Postgraduate: King Saud University Residency in Ophthalmology

Sample Exam
1.  True statement regarding pt using Tamoxifen include all except:                                                              

• Some pt develop retinopathy resemble that of canthaxanthin (Orobronze) retinopathy
• Macular edema is often present in pt with clinical retinopathy
• Some pt develop whorl like corneal changes 
• Tamoxifen therapy places these pt at increased risk for retinal vascular occlusions

2.  All of the following are true about bowman’s membrane except:                                     

• Is approximately as thick as Descement membrane
• Can be considered the basement membrane of the epithelium
• Fuses in to the corneal stroma with no well defined line of demarcation
• Consists mainly of collagen fibrils
• Dose not regenerates when destroyed

 3.  All of the following are true regarding orbital septum except:                                                                           

• The palpebral portion of the lacrimal gland is posterior to it
• The lateral palpebral ligament is posterior to it.
• The orbicularis oculi is anterior to it
• The lacrimal sac is posterior to it
• The septum pass in front of the trochlea of the superior oblique

4.  Phlyctenular keratoconjunctivitis is associated with all of the following except:                

• TB
• Staphylococcal blepharitis
• Pneumococcal conjunctivitis
• AKC
• Koch-weeks conjunctivitis

 5.  Reis-Buckler’s corneal dystrophy is characterized by all of the following except:                               

• It is inherited as Autosomal dominant
• It is usually not associated with recurrent erosions
• Destruction of bowman’s membrane is the primary disturbance
• Multiple minute discrete opacities are seen just beneath the epithelium

 6.  Spontaneous absorption of the lens is associated with: 

• Myotonic dystrophy                                
• Hallermann-Streiff syndrome
• PHPV
• Aniridia
• Refsum’s disease

7.  Schwartz’s syndrome is caused by:                    

• RPE blocking the trabecular meshwork
• Forward rotation of the lens iris diaphragm
• Ciliary body and choroidal edema
• Photoreceptor outer segments blocking the trabecular meshwork

8.  All of the following are true of optic nerve drusen except: 

• They are not familial                               
• They may be berried
• VF defect may be present
• VA may be affected
• Optic nerve atrophy may be seen

 9.  The most common cause of pseudo-Foster Kennedy syndrome is: 

• Glaucoma                                                 
• Leber’s hereditary optic atrophy
• Optic neuritis
• Ischemic optic neuropathy
• Non of the above

 10.  Conditions imitating a bitemporal hemianopia due to chiasmal compression include all of the following except: 

• Bilateral nasal sector retinitis                
• Bilateral cecocentral scotoma
• Refractive scotomas
• Tilted discs
• Glaucoma

Textbooks References
The American Academy of Ophthalmology Series Ophthalmology. By: Myron Yanoff & Jay S. Duker The Eye and Systemic Diseases. By Frederick A. Jakobies and Kathryn Colby  -