Ophthalmology

Ophthalmology
Prelim Examination
Part 1
1. The entrance width of the orbit is:

a. 30mm
b. 35mm
c. 40mm
d. 45mm
2. Which of the following bones does not contribute to the orbit?

a. palatine bone
b. lacrimal bone
c. nasal bone
d. ethmoid bone
3. The medial wall of the orbit is composed to the following bones except?
a. lesser wing of the sphenoid bone
b. greater wing of the sphenoid bone
c. lacimal bone
d. maxillary bone
4. The following are true about Cranial Nerve IV except?

a. innervates Superior Oblique
b. innervates Lateral Rectus
c. longest intracranial course
d. does not pass thru the fibrous ring formed by the common origin of the recti muscles
5. Layer of the trabecular meshwork known as the site of Aqueous Humor flow resistance
a. corneoscleral
b. juxtacanalicular
c. uveal
d. uveoscleral
6. True about the lens except?

a. biconvex structure
b. contributes 40D of focusing power of the average adult eye
c. depends on aqueous and vitreous for nourishment
d. avascular
7. Responsible for aqueous humor formation:

a. iris
b. uvea
c. ciliary body
d. choroid
8. True about the Ora Serrata except?

a. smooth nasally and serrated temporally
b. watershed zone between the anterior and posterior vascular arcade
c. distance from the scwalbes line is between 5.75 nasally and 6.50mm temporally
d. boundary between the retina and pars plana
9. The descemet’s membrane is rich in which type of collagen?

a. Type I
b. Type II
c. Type III
d. Type IV
10. Extra- ocular Muscle with the longest insertion distance from the limbus?
a. Inferior rectus
b. Inferior oblique
c. Superior rectus
d. Superior oblique
11. Only muscle supplied by 1 ciliary artery?

a. Superior rectus
b. Lateral rectus
c. Medial rectus
d. Inferior rectus
12. Muscle that does not originate from the Annulus of Zinn? B SA ANSWER SHEET
a. Inferior rectus
b. Inferior oblique
c. Superior rectus
d. Superior oblique b
13. Extra- ocular Muscle with the shortest insertion distance from the limbus?
a. Superior rectus
b. Inferior rectus
c. Lateral rectus
d. Medial rectus
14. Longest division of the Optic Nerve?

a. Intraocular
b. Intraorbital
c. Intracanalicular
d. Intracranial
BC
15. Division of the Optic Nerve that is susceptible to blunt trauma?
a. Intraocular
b. Intraorbital
c. Intracanalicular
d. Intracranial
IIA. Enumerate the layers of the cornea (outer to inner)

Corneal epithelium
Bowman’s membrane
Stroma of the cornea
Descement’s membrane
Corneal endothelium
Epithelium and Basal lamina

• Bowman’s layer
• Corneal Stroma
• Descemet’s membrane
• Endothelium
gALING TRANS
IIB. Enumerate 5 Functions of the Retinal Pigment Epithelium. MINE!

→ Functions: (LIMA LANG !!!!!!)
▪ Vitamin A metabolism
▪ Maintenance of the outer blood-retina barrier
▪ Phagocytosis of the photoreceptor outer segments
▪ Absorption of light (reduction of scatter)
▪ Heat exchange
▪ Formation of the basal lamina
▪ Production of the mucopolysaccharide matrix surrounding the outer segments
▪ Active transport of materials in and out of the RPE
III. Choose the best answer:!YOURS NA PO. HEHE

a. Neuroectoderm
b. Surface ectoderm
c. Neural crest
d. Mesoderm
Involved daw C or D, diff schools time 1. Extraocular muscle fibers

A 2. Neurosensory retina
B 3. Lens
C 4. Trabecular meshwork
A 5. Retinal Pigment epithelium
IV.
1. Give the 5-point Basic Ophthalmologic examination in correct order. (5 pts)
Gross Eye Exam
Visual Acuity
Intraocular Pressure Determination
Extraocular Muscle Movements
Fundoscopy
2. The most common chart used by adults in examining the distance acuity is the
_______SNELLEN__________ Chart whereas the ______JAEGER_______ Chart is used for
near vision. (1 pt)
3. A patient was able to read from the biggest “E” until “TOZ” correctly. At line 4, he
misread 2 letters. At line 5, he misread another 2 letters. What is his best visual acuity on that
eye. Please be specific. (2 pts)
20/50-2?? true
4. Give the hierarchy of Visual acuity before “No Light Perception” for a person with poor
vision (less than 20/200). In proper order from better to poorer. (2 pts)
ito ba yorn?
5. State the complete direct funduscopy findings of a normal person. No abbreviations.
(2pts)
Normal findings on Fundoscopy:
→ (+) ROR (red orange reflex)
→ Clear media – state of ocular media
→ Pink disc with distinct borders;
Cup-disk (CD) ratio of 0.3 – state of optic disc
→ Arterio-venous (AV) ratio 2:3 – state of retinal vessels
→ No hemorrhages or exudates – state of general retinal background
→ Good foveal reflex – state of macula/fovea
6. Give the two true ophthalmic emergencies. (2 pts)
1. Central Retinal Artery Occlusion (CRAO)

2. Chemical Injury (Chemical Burn)
7. Enumerate three symptoms that are considered ophthalmic emergencies and it

(Example: acute red eyes – corneal infection). (6pts)
Mine nisan YOURS NA DEN HARUMPH
THREE ONLY
ACUTE ORBITAL DISEASE
Ex. Orbital cellulitis
Pre-septal cellulitis
Ex. Pre septal Cellulitis
Orbital cellulitis
Grave’s disease
Orbital pseudotumor
BILATERAL ORBITAL DISK SWELLING
Ex. Increased ICP
Malignant systemic HPN
Idiopathic intracranial HPN
PUPIL ABNORMALITIES
Oculomotor nerve palsy
Horner’s syndrome
Argyll-Robertson’s pupil in Syphilis
Acute angle closure glaucoma
Part 2
I. Multiple Choice
16. The main protractor of the eyelid:

ABCD BA TO? EFGH SA QUIESTIONNAIRE
e. Levator Muscle
f. Muscle of Roilan
g. Orbicularis Oculi
h. Capsulopalpebral Fascia
17. It is the distance from the upper eyelid margin to the corneal light reflex in primary
position?
a. Vertical Interpalpebral Fissure Height
b. Margin Reflex Distance 1
c. Levator Function
d. Marginal Reflex Distanc e 2
18. Upper eyelid muscle that provides approximately 2mm of elevation to the upper eyelid?
a. MULLERS MUSCLEC
b. Inferior Tarsal Muscle

c. Levator Muscle
d. Capsulopalpebral Fascia
ANO SAGOT DITO?A PO
19. Maintains the configuration of the palpebral fissure together with the tarsal plate:
a. canthal tendons
b. orbital septum
c. Tarsus
d. Orbital fat
20. Divides the lacrimal gland into an orbital and palpebral lobe:
a. Mullers Muscle
b. Orbicularis oculi
c. Levator Aponeurosis
d. Horner Muscle
21. Most common eyelid malignancy?

a. Squamous cell carcinoma
b. Basal cell carcinoma
c. Nevi
d. Sebaceous cell carcinoma
22. Most aggressive eyelid malignancy?

a. Squamous cell carcinoma - PACHECK PO
c. Nevi
23. Highly malignant eyelid malignancy?

c. Nevi
24. Acts as a 1 way valve that prevents tear reflux:

a. Valve of Hassner
b. Lacrimal sac
c. Valve of Rosenmuller
d. Nasolacrimal duct
25. True about Xanthelasma?

a. Gradual involution occurs over the course of 3-6 months
b. Due to pox virus
c. Associated with high blood cholesterol
d. Arise from the infundibulum of the hair follicle
26. Most common type of Congenital Ptosis?

a. Aponeurotic
b. Myogenic
c. Neurogenic
d. Traumatic
27. Most common type of Acquired Ptosis?

a. Aponeurotic
b. Myogenic
c. Neurogenic
d. Traumatic
28. Approximately how many percent of all symptomatic congenital NLDO resolve in the 1st
year of life?
a. 80%
b. 85%
c. 90%
d. 95%
29. Most common form of entropion?

a. Cicatricial
b. Congenital
c. Involutional
d. Acute spastic
30. Medial canthal fold most prominently seen in the lower eyelid:
a. Epicantus Inversus
b. Epicantus Tarsalis
c. Epicantus Superciliaris
d. Epicantus Palpebralis
II. Enumeration
1. What are the Layers of the Eyelid in proper order?

