1st EVALUATION (OPHTHALMOLOGY) 4TH YEAR MBBS

DATE: 27/4/2021…………… Time=40 minutes ROLL No……………………………….

Marks= (MCQs=40. SEQs=10) Total marks=50.
Pass marks=25
COURSE:

1) Gross anatomy of orbit & eye ball.

2) REFRATIVE ERRORS.
3) Lacrimal apparatus.(WATERY EYE)

Encircle the correct option in MCQs. Each MCQ carries 2marks. Each SEQ carries 5 marks.
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MCQs: d) Astigmatism.
e) Anisometropia.
1) Which of the following bone does not 6) All the following tests are used to
form medial orbital wall? confirm epiphora except:
a) Nasal bone. a) Jones test.
b) Ascending process of maxilla. b) PSS.
c) Lacrimal bone. c) DCG.
d) Ethmoid bone. d) Regurgitation test.
e) Sphenoid bone e) Schirmer test.
2) Aqueous humor is formed by: 7) Simplest test to confirm refractive error
a) Epithelium of ciliary body. is:
b) Smooth muscles of ciliary body. a) Lang test.
c) Epithlium of iris. b) Titmus test.
d) Stroma of iris. c) Pinhole test.
e) Iris muscles. d) Frisby test.
3) Middle coat of eye ball includes: e) TNO test.
a) Sclera and cornea. 8) In myopia all the following are correct
b) Retina. except:
c) Choroid, ciliary body and iris. a) Rays from infinity focus at macula.
d) Bruchs membrane. b) Rays from retina focus in front of
e) Retinal pigment epithelium. macula.
4) Myopia is corrected with all the following c) LASIK is good treatment for it.
except: d) It is corrected with concave lenses.
a) Concave lenses. e) Primary open angle glaucoma can
b) Convex lenses. occur in it.
c) LASIK. 9) In hypermetropia;All the following are
d) PRK. correct except:
e) LASEK. a) Size of eye ball is smaller than normal.
5) Cylindrical lens is used to correct: b) It is corrected with convex lenses.
a) Myopia. c) Pseudopapilledema is seen with
b) Hypermetropia. ophthalmoscope in it.
c) Presbyopia.
 d) Rays of light from infinity focus in b) It is red to see and tender to touch.
front of macula. c) Antibiotics and analgesics are its
e) Rays from infinity focus behind retina. treatment>
10) Compound myopic astigmatism is: d) DCR is ideal surgical treatment of it,
a) -1D spherical. e) Epiphora is present in it.
b) -1D Spherical with -1D cylinder at 180 17) Nasal pathology causing epiphora includes
axis. all except:
c) +2D spherical. a) Severe DNS.
d) +2D spherical with +1D cylinder at 90 b) Polyp.
axis. c) Nasal carcinoma.
e) +2D spherical with -1D cylinder at 90 d) Hypertrophy of inferior turbinate.
axis. e) Chronic sinusitis.
st
11) 1 branch of ophthalmic artery in orbit is: 18) Lester-Jone tube is used in:
a) Central retinal artery. a) CDCR
b) Anterior ethmoidal artery. (conjunctivodacryocsytorhinostomy).
c) Posterior ethmoidal artery. b) DCR (dacrycystorhinosotomy).
d) Lacrimal artery. c) Punctoplasty.
e) Long ciliary artery. d) PSS (probing and sac syringing)
12) Lateral rectus muscle is supplied by: e) 3-snip operation in punctal stenosis.
a) Oculomotor nerve. 19) Venous drainage of choroid is via:
b) Trochlear nerve. a) Angular vein.
c) Abducent nerve. b) Venae vorticosae.
d) Nasociliary nerve. c) Central retinal vein.
e) Lacrimal nerve. d) Anterior ethmoidal vein.
13) Venous drainage of eye ball is to: e) Posterior ethmoidal vein.
a) Sphenoidal sinus. 20) Type of refractive error is diagnosed with:
b) Cavernous sinus. a) Ophthalmoscope.
c) Pterygoid plexus. b) Retinoscope.
d) Sigmoid sinus. c) Slit lamp.
e) Inferior sagittal sinus. d) Focimeter.
14) Last part nasolacrimal passages is: e) Tonometer.
a) Lacrimal punctum,
b) Nasolacrimal duct.
c) Lacrimal sac.
d) Lacrimal canaliculus.
e) Lacrimal lake.
15) Length of inferior canaliculus is:
a) 8mm.
b) 10 mm
c) 12mm
d) 2mm.
e) 6mm.
16) In Acute dacrycystitis; all the following are
correct except:
a) Painful swelling at medial canthus.
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SEQ1) A girl of 18 years has defective VA 3/60; in both eyes. There is not any other clinical sign
in either eye. Vision improves with pinhole in either eye.
Q1) What is possible diagnosis? (1mark)
Q2) What are 3 treatment options in it. (3marks)
Q3) Name type of Laser used in keratorefractive
Surgery. (1mark).

SEQ2) An adult female presents with epiphora in lefteye.

Q1) Name different parts of nasolacrimal passages. (2marks)
Q2) Name different investigations to localize site of
obstruction. (2marks)
Q3) Name type of operation if site of obstruction is inbetween lacrimal sac and
nasolacrimal duct. (1mark)