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OPTHALMOLOGY- PAGE 3


OPTHALMOLOGY​ MCQs

1:-Bull's eye maculopathy is a feature of all except A:-Cone dystrophy B:-Stargardt's disease C:-Toxic maculopathy D:-High myopia Ans: D

2:-ln subluxated lenses, the following are true except A:-inverse glaucoma is a feature of microspherophakia B:-accommodation is lost in Homocystinuria C:-Oil drop sign seen in anterior dislocation of clear lens D:-subluxation is typically downward in Weil- Marchesani syndrome Ans: D

3:-ln corneal graft rejection, the following are true except A:-risk of rejection is higher with large grafts B:-small grafts give rise to astigmatism C:-early graft failure (within first week) is mainly due to rejection D:-lower risk of rejection in lamellar keratoplasty Ans: C

4:-Recurrent corneal erosions is a feature of A:-Macular dystrophy B:-Cogans microcystic dystrophy C:-Fuchs dystrophy D:-Posterior polymorphous dystrophy Ans: B

5:-The following are features of posterior sclerits except A:-Proptosis B:-choroidal folds C:-Disc edema D:-associated with Harada's disease Ans: D

6:-In Phacoemulsification, nucleus fracture techniques includes all except A:-divide & conquer B:-sandwich technique C:-chip & flip technique D:-chop technique
Ans: B

7:-Ocular manifestations of AIDS include all except A:-Kaposi sarcoma B:-retinal microangiopathy C:-frosted branch angitis D:-pars planitis Ans: D

8:-Heterochromia Iridis is seen is all except A:-Horner's syndrome B:-ocular siderosis C:-Fuchs uveitis syndrome D:-multiple sclerosis Ans: D

9:-Features of occult globe rupture include all except A:-Irregular, deep A C B:-Hypotony C:-Dense hemorrhagic chemosis D:-Choroidal rupture Ans: D

10:-A 35 year old woman presents with an asymptomatic dome shaped orange mass in the midperipheral fundus with overlying exudative retinal detachment. A scan USG shows high anterior spike with high internal reflectively. What is the most probable diagnosis? A:-Posterior scleritis B:-Choroidal metastasis C:-Amelanotic choroidal melanoma D:-Circumscribed choroidal hemangioma Ans: D

11:-Which of the following neoplastic lesions of the conjunctiva is most likely to be associated with a systemic neoplastic disease? A:-Ocular surface squamous neoplasia B:-Conjunctival papilloma C:-Conjunctival lymphoma D:-Conjunctival melanoma Ans: C


12:-Prentice's formula is used for calculation of ___________
 A:-Focal length of lens
 B:-Prismatic effect due to decentration
 C:-Cardinal data of eye
 D:-Magnification produced by lens
 Ans: B

13:-Which of the following is a direct gonioscope except?
 A:-Allen Thorpe gonioprism
 B:-Huskin Barkan's lens
 C:-Richardson Shaffer's goniolens
 D:-Worth goniolens
 Ans: A

14:-What is the first sign of acoustic neuroma?
 A:-Hearing loss
 B:-Decreased corneal sensation
 C:-Defective vision
 D:-Diplopia
 Ans: B

15:-Which of the following shows wagon wheel scar?
 A:-Congenital toxoplasmosis
 B:-Acquired toxoplasmosis
 C:-Toxocariasis
 D:-Onchocerciasis
 Ans: A

16:-The different display formats in corneal topographic data include all except
 A:-Numerical power plot
 B:-Quad map
 C:-Keratometry view
 D:-Profile view
 Ans: B

17:-Which of the following is a diagnostic indication of contact lens except?
 A:-Gonioscopy
 B:-Electroretinography
 C:-Glaucoma
 D:-Fundus photography
 Ans: D

18:-Which is true about bull's eye lens?
 A:-Refractive multifocal lens
 B:-Diffractive lens
 C:-Accommodative lens
 D:-None of the above
 Ans: A
​
19:-Refractive lenticule extraction (RELEX) is a
 A:-Type of refractive surgery
 B:-Using femtosecond laser
 C:-In SMILE extraction of refractive lenticule is done
 D:-All the above
 Ans: D