● Skin and subcutaneous tissue
● Orbicularis Muscle
● Orbital septum
● Orbital fat
● Levator and Muller's Muscles
● Tarsus
● Conjunctiva
2. Give 3 indications for Dacryocystorhinostomy:
● Recurrent Dacryocystitis
● Chronic mucoid reflex
● Painful distention of the lacrimal sac
● Bothersome epiphora
PILI NA LANG KAYO
3. Give 3 specific signs (proper names) of Keratoconus (3 pts)
● SCISSORING REFLEX
● RIZZUTTI’S SIGN
● LEISCHER RING
4. Give 2 types of stromal dystrophies and their corresponding deposits. (2 pts)

Pili na lang kayo mga suki
Matching Type. Choose the best answer.

A.
_J_ 1. Tear Break-up time
_H_ 2. Schirmer test
_E_ 3. Intumescent lens
_K_ 4. Morgagnian cataract
_G_ 5. Fuchs Heterochromic Iridocyclitis
_C_ 6. Ocular ToxoplasmosisI
_D_ 7. Vogt Koyanagi Harada
_F_ 8. Iris nodules in the stroma
A.
a. Entire lens is opaque
b. Tests eroded corneal areas
c. Posterior Uveitis
d. Panuveitis
e. Lens takes up water
f. Busacca nodules
g. Anterior Uveitis
h. Test to assess aqueous tear production
i. Berlin’s nodules
j. Estimates mucin content of tear fluid
k. Nucleus floats freely in the bag
l. Some parts of lens have transparent areas
B. MINE SHAI
E 1. Hyperacute conjunctivitis
B 2. Chronic conjunctivitis
C 3. Vernal Keratoconjunctivitis
K 4. Phlycten hypersensitivity
L 5. Goldenhaar Syndrome
I 6. Lymphoid structure with germinal center
M 7. Trauma with vegetable contaminated matter and with feathery borders
B.
a. Shield ulcer
b. Moraxella
c. Homer Trantas dots
d. Lipodermoid
e. Gonorrhea
f. Conjunctival papillae
g. Haemophilus
h. Acanthamoeba keratitis
i. Conjunctival follicles
j. Type 3 hypersensitivity reaction
k. Type 4 hypersensitivity reaction
l. Dermoid
m. Fungal keratitis
Identification: Give the specific type of conjunctivitis based on etiologic organism.

1. Hyperacute, copious purulent discharge with dysuria – GONOCOCCAL
CONJUNCTIVITIS
2. Mucopurulent discharge with history of recurrent hordeolum – STAPHYLOCOCCAL
CONJUNCTIVITIS
3. Mucopurulent discharge in a child with URTI - HAEMOPHILUS INFLUENZA
CONJUNCTIVITIS
4. Chronic follicles with angle maceration - MORAXELLA CONJUNCTIVITIS
5. Serous discharge, (+) follicles and papillae, with membranes - ADENOVIRAL
CONJUNCTIVITIS
Ophthalmology
Quiz !

a. 30mm
b. 35mm
c. 40mm
d. 45mm

a. palatine bone
b. lacrimal bone
c. nasal bone
d. ethmoid bone
c. lacimal bone
d. maxillary bone

d. does not pass thru the fibrous ring formed by the common origin of the recti
muscles
1. Layer of the trabecular meshwork known as the site of Aqueous Humor flow
resistance
a. corneoscleral
b. juxtacanalicular
c. uveal
d. uveoscleral
d. avascular

a. iris
b. uvea
c. ciliary body
d. choroid

c. distance from the scwalbes line is between 5.75 nasally and 6.50mm
temporally

a. Type I
b. Type II
c. Type III
d. Type IV
a. Inferior rectus
b. Inferior oblique
c. Superior rectus
d. Superior oblique

a. Superior rectus
b. Lateral rectus
c. Medial rectus
d. Inferior rectus
1. Muscle that does not originate from the Annulus of Zinn?
a. Inferior rectus
b. Inferior oblique
c. Superior rectus
d. Superior oblique
a. Superior rectus
b. Inferior rectus
c. Lateral rectus
d. Medial rectus

a. Intraocular
b. Intraorbital
c. Intracanalicular
d. Intracranial

a. Intraocular
b. Intraorbital
c. Intracanalicular
d. Intracranial

e. Levator Muscle
a. Muscle of Roilan
a. Orbicularis Oculi
a. Capsulopalpebral Fascia
position?
c. Levator Function
1. Upper eyelid muscle that provides approximately 2mm of elevation to the upper
eyelid?
a. Muller Muscle
c. Levator Muscle
a. canthal tendons
b. orbital septum
c. Tarsus
d. Orbital fat

a. Mullers Muscle
d. Horner Muscle

c. Nevi

c. Nevi

c. Nevi

a. Valve of Hassner
b. Lacrimal sac

b. Due to pox virus

a. Aponeurotic
b. Myogenic
c. Neurogenic
d. Traumatic

a. Aponeurotic
b. Myogenic
c. Neurogenic
d. Traumatic
1. Approximately how many percent of all symptomatic congenital NLDO resolve in the
1 year of life?
st
a. 80%
b. 85%
c. 90%
d. 95%

a. Cicatricial
b. Congenital
c. Involutional
d. Acute spastic

A. A.
___ 1. Tear Break-up a. Entire lens is
time J opaque
___ 2. Schirmer test H b. Tests eroded
___ 3. Intumescent corneal areas
lens E c. Posterior
___ 4. Morgagnian Uveitis
cataract K d. Panuveitis
___ 5. Fuchs e. Lens takes up
Heterochromic water
Iridocyclitis G f. Busacca
___ 6. Ocular nodules
Toxoplasmosis C g. Anterior
___ 7. Vogt Koyanagi Uveitis
Harada D h. Test to assess
___ 8. Iris nodules in aqueous tear
the stroma F production
i. Berlin’s
nodules
j. Estimates
mucin content of
tear fluid
B. k. Nucleus floats
___ 1. Hyperacute freely in the bag
conjunctivitis E l. Some parts of
___ 2. Chronic lens have
conjunctivitis B transparent areas
___ 3. Vernal
Keratoconjunctivitis A B.
___ 4. Phlycten a. Shield ulcer
hypersensitivity K b. Moraxella
___ 5. Goldenhaar c. Homer Trantas
Syndrome L dots
___ 6. Lymphoid d. Lipodermoid
structure with e. Gonorrhea
germinal center H f. Conjunctival
___ 7. Trauma with papillae
vegetable g. Haemophilus
contaminated matter h.
and with feathery Acanthamoeba
borders M keratitis
i. Conjunctival
follicles
j. Type 3
hypersensitivity
reaction
k. Type 4
hypersensitivity
reaction
l. Dermoid
m. Fungal
keratitis
III. Choose the best answer:

a. Neuroectoderm
b. Surface ectoderm
c. Neural crest
d. Mesoderm
1. Extraocular muscle fibers D

2. Neurosensory retina A
3. Lens B
4. Trabecular meshwork C
5. Retinal Pigment epithelium A
Name:
Section:
Date:
Ophthalmology
Prelim Examination
Part 1

a. 30mm
b. 35mm
c. 40mm
d. 45mm

a. palatine bone
b. lacrimal bone
c. nasal bone
d. ethmoid bone
c. lacimal bone
d. maxillary bone

d. does not pass thru the fibrous ring formed by the common origin of the recti muscles
5. Layer of the trabecular meshwork known as the site of Aqueous Humor flow resistance
a. corneoscleral
b. juxtacanalicular
c. uveal
d. uveoscleral

d. avascular
a. iris
b. uvea
c. ciliary body
d. choroid

c. distance from the scwalbes line is between 5.75 nasally and 6.50mm temporally

a. Type I
b. Type II
c. Type III
d. Type IV
a. Inferior rectus
b. Inferior oblique
c. Superior rectus
d. Superior oblique

a. Superior rectus
b. Lateral rectus
c. Medial rectus
d. Inferior rectus
12. Muscle that does not originate from the Annulus of Zinn?
a. Inferior rectus
b. Inferior oblique
c. Superior rectus
d. Superior oblique
a. Superior rectus
b. Inferior rectus
c. Lateral rectus
d. Medial rectus

a. Intraocular
b. Intraorbital
c. Intracanalicular
d. Intracranial

a. Intraocular
b. Intraorbital
c. Intracanalicular
d. Intracranial
IIA. Enumerate the layers of the cornea (outer to inner)
IIB. Enumerate 5 Functions of the Retinal Pigment Epithelium.
III. Choose the best answer:

a. Neuroectoderm
b. Surface ectoderm
c. Neural crest
d. Mesoderm
1. Extraocular muscle fibers

