Ophthalmology Set 4

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Ophthalmology MCQs [set-4]

76. A young patient with sudden painless loss of vision, with systolic murmur and
ocular examination reveals a cherry red spot with clear AC, the likely diagnosis is:
A. Central Retinal Artery Occlusion
B. Central Retinal Vein Occlusion
C. Diabetes Mellitus
D. Branch Retinal Vein Occlusion
Answer: A

77. Amaurotic cat's eye reflex is seen in:


A. Papilloedema
B. Retinoblastoma
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C. Papillitis
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D. Retinitis te
Answer: B a
q M
c
78. Commonest lesion which hinders vision in diabetic retinopathy is:
A. Macular oedema
B. Microaneurysm
M
C. Retinal hemorrhage
D. Retinal detachment
Answer: A

79. Commotio retinae is seen in:


A. Concussion injury
B. Papilloedema
C. Central retinal vein thrombosis
D. Central retinal artery thrombosis
Answer: A

80. Night blindness is caused by:


A. Central retinal vein occlusion
B. Dystrophies of retinal rods
C. Dystrophies of the retinal cones
D. Retinal detachment
Answer: B

81. In Central retinal artery occlusion, a cherry red spot is due to:
A. Hemorrhage at macula
B. Increased choroidal perfusion
C. Increase in retinal perfusion at macula
D. The contrast between pale retina and reddish choroids
Answer: D

82. The most common primary intraocular malignancy in adults is:


A. Retinoblastoma
B. Choroidal melanoma
C. Squamous cell carcinoma of conjunctiva
D. Iris nevus
Answer: B

83. A patient of old standing diabetes mellitus noticed sudden muscae volitanes. On
examination, the red reflex was dim, with no details of fundus could be seen. He
might have:
A. Non proliferative diabetic retinopathy
B. Cystoid macular edema
C. Vitreous hemorrhage
D. Central retinal vein occlusion
Answer: C

84. Occlusion of the lower nasal branch of the central retinal artery results in one
of the following field defects:
A. Lower nasal sector field defect
B. Upper nasal sector field defect
C. Upper temporal field defect
D. Lower temporal sector field defect
Answer: C

85. Primary optic atrophy results from:


A. Retinal disease

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B. Chronic glaucoma
C. Papilledema
D. Neurological disease
Answer: D

86. Retro-bulbar optic neuritis is characterized by:


A. Marked swelling of the optic disc.
B. Impaired direct light reflex in the affected eye
C. Impaired consensual light reflex in the affected eye
D. Normal visual acuity
Answer: B

87. The type of optic atrophy that follows retro-bulbar neuritis is:
A. Secondary optic atrophy
B. Consecutive optic atrophy
C. Glaucomatous optic atrophy
D. Primary optic atrophy
Answer: A

88. A male patient 30 years old with visual acuity of 6/6 in both eyes. Twelve hours
ago he presented with drop of vision of the left eye. On examination, visual acuity
was 6/6 in the right eye and 6/60 in the left eye. Fundus examination showed
blurred edges of the left optic disc. The most probable diagnosis is:
A. Raised intra cranial pressure
B. Raised ocular tension
C. Central retinal artery occlusion
D. Optic neuritis
Answer: D

89. All are seen in 3rd nerve palsy except:


A. Ptosis
B. Diplopia
C. Miosis
D. Outwards eye deviation
Answer: C

90. Homonymous hemianopia is due to lesion at:

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A. Optic tract
B. Optic nerve
C. Optic chiasma
D. Retina
Answer: A

91. Which is not found in papilloedema?


A. Blurred vision
B. Blurred margins of disc
C. Cupping of disc
D. Retinal edema
Answer: C

92. Optic disc diameter is:


A. 1 mm
B. 1.5 mm
C. 2 mm
D. 3 mm
Answer: B

93. Optic nerve function is best studied by:


A. Direct Ophthalmoscope
B. Retinoscope
C. Perimetry
D. Gonioscopy
Answer: C

94. Optic nerve axon emerges from:


A. Ganglion cells
B. Rods and cones
C. Amacrine cells
D. Inner nuclear layer
Answer: A

95. Papilloedema has all the following characteristics except:


A. Marked loss of vision
B. Blurring of disc margins

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C. Hyperemia of disc
D. Field defect
Answer: A

96. Homonymous hemianopia is the result of a lesion in:


A. Optic chiasma
B. Retina
C. optic tract
D. Optic nerve
Answer: C

97. Mydriasis is present in all the following except:


A. Third nerve lesion
B. Pontine haemorrhage
C. Datura poisoning
D. Fourth stage of anesthesia
Answer: B

98. D-shaped pupil occurs in:


A. Iridocyclitis
B. Iridodenesis
C. Cyclodialsis
D. Iridodialysis
Answer: D

99. In complete third nerve paralysis the direction of the affected eye in the
primary position is:
A. Inward
B. Outward
C. Outward and up
D. Outward and down
Answer: D

100. All the following are extraocular muscle of eye except:


A. Superior rectus
B. Ciliary muscle
C. Inferior oblique
D. Superior oblique

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Answer: B

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