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

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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ANSWER: A
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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

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 

In Central retinal artery occlusion, a cherry red spot is due to: a. Hemorrhage at macula b. Increased choroidal perfusion c. Increase in retinal perfusion at macula d. The contrast between pale retina and reddish choroids

Description : In Central retinal artery occlusion, a cherry red spot is due to: a. Hemorrhage at macula b. Increased choroidal perfusion c. Increase in retinal perfusion at macula d. The contrast between pale retina and reddish choroids  

Last Answer : ANSWER: D

100 days glaucoma is seen in: a. Central Retinal Artery Occlusion b. Branch Retinal Artery Occlusion c. Central Retinal Vein Occlusion d. Branch Retinal Vein Occlusion

Description : 100 days glaucoma is seen in: a. Central Retinal Artery Occlusion b. Branch Retinal Artery Occlusion c. Central Retinal Vein Occlusion d. Branch Retinal Vein Occlusion

Last Answer : ANSWER: C

Occlusion of the lower nasal branch of the central retinal artery results in one of the following field defects: a. Lower nasal sector field defect b. Upper nasal sector field defect c. Upper temporal field defect d. Lower temporal sector field defect

Description : Occlusion of the lower nasal branch of the central retinal artery results in one of the following field defects: a. Lower nasal sector field defect b. Upper nasal sector field defect c. Upper temporal field defect d. Lower temporal sector field defect

Last Answer : ANSWER: C  

Night blindness is caused by: a. Central retinal vein occlusion b. Dystrophies of retinal rods c. Dystrophies of the retinal cones d. Retinal detachment

Description : Night blindness is caused by: a. Central retinal vein occlusion b. Dystrophies of retinal rods c. Dystrophies of the retinal cones d. Retinal detachment

Last Answer : ANSWER: B

Commotio retinae is seen in: a. Concussion injury b. Papilloedema c. Central retinal vein thrombosis d. Central retinal artery thrombosis

Description : Commotio retinae is seen in: a. Concussion injury b. Papilloedema c. Central retinal vein thrombosis d. Central retinal artery thrombosis

Last Answer : a

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 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 young medical student has come to you with complaints of oligomenorrrhea, hirsuitism and weight gain, ultrasound reveals bulky ovaries with sub-capsular cysts. Most likely diagnosis is: a) Ovarian cancer. b) Cushing’s syndrome. c) Polycystic ovarian disease. d) Diabetes mellitus. e) Pelvic inflammatory disease

Description : A young medical student has come to you with complaints of oligomenorrrhea, hirsuitism and weight gain, ultrasound reveals bulky ovaries with sub-capsular cysts. Most likely diagnosis is: a) Ovarian ... syndrome. c) Polycystic ovarian disease. d) Diabetes mellitus. e) Pelvic inflammatory disease

Last Answer : c) Polycystic ovarian disease.

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 

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  

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 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 

Which is not found in papilloedema? a. Blurred vision b. Blurred margins of disc c. Cupping of disc d. Retinal edema

Description : Which is not found in papilloedema? a. Blurred vision b. Blurred margins of disc c. Cupping of disc d. Retinal edema

Last Answer : ANSWER: C 

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

True statements about EOG (electro-oculogram) include: a. the EOG light-peak to dark-trough ratio is reduced in central retinal vein occlusion b. the light peak of EOG is abnormal in Best's disease c. the EOG light rise is produced by depolarization of the basal membrane of the retinal pigment epithelium d. all above

Description : True statements about EOG (electro-oculogram) include: a. the EOG light-peak to dark-trough ratio is reduced in central retinal vein occlusion b. the light peak of EOG is abnormal in Best' ... rise is produced by depolarization of the basal membrane of the retinal pigment epithelium d. all above

Last Answer : all above

A 53-year-old man presented with hypertension of 150/110 mmHg. He is generally asymptomatic and has no previous medical history of note. He is a smoker of 5 cigarettes daily and drinks modest quantities of alcohol. He takes no prescribed medications. Examination reveals a BMI of 33.5 kg/2 but nil else. The following detail his investigations: Serum sodium 146 mmol/l (NR 133-145) Serum potassium 3.2 mmol/l (NR 3.5 - 5) Urinary potassium excretion 42 mmol/l (NR less than 30) What is the likely diagnosis? 1) Adrenocortical adenoma 2) Bartter's syndrome 3) Liddle's syndrome 4) Liquorice ingestion 5) Pheochromocytoma

Description : A 53-year-old man presented with hypertension of 150/110 mmHg. He is generally asymptomatic and has no previous medical history of note. He is a smoker of 5 cigarettes daily and drinks ... Adrenocortical adenoma 2) Bartter's syndrome 3) Liddle's syndrome 4) Liquorice ingestion 5) Pheochromocytoma

Last Answer : Answers-1 This patient is most likely to have Conn's syndrome as reflected by the hypokalaemic hypertension. Liquorice ingestion or Liddle's syndrome are again possible causes of ... hypertension (often diastolic hypertension), muscular weakness, paresthesias, headache, polyuria, and polydipsia."