2. Neurosensory retina
3. Lens
4. Trabecular meshwork
5. Retinal Pigment epithelium
IV.
1. Give the 5-point Basic Ophthalmologic examination in correct order. (5 pts)
2. The most common chart used by adults in examining the distance acuity is the
_________________ Chart whereas the _____________ Chart is used for near vision. (1
pt)
A patient was able to read from the biggest “E” until “TOZ” correctly. At line 4, he
misread 2 letters. At line 5, he misread another 2 letters. What is his best visual acuity on
that eye. Please be specific. (2 pts)
3. Give the hierarchy of Visual acuity before “No Light Perception” for a person with poor
vision (less than 20/200). In proper order from better to poorer. (2 pts)
4. State the complete direct funduscopy findings of a normal person. No abbreviations.

(2pts)
5. Give the two true ophthalmic emergencies. (2 pts)
6. Enumerate three symptoms that are considered ophthalmic emergencies and give a
specific disease under it (Example: acute red eyes – corneal infection). (6pts)
Part 2
I. Multiple Choice

e. Levator Muscle
f. Muscle of Roilan
g. Orbicularis Oculi
h. Capsulopalpebral Fascia
position?
c. Levator Function
eyelid?
a. Muller Muscle
c. Levator Muscle
a. canthal tendons
b. orbital septum
c. Tarsus
d. Orbital fat
a. Mullers Muscle
d. Horner Muscle

c. Nevi

c. Nevi

c. Nevi

a. Valve of Hassner
b. Lacrimal sac

b. Due to pox virus

a. Aponeurotic
b. Myogenic
c. Neurogenic
d. Traumatic

a. Aponeurotic
b. Myogenic
c. Neurogenic
d. Traumatic
28. Approximately how many percent of all symptomatic congenital NLDO resolve in
the 1st year of life?
a. 80%
b. 85%
c. 90%
d. 95%

a. Cicatricial
b. Congenital
c. Involutional
d. Acute spastic
II. Enumeration
1. What are the Layers of the Eyelid in proper order?
2. Give 3 indications for Dacryocystorhinostomy:
3. Give 3 specific signs (proper names) of Keratoconus (3 pts)

4. Give 2 types of stromal dystrophies and their corresponding deposits. (2 pts)

A. A.
___ 1. Tear Break-up time a. Entire lens is opaque
___ 2. Schirmer test b. Tests eroded corneal areas
___ 3. Intumescent lens c. Posterior Uveitis
___ 4. Morgagnian cataract d. Panuveitis
___ 5. Fuchs Heterochromic Iridocyclitis e. Lens takes up water
___ 6. Ocular Toxoplasmosis f. Busacca nodules
___ 7. Vogt Koyanagi Harada g. Anterior Uveitis
___ 8. Iris nodules in the stroma h. Test to assess aqueous tear production
i. Berlin’s nodules
j. Estimates mucin content of tear fluid
k. Nucleus floats freely in the bag
l. Some parts of lens have transparent areas
B. B.
___ 1. Hyperacute conjunctivitis a. Shield ulcer
___ 2. Chronic conjunctivitis b. Moraxella
___ 3. Vernal Keratoconjunctivitis c. Homer Trantas dots
___ 4. Phlycten hypersensitivity d. Lipodermoid
___ 5. Goldenhaar Syndrome e. Gonorrhea
___ 6. Lymphoid structure with germinal center f. Conjunctival papillae
___ 7. Trauma with vegetable contaminated g. Haemophilus
matter and with feathery borders h. Acanthamoeba keratitis
i. Conjunctival follicles
j. Type 3 hypersensitivity reaction
k. Type 4 hypersensitivity reaction
l. Dermoid
m. Fungal keratitis
Identification: Give the specific type of conjunctivitis based on etiologic organism.

1. Hyperacute, copious purulent discharge with dysuria –
2. Mucopurulent discharge with history of recurrent hordeolum –
3. Mucopurulent discharge in a child with URTI
4. Chronic follicles with angle maceration
5. Serous discharge, (+) follicles and papillae, with membranes
I. Multiple Choice
D 1 . In each orbit, the lateral and med ial wall1 form en •fliPI ot:
:· ~~:S!
c ~
d. 55 d eRrees
1) 2. At the ,nsert,on of the rcctus muscle s t~ sci~, ~ ~ .tboJ'

a. 0 .2 mm th ,ck /
b O 3 mm th ,clr; /
c. 0 4 mm th tc<
d. 0 5 mm th1clc
]) 3.Thls is responsible for ma,nt.a ,n ng t l'\e e~s.en t,,

stroma.
a. Corneal ep,the l,um
b Bowman slayer
c. Descemet' s mem..btone
.d. Corneal endothelium
.5 4 . The aqueous 1s formed by .

a Iris
b . Clllary body ~
,
c. Choroid
d. Sciera
D S. It Is the thinnest part of area of the rl!'t1na conta,n,ng only cc,ne

photoreceptors:
a Area centralLS
b. Macula
c. 1-oveJ
d 1-ov~,:,l a
~ 6 . Thie nerve iupply of th e orblcularls Otul1
a CN3 / ___ _,,,,,.,,.,
b . CN 4
C. CN 6
d. CN 7
J2, 7. The average adult cornea ;
~ S00 um thick .,,' / .
b. 550 um thick /
c. 600 um thlcy
d 650 um t h ick
1
~ 8 . The ed1es of the neural 1roove thiclr ..... _.-,·
en l9,rurm tl'\c- ~i..,.,1 10 1c1.,
a. 2 w eeks ..,,,, -
b. 3 week.s /
c. 4 weeks /
d. S we eks
D 9 . The develop~~oft~ optic cup ~nd l~n!. .,t~-c~
< l ~ ks
b. S weeks
c 6 weeks
d. 7 week.s
1) 10 A refract rve error in wh,cn ~re ·s. 'OSl. ~ ~ c- .11C:o-..- -o~:.~-
a Emmetrop,a
b Myop,~
c. Hyperop ,a
d. Presbyop ia
C 11. A relative afferent pup1lta~ defe.-:t \~ PD1 s ~ , » ~"71 c·
a Opt ic nef'.le d~as.c
b. Ret ina l d1~ase
c. Both diseases
d. Neither a nor b
.A 12. The slmultaneous movement Clf the R,ght Mq m usc1e and ~ L~_m~,~
is an e><ample of:
a Yoke muscle;~
b. Synerg,st' i
c. Antagonist's
d . Adductor's
C 13 The upper limit of the ,, ormal IOP.

a. 19mmHg /
b 20mmHR
c. llmmHg
d 2.2mrnHg
)
'"- 14 Thls Is used to test the centr1 1 20 d@gr6l'"I of rt-i• v •s.u1 I f •1t id
a. Confrontat ional te ,;t
/
b. H1rshber1 test .,,,..,..,
/
c. Amsler arid
d. Laser Interferometry
B 1s. Night-blindness 1s due to the dysfunctio n of:
a. Cones
b. Rods ,--/
C Ganglion c@II lave V
d. N e rve fibe r lay /
Gliinds affected by Intern~! hordeolum

A grilnulomatous. polypold ,~,,on !;e~n ~t t he pal~bral cori; unctlv.a
which results from trauma r u pt ur~d ch.1l az ,on
~6 3. A condition man,fested by accessor t' eyel.lshes ofter. rcw,"i "rom t ~e
,' ,..) \./ orifices of the me1bom1an gl ,md.s
4. Causative o rgin1 sm Acute dacryocyn_,t,s ,n C."' ·ore "
in
A simple and tnewpens.,.,~ qua t,utr~e t ~ for tl'IE S't\Jtl'V of COf'IJunct.•va l

mucus IS performed by dr-,r,ng con11.1nct,val S.C:r.14' "',gs o ., i C•€2 "' g;a-ss
slide
Enumeration
1. Layers of the cornea
t: _ \nJ. >"" •r I • f •~ .. l
a. -r & , #- )
b . BL"--1'1"\Y>'; ~ '
C. I~.._, rr,.....J .,\ • '-'""'
d. r:-~l• •~ t-'\, ... L, .... .,c.
2. The lacr1mal gland 1s d1v1ded ,nto .

