BCQ Seq Paper A Ophthalmology 2015

PAPER A
TH
FOR 4 PROFESSIONAL MBBS EXAMINATION 2015.
BY PROF. SHAHID JAMAL SIDDIQUI
ADNEXA & ORBIT 05
EYE LIDS 02
Q1. CHALAZION
a. Is a chronic granulomatous inflammation of glands of zeis
b. Is a chronic granulomatous inflammation of glands of moll
c. Is treated conservatively
d. Presents as a painful condition
e. Presents as a painless condition
Q2. Which one of the following is the feature of eyelid disease

a. Metamorphosia
b. Nyctalopia
c. Photapsia
d. Photophobia
e. Poliosis
CONJUNCTIVA 01
Q3. Bacterial conjunctivitis
a. presents as a nacrotizing conjunctivitis
b. presents with blood in discharge
c. presents with Mucopurulent discharge
d. presents with serous discharge
e. presents with watery discharge
LACRIMAL APPARATUS 01
Q4. Lacrimation
a. Is due to decreased production of tears
b. Is due to increased production of tears
c. Is due to increase in the drainage of tears
d. Is due to normal production of tears
e. Is due to obstruction in the drainage of tears
Q5. Cause of Acute Dacryoadenitis is

a. Leukemia
b. Lymphoma
c. Trauma
d. Tuberculosis
e. Viral such as Mumps
ORBIT 01
Q6. Orbital cellulitis
a. is a painless condition
b. is an acute inflammation of the orbital soft tissue
c. is an acute inflammation of the paranasal sinuses
d. is chronic inflammation of the orbital soft tissue
e. is sub acute inflammation of the orbital soft tissue
ANTERIOR SEGMENT 15
CORNEA 4
Q7. The common cause of bacterial corneal ulcer is
a. Gonococcus
b. Klebsella
c. Moraxella
d. Pseudomonas
e. Staphylococcus aureus
Q8. Microbial investigation for identification of bacterial cause in corneal ulcer is

a. Calcoflour white staining
b. Fluorescein staining
c. Grams staining
d. PCR
e. 10 % potassium hydroxide staining
Q9. One of the following organism causes fungal keratitis

a. Fusarium
b. Gonococcus
c. Pneumococcus
d. Protozoa
e. Staphylococcus
Q10. Herpes simplex keratitis is caused by

a. Adenovirus
b. Herpes simplex virus type I
c. Herpes simplex virus type II
d. Varicella virus
e. Varicella zoster virus
LENS 4
Q11. Hypermature cataract
a. is a cataract in which nucleus of the lens becomes liquefied
b. is a cataract in which some part of the lens is opaque
c. is a cataract in which there is accumulation of the fluid within the lens
d. is a cataract in which the cortex of the lens becomes liquefied
e. is a cataract in which there is rupture of the lens capsule
Q12. One of the following ocular disease is the cause of complicated cataract
a. Herpes simplex keratitis
b. Iridocyclitis
c. Optic neuritis
d. Optic neuropathy
e. Vernal keratoconjuctivitis
Q13. Maternal cause of the congenital cataract is

a. Aniridia
b. Congenital rubella
c. Chromosomal disorders
d. Galactosaemia
e. Persistent hyperplastic primary vitreous
Q14. Phacoemulsification
a. Is associated with severe postoperative astigmatism
b. Is a large incision surgery
c. Is a small incision surgery
d. Is performed manually
e. Is performed with laser equipment
GLAUCOMA 04
Q15. Congenital glaucoma
a. Is associated with megalocornea
b. Is associated with microcornea
c. Is associated with normal anterior chamber
d. Is associated with normocornea
e. Is associated with transparent cornea
Q16. Diagnosis of glaucoma is not confirmed on the basis of

a. Increased intraocular pressure
b. Increased Intraocular pressure and Optic neuropathy
c. Increased Intraocular pressure and visual field defects
d. Optic neuropathy and visual field defects
e. Optic neuropathy, visual field defects and normal Intraocular pressure
Q17. One of the Sign of primary open angle glaucoma is

a. Retinal nerve fiber layer defect
b. Red eye
c. Lacrimation
d. Photophobia
e. Normal intraocular pressure
Q18. Normal tension glaucoma

a. Is associated with deep anterior chamber
b. Is associated with shallow anterior chamber
c. Intraocular pressure is decreased
d. Intraocular pressure is increased
e. Is characterized by visual field defects
UVEA 1
Q19. Noninfectious cause of Uveitis is
a. Leprosy
b. Sarcoidosis
c. Toxocariasis
d. Toxoplasmosis
e. Tuberculosis
PUPIL 01
Q20. One of the following physiological cause of miosis
a. Accommodation
b. Horner’s syndrome
c. Miotics
d. Iritis
e. Pontine lesion
Q-21: REGARDING ABNORMALITIES OF PUPIL:

A: In anisocoria pupils are of equal size.
B: Miosis-pupil size is more than 5mm.
C: Correctopia-pupil is in central position.
D: Polycoria-single pupil in the iris.
E. Mydriasis causes difficulty in reading and near work.
POSTERIOR SEGMENT 05
VITREO RETINA 04
Q22. The essential lesion in the diabetic retinopathy is
a. Cotton wool spots
b. Hard exudates
c. Microangiopathy
d. Neovascularization
e. Vitreous haemorrhage
Q-23: CAUSE OF LEUKOCORIA IN CHILDREN IS:

