Ophthalmic Surgery Questions and Answers for Ophthalmic Surgeon

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Ophthalmic Surgery Questions and Answers

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Questions and Answers on Ophthalmic Surgery

1. Which of the following statements about Keratomalacia is False?
(a) melting of the cornea
(b) inflammatory reaction
(c) seen in poorly nourished children
(d) bilateral occurrence
(e) None of the above

2. All are seen in 3 rd nerve palsy except-
(a) Ptosis
(b) Diplopia
(c) Miosis
(d) Outward deviation of the eye
(e) None of the above

3. In Pseudophakia there is the loss of:
(a) Accommodation
(b) Convergence
(c) Saccadic eye movements
(d) Colour vision
(e) None of the above

4. Cherry-red spot is seen in all except:
(a) Niemann-Pick disease
(b) CRAO
(c) Tay-Sachs disease
(d) CRVO
(e) None of the above

5. When do Optic Vesicles Form?
(a) When neurulation is complete (closed neuropores)
(b) When neurulation is ongoing
(c) When neurulation is initiated
(d) Both b and c
(e) None of the above

6. Child with a mild squint. Intra-uterine, birth history, developmental history to date all normal. Corneal reflex normal. All other eye parameters normal except exaggerated epicanthal fold. Diagnosis –
(a) Pseudostrabismus
(b) Accommodative squint
(c) Exophoria
(d) Esophoria
(e) None of the above

7. Dalrymple sign is seen in:
(a) Thyroid ophthalmopathy
(b) Cavernous sinus thrombosis
(c) Orbital cellulitis
(d) Cavernous haemangioma
(e) None of the above

8. Which of the following is not true regarding primary congenital glaucoma:
(a) Photophobia is the most common symptom
(b) Haab’s striae may be seen
(c) Thin and blue sclera may be seen
(d) The anterior chamber is shallow
(e) None of the above

9. Deep anterior Chamber, Iridodonesis ,2 Purkinje Images , Hypertropic small disc are signs of __________________
(a) Subluxation of Lens
(b) Aphakia
(c) Keratokonus
(d) High Myopia

10. Constant Mobile phone usage in Children leads to ___________________
(a) Myopia
(b) Hypermetropia
(c) Astigmatism
(d) Glaucoma

11. A regular Type of astigmatism where the two principle meridia are not at right angles to each other i.e.30′ and 100′ is called ______________________
(a) Oblique Astigmatism
(b) Bi Oblique astigmatism
(c) Against the rule astigmatism
(d) With the rule Astigmatism

12. Epithelization of the flap bed interface is a potential risk in _________________
(a) Intercorneal Ring Implantation
(c) Ortho Keratology
(d) R K Radial Keratotomy

13. Corneal Warpage in Rigid Gas Permeable Lens is seen in _____________
(a) Steep Fit
(b) Flat Fit
(c) Optimum Fit
(d) Trapped Air Bubble

14. Treatment of Homonymous hemianopia is aided by _____________
(a) Fresnel Prisms
(b) Bagolini Lenses
(c) Maddox Rods
(d) Peli Prisms

15. Inability to see clearly in bright light due to poor light adaptation caused by cone dystrophy is also termed as ______________
(a) Amaurosis
(b) Achromatopsia
(c) Nyctalopia
(d) Hemeralopia

16. Commonly used dye for staining mucus selectively in Dry Eye cases is_____________
(a) Flourescein
(b) Rose Bengal
(c) Methylene Blue
(d) Alcian Blue

17. Intravenous Flourescein dye is mainly excreted through _____________
(a) Skin
(b) Bile
(c) Urine
(d) none of the above

18. A newer method of posterior segment visualization providing cross sectional or 3D images of these tissues especially the retinal layers in vivo is _______________
(a) Colour Doppler imaging
(b) OCT
(c) MRI
(d) Ultra sound B scan

19. An antiviral, nephrotoxic agent used in HIV positive cases with CMV infection or acyclovir-resistant herpetic disease is
(a) Ganciclovir
(b) Valacyclovir
(c) Famcyclovir
(d) Foscarnet

20. Which of the following infectious agents can be linked to interstitial Keratitis
(a) Herpes simplex Virus
(b) Herpes zoster virus
(c) Chlamydia trachomatis
(d) All of the above
(e) None of the above