a. ~ r,{u ~ r
b. f \.-.d u :v r
3. Functions of tear s
a. ·\rJ.b..~l t •"'' \•\\·....h 1.. r1 1..J 11,,. 1--f~~ ~•--:-:-'-' tl ;,, "he lt,:11..:-
b. ~urn,~••.I.\ \·.... 11,.\ ,., • rJ\ th<. 1",, ,, .., ,~,__·,kb..~'--· r~
C. p.,,.d l s.
d. ~ \(.1-. I,,_', ·h,,. 1qr, 1·.._, ~til ~ 1._,~1., ..
e Jii,•. . ,.-1 ,J r._.,:,,rl 1:~ \ ~-l t\,\t
4 Impaired movement o n [O M f' l(am \\ due to

,l N ,,1.,,_ \,
t \ ~ Neurologic
l:'I t- \ , ... I .. • I\ l ~ 1 I Mechanical
(. r-"'"'•' - ..,21 ,l l,l.f' ~!o. ~ Mus cle weakness
ea ne
5 . Pathogenesis of Bl~phar itls
a.
b.
6 . Clinical m~asur~ments In Pt(')SI~

a. ~ -.. •~r-s'I
b . r;::, 11:. ~,.,,.ht.. .A, ,, 1, 1. t(., ~ ,:,
c . 7 c I'. w.,'\ 1 A..... b. t. ~. <.
BQNUS QUESTION:
• Case of a 10y/ o , fema le patl~nt w ,th
• Foamy/ frot hy t ear film
• lid margin hy peremia
• Thickened , round~d notched po s ~er,o,r d rn.ar-g ""
• Diagnosis (5 po,nts )
• Treatment (5 pa,nts) ,f you g ,"e m ~ th-e -ea~ -- fer : ~e : .-cat mel"lt pla"
you get an e)( t ra 10 po ints 1
I. Multlple Choice: /
_,~ 1. The lamlnil ~pvr;9,i;e-a In the bony orbit ,~ fo u nd In .
. ~_y-Mc.!dlal well
/ · Lateral w•II
c. Orbital roof
d . Orbltal floOF -
7
L 2 This accounts for about-90'6 of the corn~a l t h ick "~~~
a COf'neal ~plthellurn
_7/ Bowmiln' s layer
/ ~ Corneal strom~
d Descemet' s,,.membrane
('l
3. Source of nutrition for .t,H'e come;:,
- --
I
- a. ve.s(els of the hmbv s
b/ 2queous humor
/c. Tears
d . All of the ab.eve
L 4. The approximate distance of the LR 1nsert1on trom t~ 1,m ~ .~
fn a. s.~m,:m
5
mm ,,,,....
5. The main suppo~