20:-Which of the following organism causes cracked windshield appearance of corneal ulcer?
 A:-Acanthamoeba
 B:-Corynbacteria
 C:-Nocardia
 D:-Clostridium
 Ans: C

21:-Which of the following condition is not associated with disc oedema?
 A:-Anterior ischemic optic neuropathy
 B:-Papillitis
 C:-Central retinal vein occlusion
 D:-Retrobulbar neuritis
 Ans: D

22:-Which of the following is not an aetiological factor of contact lens induced papillary conjunctivitis?
 A:-Mechanical trauma
 B:-Meibomian gland dysfunction
 C:-Viral infection
 D:-Hypersensitivity
 Ans: C

23:-Which of the following corneal ulcer produces a hemorrhagic hypopyon?
 A:-Clostridium
 B:-Corynebacteria
 C:-Pneumococci
 D:-Pseudomonas
 Ans: C

24:-Which of the following is the primary action of superior rectus muscle?
 A:-Depression
 B:-Intorsion
 C:-Abduction
 D:-Elevation
 Ans: D

25:-Willebrands knee has
 A:-Inferior fibres
 B:-Inferotemporal fibres
 C:-Inferonasal fibres
 D:-Superonasal fibres
 Ans: C

26:-Which of the following is true about acquired colour vision defect except?
 A:-No specific spectral region of colour discrimination loss
 B:-Marked dependence on target size and illumination
 C:-Variable result on various colour vision test
 D:-No change in deficit over time
 Ans: D

27:-Which of the following is the major excitatory neurotransmitter in retina?
 A:-Dopamine
 B:-Serotonin
 C:-Glutamate
 D:-Glycine
 Ans: C

28:-Following are the other names of retinoscopy except
 A:-Skiascopy
 B:-Shadow test
 C:-Abberoscopy
 D:-Korescopy
 Ans: C

29:-Following are features of antireflective coating except
 A:-Refractive index should be squire root of that of lens
 B:-Thickness should be half the wavelength of light
 C:-Magnesium fluoride is used in high powered lens
 D:-None of the above
 Ans: B

30:-Discolouration of photochromic glasses is due to the presence of
 A:-Borosilicate
 B:-Aluminophosphate
 C:-Silver halide
 D:-All of the above
 Ans: C

31:-Which of the following is true about SRK-1 formula?
 A:-First generation formula
 B:-Regression formula
 C:-Good for axial length between 22-24.5 mm
 D:-All the above
 Ans: D

32:-What is the power of stand mounted magnifier?
 A:-Less than 5 D
 B:-5-60 D
 C:-60-70 D
 D:-None of the above
 Ans: B

33:-Which of the following is an indication for advanced corneal surface ablation procedures?
 A:-Astigmatism upto 4 D
 B:-Myopia of 8-10 D
 C:-Hyperopia of 4-5 D
 D:-All the above
 Ans: D

34:-How much increase in intra ocular pressure occur during applanation tonometry?
 A:-5%
 B:-0.1%
 C:-3%
 D:-2%
 Ans: C

35:-Inter observer variability of Goldmann applanation tonometry is
 A:-3-4 mmHg
 B:-4 to 5 mmHg
 C:-0 to 3 mmHg
 D:-5 to 7 mmHg
 Ans: C

36:-Most common cause for bilateral proptosis in adults is
 A:-Cavernous hemangioma
 B:-Thyroid orbitopathy
 C:-Pseudotumour
 D:-Metastasis
 Ans: B

37:-Following are the causes of prominent corneal nerves
 A:-Keratoconus
 B:-Neurofibromatosis
 C:-Refsum syndrome
 D:-All the above
 Ans: D

38:-'T' sign in B scan is seen in
 A:-Posterior Scleritis
 B:-Papillitis
 C:-Posterior uveitis
 D:-All the above
 Ans: A

39:-A 10 year old child presenting with chronic iridocyclitis. What is the most probable diagnosis?
 A:-Juvenile idiopathic arthritis
 B:-Multiple sclerosis
 C:-Retinoblastoma
 D:-Leukemia
 Ans: A

