Sample Exam

• Course: Postgraduate: King Saud University Fellowship in Ophthalmology

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

 11.  Uveitis associated with JRA:                                    

• Occur more frequently in girls than boys
• Is rarely complicated by glaucoma
• systemic steroid is the initial treatment of choice
• usually unilateral
• dose not occur until after age of 5years 

 12.  All of the following are true about the asteroid hyalosis except: 

• It is most commonly bilateral                     
• Average age of diagnosis is 60years
• The eye is other wise is normal
• It is composed of calcium soaps
• It is attached to vitreous fibrils

 13.  The prevalence of cilioretinal artery is:               

• 5-10%
• 15-20%
• 25-30%
• 35-40%
• Non of these

 14.  Which of the following is true regarding the synchysis scintillans? 

• It is much rarer than asteroid hyalosis       
• It is usually bilateral
• It has freely floating opacities
• Crystals are composed of cholesterol
• All of these

 15.  All of the following are true regarding the squamous cell carcinoma of the conjunctiva except:                            

• It is most commonly found in the limbus
• It has strong tendency to infiltrate cornea either as a neoplastic process or as a degenerative process (pannus formation)
• Tumors are highly radiosensitive
• 1/3 of these tumors will invade intraocular content

 16.  Chocolate cysts are associated with:

• Teratoma
• Dermoid
• Lymphangioma
• Cavernous hemangioma
• Neurofibroma

 17.  The most common site for metastases to the eye is:      

• iris                                                                                                                      
• CB
• Orbit
• Choroid at the periphery
• choroid at the posterior pole

 18.  The most common condition producing leukocoria of pseudoretinoblastoma type is:                  

• PHPV
• Coat’s disease
• Cataract
• Chorioretinal coloboma
• Uveitis

 19.  All of the following are true about Marfan's syndrome except: 

• Aortic aneurysms are commonly seen        
• The lens is usually dislocated in the downward direction
• Blue sclera may be associated with it
• A normal urinary cyanide nitroprusside reaction is important in diagnosing these pts
• It is inherited as autosomal dominant

 20.  Ocular feature associated with Down's syndrome include all of the following except:                                   

• Lisch nodules
• Brusheield spots
• Myopia
• Strabismus
• Keratoconus

 21.  Pt presented with proptosis sclerouveitis, trcheitis, lung cavitations & glomerulonephritis was also present, the most likely diagnosis is:

• Polyarteritis nodosa                                      
• SLE
• Wegener’s granulomatosis
• Henoch Schonlein purpura
• TB