*
5 mo/
'structure of the eyelids
a~
_yb·
~~~~ularls oculi
Tarsus
- -
/ ~- Conjunctiva
d. Skin layer
6. These are modified sweat glands that open in a row near the base of t he
eyelashes:
/
~ Glands of Zeis
/ b·. Glands of Moll
C. Glands of Wolfrlng
d. Glands of Krause
7 These contribute mucus/muc1n t h
O t ~ Preciornea t t~~, f ilm
a GIands of Moll ,,.,
b Glands of Zeiss ,,., .....-
.-<. Goblet celV
d. Accessory 1 ,~nds
~ 8 The thinnest of the cranlal nerves·
a . CN 3
. b .· CN4
c. CN 5
d. CN6
9
· The neural ectoderm ~ outward end to..,,ard th.e ;urf~ce e-ctoderm on et~ r
side to form t h"ert,:al optic ve,lclea ·
I
,,.,. a . 2 weeks
b 3 weeks
c. 4 w~ek.s
d . 5 weeks
~
- -- 10. The lid buds are flrst seen at:
a. 4 w~~
b. S weeks J
c. 9ks
d. 7 weeks
0
- lL Near vision testing is tested
a.
b.
C.
10 inc.hes aw.1y from ~:um1~r
12 inches awav from eqm~rie •
13 inches awav from ~•¥'1"1\~r
d. 14 Inches awa-y from ~m ~r
f-1 12. Muscles having the same primary action 1n the ~~ e,.e ~~ ~•so a .e-o
a Yoke muscle's
~
,J>) Syner~ s
c. An,9'«onlst's
d. None of the above
13. A simple test of binocular alignment is performed by having the p.ttent ~,c
toward a penlight held several feet away;
a. ~ln&iR
w enllght test
b. rs 5e? st
c. Brig tness sensitivity testing
d . Cover-uncover test .,,.
1
14 All are goniolenses, SXCEPT:
\_~ : mirror lens
c. Koeppe lens
d Possner lens
I - - ""~ (--;rt-
EmmetToplc eve Is corre-cted usln«:
i- Plus lenses
b Minus lenses
/ c. Read1n11lassl!i
/ .,,,,,... 1 •~ : None of the above
II Identification 'vi~
t~l...c- (£"........ riw---" Etlolo11c or1.inlsm of Mulluscum comaglo sum
Ll ~::!:;:./.:!.:...::i: What Is the C!QUlvalent structur~ of the l~tor ccmplv 1n t h ~ lowe-r lid
\k I' What type of incision shou ld~ mat;tP. to prever,t $.car fcrmitton 1f a,
Q;,... : 4.
hordeolum Is pointing externally
It's a condition wherein there ire re-curnn, ep,~
plttln1 edema of the uppe r lids
s o4 ~ en~~, . .-.01r-
111.
\Jq 4
Enumeration
5. Most common lmmunoilobultn found In tt'a r~
1. Uveal tract is composed of

a. .lr~s Ciliary body
b C ~"f µ-,. .,, Choroid
c. ~-tor r , Iris
2. 2 layers of the conjunct~( strom~
a. ~ctl '"'-....( °' t.- Fibrous layer
b. :r l
0
\J rt--. ¥ ,r Adenoid layer

of •l'\t
3. 2 diseases that can cause tllophtl'l.1.mas ( ~bnO ~ ~ d. pi"Ot · l&Or
•
eye) :
Thyroid disease
Congenital
4.
e.
5. Impaired movement on £OM exa~ Is due to:
a ,J~..,t~ ~1t,..A., t 'l ... -
b 1:> I •,t...., '.,,... • ' I
•
~f"C, ...l. ••
~
r
l.,.,..,
L" ''-
£ ' _,
-- .,...-,
-
l,_l -.../
.., "''- • -,,
,' •_ -
c:'"'
, llt'J.~'> ~ ~ ~
6. Pathogenesis of Blepharltls
a.-, ~.f~
b.- -I fZlw"" ~
7 ThC!sr contribute mucus/mucln
a GI.,, d f to the P~ecorneal tear film
· .n so Mo ll
b. Glands of Zelsv
--<. Goblet celV
d . Accessory itands
The thinnest of thC! cranial nC!rves:
a . CN 3
b: CN 4 - C
c. CNS /
d . CN6
9. The neural ectoderm ltf'QWs ,.__
- , outward a nd towud th~ surface e-ctodrrm on ~~,...,r
sld• to rorm ~ l a tl oi:,tlc vei lele,
..- a ~
b . .3 wcelu
c. 4 weeks
d . S weeks
_t_ 10. The lld buds c1re first seen at
a 4 w~
b S wee ~
c. §~
d. 7 wee lu
[1 11. Near v ision testing ,s tested
a. 10 inches away from eum-ner
b. 12 inches away from e•arn,~,.
c. 13 inches a',#ay from e ~ ~,
d. 14 Inch~ away from ~um "ler
---
F-°' 12. Muscles having the same primary action In the ~me ev1! a~ ~ u,~
a. Voice muscle-'s
-... ,,
s..!iJ Syne~s
c. An.9"°nlst's
r d. None of the above

13. A simple test of binocular allgnment is performed by ~ving t~ pat~nt IOOk
toward a penllght held several feet away :
a. -.=r;:~enllght test
b.
c.
d. Cover-uncoYe.( test -
14 All are goniolenses , ~CEPT: l
I - .. . ·1 --
~~ -~ irror lens
c. Koeppe lens
d . Possner lens
7 Cllnlcal measureme nts 1n Ptosls
r=·
c:·
, I
BONUS QUESTION :
• Case of a lOv/o. female p..itlc•nt w tfh
• Fo•mt/ ftothy t e M fllm
• lld mar1tn h vpe rt-m l.-
Th lckened , rou nded. n o h .. i'if"d p-:>~r.-r,'J, l•d ni ,Flf. ,
D1aanosls ( S po ints)
• Treatment (5 po ints ) If y o u , ,.,..., rr .. •r- r~~'°' , .. ~ 1,-..- ••• ,..IT,,,.' P a-ra ·
you get an eirtra JO POlnH. 1
'i'•, 7
~
I
.
T. ,. :
iii ~
t,,#
y1 ..
P•
- .
~. v, 1 1 ,,, ,i_j
li
111·
,-
I
I}; H
i 8' ,,,,
l ~
!I
-' ~
. tt I
~ ~ I
A
~. tf.• ,,.,
l,
1 R· >r, C b
~
.~ s J r,
.~ (; 'Yl- ..
ii ta ; ., t. j ·i.. '.·. t'
,;~
....,;:; - . ·
ro
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~ ii
~
~
K f ,~ ti
(1
.
fi
_,.
".·
( ,
~
f;J -
•
'",..". ,,
p It> 1
~- .•..I
,.I
'r J fl, ~.
r- ~;· Cu
tr;
,,
~.
:.1
(j
•·
I
1 -.J.
.~
ftt ,i Y' ·.
!t.
t
~~
j
,;,,
(
~ ·~ fl-.J
~ > ~-
JJ
,,,
'U
p ..i:. .
~
Q
j
t1i
r
r i ''
H·
•n l
E
~ ,3
c· •~
ti}_
'-"-
a
• -.,
?..-
i
}i
v. e
~
(;\
i ;:;s r t
(fl, (j
~ :1 {t
:v-~· ::, ,. [ !· h~ il ... ~ir,.·
P
<.; 1.-,
r.-' - ~ ~
~ ... . ,d ...
_.;,
-,I .:::.i _,,, ~~· 't)
I
8 t:.,.' f.. 't"";
r1 :-,, t) C,
~ _a,~~
~ • ~··
~
j
~ 71 (ii
~
4
.... ...,.,~ - "' •_!· I ,.,

61 S1
..;;;,.,. ~n,
~ -
- ~ ' .:- fli u ~
:J
s -, ~
·w
L..,
n.f '
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fl•
r.;.. - 1 -. ~,
fil IJ
) !=1'
. ~ .--.
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fj~ T" ·
~·1 .....
Ci
h1 • ii
{D (':
, -1
·o.,.... ~ R:
~
' r,t '..1'
rv
II
1. Fui\ctrons cf tea"'S
a· ;>rev-e~t ~-,-ness
b. Ci~an the coojurcti\.o +athe< par-.s
'- lnhi!>,: grc"th o; m:c.-oc,rg
d. ( ~p r-'oiSt a'1J heatth·,
.:, ~at;..c~ · c.: &c:1;,•J
· o'- re,s Jo. · ·
ntrs
a Stao,"": Aure:..s
s~~o:r~.:
!)
Jat~ r ~ of ~ -~e.l r.vofut•OOc 1 f r trppt0r.

a. - .yi.:onta iic la\,:·,
D \i~ial caritl-.al te~cki;: bx;~
c 1..;t~rQ· cartr-.a: te:-:c0r. ...al ity
Ll).dra("!er~•:.rt
• • •• 4 ~ ,-f ,.je~-
..... . ~ · 1 ,C 6 .-i-,~
.,I'\., "S· ,2· ~·
;: c:;
a t\efid ~, ~ j uf'd?ncy
b l vS.S cf e:C0Ci~
~ C ·n1w1! r.1easi.!re:-~~t of ptc5l5
a. Mug,.. rdle.~d~itar.~e
b. \l ~,t r:cl !SS'Ye ckQr,~c;
6. Patlxtgenes:,s cf i:e1~-ar"th~s
a. Acn~rrn~ iv<:g rr.edial .:ar.tr-<I te7lj O!'li
b TroL!r ;;~i( di3 :nse~io;,
c. C0,.,ge1;·ta1 cra,;;C1facJa: c\-sg-;~;;·
r,. t'eS of t>a;;:; 1ce., 1.0'1:i,,vma
d i\J(.Xh.:.H
0 .\Jod~,:)-Ul:-~ti~
c. S:~ ,..:s,ig
111 5JNUS
a. Ca5e cf .i ! O)'/~ female ~dtte rt i.,rth f0a:r1v,"ro!rl\' tear nim, I~ mo.r-g:m
h~·perem,a: t~ 1ckened ,ot,NPC; no!cried pos!t:1n-:r lict M2fgin
Dlagncsi~ = Pcste~ior Slepr.-,r:tis
11 Tre.1tmen;= 1o~ eni1 lu~ oose system,c anttb1ot1cs
a. S~ rt t~rm :opicaJstero:cs
111. Reasor, ;: Frar.x ;ntlamJt,on
11/3/2020 OPHTHALMOLOGY
OPHTHALMOLOGY
Dr. Eliseo George Ave

Hi Rachel Lei Augustine, when you submit this form, the owner will be able to see your name and email
address.
* Required
1. Responsible for aqueous humor formation: *

(1 Point)
ciliary body
uvea
iris
choroid
2. In this condition, the focal point falls infront of the retina *

(1 Point)
Myopia
Hyperopia
Presbyopia
Emmetropia
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3. True about the Ora Serrata except? *

(1 Point)
watershed zone between the anterior and posterior vascular arcade
distance from the scwalbes line is between 5.75 nasally and 6.50mm temporally
boundary between the retina and pars plana
smooth nasally and serrated temporally
4. Tue about concave lenses, except: *

(1 Point)
negative sphere
convergent lens
2 prisms put together at its apex
scatters light
5. Longest division of the Optic Nerve? *

(1 Point)
Intraorbital
Intracanalicular
Intraocular
Intracranial
6. Tue about convex lenses. *

(1 Point)
negative sphere
2 prisms put together at its apex
scatters light
convergent lens
7. Highly specialized avascular tissue to refract and transmit light *

(1 Point)
Aqueous Humor
Pupil
Lens
Cornea
8. Management for myopia, except: *

(1 Point)
Lens extraction
LASIK
Plus lens
Minus lens
9. The medial wall of the orbit is composed to the following bones except? *
(1 Point)
greater wing of the sphenoid bone
lesser wing of the sphenoid bone
lacimal bone
maxillary bone
10. Snell’s Law states that when light travels from a medium of higher refractive index
to a medium of lower refractive index, it bends *
(1 Point)
away from the normal
towards the normal