Retinal vein occlusion?

Description : Retinal vein occlusion?

Last Answer : DefinitionRetinal vein occlusion is a blockage in the blood supply from the retina -- the light-sensitive tissue in the back of the eye.Alternative NamesCentral retinal vein occlusion; Branch retinal vein ... in all or part of one eyeSigns and testsTests to evaluate the retina include:Color visionE

Haemoglobin SC disease: a. is common amongst Afro-carribean people b. does not show sickle cells in the blood film. c. causes severe anaemia d. causes retinal vein occlusion

Description : Haemoglobin SC disease: a. is common amongst Afro-carribean people b. does not show sickle cells in the blood film. c. causes severe anaemia d. causes retinal vein occlusion

Last Answer : causes retinal vein occlusion

Which of the following are not determinants of a postoperative cardiac complication? A. Myocardial infarct 4 months previously. B. Clinical evidence of congestive heart failure in a patient with 8.5 gm. per dl. hemoglobin. C. Premature atrial or ventricular contractions on electrocardiogram. D. A harsh aortic systolic murmur. E. Age over 70 years.

Description : Which of the following are not determinants of a postoperative cardiac complication? A. Myocardial infarct 4 months previously. B. Clinical evidence of congestive heart failure in a patient with 8.5 gm ... on electrocardiogram. D. A harsh aortic systolic murmur. E. Age over 70 years.

Last Answer : Answer: B DISCUSSION: Clinical evidence of congestive heart failure in a patient with 8.5 gm. per dl. hemoglobin concentration is a misleading sign. Evidence of congestive ... or ventricular contractions on the electrocardiogram are less strong determinants of a postoperative cardiac complication

Retinal artery occlusion?

Description : Retinal artery occlusion?

Last Answer : DefinitionRetinal artery occlusion is a blockage of the blood supply in the arteries to the retina -- the light-sensitive tissue in the back of the eye.Alternative NamesCentral retinal artery occlusion; ... of the two large blood vessels in the neck (carotid artery disease)Disorder of high

The best treatment for amblyopia is: a. Orthoptic exercises b. Occlusion c. Surgery d. Best treat after age 10 years

Description : The best treatment for amblyopia is: a. Orthoptic exercises b. Occlusion c. Surgery d. Best treat after age 10 years

Last Answer : ANSWER: B 

Ocular disorders

Description : Corneal sensations are diminished in

Last Answer : herpes virus

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 

Papilloedema has all the following characteristics except: a. Marked loss of vision b. Blurring of disc margins c. Hyperemia of disc d. Field defect

Description : Papilloedema has all the following characteristics except: a. Marked loss of vision b. Blurring of disc margins c. Hyperemia of disc d. Field defect 

Last Answer : ANSWER: A  

40 year old lady presented with swelling in the right side of the upper part of the neck below the ear lobule for last 10 years. Swelling is painless and gradually growing. On examination of the swelling, the surface is smooth, margins are well defined, and is free from skin and underlying structures. Histologically, architectural pleomorphism is seen. What is the most probable diagnosis Options: 1) Lipoma 2) Rhabdomyosarcoma 3) Chronic sialadenitis 4) Mixed parotid tumour

Description : 40 year old lady presented with swelling in the right side of the upper part of the neck below the ear lobule for last 10 years. Swelling is painless and gradually growing. On examination ... diagnosis Options: 1) Lipoma 2) Rhabdomyosarcoma 3) Chronic sialadenitis 4) Mixed parotid tumour

Last Answer : Correct Answer: 4) Mixed parotid tumour

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

In retinal detachment, fluid accumulates between: a. Outer plexiform layer and inner nuclear layer. b. Neurosensory retina and layer of retinal pigment epithelium c. Nerve fiber layer and rest of retina. d. Retinal pigment epithelium and Bruch’s membrane.

Description : In retinal detachment, fluid accumulates between: a. Outer plexiform layer and inner nuclear layer. b. Neurosensory retina and layer of retinal pigment epithelium c. Nerve fiber layer and rest of retina. d. Retinal pigment epithelium and Bruch’s membrane.  

