Slan Opthalmology
Slan Opthalmology
Slan Opthalmology
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5. The cornea:-
a) Scarring can be distinguished from ulceration by using methlcellulose.
b) Can melt in cases of’ nutrition deficiency.
c) Can only be repaired by grafting.
d) Does not get repaired at all due to its avascularity.
e) All of the above.
6. What instrument can be used when measuring intraocular pressure?
a) Microscope.
b) Ultrasound machine.
c) Slit lamp.
d) Retinoscope.
e) Ophthalmoscope.
7. The following drugs can be used in treatment of glaucoma except:
a) Adrenaline 1%.
b) Timolol 0.5%
c) Acetazolamide.
d) Pilocarpine 2-4%
e) Atropine.
8. Pseudophakia is - -
a) Absence of crystalline lens.
b) Absence of an eyeball.
c) (j) Presence of an intraocular lens.
d) Presence of a crystalline lens.
e) None of the above.
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10. In extra capsular cataract extraction: -
a) Only part of the posterior capsule is removed.
b) Only part of the anterior capsular is removed.
c) Both anterior and posterior capsules are removed.
d) Zonules are broken.
e) None of the above.
11. The following are used to make diagnosis of open angle glaucoma:-
a) Visual fields defects.
b) Cupping of discs.
c) Increased intraocular pressure.
d) All the above.
e) None of the above.
12. The lacrimal duct opens into the:
a) Lacrimal gland.
b) Maxillary sinus.
c) Nasal cavity.
d) Mouth.
e) Frontal sinus:
14. In myopia:
a) The light rays focus posterior to the retina.
b) The eye has insufficient convergent power to focus light rays on the retina.
c) There is progressive loss of accommodation of the crystalline
d) There is excessive convergent power such that the light rays focus anterior to the retina.
e) Children commonly out grow the problem.
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15. Which of the following is true?
a) Aphakia is found in the elderly only.
b) All people are born with ametropia.
c) Myopia is corrected using convergent lenses.
d) The other name for hypermetropia is shortsightedness.
e) Astigmatism is corrected using cylindrical lenses.
17. The structures responsible for refraction in the eye ball include the following 7-ccpt: -
a) The vitreous.
b) The cornea.
c) The lens.
d) The pupil.
e) The aqueous.
18. Which of the following is not used specifically in assessment ofa patient with refractive
errors:
a) Snellen’s chart. -
b) Retinoscope.
c) c Pinhole.
d) d Slit lamp microscope.
e) Reading chart.
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19. Which of the following is not true about orbital cellulitis:
a) It can follow a tooth extraction.
b) It can follow an upper respiratory tract infections.
c) It can present as a complication of a stye.
d) It can lead to cavernous sinus thrombosis.
e) It always follows systemic infection.
20. Panophthalmitis:
a) Is a results of severe glaucoma.
b) Is treated with steroids antibiotics.
c) Is treated by evisceration.
d) It can be an absolute indication of exenteration.
e) Is not associated with pain.
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23. Cavernous sinus thrombosis:-
a) Is inflammation with thrombosis in the paranasal sinuses.
b) Is a fatal condition resulting from infection spreading from the orbit to the cavernous
sinus.
c) Is usually treated using anticoagulants.
d) Is best associated with leukocoria.
e) The effected patient is managed as an outpatient.
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27. The direct ophthalmosope is used to examine the following, except:-
a) Optic nerve head.
b) Macular
C) Vitreous
d) d Lens
e) .Ciliary process.
34. Control of Vitamin A deficiency in a community includes the following strategies except: -
a) Immunization against measles.
b) Vitamin A supplementation.
c) c Encouraging consumption of fruits and vegetables
d) Screening for hepatitis B.
e) Food fortification.
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36. The oculornotor nerve innervates the following muscles except:
a) Medial rectus.
b) Lateral rectus.
c) Superior rectus.
d) Inferior rectus.
e) Inferior oblique.
38. After cataract extraction, the resulting refractive error is best evaluated by doing: -
a) Keratometry.
b) Biornetry.
c) Retinoscopy
d) Direct Ophthalmology.
e) Indirect Ophthalmology.
44. Retinoblastoma:
a) Is a secondary malignant tumour to the retina.
b) Never presents, with leukocoria.
c) Never presents with squint in the affected eye.
d) Can be treated by enucleation.
e) Can be treated by evisceration.
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45. The following conditions may be associated with proptosis except:
a) Myaesthenia gravis.
b) Grave’s disease.
c) Burkitts ymphoma:
d) Advanced orbital squamous cell carcinoma.
e) Pseudo tumour.
48. The following structures of the eyeball are highly vascularised except:
a) The cornea:
b) The iris.
c) The choroids.
d) The ciliary body.
e) The conjunctiva.
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49. The following are components of the visual pathway except:
a) Visual cortex.
b) Optic chiasm.
c) Optic fissure.
d) Optic tract.
e) Optic radiations.
1) The orbit-
a) Is highly vascularised.
b) Is made up of 5 layers
c) Is semi-transparent in darkness
d) is the least innervated tissue in the human body
e) derives its blood supply from the cavernous sinus
3. The following structures of the eye ball are highly vascularised except:-
a) The iris
b) The ciliary body.
c) The cornea
d) The conjunctiva
e) The choroid.