Practice Set MCQs
Quiz Questions and Answers
Ophthalmic Surgery

21. A 28-week-old baby suffered from respiratory distress syndrome at birth. At what postnatal age should the baby undergo retinal evaluation for ROP?
(a) 2 weeks
(b) 4 weeks
(c) 6 weeks
(d) 8 weeks
(e) None of the above

22. Patients with IRREGULAR corneas typically prefer _____ lenses
(a) soft contact
(b) corneal GP
(c) scleral GP
(d) all of the above
(e) None of the above

23. Treatment of advanced diabetic retinopathy with vitreoretinal fibrosis and tractional retinal detachment include all the following except:
(a) Removal of epiretinal membrane
(b) Pars plana vitrectomy
(c) Reattachment of retina
(d) Exophotocoagulation
(e) None of the above

24. A mother noticed a mucopurulent discharge from the puncta of her 3-month-old son. There is a history of watering from his eye. Which of the following is an appropriate treatment
(a) Syringing
(b) probing with syringing
(c) sac massage with local antibiotics
(d) dacryocystorhinostomy
(e) None of the above

25. Grid photocoagulation is indicated in:
(a) Ischaemic maculopathy
(b) Clinically significant diabetic macular edema
(c) Macular hole
(d) Proliferative diabetic retinopathy
(e) None of the above

26. Papilledema has all the following characteristics except:
(a) Marked loss of vision
(b) Blurring of disc margins
(c) Hyperaemia of disc
(d) Field defect
(e) None of the above

27. Which elevator muscle of the eyelid is involuntary?
(a) Levator palpebrae superioris
(b) Frontalis
(c) Muller’s muscle
(d) Orbicularis oculi
(e) None of the above

28. Visual axis of the eye meets the retina at a point which:
(a) Coincides with the fovea centralis
(b) Is nasal to fovea centralis
(c) Is nasal to optic disc
(d) Is temporal to fovea centralis
(e) None of the above

29. All of the following predispose to angle-closure glaucoma except:
(a) Small cornea
(b) Flat cornea
(c) Shallow anterior chamber
(d) The short axial length of the eyeball
(e) None of the above

30. Clear and watery discharge is a characteristic of
(a) Viral Conjunctivitis
(b) Bacterial Conjunctivitis
(c) Fungal Conjunctivitis
(d) Ophthalmia Neonatorum
(e) None of the above

31. Circular anastomosis placed a little outside the pupillary margin is called
(a) Circulus Arteriosus Iridis Major
(b) Circulus Arteriosus Iridis Minor
(c) Circulus Arteriosus Pupillaris
(d) Circulus Arteriosus Ciliaris
(e) None of the above

32. The operation of plication of inferior lid retractors is indicated in:
(a) Senile ectropion
(b) Senile entropion
(c) Cicatricial entropion
(d) Paralytic ectropion
(e) None of the above

33. Most common site of basal carcinoma of the eye is
(a) Eyelid
(b) Conjunctiva
(c) Cornea
(d) lacrimal apparatus
(e) None of the above

34. The following is not an X-linked disorder:
(a) Choroideremia
(b) Leber’s amaurosis
(c) ocular albinism
(d) retinoschisis
(e) None of the above

35. One millimeter decrease in axial length of the eyeball leads to hypermetropia of:
(a) 6 dioptres
(b) 2 dioptres
(c) 3 dioptres
(d) 4 dioptres
(e) None of the above

36. Unilateral proptosis with bilateral VI th nerve palsy, diagnosis is –
(a) Grave’s disease
(b) Retinoblastoma
(c) Pseudotumour of orbit
(d) Cavernous sinus thrombosis
(e) None of the above

37. When do hyaloid vessels develop?
(a) 3 weeks
(b) 4 – 5 weeks
(c) 7 week
(d) 16 week
(e) None of the above

38. A 7-year-old boy presented with right eye vision 6/ 60 and left eye vision of 6/6. After maximum correction retinoscopy shows fundus and anterior chamber normal -Right eye = +4.5 D in both axis, Left eye = + 1.5 D in both axis. Cause of decreased vision in the right eye is
(a) Refractive error
(b) Amblyopia
(c) Optic neuritis
(d) Occipital lobe infarction
(e) None of the above