40:-Double ring sign is seen in
 A:-ONH hypoplasia
 B:-Coloboma
 C:-Papilledema
 D:-Myopia
 Ans: A

41:-Following are the vascular signs of papilledema except
 A:-Hyperemia of the disc
 B:-Flame shaped haemorrhages
 C:-Cotton wool spots
 D:-Masking of peripapillary vessels
 Ans: D

42:-Which of the following condition causes light near dissociation except?
 A:-Myesthenia gravis
 B:-Parinaud's syndrome
 C:-Adie's syndrome
 D:-Neurosyphils
 Ans: A

43:-Name the organism which can penetrate intact cornea?
 A:-Listeria
 B:-Pseudomonas
 C:-Epstein-Barr Virus
 D:-Salmonella
 Ans: A

44:-Which is the most common primary malignant tumour of orbit in children?
 A:-Malignant optic nerve glioma
 B:-Meningioma
 C:-Rhabdomyosarcoma
 D:-Lymphoma
 Ans: C

45:-Which is the most common visually significant congenital cataract?
 A:-Blue dot
 B:-Posterior capsular
 C:-Diffuse in cellular cataract
 D:-Zonular cataract
 Ans: D

46:-Indications for pars plana vitrectomy in diabetic retinopathy are all except
 A:-Severe nonproliferative diabetic retinopathy
 B:-Persistant vitreous hemorrhage
 C:-Vitreomacular tractions
 D:-Tractional retinal detachment threatening macula
 Ans: A

47:-Which number of amsler grid helps in distinguishing scotoma from metamorphopsia?
 A:-Chart 2
 B:-Chart 3
 C:-Chart 4
 D:-Chart 6
 Ans: C

48:-Window defect in FFA is seen in which of the following condition?
 A:-Full thickness macular hole
 B:-Central serous retinochoroidopathy
 C:-Cystoid macular edema
 D:-Occult CNVM
 Ans: A

49:-Brush field spots are seen in which systemic condition?
 A:-Neurofibromatosis
 B:-Sturge Weber syndrome
 C:-Down syndrome
 D:-Marfan syndrome
 Ans: C

50:-Which structure is targeted in pattern ERG?
 A:-Ganglion cells
 B:-Bipolar cells
 C:-Cones
 D:-Rods
 Ans: A
51:-What is the normal AC/A ratio?
 A:-3-5 prism diopter
 B:-7 prism diopter
 C:-10 prism diopter
 D:-15 prism diopter
 Ans: A

52:-Monocular elevation deficit syndrome is characterized by
 A:-Hypertropia
 B:-Ipsilateral ptosis
 C:-Tight superior rectus
 D:-All the above
 Ans: B

53:-Which is the most common cause of AIDS related neurophthalmic lesion?
 A:-Neurosyphilis
 B:-Cryptococcal meningitis
 C:-CMV encephalitis
 D:-Herpes zoster encephalitis
 Ans: B

54:-All are features of Weber syndrome except
 A:-Contralateral hemiparesis
 B:-Contralateral sensation loss
 C:-Ptosis
 D:-Restriction of adduction
 Ans: B

55:-Reduplicated cataract is seen in
 A:-Corneal ulcer
 B:-Lowes syndrome
 C:-Ophthalmia neonatoram
 D:-Fabry's disease
 Ans: C

56:-Which bacteria produces ulcus serpens?
 A:-Pseudomonas
 B:-Gonococci
 C:-Nocardia
 D:-Pneumococci
 Ans: D

57:-Following are causes of heterochromic iris
 A:-Melanoma iris
 B:-Fuch' sheterochromiciridocyclitis
 C:-Siderosis
 D:-All the above
 Ans: D

58:-Poly chromatic lustre in cataract is seen in
 A:-Myotonic dystrophy
 B:-Complicated cataract
 C:-Galactosemia
 D:-Diabetes mellitus
 Ans: B

59:-Anisocoria more in light is due to
 A:-Unilateral optic nerve diseases
 B:-Oculomotor nerve palsy
 C:-Horner's syndrome
 D:-All the above
 Ans: B