11. True about the cornea, except? *

(1 Point)
Flattening is more extensive nasally and inferiorly
Peripheral cornea measures 1mm
Thickness increases with age
Central cornea measures 0.5mm
12. True about conjunctival pappilae: *

(1 Point)
Prominence of the superficial blood vessels of the conjunctiva
Reddish flat topped raised areas with a central core of numerous dilated blood vessels
surrounded by lymphocytes and covered by hypertrophic epithelium
Multiple, discrete, slightly elevated lesions encircled by tiny blood vessel
round collections of lymphocytes, often most prominent in the inferior fornix
13. Progressively diminished ability to focus on near objects with aging *

(1 Point)
Presbyopia
Astigmatism
Myopia
Hyperopia
14. Damage to this layer of the cornea leads to decompensation, edema and visual
failure? *
(1 Point)
Descemets membrane
Endothelium
Bowman’s Layer
Epithelium
15. True about the lens except? *

(1 Point)
avascular
contributes 40D of focusing power of the average adult eye
biconvex structure
depends on aqueous and vitreous for nourishment
16. Most common type of cataract? *

(1 Point)
snow flake cataract
nuclear
lamellar cataract
cortical
17. Layer of the trabecular meshwork known as the site of Aqueous Humor flow
resistance *
(1 Point)
corneoscleral
uveal
juxtacanalicular
uveoscleral
18. True about prisms, except: *

(1 Point)
Concave lens are 2 prisms put together at its apex
Convex lens are 2 prisms put together at its base
Has a base and an apex
Light passing through is deviated towards its apex
19. Total diopteric power of the Cornea *

(1 Point)
43 D
40 D
23 D
20 D
20. True about the lens except? *

(1 Point)
biconvex structure
avascular
contributes 40D of focusing power of the average adult eye
depends on aqueous and vitreous for nourishment
21. In this condition, the focal point falls on the retina *

(1 Point)
Hyperopia
Emmetropia
Myopia
Astigmatism
22. Functions of the conjunctiva, except: *

(1 Point)
Contribute to maintain normal mass of corneal epithelial cells
reservoir of tears
flexible covering for the globe
heat exchange
23. Presence of floaters may be: *

(1 Point)
due to vitreous pigments
due to vitreous hemorrhage
due to posterior vitreous detachment
normal
24. The following are true about Cranial Nerve IV except? *

(1 Point)
innervates Lateral Rectus
longest intracranial course
innervates Superior Oblique
does not pass thru the fibrous ring formed by the common origin of the recti muscles
25. Optical instruments of the eye, except: *

(1 Point)
iris
pupil
aqueous humor
lens
26. Depends on aqueous and vitreous for nourishment *

(1 Point)
Cornea
Aqueous Humor
Lens
Pupil
27. Extra- ocular Muscle with the longest insertion distance from the limbus? *
(1 Point)
Superior oblique
Inferior rectus
Inferior oblique
Superior rectus
28. Helps maintain the intraocular pressure inside the eye. *

(1 Point)
Aqueous Humor
Cornea
Lens
Pupil
29. Which of the following bones does not contribute to the orbit? *
(1 Point)
ethmoid bone
palatine bone
lacrimal bone
nasal bone
30. Muscle that does not originate from the Annulus of Zinn? *
(1 Point)
Superior oblique
Superior rectus
Inferior rectus
Inferior oblique
31. Transition zone between the peripheral cornea and anterior sclera *
(1 Point)
schwalbes line
limbus
endothelium
trabecular meshwork
32. Allows light to enter the eye so it can be focused on the retina to begin the
process of sight. *
(1 Point)
Cornea
Lens
Pupil
Aqueous Humor
33. The entrance width of the orbit is: *

(1 Point)
30mm
35mm
45mm
40mm
34. Responsible for aqueous humor formation: *

(1 Point)
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iris
ciliary body
choroid
uvea
35. Vision disorder characterized by inability of the eyes to correctly focus images of
objects on the retina *
(1 Point)
Strabismus
Amblyopia
Emmetropia
Ammetopia
36. In this condition, the focal point falls behind of the retina *
(1 Point)
Hyperopia
Emmetropia
Myopia
Presbyopia
37. The following are symptoms of refractive errors, except: *

(1 Point)
Dizziness
Headache
Squinting
Blurred Vision
38. The following are optical properties of the cornea, except: *

(1 Point)
contouor
smoothness
thickness
transparency
39. Deals with the conduct of visual energy to the visual center? *
(1 Point)
Neuro- ophthalmic Optics
Physiologic Optics
Physical Optics
Geometric Optics
40. Extra- ocular Muscle with the shortest insertion distance from the limbus? *
(1 Point)
Medial rectus
Lateral rectus
Superior rectus
Inferior rectus
41. Only muscle supplied by 1 ciliary artery? *

(1 Point)
Inferior rectus
Medial rectus
Superior rectus
Lateral rectus
42. Blood supply of the Choroid: *

(1 Point)
short posterior ciliary artery
medial palpebral artery
muscular artery
long posterior ciliary artery
43. Deals with the physical properties of light? *

(1 Point)
Physiologic Optics
Physical Optics
Geometric Optics
44. The descemet’s membrane is rich in which type of collagen? *

(1 Point)
Type III
Type I
Type IV
Type II
45. Blood supply of the ciliary body: *

(1 Point)
muscular artery
central retinal artery
46. Total diopteric power of the Lens *

(1 Point)
23 D
20 D
40 D
43 D
47. Anterior bluish gray zone overlying clear cornea and extending from Bowman’s
layer to the Schwalbe line *
(1 Point)
limbus
iris
trabecular meshwork
choroid
48. In this type of error of refraction, the goal in correcting it is to bring multiple focal
points to a single focus on the retina *
(1 Point)
Presbyopia
Myopia
Astigmatism
Hyperopia
49. Layers of the Cornea except *

(1 Point)
Epithelium
Basement Membrane
Duas layer
Endothelium
50. Management for astigmatism: *

(1 Point)
Minus lens
Toric IOL implantatioin
Plus lens
Penetrating Keratoplasty
51. Functions of the retinal pigment epithelium, except: *

(1 Point)
Maintenance of the outer blood-retina barrier
Active transport of materials
Vit A metabolism
heat absorption
52. Division of the Optic Nerve that is susceptible to blunt trauma? *

(1 Point)
Intraorbital
Intraocular
Intracanalicular
Intracranial
53. Snell’s Law states that when light travels from a medium of lower refractive index
to a medium of higher refractive index, it bends *
(1 Point)
away from the normal
towards the normal
54. Contributes 20 D of the 60 D of focusing power of the average adult eye *

(1 Point)
Cornea
Lens
Pupil
Aqueous Humor
55. Attachment of the Uvea to the Sclera, except: *

(1 Point)
optic nerve
scleral spur
vortex veins
iris
56. Blood supply of the optic nerve: *

(1 Point)
central retinal artery
lacrimal artery
57. Deals with the focusing of light onto the retina? *

(1 Point)
Physiologic Optic
Geometric Optics
Physical Optics
58. Process that occurs in the posterior pole wherein visual energy is produced? *
(1 Point)
Physiologic Optic
Geometric Optics
Physical Optics
59. May indicate retinal traction, posterior vitreous detachment or migrainous

scintillations or auras: *
(1 Point)
visual abberations
floaters
oscillopsia
flashes
60. Management for hyperopia, except: *

(1 Point)
Plus lens
LASIK
Minus lens
Lens extraction
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2/5/2021 OPHTHALMOLOGY - FINAL
OPHTHALMOLOGY - FINAL
Dr. Eliseo George Ave, JR. (60 items); Dr. Barasi (45 items)

Hi Rachel Lei Augustine, when you submit this form, the owner will be able to see your name and email
address.
* Required
1. Characterizes Fuch’s heterochromic iridocyclitis , except *

(1 Point)
NOTA
Visibility of iris vessels
Different color of irides on affected side
Cataract formation
2. Most common cause of unilateral proptosis in childhood? *

(1 Point)
orbital cellulitis
preseptal cellulitis
optic nerve glioma
thyroid eye disease
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3. What strabismus violates Herring’s Law? *

(1 Point)
Duane’s Syndrome
Dissociated Vertical Deviation
4. Highly malignant eyelid malignancy? *

(1 Point)
Squamous cell carcinoma
Basal cell carcinoma
Sebaceous cell carcinoma
Nevi
5. Patient with tertiary syphilis may present with *