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4. The following is true about the crystalline lens (eye lens)
a) It is highly innervated.
b) It is highly avascular
c) It has five layers.
d) it is made up of cortex, nucleus and stroma
e) It is concave in shape
1) Vitreous.
2) ciliary process.
3) Aqueous duct.
4) Lens.
5) choroid plexus
a) Is common in women;
b) B) Sets in during early childhood.
c) Presents with severe pain of acute onset.
d) Is one cause of reversible blindness.
e) Has no clear structural cause of impaired drainage at the anterior chamber angle.
a) Steroids,
b) Prostaglandin analogues.
c) Anti histamines.
d) Anti-hypertensive.
e) None of the above.
1) Acetaolamide.
2) Surgery.
3) Timolol.
4) Atropine.
5) Pilocarpine.
a) Trachoma.
b) Cataract surgery.
c) Steroid therapy.
d) (b) and (c)
e) Anaemia
a) Can be congenital.
b) Has a genetic/familial tendency.
c) Is treatable and reversible.
d) Timolol is contra-indicated in asthmatics.
e) The commonest type is angle closure glaucoma
a) Anaesthesia.
b) Seeing floaters,
c) Squint
d) Itching.
e) Photophobia
30. The following conditions can present with a squint in a child except.-
a) Retinopathy of prematurity.
b) Ciliary muscle trauma.
c) Brain tumour.
d) Cataract.
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e) Retinoblastoma.
32. Panophthalmitis:-
a) Trachoma.
b) Anterior staphyloma
c) Retinoblastoma.
d) Painful blind eye.
e) Badly ruptured eyeball.
Hyphema:-
a) Retinal detachment
b) Cataracts.
c) Glaucoma
d) Keratoconus
e) phthisis bulbi
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36. The differential diagnosis of a leucocoria includes the following excepti-
a) Retinopathy of prematurity.
b) Persistent hyporolastic primary vitreous
c) Corneal scar.
d) Retinoblastoma
e) Cataract.
37. Proptosis:-
a) Sinus mucocele.
b) Orbital cellulitis.
c) Megalo-cornea.
d) Cavenous sinus thrombosis.
e) Thyroid disease.
39. Epiphora:-
a) CMV retinitis.
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b) Herpes Zoster Ophthalmicus
c) Ocular TB
d) Toxoplasmic retinitis.
e) Cotton wool spots.
a) Telescopes
b) Spectacles with concave or convex lenses.
c) Contact lenses
d) Iridectomy
e) Refractive surgery.
a) Syphilis.
b) Trachoma.
c) Onchocerciasis
d) Gonorrhoes.
e) Helicobacter pylori.
a) Bacterial organisms can only invade the cornea when the epithelium has been broken.
b) The commonest diagnostic stain for corneal ulcers is fluoro-metholone,
c) Bacterial corneal infections are usually treated using steroid-antibioties,
d) Staph aureus is the commonest bacterial cause of corneal ulcers.
e) All the above.
a) Congenital cataract.
b) Diabetic cataract,
c) Age related (Senile) cataract.
d) Traumatic cataract.
e) Inflammatory cataract,
a) Corneal ulcer.
b) Subconjunctival haemorrhage
c) Acute angle closure glaucoma.
d) Anterior uveitis.
e) Allergic conjunctivitis.
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44. The following eye drops are commonly used in ocular examination except:-
a) Burkitt's lymphoma.
b) Glaucoma
c) Intracular retinoblastoma.
d) Orbital dermoid cyst.
e) Orbital squamous cell carcinoma.
46. Onchocerciasis
47. Trachoma:-
a) Trauma
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b) Traditional eye medication.
c) Trachoma
d) Measles.
e) Glaucoma
a) Toxoplasma gondi.
b) Treponema pallidum.
c) Chlamydia trachomatis.
d) Onchercerca volvulus
e) Loa Loa.
52. Retinoblastoma:-
a) Orbital tumour.
b) Glaucoma
c) Hyphema.
d) Vernal catarrh.
e) Ptosis.
a) Ectropion correction...........
b) Excision of the trachoma swellings. ........
c) Azithromycin treatment of community
d) Steroid antibiotics
e) Lid rotation.
a) Vitamin A supplementation........
b) Fortification of food with iron and iodine..........
c) Encouraging consumption of fruits and vegetables ......
d) Encouraging mass consumption of multivitamin tablets.
e) Measles immunisation.
59) In Hypertension:-
60) In HIV:-
a) Pterygium is by radiotherapy
b) Chalazion is by incision and drainage
c) Stye is by incision and drainage..
d) Conjunctival Kaposi's sarcoma is by excision and radiotherapy.
e) Molluscum contangiosum is by excision
63. Drugs:-
END
SECTION B.
Choose two questions out of the three.
1. Define and give World Health Organisaton classification of Xerophthalmia.
2. Write short notes on :-
a) Astigmatism
b) Myopia.
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c) Hypermetropia.
d) Pterygium
e) Cornea
3. What is Onchocerciasis ?
a) Give its life cycle and how to manage it.
4. Define an ideal room for visual acuity examination and the steps taken.
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