A: Retinoblastoma.
B: Corneal opacity.
C: Choroiditis.
D: Congenital glaucoma.
E: Lenticonus .
Q24. One of the following is the sign of proliferative diabetic retinopathy
a. Cotton wool spots
b. Dot blot haemorrhages
c. Hard exudates
d. Microaneurysms
e. Neovascularization at the disc
Q25. Treatment of choice for proliferative diabetic retinopathy is

a. Diffuse laser photocoagulation
b. Focal laser photocoagulation
c. Intravitreal injection of Steriods
d. Intravitreal injection of triamcinolone
e. Panretinal photocoagulation
Q26. ischemic central retinal vein occlusion

a. Presents with gradual loss of vision
b. Presents with mild loss of vision
c. Presents with moderate loss of vision
d. Presents with raised intraocular pressure
e. Presents with sudden onset of severe loss of vision
Optic Nerve 01
Q27. Regarding Optic Neuritis
a. Associated with sudden loss of vision
b. Color vision is normal
c. In papilitis disc is seen normal
d. In retrobulbar neuritis the disc is swollen
e. Pupillary reaction is usually normal
OTHER TOPICS 10
Q28. Endophthalmitis
a. Is treated with intravenous steroids
b. Is the vision threatening suppurative inflammation of intraocular tissues
c. Is usually treated with intravitreal steriods
d. Systemic antibiotic is the treatment of choice
e. Viruses are the most frequent pathogen
Q29. Commonest cause of blindness around the world according to WHO estimation is
a. Age related macular degeneration
b. Cataract
c. Corneal ulceration
d. Diabetic retinopathy
e. Trachoma
Q30. Pilocarpine
a. Causes mydriasis
b. Decreases the production of aqueous humor
c. Increases the uveoscleral outflow of aqueous humor
d. Is a parasympathomimetic drug
e. Is a sympthomimetic drug
Q31. Presbyopia
a. Is the inability to write and drive
b. Is a decreased amplitude of accommodation leading to decrease of near vision in old age
c. Is seen clinically in emmetropes around 30 years of age
d. Is delayed in myopia
e. Is delayed in the presence of glaucoma
Q32. Hereditary causes of ectopia lentis include

a. High myopia
b. Hypermature cataract
c. Congenital glaucoma
d. Marfan syndrome
e. Pseudoexfoliation
Q-33: CILLIARY CONGESTION IS SEEN IN:

A: Conjunctivitis .
B: Bacterial Corneal ulcer.
C: Choroiditis.
D: Optic neuritis.
E: Dacryocystitis.
Q34. THE MEDICAL CAUSE OF THE THIRD NERVE PALSY IS
A. Aneurysm of posterior communicating artery
B. Diabetes mellitus
C. Intracranial tumors
D. Trauma
E. Uncal herniation
Q35. Ophthalmic tissue adhesive glue:
a. is used to treat bacterial corneal ulcer
b. is used to treat fungal corneal ulcer
c. is used to treat non perforated corneal ulcer
d. Is the treatment of choice in Descematocele
e. is used to treat perforated corneal ulcer
SEQ
PAPER A
Q1. WHAT IS PTOSIS? WHAT ARE THE CAUSES OF PTOSIS?
Q2. A 40 years old farmer with history of trauma with agriculture material presented in the eye
OPD with painful red eye and with white lesion on the cornea. What is the most likely cause?
How will you investigate. What is the treatment?
Q3. WHAT IS GLAUCOMA ? WHAT ARE THE CLINICAL FEATURES OF ACUTE CONGESTIVE GLAUCOMA?
HOW YOU WILL MANAGE.
Q4. WHAT ARE THE CLINICAL FEATURES OF PROLIFERATIVE DIABETIC RETINOPATHY? WHAT ARE ITS
TREATMENT OPTIONS.
Q5. WHAT ARE THE CAUSES OF SECONDARY GLAUCOMA? HOW YOU WILL TREAT PHACOLYTIC
GLAUCOMA.
Q6. WRITE SHORT NOTES ON
A. MYOPIA
B. CAUSES OF RED EYE

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PAPER A

Q2. Which one of the following is the feature of eyelid disease

Q5. Cause of Acute Dacryoadenitis is

Q8. Microbial investigation for identification of bacterial cause in corneal ulcer is

Q9. One of the following organism causes fungal keratitis

Q10. Herpes simplex keratitis is caused by

Q13. Maternal cause of the congenital cataract is

Q16. Diagnosis of glaucoma is not confirmed on the basis of

Q17. One of the Sign of primary open angle glaucoma is

Q18. Normal tension glaucoma

Q-21: REGARDING ABNORMALITIES OF PUPIL:

Q-23: CAUSE OF LEUKOCORIA IN CHILDREN IS:

Q25. Treatment of choice for proliferative diabetic retinopathy is

Q26. ischemic central retinal vein occlusion

Q32. Hereditary causes of ectopia lentis include

Q-33: CILLIARY CONGESTION IS SEEN IN:

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