(1 Point)
Heterochromia
Horner syndrome
Adie pupil
Argyll Robertson pupil
6. True of congenital nystagmus except *

(1 Point)
Jerk type of nystagmus
Vision is usually poor
Decreases with convergence
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Presence of a null angle
7. RAPD of the left eye denotes affectation of *

(1 Point)
Optic nerve of the right eye
Optic nerve of the left eye
Oculomotor nerve of the left eye
Oculomotor nerve of the right eye
8. Affectation of this structure only, differentiates episcleritis from scleritis *

(1 Point)
Tenon’s capsule
Cornea
Iris
Conjunctiva
9. The floor of the orbit is composed of the following bones except? *

(1 Point)
maxillary bone
palatine bone
zygomati bone
nasal bone
10. Associated with sturge weber syndrome *

(1 Point)
Hamartoma
Choroidal melanoma
Nevus
Choroidal hemangioma
11. Maintain the configuration of the palpebral fissure together with the tarsal
plate: *
(1 Point)
canthal tendon
tarsus
conjunctiva
orbital septum
12. Causes of decreased vision in intermediate uveitis except *

(1 Point)
Corneal scarring
Macular edema
Cataract
Glaucoma
13. Hyperemic disc w blurred optic disc margins may be seen in the ff except *
(1 Point)
NOTA
Intraocular optic neuritis
Retrobulbar neuritis
Papilledema
14. Left optic tract lesion presents with *

(1 Point)
Bitemporal hemianopsia
Right homonymous hemianopsia
Inferior quadrantanopsia
Left homonymous hemianopsia
15. True of oculomotor nerve palsy except *

(1 Point)
NOTA
Exodeviation on primary gaze
Pupil abnormality
Inability to adduct eye
16. It is the distance from the upper eyelid margin to the corneal light reflex in
primary position? *
(1 Point)
Levator Function
Marginal Reflex Distanc e 2
Margin Reflex Distance 1
Vertical Interpalpebral Fissure Height
17. Patient diagnosed with duane’s syndrome presents with both horintal muscle
deficiencies: *
(1 Point)
Type 1
Type 2
Type 3
18. Most common muscle lost in strabismus surgery: *

(1 Point)
Inferior rectus
Medial rectus
Superior rectus
Lateral rectus
19. Necrotizing scleritis without inflammation *

(1 Point)
Posterior scleritis
Granulamatous scleritis
Scleromalacia perforans
Pars planitis
20. Approximately how many percent of all symptomatic congenital NLDO resolve in
the 1st year of life? *
(1 Point)
80%
85%
95%
90%
21. structure that makes efferent pupillary reaction possible *

(1 Point)
Ciliary ganglion
Lateral geniculate nucleus
Edinger-Westphal nucleus
Trigeminal ganglion
22. Lesion in the optic chiasm *

(1 Point)
Binasal visual field defect
Affectation of one eye only
Contralateral eye affectation
(1 Point)
palatine bone
lacrimal bone
nasal bone
ethmoid bone
24. Strong attachment to the lower forming the Lockwood’s ligament: *

(1 Point)
Inferior rectus
Superior rectus
Lateral rectus
Medial rectus
25. Amount of upper eyelid elevation provided by the superior tarsal muscle: *
(1 Point)
2mm
1.5mm
1mm
2.5mm
26. It is the distance from the lower eyelid margin to the corneal light reflex in primary
position? *
(1 Point)
Levator Function
27. Characteristics of Adies syndrome *

(1 Point)
NOTA
pupil constriction may still be present but delayed
Dilated pupil on affected eye
Due to a sympathetic lesion
28. Located posterior to the orbital septum and anterior to the retractors *
(1 Point)
orbital septum
canthal tendon
conjunctiva
orbital fat
29. Vision is normal with both eyes open but vision becomes poorer when one eye is
covered *
(1 Point)
Latent nystagmus
Gaze evoked nystagmus
Spasmus nutans
Optokinetic nystagmus
30. Extraocular muscle with no connections to other mucles: *

(1 Point)
Inferior oblique
Lateral rectus
Superior oblique
Medial rectus
31. Strongest orbital wall: *

(1 Point)
lateral
roof
floor
medial
32. Most common cause of unilateral and bilateral proptosis? *

(1 Point)
optic nerve glioma
thyroid eye disease
orbital cellulitis
preseptal cellulitis
33. True of Bruch’s membrane, except *

(1 Point)
Attached to the RPE
NOTA
Vascular
Innermost layer of choroid
34. Rectus muscle with the longest arc of contact: *

(1 Point)
Lateral rectus
Superior rectus
Inferior rectus
Medial rectus
35. Most common presentation of Thyroid eye disease? *

(1 Point)
lid lag
lid retraction
restrictive myopathy
proptosis
36. Cranial nerve that innervates an EOM that does not pass through the fibrous ring
formed by common origin of the 4 recti muscles: *
(1 Point)
CN V
CN III
CN II
CN IV
37. Most common type of Acquired Ptosis? *

(1 Point)
Aponeurotic
Neurogenic
Traumatic
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Myogenic
38. Most aggressive eyelid malignancy? *

(1 Point)
Nevi
39. Bilateral involvement is more common in *

(1 Point)
Posterior uveitis
Panuveitis
Anterior uveitis
Intermediate uveitis
40. Hallmark sign of vitritis *

(1 Point)
Pars planitis
Diffuse uveitis
Posterior uveitis
Anterior uveitis
41. Rectus muscle with the shortest arc of contact: *

(1 Point)
Superior rectus
Lateral rectus
Medial rectus
Inferior rectus
42. Gives structure and serves as a fibrous skeleton to the eyelids: *

(1 Point)
canthal tendon
orbital septum
tarsus
conjunctiva
43. Most common benign pediatric orbital tumor? *

(1 Point)
capillary hemangioma
optic nerve glioma
thyroid eye disease
neurofibroma
44. Causes of Diffuse uveitis except *

(1 Point)
Tuberculosis
Sarcoidosis
Juvenile arthritis
None of the above
45. What strabismus violates Sherrington’s Law? *

(1 Point)
Duane’s Syndrome
46. Thinnest portion of the sclera is at *

(1 Point)
Insertion of EOM’s
Lamina cribrosa
Limbus
Tenon’s capsule
(1 Point)
palatine bone
zygomatic bone
lacrimal bone
nasal bone
48. True of the ciliary body except *

(1 Point)
Extends from ora serrata to scleral spur
Pars plana is avascular

Pars plicata contains the ciliary processes
NOTA
49. Optic neuritis is common in this type of uveitis *

(1 Point)
Tuberculosis
sarcoidosis
Pars planitis
Syphilis
50. Patient diagnosed with duane’s syndrome presents with esotropia: *

(1 Point)
Type 2
Type 1
Type 3
51. Most common primary orbital malignancy of childhood? *

(1 Point)
thyroid eye disease
rhabdomyosarcoma
optic nerve glioma
neurofibroma
52. Extension of sclera into area of optic nerve where fibers pass *
(1 Point)
Limbus
Insertion of eom’s
Sclera
Lamina cribrosa
53. The entrance height of the orbit is: *

(1 Point)
40mm
55mm
35mm
45mm
54. Efferent arm of the pupillary light reflex *

(1 Point)
Abducens nerve
Oculomotor nerve
Trochlear nerve
Optic nerve
eyelid? *
(1 Point)
Levator Muscle
Inferior Tarsal Muscle
Capsulopalpebral Fascia
Muller Muscle
56. Extraocular muscle supplied by a single ciliary artery: *

(1 Point)
Lateral rectus
Medial rectus
Superior oblique
Inferior oblique
57. Acts as a 1 way valve that prevents tear reflux: *

(1 Point)
Lacrimal sac
Valve of Hassner
Nasolacrimal duct
Valve of Rosenmuller
58. Abnormal cells found in a normal location? *

(1 Point)
choristomas
hamartomas
59. Total orbital volume *

(1 Point)
25cc
40cc
20cc
30cc
60. Left occipital lobe lesion typically presents with *

(1 Point)
Right homonymous hemianopsia
Inferior quadrantanopsia
Left homonymous hemianopsia
61. Indications for surgery in Superior Oblique palsy, except *

(1 Point)
nystagmus
hyperdeviation
head tilt
diplopia
62. Cranial nerve with the longest intracranial course *

(1 Point)
Trochlear nerve
Oculomotor nerve
Abducens nerve
Optic nerve
63. Most common benign orbital tumor in adults? *

(1 Point)
neurofibroma
rhabdomyosarcoma
optic nerve glioma
cavernous hemangioma
64. Most common cause of unilateral nystagmus in children *

(1 Point)
Congenital nystagmus
Seesaw nystagmus
Spasmus nutans
Ocular bobbing
65. Measured at the widest point between the upper and lower eyelid *
(1 Point)
Levator Function
66. Most common etiology of posterior uveitis in HIV patient *

(1 Point)
Histoplasmosis
Toxoplasmosis
Sarcoidosis
Tuberculosis

(1 Point)
35mm
40mm
30mm
45mm
68. Characterizes Sympathetic ophthalmia except *

(1 Point)
Dalen Fuch’s nodule
NOTA