39. In 6th cranial nerve palsy which statement is false?
(a) The cover test can show an esophoria for near and an esotropia for distance
(b) The double vision is horizontal and the images are crossed
(c) A lesion involving the 6th nerve nucleus will result in an ipsilateral horizontal gaze palsy and a lower motor neurone 7th nerve palsy
(d) Additional involvement of the ipsilateral 3rd, 4th and 5th cranial nerves indicates cavernous sinus involvement
(e) None of the above

40. The refractive power of an emmetropic eye is about:
(a) +50D
(b) +55D
(c) +60D
(d) +65D
(e) None of the above

41. A 56-year-old man has painful weeping rashes over the upper eyelid and forehead for the last 2 days along with ipsilateral acute punctate keratopathy. About a year back, he had chemotherapy for Non-Hodgkin’s lymphoma. There is no other abnormality. Which of the following is the most likely diagnosis?
(a) Impetigo
(b) Systemic Lupus Erythematosus
(c) Herpes Zoster
(d) Pyoderma gangrenosum
(e) None of the above

42. Bitemporal Hemianopia due to non-compressive chaismal lesions can be caused by
(a) Vasculitis
(b) Demyelinating disorders
(c) Ethambutol Toxicity
(d) All of the above

43. ____________is among the most dangerous organisms found in ocular infections.
(a) Neisseria catarrhalis
(b) Cornybacterium Xerosis
(c) Staphylococcus albus
(d) Neisseria gonorrohoeae

44. Prior to impending corneal ulcer perforation, the bulging tissue seen is called __________
(a) Anterior Staphyloma
(b) Descemetocoele
(c) Pseudocornea
(d) adherent leucoma

45. Conjunctivochalasis is encountered in___________
(a) copper deposition in conjunctiva
(b) elderly people
(c) Cholesterol de posits in conjunctiva
(d) none of the above

46. Staphyloma seen at the limbus is called__________
(a) Ciliary Staphyloma
(b) Anterior Staphyloma
(c) Equatorial Staphyloma
(d) Intercalary Staphyloma

47. Kayser-Fleischer ring in cornea is seen in
(a) Siderosis Bulbi
(b) Chalcosis
(c) corneal blood staining
(d) Argyrosis

48. The ‘Right to Sight ‘ is a global initiative launched by WHO in Geneva in February 1999 under which program?
(a) RAAB
(b) ICMR
(c) VISIO N 2020
(d) NPCB

49. Following topical therapy, the first invasive/noninvasive treatment for Angle Closure Glaucoma is ________
(a) Laser Goniotomy
(b) Ologen Implant
(c) Express Glaucoma Filtration Device
(d) Laser Iridotomy

50. Pseudopolycoria can occur in _______________
(a) Typical Colobomas
(b) Atypical Colobomas
(c) Posterior Synechia
(d) Iridocyclitis

51. Which of the following is not a test to diagnose dry eye ?
(a) Tear Film BUT <10 secs
(b) Schirmers Test
(c) Rose Bengal Staining
(d) Decrease Tear Osmol arity

52. Which of the following is not an effect of Infrared Radiation on the eye?
(a) Photoretinitis
(b) Solar Macular Burn
(c) Eclipse Burn
(d) Cataract

53. In Glaucoma the drug used with caution or not at all, in co- morbidity systemic diseases like Bronchial Asthma, COPD, Heartblocks, CCF and Cardiomegaly is________________
(a) Carbonic Anhydrase Inhibitors
(b) Hyperosmotic Agents
(c) Calcium Channel Blockers
(d) Beta Adrenergic Blockers

54. Marfan’s Syndrome is a hereditary disease with __________________ inheritance pattern
(a) X linked dominant
(b) autosomal dominant
(c) X linked recessive
(d) autosomal recessive

55. The following instrument is not used in surgery for Pterygium
(a) Toothed forceps
(b) Lid speculum
(c) Sinskey hook
(d) Crescent blade

56. Wavelength in nanometers of ND: Yag Laser is _______________________
(a) 1053
(b) 1064
(c) 800
(d) 514