60:-Christmas tree cataract is seen in
 A:-Hypoparathiroidism
 B:-Werner's syndrome
 C:-Atopic cataract
 D:-Myotonic dystrophy
 Ans: D

61:-Lander's sign is seen in
 A:-Multiple sclerosis
 B:-Frosted branch angitis
 C:-Tuberculosis
 D:-Sarcoidosis
 Ans: D

62:-The following statements are correct about photorecepters except
 A:-125 million rods present
 B:-Cone density increases at oraserrata
 C:-Rods are densest below the disc
 D:-Outer segment actively participate in rapid metabolism
 Ans: B

63:-The following are true about cytomegalovirus retinitis in HIV patients except
 A:-Pizza pie retinopathy is characterized by retinal necrosis
 B:-25% patients asymptomatic
 C:-Indolent form occurs in peripheral retina
 D:-Frosted branch angitis is uncommon
 Ans: B

64:-According to Dahan et al approach what is the power of intraocular lens to be used in a child with axial length of 22 mm?
 A:-28 D
 B:-26 D
 C:-24 D
 D:-23 D
 Ans: D

65:-Which of the following is correct about vossius ring is
 A:-Size is that of normal pupil
 B:-Size is that of miotic pupil
 C:-Size that of mydriatic pupil
 D:-Size not related to size of pupil  
Ans: B

66:-Incidence of neovascular of irisin CRAO
 A:-10%
 B:-18%
 C:-26%
 D:-< 5%
 Ans: B

67:-MC cause for isolated cilioretinal artery obstruction in young person
 A:-Collagen vascular d/s
 B:-Congenital heart d/s
 C:-Valvular heart d/s
 D:-Stickers's d/s
 Ans: A

68:-Clinical signs of choroidal melanoma are
 A:-Dome shaped mass
 B:-Collar stud tumour
 C:-Sentinal vessels
 D:-All the above
 Ans: D

69:-Which systemic diseases are associated with congenital hypertrophy of retinal pigment epithelium?
 A:-Gardner syndrome
 B:-Turcot syndrome
 C:-Familial adenomatous polyposi
 D:-All the above
 Ans: D

70:-Which of the following is included in advanced diabetic eye disease except?
 A:-Vitreous haemorrhage
 B:-Macular ishchemia
 C:-Tractional retinal detachment
 D:-Neovascular glaucoma
 Ans: B

71:-Siegrist streaks in hypertensive choroidopahy indicates
 A:-Fibrinoid necrosis
 B:-Ischemic necrosis
 C:-Choroidal vasoconstriction
 D:-None of the above
 Ans: A

72:-Purtscher like retinopathy is seen in which of the following condition?
 A:-Amniotic fluid embolism
 B:-Carotid insufficiency
 C:-Retinitis pigmentosa
 D:-None of the above
 Ans: A

73:- 'Pink eye' is a feature of which disease?
 A:-Farber syndrome
 B:-Rubella syndrome
 C:-Albinism
 D:-None of the above
 Ans: C

74:-What is the excitation peak for fluorescein?
 A:-490 nm
 B:-530 nm
 C:-420 nm
 D:-560 nm
 Ans: A

75:-Name one recognition acuity test
 A:-Dot visual acuity test
 B:-Bock candy bead test
 C:-Schwarting metronome test
 D:-Sjogren's hand test
 Ans: D

76:-Which of the ​following are features of Refsum's disease?
 A:-Retinitis pigmentosa
 B:-Salt and pepper retinal pigmentation
 C:-Cataract
 D:-All the above
 Ans: D

77:-Waardenburg syndrome is characterized by
 A:-Myopia
 B:-Hypochromic iris
 C:-Cataract
 D:-Optic atrophy
 Ans: B

 
78:-Dendritic corneal ulcer is caused by
A:-Pneumococcus
B:-Staphylococcus
C:-Fusarium
D:-Herpes simplex virus
Ans: D

79:-Corneal curvature is measured by
A:-Keratometry
B:-A scan
C:-Pachymetry
D:-Specular microscopy
Ans: A