Usually unilateral
History of penetrating eye injury
69. Transient ischemic attack may produce the ff except *

(1 Point)
Amaurosis fugax
Permanent visual loss of one eye
Drooping of eyelid
Diplopia
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70. True of superior oblique muscle myokymia except *

(1 Point)
Carbamezepine to lessen attack
Rapid,fine, mutidirectional tremor
Recurrent
Abducens nerve nucleus disorder
71. True of the iris ,except *

(1 Point)
contains circular and radial muscle fibers
NOTA
The pigmented epithelium is located posteriorly
Avascular in some parts
72. The following are true about Cranial Nerve IV except? *

(1 Point)
innervates Superior Oblique
innervates Lateral Rectus
does not pass thru the fibrous ring formed by the common origin of the recti muscles
longest intracranial course
73. Snow banking is seen in *

(1 Point)
Pars planitis
Diffuse uveitis
anterior uveitis
Posterior uveitis
74. Triad of congenital esotropia, except? *

(1 Point)
Latent nystagmus
Inferior oblique overaction
Inferior rectus overaction
75. A patient presenting w ptosis, abducted eye and pupil abnormality *

(1 Point)
Optic nerve lesion
Oculomotor nerve lesion
Trochear nerve lesion
Abducens nerve lesion
76. True about the muscle of roilan? *

(1 Point)
Forms the gray line
Posterior to the orbicularis
Play a role in meibomnian gland discharge
Formed by the deep heads of the pretarsal
77. All of the ff can cause relative afferent pupillary defect(RAPD) except *
(1 Point)
Dense cataract
Extensive retinal hemorrhage
Optic neuritis
NOTA
78. The hallmark of intermediate uveitis *

(1 Point)
Glaucoma
Iris neovascularization
Cataract
Vitreous inflammation
79. The main protractor of the eyelid: *

(1 Point)
Orbicularis Oculi
Muscle of Roilan
Levator Muscle
80. Radiographic study of a patient shows enlargement of the extraocular muscle

sparing its tendon: *
(1 Point)
Dacryoadenitis
Orbital apex syndrome
Myositis
Thyroid eye disease
81. Divides the lacrimal gland into an orbital and palpebral lobe: *
(1 Point)
Orbicularis oculi
Levator Aponeurosis
Mullers Muscle
Horner Muscle
*
(1 Point)
orbital septum
canthal tendons
Tarsus
Orbital fat
83. True of episcleritis except *

(1 Point)
Recurrent
Self limiting
Mucoid discharge
Diffused eye redness
84. True of seesaw nystagmus except *

(1 Point)
NOTA
Both eyes intort
Both eyes involved
One eye elevates, fellow eye depresses
85. Recession causes upper lid retraction: *

(1 Point)
Inferior rectus
Superior rectus
Medial rectus
Lateral rectus
86. True of uveitis secondary to juvenile idiopathic arthritis, except *

(1 Point)
Photophobia
20 percent incidence
More common in males
Bilateral
87. Homonymous hemianopsia with macular sparing is seen in lesions of *

(1 Point)
]Optic nerve
Optic tract
Optic chiasm
Optic radiation
88. Provides approximately 2mm of elevation of the upper eyelid: *

(1 Point)
Levator muscle
Muller muscle
Inferior Tarsal Muscle
89. Usually denotes granulomatous uveitis *

(1 Point)
Hard exudates
Anterior chamber cells
Soft exudates
Mutton fat keratic precipitates
90. Unlikeliest sign or symptom in Anterior Uveitis *

(1 Point)
Eye redness
Eye pain
Photophobia
Eye discharge
91. Medial canthal fold most prominently seen in the lower eyelid: *
(1 Point)
Epicantus Tarsalis
Epicantus Palpebralis
Epicantus Superciliaris
Epicantus Inversus
92. True about Xanthelasma? *

(1 Point)
Due to pox virus
Associated with high blood cholesterol
Gradual involution occurs over the course of 3-6 months
Arise from the infundibulum of the hair follicle
93. Most common form of entropion? *

(1 Point)
Congenital
Cicatricial
Involutional
Acute spastic
94. Radiographic study of a patient shows enlargement of both the extraocular muscle
and its tendon: *
(1 Point)
Dacryoadenitis
Myositis
Orbital apex syndrome
Thyroid eye disease
95. Patient diagnosed with duane’s syndrome presents with exotropia: *

(1 Point)
Type 3
Type 1
Type 2
96. The medial wall of the orbit is composed to the following bones except? *
(1 Point)
maxillary bone
lacimal bone
greater wing of the sphenoid bone
lesser wing of the sphenoid bone
97. Sarcoidosis may produce the ff signs and symptoms, except *

(1 Point)
Photophobia
None of the above(NOTA)
Decreased tear production
Retinal vasculitis
98. Most common eyelid malignancy? *

(1 Point)
Nevi
99. Most common type of uveitis accdg to anatomical classification *

(1 Point)
Pars planitis
Intermediate
Anterior
Posterior uveitis
100. Most common type of Congenital Ptosis? *

(1 Point)
Traumatic
Aponeurotic
Neurogenic
Myogenic
101. Recession causes lower lid retraction: *

(1 Point)
Inferior rectus
Lateral rectus
Superior rectus
Medial rectus
102. Indications for dacryocystorrhinostomy, except? *

(1 Point)
Bothersome epiphora
Recurrent dacrycystitis
Painful distention of the lacrimal sac
Acute mucoid reflux
103. Staphyloma is seen in the ff cases except *

(1 Point)
None of the above
Pathologic myopia
Chronic conjunctivitis
Posterior scleritis
History of ocular injury
104. Normal cells found in an abnormal location? *

(1 Point)
hamartomas
choristomas

(1 Point)
55mm
45mm
40mm
35mm
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Ophthalmology

1. The entrance width of the orbit is:

2. Which of the following bones does not contribute to the orbit?

4. The following are true about Cranial Nerve IV except?

6. True about the lens except?

7. Responsible for aqueous humor formation:

8. True about the Ora Serrata except?

9. The descemet’s membrane is rich in which type of collagen?

11. Only muscle supplied by 1 ciliary artery?

14. Longest division of the Optic Nerve?

IIA. Enumerate the layers of the cornea (outer to inner)

Epithelium and Basal lamina

IIB. Enumerate 5 Functions of the Retinal Pigment Epithelium. MINE!

III. Choose the best answer:!YOURS NA PO. HEHE

Involved daw C or D, diff schools time 1. Extraocular muscle fibers

6. Give the two true ophthalmic emergencies. (2 pts)

1. Central Retinal Artery Occlusion (CRAO)

7. Enumerate three symptoms that are considered ophthalmic emergencies and it

16. The main protractor of the eyelid:

b. Inferior Tarsal Muscle

21. Most common eyelid malignancy?

22. Most aggressive eyelid malignancy?

23. Highly malignant eyelid malignancy?

24. Acts as a 1 way valve that prevents tear reflux:

25. True about Xanthelasma?

26. Most common type of Congenital Ptosis?

27. Most common type of Acquired Ptosis?

29. Most common form of entropion?

1. What are the Layers of the Eyelid in proper order?

2. Give 3 indications for Dacryocystorhinostomy:

PILI NA LANG KAYO

3. Give 3 specific signs (proper names) of Keratoconus (3 pts)

4. Give 2 types of stromal dystrophies and their corresponding deposits. (2 pts)

Matching Type. Choose the best answer.

Identification: Give the specific type of conjunctivitis based on etiologic organism.

1. The entrance width of the orbit is:

1. Which of the following bones does not contribute to the orbit?

1. The following are true about Cranial Nerve IV except?

1. Responsible for aqueous humor formation:

1. True about the Ora Serrata except?

1. The descemet’s membrane is rich in which type of collagen?

1. Only muscle supplied by 1 ciliary artery?

1. Longest division of the Optic Nerve?

1. Division of the Optic Nerve that is susceptible to blunt trauma?

1. The main protractor of the eyelid:

1. Divides the lacrimal gland into an orbital and palpebral lobe:

1. Most common eyelid malignancy?

1. Most aggressive eyelid malignancy?

1. Highly malignant eyelid malignancy?

1. Acts as a 1 way valve that prevents tear reflux:

1. True about Xanthelasma?

1. Most common type of Congenital Ptosis?

1. Most common type of Acquired Ptosis?

1. Most common form of entropion?

1. Medial canthal fold most prominently seen in the lower eyelid:

III. Choose the best answer:

1. Extraocular muscle fibers D

1. The entrance width of the orbit is:

2. Which of the following bones does not contribute to the orbit?