:all of the following factors can influence corneal graft transplantation except -1

A-Old age b-past history of burn

C-history of previous rejection d-suture abscess

:all of the following are true concerning the crystalline lens except -2
A-lens fibers continue growing throughout life
B-nourishment is from vitreous and aqueous
C-zonules are from non-gelatinous protein
D-glucose concentration is 5 times than aqueous
E-ultraviolent rays absorption increase with age

double elevator palsy syndrome -3

A-paralysis of SR and IO of the same eye
B-paralysis of SR of one eye and IO of the other eye
C-paralysis of SR and SO of the same eye
D-paralysis of SR of both eyes

:fundus 4-mirrors lens all are true except -4

A-gives mirror image of the angle
B-doesn`t need coupling agent
C-excessive pressure cause narrowing of the angle
????-D

:molluscum contagiosum is characterized by all except -5

A-follicular conjunctivitis
B-rose umblicated lesion on the lid
C-associated with xanthelasma
D-viral infection with HPV

an object placed 25cm to the left of -1.00D lens what is the distance of the -6
:image
A-20cm to the lt of the lens
b-25cm to the lt of the lens
c-20cm to the right of the lens
d-25cm to the right of the lens

:concerning epiphora all are true except -7

a-in childhood the most common cause is congenital canalicular obstruction
b-should exclude congenital glaucoma
c-may be associated with telecanthus
d-mostly resolve spontaneously by the age of 24months
:patient with current attack of ACG may have all of the following except -8
a-OD edema
b-Glaucomfleken
c-epithelial corneal edema
d-CRAO
e-shallow AC

which of the following keratometric fmeasurment would be indicative of -9

:with the rule astigmatism
a-46.00/43.00@176
b-42.67/41.37@98
c-45.00@10/43.00@100
d-50.50@80/43.87@160
e-42.00/39@35

:the following clinical signs are associated with keratoconus except -10
a-epithelila copper deposition
b-early scissoring reflex
c-apical scarring
d-fine vertical folds in the DM

Biological factors that render chlamydia close to bacteria than viral life -11
:form include all except
a-nucleic acid contents
b-mechanism of relpication
c-cell wall properties
d-full presence of organells
e-response to aibacteria agents

:the most safe antiglaucoma drug in athmatic pt is -12

a-timolol
b-betoxelol
???-c

patient with decresed corneal sensation due to prior infection wih -13
:herpes zoster virus, with large epithelial defect, best treated with
a-conjuncival flap
b-frequent lubricants
c-lateral tarsorraphy
d-bandage CL
:Argon laser is used in the following except -14
a-pan retinal coagulation
b-trabeculoplasty
c-peripheral irodotomy
d-cut vitreoretinal adhesion that causing CME

photo of bilateral disc edema is enclosed -15

Female patient 40yrs that complains of headache with transient visual
obsecurations that underwent MRI was free with VA is 20/20 both eyes,next
:procedure will be
a-systemic acetazolmide
b-surgical decompression
c-systemic steroids
d-lumber puncture

:concerning HZ viral infection all are true except -16

a-daily dose is 600-800mg/d five times /day for 5-7 days
b-acyclovir administration has no effect on post herpetic neuralgia
c-acyclovir should be started 2-3days after the infection
????-d

a child 6yrs had trauma to the rt eye that causes large hematoma with -17
acute painful proptosis with progressive decrease in vision,fundus
:examination shows disc edema of the same eye,nxt procedure to be done
a-systemic IV steroids
b-systemic antibiotics
c-outpatient treatment
d-surgical decompression and evacuation

female patient 12yrs old with bilateral progressive ptosis and -18
ophthalmoplegia and o/e no significant signs in anterior segment but fundus
:shows pigmentry retinopathy, most propable diagnosis
a-chronic progressive external phthalmoplegia
b-myotonia dystrophia
c-mythenia gravis
????-d

:lateral orbital walls relation-19

a-45degree to each other
b-23 degree to each others
c-perpendicular to each others
d-parallel
:according to the ETDRS group which is true -19
a-PRP is effective in CSME
b-aspirin may delay the visual loss
c-moderate vision loss is equal to doubling of the initial visual angle
d-focal laser improve the vision but dosen`t affect the retinal thickness

:intraocular FB is best detected by -20

a-orbital US
b-ultrasound biomicroscopy
c-MRI
d-combry localization method
e-sweet`s localiztion method

a traumatic cataract and iridodialysis case after trauma will undergo -21
operation for the cataract the surgeon wants to check status of the zonules
:before operation,which investigation will be used
a-US b-ultrasound biomicroscopy
-c-anterior OCT d

a child 7yrs old had trauma by a knife few hrs ago,was hard to be -22
examined but by slit lamp examination was found to have corneal laceration
:and iris prolapsed, nxt step to do
a-get help of an assistant and re-examine after one hour
b-give systemic antibiotics and prepare for surgery after 24hrs
c-give systemic antibiotics and prepare for surgery at once for corneal repair
and excision of the prolapsed iris

