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220+ Ophthalmology Solved MCQs

These multiple-choice questions (MCQs) are designed to enhance your knowledge and understanding in the following areas: Uncategorized topics .

1.

Distichiasis is:

A. Misdirected eyelashes
B. Accessory row of eyelashes
C. Downward drooping of upper lid
D. Outward protrusion of lower lid
Answer» B. Accessory row of eyelashes
2.

Band shaped keratopathy is commonly caused by deposition of:

A. Magnesium salt
B. Calcium salt
C. Ferrous salt
D. Copper salt
Answer» B. Calcium salt
3.

Irrespective of the etiology of a corneal ulcer, the drug always indicated is:

A. Corticosteroids
B. Cycloplegics
C. Antibiotics
D. Antifungals
Answer» B. Cycloplegics
4.

Dense scar of cornea with incarceration of iris is known as:

A. Adherent Leucoma
B. Dense leucoma
C. Ciliary staphyloma
D. Iris bombe
Answer» A. Adherent Leucoma
5.

Corneal sensations are diminished in:

A. Herpes simplex
B. Conjunctivitis
C. Fungal infections
D. Marginal keratitis
Answer» A. Herpes simplex
6.

The color of fluorescein staining in corneal ulcer is:

A. Yellow
B. Blue
C. Green
D. Royal blue
Answer» C. Green
7.

Phlycten is due to:

A. Endogenous allergy
B. Exogenous allergy
C. Degeneration
D. None of the above
Answer» A. Endogenous allergy
8.

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
Answer» D. Vernal keratoconjunctivitis
9.

Which of the following organism can penetrate intact corneal epithelium?

A. Strept pyogenes
B. Staph aureus
C. Pseudomonas pyocyanaea
D. Corynebacterium diphtheriae
Answer» D. Corynebacterium diphtheriae
10.

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
Answer» A. Posterior subcapsular cataract
11.

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
Answer» C. Adenoviral conjunctivitis
12.

Patching of the eye is contraindicated in:

A. Corneal abrasion
B. Bacterial corneal ulcer
C. Mucopurulent conjunctivitis
D. After glaucoma surgery
Answer» C. Mucopurulent conjunctivitis
13.

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
Answer» C. Bulbar spring catarrh
14.

In viral epidemic kerato-conjunctlvitis characteristically there is usually:

A. Copious purulent discharge
B. Copious muco-purulent discharge
C. Excessive watery lacrimation
D. Mucoid ropy white discharge
Answer» C. Excessive watery lacrimation
15.

Corneal Herbert's rosettes are found in:

A. Mucopurulent conjunctivitis
B. Phlyctenular keratoconjunctivitis
C. Active trachoma
D. Spring catarrh
Answer» C. Active trachoma
16.

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
Answer» D. Morax- Axenfeld diplobacilli
17.

Tranta's spots are noticed in cases of:

A. Active trachoma
B. Bulbar spring catarrh
C. Corneal phlycten
D. Vitamin A deficiency
Answer» B. Bulbar spring catarrh
18.

A painful, tender, non itchy localized redness of the conjunctiva can be due to:

A. Bulbar spring catarrh.
B. Episcleritis.
C. Vascular pterygium.
D. Phlyctenular conjunctivitis.
Answer» A. Bulbar spring catarrh.
19.

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.
Answer» D. Follicles and papillae in the palpebral conjunctiva.
20.

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
Answer» B. Giant papillary conjunctivitis.
21.

Fifth nerve palsy could cause:

A. Ptosis
B. Proptosis
C. Neuropathic keratopathy
D. Lagophthalmos
Answer» C. Neuropathic keratopathy
22.

Topical steroids are contraindicated in a case of viral corneal ulcer for fear of:

A. Secondary glaucoma
B. Cortical cataract.
C. Corneal perforation
D. Secondary viral infection.
Answer» C. Corneal perforation
23.

The sure diagnostic sign of corneal ulcer is

A. Ciliary injection
B. Blepharospasm
C. Miosis
D. Positive fluorescein test.
Answer» D. Positive fluorescein test.
24.

The effective treatment of dendritic ulcer of the cornea is:

A. Surface anesthesia
B. Local corticosteroids
C. Systemic corticosteroids
D. Acyclovir ointment
Answer» D. Acyclovir ointment
25.

Herpes simplex keratitis is characterized by:

A. Presence of pus in the anterior chamber
B. No tendency to recurrence
C. Corneal hyposthesia
D. Tendency to perforate
Answer» C. Corneal hyposthesia
26.

Bacteria, which can attack normal corneal epithelium:

A. Neisseria gonorrhea.
B. Staphylococcal epidermidis
C. Moraxella lacunata.
D. Staphylococcal aureus
Answer» A. Neisseria gonorrhea.
27.

Advanced keratoconus is least to be corrected when treated by:

A. Hard contact Lens,
B. Rigid gas permeable (RGP) contact lens
C. Spectacles.
D. Keratoplasty.
Answer» C. Spectacles.
28.

