma Acute angle-closure glaucoma results in rapid progressive visual impairment.

Description : Which type of glaucoma presents an ocular emergency? a) Acute angle-closure glaucoma Acute angle-closure glaucoma results in rapid progressive visual impairment. b) Normal tension glaucoma Normal tension ... is treated initially with topical medications, with oral medications added at a later time.

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

Last Answer : ANSWER: A 

All the following are extraocular muscle of eye except: a. Superior rectus b. Ciliary muscle c. Inferior oblique d. Superior oblique

Description : All the following are extraocular muscle of eye except: a. Superior rectus b. Ciliary muscle c. Inferior oblique d. Superior oblique

Last Answer : ANSWER: B  

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

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Last Answer : a- timolol

The treatment of choice for the other eye in angle closure glaucoma is: a. Surgical peripheral iridectomy b. Yag laser iridotomy c. Trabeculotomy d. Trabeculectomy

Description : The treatment of choice for the other eye in angle closure glaucoma is: a. Surgical peripheral iridectomy b. Yag laser iridotomy c. Trabeculotomy d. Trabeculectomy

Last Answer : ANSWER: B

Amaurotic cat's eye reflex is seen in: a. Papilloedema b. Retinoblastoma c. Papillitis d. Retinitis

Description : Amaurotic cat's eye reflex is seen in: a. Papilloedema b. Retinoblastoma c. Papillitis d. Retinitis 

Last Answer : ANSWER: B 

All the following associated open angle glaucoma include all the following except: a. Roenne’s nasal step b. Enlarged blind spot c. Generalized depression of isopters d. Loss of central fields e. Tubular vision

Description : All the following associated open angle glaucoma include all the following except: a. Roenne’s nasal step b. Enlarged blind spot c. Generalized depression of isopters d. Loss of central fields e. Tubular vision

Last Answer : ANSWER: D  

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 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

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  

Commonest lesion which hinders vision in diabetic retinopathy is: a. Macular oedema b. Microaneurysm c. Retinal hemorrhage d. Retinal detachment

Description : Commonest lesion which hinders vision in diabetic retinopathy is: a. Macular oedema b. Microaneurysm c. Retinal hemorrhage d. Retinal detachment  

Last Answer : ANSWER: A

Ocular disorders

Description : Corneal sensations are diminished in

Last Answer : herpes virus

Best site where intraocular lens is fitted: a. Capsular ligament b. Endosulcus c. Ciliary supported d. Capsular bag

Description : Best site where intraocular lens is fitted: a. Capsular ligament b. Endosulcus c. Ciliary supported d. Capsular bag

Last Answer : ANSWER: D

Aqueous humour is formed by: a. Epithelium of ciliary body b. Posterior surface of iris c. Lens d. Pars plana

Description : Aqueous humour is formed by: a. Epithelium of ciliary body b. Posterior surface of iris c. Lens d. Pars plana

Last Answer : ANSWER: A

Dense scar of cornea with incarceration of iris is known as: a. Adherent Leucoma b. Dense leucoma c. Ciliary staphyloma d. Iris bombe

Description : Dense scar of cornea with incarceration of iris is known as: a. Adherent Leucoma b. Dense leucoma c. Ciliary staphyloma d. Iris bombe

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  

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

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 

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 

Which of the following terms refers to the decrease in lens flexibility that occurs with age, resulting in the near point of focus getting farther away? a) Presbyopia Presbyopia usually begins in the fifth decade of life, when reading glasses are required to magnify objects. b) Presbycusis Presbycusis refers to age-related hearing loss. c) Cataract Cataract is the development of opacity of the lens of the eye. d) Glaucoma Glaucoma is a disease characterized by increased intraocular pressure.

Description : Which of the following terms refers to the decrease in lens flexibility that occurs with age, resulting in the near point of focus getting farther away? a) Presbyopia Presbyopia usually begins in ... lens of the eye. d) Glaucoma Glaucoma is a disease characterized by increased intraocular pressure.

Last Answer : a) Presbyopia Presbyopia usually begins in the fifth decade of life, when reading glasses are required to magnify objects.

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 

Primary optic atrophy results from: a. Retinal disease b. Chronic glaucoma c. Papilledema d. Neurological disease

Description : Primary optic atrophy results from: a. Retinal disease b. Chronic glaucoma c. Papilledema d. Neurological disease

Last Answer : ANSWER: D