Sample Exam

• Course: Undergraduate: Ophth 432

1.  Tear film and lacrimal system: - All true except:

• Mucin is produced by goblet cells
• Oily secretion that delay evaporation of tear is produced by meibomian glands
• Lower punctum drains most of tear to lacrimal sac
• Nasolacrimal duct open into the middle meatus of the nose
• Fossa for lacrimal gland is situated in the anterior, upper and outer quadrant of the orbit

2.  The corneal sensation is supplied by a branch of:

• The Third Nerve
• The Fourth Nerve
• The Fifth Nerve
• The Sixth Nerve
• The Seventh Nerve

3.  Acute dacryocystitis mean:

• Infection of the lacrimal gland
• Infection of the lower canaliculus
• Infection of the lacrimal sac
• Infection of the nasolacrimal duct
• Infection of the caruncle

4.  The management of acute angle closure glaucoma may include the following except:

• Intravenous Mannitol
• Intravenous Diamox
• Timolol eye drops
• Epinephrine eye drops
• Oral glycerol

5.  A 13-year old girl has 20/100 visual acuity in each eye at distance, 20/20 at near, and pinhole acuity 20/25.  Most likely the light rays from an object located 20 feet        away from her are coming to focus:

• On her retina
• In front of her retina
• Behind her retina
• No focus at all
• In her pupil

6.  Glaucoma can be caused by one of the following:

• Anti-hypertensive drugs
• Anti-diabetic drugs
• Carbonic anhydrase inhibitors
• Tetracycline
• Steroids

7.  All true for accommodation except:

• Strong in aphakic patient
• Weak in presbyopic patient
• Paralysed by cycloplegics
• Stimulated by cholinergic drugs
• Relaxed on looking to a distant object

8.  In open angle glaucoma, all true except:

• Topical beta blockers are used for treatment
• Laser iridotomy is usually done to reduce intraocular pressure
• Family history may be present
• It is a disease of middle and elderly age
• Patient may have advanced glaucoma with normal visual acuity

9.  In the presence of traumatic hyphaema you may think of/or do all the following except:

• Reassure the patient and advice him to resume his normal activity
• Examine the eye for other possible complications of trauma
• Possibility of secondary haemorrhage within 5 days
• Surgical removal of the blood may be considered if secondary glaucoma is initiated
• Referral to ophthalmologist is needed

10.  All true for astigmatism except:

• It means different refractive power of the eye in different meridians
• May result from corneal scarring
• Can be corrected by surgery
• Corrected by cylindrical lenses
• It does not cause amblyopia in children

11.  All pass through Superior ophthalmic fissure except:

• Trochlear nerve
• Abducent nerve
• Lacrimal nerve
• Sympathetic nerve
• Maxillary nerve  

12.  The maxillary nerve passes through:

• Foramen oval
• Foramen rotandoum
• Foramen spinosum
• Foramen magnum

13.  Screening for Retinopathy Of Prematurity is at:

• 2 weeks.
• 2 – 3 weeks.
• At birth
• 4 – 6 weeks. 
• After 7 weeks.

14.  Which light's wavelength having high frequency:

• Blue
• Yellow
• Green
• Violet 
• Orange

15.  Characteristic features of laser are include the following except:

• Monochromatic
• Directionality
• Polarized
• Incoherent  

16.  Average volume of the orbit is:

• 25 cc
• 30 cc 
• 20 cc
• 40 cc
• 35 cc

17.  Aqueous Humor formation is by:

• Diffusion
• Ultra filtration
• Active secretion
• Both a & b
• All the above 

18.  The following structures are normally seen in anterior chamber angle  EXCEPT:

• Ciliary body band
• Trabecular  meshwork
• Sclera spur
• Blood can be seen in schlems canal.
• Peripheral anterior synechiae    

19.  Type I Neurofibromatosis associated with all EXCEPT:

• Leish nodules.
• Wilm's tumor.
• Absence of the patella.
• Acoustic neuroma 

20.  The following antibiotics are Bacteriostatic Except:

• Chloramphenicole
• Erythromycin
• Tetracycline
• Ciprofloxacin 

21.  In fungal keratitis the following can be used except :

• Amphotericine B
• Fluconazole
• Nystatine
• Fluroquinolones 

22.  In retinoblastoma, a pathological report must clearly note :

• Choroidal involvement
• Optic nerve head involvement
• Size of the tumor
• Type of the tumor cells

23.  What is the spherocylindrical lens which it's spherical equivalent is + 0.75 :

• + 2.50  - 1.50 X 90
• + 2.50 + 1.50 X 30
• + 2.50 - 3.50 X 30 
•  + 3.00 – 2.00 X 75
•  -1.00 - 2.50 X 112

24.  Which of the following masquerade syndromes can present like orbital cellulitis :

• Retinoblastoma.
• Rhabdomyosarcoma.
• Uveal melanoma.
• Myocitis.
• All 

 25.  Retinopathy of Prematurity one false:

• Can regress spontaneously.
• Is associated with low birth weight.
• Cryotherapy used in treatment of ROP having good outcome
• Laser is less effective than cryotherapy 
•  Stage V carrying the poorest outcome.

26.  Thinnest part of the sclera :

• At equator
• At limbus
• At macula
• Underneath the extra-ocular muscle insertions 

27.  follicular conjunctivitis is more superior in which disease:

• adult inclusion conjunctivitis
• Trachoma 
• VKC
• EKC

28.  The bony orbit is formed by all of the following except:

• Forntal bone
• Zygomatic bone
• Temporal bone
• Ehtmoidal bone
• Lacrimal bone

29.  The most common cause of orbital cellulitis in children is:

• Direct trauma
• Acute sinusitis
• Following eye surgery
• Spreed of infection from the eyelid