Organisms causing angular conjunctivitis are:

A. Moraxella Axenfeld bacilli
B. Pneumococci
C. Gonococci
D. Adenovirus
Answer» A. Moraxella Axenfeld bacilli
29.

Chalazion is a chronic inflammatory granuloma of

A. Meibomian gland
B. Zies’s gland
C. Sweat gland
D. Wolfring’s gland
Answer» A. Meibomian gland
30.

Deep leucoma is best treated by:

A. Tattooing
B. Lamellar keratoplasty
C. Keratectomy
D. Penetrating keratoplasty
Answer» D. Penetrating keratoplasty
31.

Blood vessels in a trachomatous pannus lie:

A. Beneath the Descemet's membrane.
B. In the substantia propria.
C. Between Bowman's membrane & substantia propria.
D. Between Bowman's membrane & Epithelium.
Answer» D. Between Bowman's membrane & Epithelium.
32.

In vernal catarrh, the characteristic cells are:

A. Macrophage
B. Eosinophils
C. Neutrophils
D. Epitheloid cells
Answer» B. Eosinophils
33.

Ptosis in Horner's syndrome, is due to paralysis of:

A. Riolan's muscle
B. Horner's muscle
C. Muller's muscle
D. The levator palpebral muscle
Answer» C. Muller's muscle
34.

Severe congenital ptosis with no levator function can be treated by:

A. Levator resection from skin side
B. Levator resection from conjunctival side
C. Fascia lata sling operation
D. Fasanella servat operation
Answer» C. Fascia lata sling operation
35.

The commonest cause of hypopyon corneal ulcer is:

A. Moraxella
B. Gonococcus
C. Pneumococcus
D. Staphylococcus
Answer» C. Pneumococcus
36.

Irrespective of the etiology of a corneal ulcer, the drug always indicated is:

A. Corticosteroid
B. Atropine
C. Antibiotics
D. Antifungal
Answer» B. Atropine
37.

Fleischer ring is found in:

A. Keratoconus
B. Chalcosis
C. Argyrosis
D. Buphthalmos
Answer» A. Keratoconus
38.

Intercalary staphyloma is a type of:

A. Equatorial staphyloma
B. Posterior staphyloma
C. Scleral staphyloma
D. Anterior staphyloma
Answer» C. Scleral staphyloma
39.

Cornea is supplied by nerve fibers derived from:

A. Trochlear nerve
B. Optic nerve
C. Trigeminal nerve
D. Oculomotor nerve
Answer» C. Trigeminal nerve
40.

Ciliary injection is not seen in:

A. Herpetic keratitis
B. Bacterial ulcer
C. Chronic iridocyclitis
D. Catarrhal conjunctivitis
Answer» D. Catarrhal conjunctivitis
41.

Most of the thickness of cornea is formed by:

A. Epithelial layer
B. Substantia propria
C. Descemet's membrane
D. Endothelium
Answer» B. Substantia propria
42.

A 30 years old male presents with a history of injury to the eye with a leaf 5 days ago and pain, photophobia and redness of the eye for 2 days. What would be the most likely pathology?

A. Anterior uveitis
B. Conjunctivitis
C. Fungal corneal ulcer
D. Corneal laceration
Answer» C. Fungal corneal ulcer
43.

Ptosis and mydriasis are seen in:

A. Facial palsy
B. Peripheral neuritis
C. Oculomotor palsy
D. Sympathetic palsy
Answer» C. Oculomotor palsy
44.

Commonest cause of posterior staphyloma is:

A. Glaucoma
B. Retinal detachment
C. Iridocyclitis
D. High myopia
Answer» D. High myopia
45.

In DCR, the opening is made at:

A. Superior meatus
B. Middle meatus
C. Inferior meatus
D. none
Answer» B. Middle meatus
46.

Schirmer’s test is used for diagnosing:

A. Dry eye
B. Infective keratitis
C. Watering eyes
D. Horner’s syndrome
Answer» A. Dry eye
47.

3 months old infant with watering lacrimal sac on pressing causes regurgitation of mucopus material. What is the appropriate treatment?

A. Dacryocystorhinostomy
B. Probing
C. Probing with syringing
D. Massage with antibiotics up to age of 6 months
Answer» D. Massage with antibiotics up to age of 6 months
48.

Most common cause of adult unilateral proptosis

A. Thyroid orbitopathy
B. Metastasis
C. Lymphoma
D. Meningioma
Answer» A. Thyroid orbitopathy
49.

Evisceration is:

A. Excision of the entire eyeball
B. Excision of all the inner contents of the eyeball including the uveal tissue
C. Photocoagulation of the retina
D. Removal of orbit contents
Answer» B. Excision of all the inner contents of the eyeball including the uveal tissue
50.

Lagophthalmos can occur in all of the following except;

A. 7th cranial nerve paralysis
B. 5th cranial nerve paralysis
C. Thyrotoxic exophthalmos
D. Symblepharon
Answer» B. 5th cranial nerve paralysis

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