80:-If the visual acuity improves with pinhole, the cause of defective vision is
A:-Cataract
B:-Refractive error
C:-Macular degeneration
D:-Corneal opacity
Ans: B

81:-Which is true about aphakic glasses?
A:-Image magnification of 80%
B:-Best method to correct aphakia
C:-Produces spherical aberrations causing pin cushion distortion
D:-Wider field of vision
Ans: C

82:-Which of the following is not a contraindication for use of donor cornea?
A:-Rabies
B:-HIV
C:-Myopia
D:-Death from unknown cause
Ans: C

83:-On cover-uncover test, if there is inward movement of eye under cover, it indicates
A:-Exophoria
B:-Esophoria
C:-Orthophoria
D:-Esotropia
Ans: A

84:-In worth's four dot test, if the patient sees only two red lights, indicates
A:-Diplopia
B:-Abnormal retinal correspondence
C:-Normal binocular vision
D:-Left eye suppression
Ans: D

85:-In Schirmer's 1 test, if the  wetting is between 5 and 10 mm, it indicates
A:-Severe dry eye
B:-Normal
C:-Moderate dry eye
D:-Mild dry eye
Ans: C

86:-Corneal thickness is measured by
A:-Placidos disc
B:-Pachymeter
C:-A scan
D:-90 D lens
Ans: B

87:-Mydriatic cycloplegic drug is indicated in which of the following condition?
A:-Acute iridocyclitis
B:-Acute conjunctivitis
C:-Acute congestive glaucoma
D:-Episcleritis
Ans: A

88:-Which of the following is an ocular emergency?
A:-Cataract
B:-Viral conjunctivitis
C:-Open angle glaucoma
D:-Acute congestive glaucoma
Ans: D

89:-Unit of measurement of convergence
A:-Diopter
B:-Metre angle
C:-Millimeter
D:-Degrees
Ans: B

90:-Snowflake cataract is seen in
A:-Trauma
B:-Steroid use
C:-Hyperparathyroidism
D:-Diabetes
Ans: D

91:-One predisposing factor for hordeolum externum
A:-Hypertension
B:-Uncorrected refractive error
C:-Ptosis
D:-Proptosis
Ans: B

92:-Vertex power of spectacle lens is measured by
A:-Optical pachymeter
B:-Specular microscope
C:-Hruby lens
D:-Lensometer
Ans: D

93:-All the following are features of Vitamin A deficiency EXCEPT
A:-Night blindness
B:-Bitots spots
C:-Phlycten
D:-Keratomalacia
Ans: C

94:-Keratometer is useful for all the following conditions EXCEPT
A:-Measure the radius of curvature of anterior surface of cornea
B:-IOL power calculation
C:-Measurement of corneal astigmatic error
D:-Measurement of corneal endothelial cell count
Ans: D

95:-Darkening of lens on exposure to UV rays in photochromic lenses is due to disintegration of
A:-Aluminium phosphate
B:-Silver Halide
C:-Borosilicate
D:-Polycarbonate
Ans: B

96:-Instrument used to assess peripheral retina
A:-90 dioptre lens
B:-Direct ophthalmoscope
C:-Optical coherence tomograph
D:-Indirect ophthalmoscopy
Ans: D

97:-All the following condition can cause coloured haloes EXCEPT
A:-Cataract
B:-Acute narrow angle glaucoma
C:-Episcleritis
D:-Mucopurulent conjunctivitis
Ans: C

98:-Instrument used to predict the visual acuity following cataract surgery
A:-Potential acuity meter
B:-Arden gratings
C:-Pelli Robson chart
D:-Vistech chart
Ans: A

99:-Commonest cause of bilateral proptosis
A:-Orbital tumours
B:-Orbital cellulitis
C:-Thyroid ophthalmopathy
D:-Orbital hemorrhage
Ans: C

100:-Which of the following is a feature of concave lens?
A:-Object moves in the same direction as the lens
B:-Object moves in the opposite direction of the lens
C:-Object appears magnified
D:-Distortion of image when lens is rotated
Ans: A

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