a patient developed a sudden onset of proptosis with ophthalmoplegia -23

and inspite of giving systemic steroids she developed laryngeal and facial
paralysis then after,developed cardiac muscle affection and HF,most
:propable diagnosis
a-sarcoidosis b-histiocytosis
c-xanthgranuloma d-giant cell myositis

spherical equivalent of patient wearing glasses +4.00sphere and -24

:astigmatism +2.50

a child with history of chronic itching with progressive decrease in VA is -25

having epidemic keratoconjunctivitis, most probable cause for vision
:deterioration is
a-phlycten b-keratoconus
????-c
a patient with SWS will undergo cataract surgery the surgeon has to be -26
:oriented with what postoperative complications
a-retinal detachment
b-suprachoroidal hge
c-Hyphema in AC
???-d

a strabismus sugery was done and on the nxt day postoperative was -27
found to have corneal edema and folds in DM with progressive decrease in
:the vision, nxt to be done
a-topical cycloplegics
b-systemic and local steroids
c-topical antibiotics
d-debridment of the epithelium so can see the fundus

:drug that most effective in penetrating intact corneal epithelium is -28

a-dexamethazone solution
b-dexamethazone ointment
c-fluoromethelone
d-prednisolone suspension
e-prednisolone solution

in chronic anterior uveitis with juvenile idiopathic arthritis all are true -29
:except
a-band keratopathy
b-secondry cataract
c-secondr y glaucoma
d-no synechia ia associated

a photo is enclosed for IOL imlplantation with an injector -30

:Next step in that surgery will be
a-remove viscoelastics
b-injection of antibiotics
c-polishing of the posterior capsule
d-dilar using to get IOL in bag

:a child 18months with congenital cataract best method to remove is -31

a-lensectomy
b-needling
c-lensectomy with anterior vitrectomy and posterior capsulorrehexis
a child that undergone a cataract surgey with IOL implantation few yrs -32
later he complained from decrease in VA, his refraction was -4.00 sphere rt
:eye and -4.50sphere lt eye, possible cause
a-undercorrection item was not considerd
b-IOL was in bag
c-IOL was in sulcus
d-decenterd IOL

a child that had previous probing with temporally decrease in symptoms -33
?then recurs symptoms after few months,what to do
a-wait and conserve for 24months
b-repeat probing
c-fracture of the inferor turbinate
????-d

a photo for topography of postoperative ectasia, what is procedure to be -34

:done nxt
a-cross linking
b-deep lamellar keratoplasty
c-hard CL
????-d

:retinoblastoma common to be presented (after leucocoria) with -35

-a-stabismus b
-c

:VKH syndrome is ccc` by all except -36

a-primary OA
b-Dalen fuch`s nodules
c-vitilligo
d-poliosis

:normal FFA seen in-37

a-Stargardt`s disease
b-Vitilliform dystrophy
c-pattern dystrophy
d-XL retinoschisi
a hypermet ropic patient who is under antiglauomatous drugs for few -38
months and developed lately difficulty in reading and was diagnosed to
:have spasm of accommodation,possible cause
a-anticholinestrase therapy
b-astigmatism
c-iritis
???-d

a diabetic pt who recently did refraction and gs was -3.50D sphere then -39
was having attack of hyperglycemia after which he developed blurring of
vision with his glasses and on new refraction done was found to be -4.50
:both eyes, what to do nxt
a-do fundus examination after dilatation
b-changing the glasses
c-redo refraction after controlling the blood glucose
???-d

:all of the following about band keratopathy are true except -40
a-in systemic cause the ca is deposited extracellular while in local cause
deposited intracellular
b-may be associated with normal ca level and high phosphorus level
-c
-d

the anomaly DIDMD, is having diabetes mellitus, diabetes insipidus and -42
:last D for
a-dementia
b-deafness
??-c
??-d

:peter`s anomaly is characterized by all except -43

a-unilateral in most cases
b-iridocorneal adhesions
c-cataract
d-central corneal opacity
: leukemia may be associated with-44
a-increase incidence of viral infection
b-hyphema in AC
c-associated with ON glioma
:in ttt of acute angle closure glaucoma all are true except -45
a-laser iridotomy in the fellow eye
b-surgical iridotomy if laser is not available
c-miotics may be not used in the fellow eye as it may precipatet attack
d-miotics may be ineffective

:fundus picture of hypertensive retinopathy include all except -46

a-NV at the disc
b-macroaneurysm
c-exudates
d-narrowing of arterioles
e-dilatation and tortouisity of veins

:diplopia test includes all except -47

a-maddox rod
b-tangent scale
c-worth 4 dot test
d-titmus test
e-bagolini stiated glasses

:in rt SO palsy all are true except-48

a-hypertropia
b-diplopia decrease with face ture to lt
c-rt hyperdeviation
d-chin up

? the medial canthal tendon attaches to which of the following -49

a-posterior lacrimal crest and maxillary bone
b-anterior lacrimal crest and frontal bone
c-lacrimal bone
d-maxillary bone
e-frontal bone