Last Answer : ANSWER: B 

Commonest cause of posterior staphyloma is: a. Glaucoma b. Retinal detachment c. Iridocyclitis d. High myopia

Description : Commonest cause of posterior staphyloma is: a. Glaucoma b. Retinal detachment c. Iridocyclitis d. High myopia

Last Answer : ANSWER: D  

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 

Urine examination (Benedict’s test) of a 40 yr old obese male showed a brick red precipitate. This can result from all except Options: 1) Diabetes Mellitus 2) Drugs 3) Acute post-streptococcal glomerulonephritis 4) Cushing’s syndrome

Description : Urine examination (Benedict’s test) of a 40 yr old obese male showed a brick red precipitate. This can result from all except Options: 1) Diabetes Mellitus 2) Drugs 3) Acute post-streptococcal glomerulonephritis 4) Cushing’s syndrome

Last Answer : Correct Answer: 3) Acute post-streptococcal glomerulonephritis

A patient complains of finger-like growth on the lateral aspect of the tongue. The lesion is painless and of normal colour. The MOST PROBABLE diagnosis is: A. Folate papillae B. Filiform papillae C. Neurofibroma D. Papilloma

Description : A patient complains of finger-like growth on the lateral aspect of the tongue. The lesion is painless and of normal colour. The MOST PROBABLE diagnosis is: A. Folate papillae B. Filiform papillae C. Neurofibroma D. Papilloma

Last Answer : D. Papilloma

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 

In grades of binocular vision; grade 2 is: a. Simultaneous macular vision b. Fusion c. Stereopsis

Description : In grades of binocular vision; grade 2 is: a. Simultaneous macular vision b. Fusion c. Stereopsis

Last Answer : ANSWER: B  

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  

The most clear cut beneficial results are obtained in the use of anticoagulants for the following purpose: A. Prevention of recurrences of myocardial infarction B. Prevention of venous thrombosis and pulmonary embolism C. Cerebrovascular accident D. Retinal artery thrombosis

Description : The most clear cut beneficial results are obtained in the use of anticoagulants for the following purpose: A. Prevention of recurrences of myocardial infarction B. Prevention of venous thrombosis and pulmonary embolism C. Cerebrovascular accident D. Retinal artery thrombosis

Last Answer : A. Prevention of recurrences of myocardial infarction

yo presented by hx of syncope when he do excurses and there was hix of same complain when he on rest . and there is chest pain on ex. There was ejection systolic murmur 2-4 degree most side is lower lf sternum not radiating to other site increase when he lying down and there is non specific s and t changing and there is lf atrium enlargement Aortic stenosis p.s hypertrophic cardiomyopathy constrictive cardiomyopathy

Description : yo presented by hx of syncope when he do excurses and there was hix of same complain when he on rest . and there is chest pain on ex. There was ejection systolic murmur ... t changing and there is lf atrium enlargement Aortic stenosis p.s hypertrophic cardiomyopathy constrictive cardiomyopathy

Last Answer : Aortic stenosis

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 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

An incision biopsy of an ulcerated and intruded clinically suspicious lesion in a 50 years-old female reveals chronic inflammation; you would:** A. Inform the patient and her physician of your findings and instruct the patient to return in six months B. Surgically excise the entire lesion since you know it is not malignant C. Dismiss the patient with instructions for warm saline rinses and re-examination D. Repeat the biopsy

Description : An incision biopsy of an ulcerated and intruded clinically suspicious lesion in a 50 years-old female reveals chronic inflammation; you would:** A. Inform the patient and her physician of ... . Dismiss the patient with instructions for warm saline rinses and re-examination D. Repeat the biopsy

Last Answer : D. Repeat the biopsy

A 30 years-old male complains of painless swelling in the buccal mucosa. It has been present for about six months. He admits “playing with it”. He is concerned because this might represent cancer. The base is narrow; the most likely diagnosis is:

Description : A 30 years-old male complains of painless swelling in the buccal mucosa. It has been present for  about six months. He admits “playing with it”. He is concerned because this might represent  cancer. The base is narrow; the most likely diagnosis is: 

Last Answer : Irritation fibroma 

In trachoma the patient is infectious when there is: a. Arlt's line b. Herbert's pits c. Post-trachomatous concretions. d. Follicles and papillae in the palpebral conjunctiva.

Description : In trachoma the patient is infectious when there is: a. Arlt's line b. Herbert's pits c. Post-trachomatous concretions. d. Follicles and papillae in the palpebral conjunctiva.

Last Answer : ANSWER: D 

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

Ketosis is associated with the disease: (A) Nephritis (B) Diabetes mellitus (C) Edema (D) Coronary artery diseases

Description : Ketosis is associated with the disease: (A) Nephritis (B) Diabetes mellitus (C) Edema (D) Coronary artery diseases

Last Answer : Answer : B

In diabetes mellitus the patient drink more water as there is urinary loss of

Description : In diabetes mellitus the patient drink more water as there is urinary loss of

Last Answer : In diabetes mellitus the patient drink more water as there is urinary loss of A. Protein B. Salt C. Insulin D. Glucose

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