1.REVISIONMCQsMCQsProfessorOsama Shalaby1

2. INSTRUCTIONS 2 3. Pay attention to the headSingle answer patternSingle answer pattern3 4. blindness worldwide; Senile cataract Age related macular degeneration Glaucoma Diabetic retinopathy Trachoma 5. blindness in Egypt: Senile cataract Age related macular degeneration Glaucoma Diabetic retinopathy Trachoma 6. All of the following types ofentropion are known except Spastic entropion Senile entropion Paralytic entropion Cicatricial entropion 7. All of the following are causes of lagophthalmos except Facial nerve palsy Proptosis Cicatricial ectropion Third nerve paralysis 8. Corneal ulcers can occur with the following CN disorders VII CN palsy III CN affections VI CN paralysis IV CN paralysis 9. Ectropion of the upper lid mostcommonly: Spastic ectropion Senile ectropion Paralytic ectropion Cicatricial ectropion 10. Ectropion of the upper eyelidmay be: Senile Paralytic Congenital Non of the above 11. A patient suffered from acuteonset of facial palsy, the firstline of treatment is: Frequent ocular lubrication. Lateral tarsorrhaphy Topical corticosteroids. Levator muscle resection. 12. The levator palpebrae superioris isinserted into the followingstructures except: Skin of upper eye lid Upper border of tarsus Bulbar conjunctiva Medial orbital margin & medial palpebral ligament 13. Rolling in of the lid margin can be due to: Thermal injury of lid skin Facial palsy Trachoma Ophthalmoplegia 14. The most important examination in case of congenital ptosis is: The state of extraocular muscles Fundus examination Amount of levator function Pupillary light reflex 15. Stye is an acute suppurativeinflammation of:Meibomian glandsAccessory lacrimal glandsZeiss glands of the lash folliclesLid margin 16. A female patient C / O diffusehyperemic lid margin with multiplegrayish yellow crustations covering the lashes. The best treatment is: Epilation of affected lashes Electrolysis Hot fomentations and local antibiotics Systemic corticosteroids 17. In recurrent squamous blepharitis you should: Give long acting corticosteroids Give long acting antibiotics Correct any refractive errors Give maintenance dose of vitamins. 18. Chalazion is defined as: Acute suppurative inflammation ofmeibomian glands Chronic suppurative inflammation ofmeibomian glands Chronic inflammatory lipogranuloma ofmeibomian glands. Chronic non granulomatous inflammationof meibomian glands 19. Tarrsorraphy is essential in: Bacterial corneal ulcer Viral corneal ulcer Exposure keratopathy Traumatic corneal ulcer 20. Chalazion can cause the following complications except: Irrigular astigmatism Mechanical ptosis Anterior uveitis Internal hordeolum 21. A male patient is C / O chronic eye lid redness and frequent loss of lashes. The most propable diagnosis is The most propable diagnosis is Cicatricial entropion Squamous blepharitis Ulcerative blepharitis Active trachoma 22. A case presented with hypermic lid margin, matting of eye lashes, yellow crustations.The treatment include all the followingexcept: Local lid hygeine Rubbing the lid margin by antibioticointment Elctrolysis Systemic antibiotic 23. Epilation of maldirected lashes is indicated in: When the number is less than four When the lashes are close together In presence of acute corneal ulcer In cases of high refractive error. 24. Congenital ptosis may beassociated with the followingcongenital anomalies except: Blepharophimosis Telecanthus Epicanthus Naso lacrimal duct obstruction. 25. Complications of congenital causesinclude the following except: Ocular torticollis. Amblyopia. Complicated cataract. Anbormal head posture. 26. Lagophthalmos can be caused by the following except: Hyperthyroidism. Facial palsy. Severe entropion Lid coloboma. 27. The commonest cause ofbilateral ptosis is: Horner syndrome. Third nerve palsy. Congenital Mechanical. 28. Lid splitting and everting sutures is anoperation used for the correction of: Pure trichiasis of the upper eye lid. Trichiasis and entropion of the upper eye lid. Ectropion of the lower eye lid. Paralytic entropion of the lower eye lid. 29. All these are true aboutulcerative blepharitis except: Can cause madarosis. Can be complicated by ulcerativekeratitis. Can be caused by Morax Axenfeldbacillus. Can be treated by antibiotics. 30. A 65 ys old patient had recurrenceof chalazion after removal from the same site two times. The best management is: Systemic antibiotic and steroids. Excision and histopathological evaluation. Excision and curette evacuation. Excision and cautery of the edges. 31. A patient has about 10maldirected localized lashes of the upper eye lid. The treatment ofchoice is: Snellens operation. Lid splitting and cryo application. Epilation Weiss procedure. 32. Fasaenella operation for ptosis is carried out in cases with:Severe ptosis. Levator action less than 5 mm.Moderate ptosis. Levator action 5-8 mm.Mild ptosis. Levator action more than 8 mm.None of above. 33. Incision and curette of chalazion should be. Vertical. Horizontal. Any shape. circular. 34. Grey line indicates a tissue planebetween: Skin muscle layer & tarsus conjunctivallayer. Tarsus & canjunctiva. Skin & meibomian glands. Palpebral conjunctiva & meibomian glandorifices. 35. Ankyloblepharon is : The adhesion of the lids. The adhesion between palpebral and bulbarcanjunctiva. The adhesion of the margins of the two lids. All of the above. 36. Glands of Zeis are: Modified sweat glands. Modified sebaceous glands. Modified meibomian glands. None of above. 37. Levator palpebrae is inserted into: Upper border of the tarsus. Skin of upper lid. Upper fornix. All of above. 38. Hordeolum externum is an acute suppurative inflammation of: Gland of Zeis. Gland of Moll. Gland of Wolfring. Gland of Krause. 39. All of the following types ofentropion are known except: Spastic entropian. Senile entropion. Paralytic entropion. Cicatricial entropion. 40. The amount of normal levator function is : 5 mm. 8 mm. 25 mm. 13 mm . 41. In brow suspension operation of ptosis, the best suspension material is : Fascia lata. Supramid. Prolene. Silicone. 42. All of the following are the causes of lagophthalmus except: Facial nerve palsy. Proptosis. Lid fibrosis. Third nerve paralysis. 43. 43 44. Conjunctival injection is characterizedby the following except: Bright red colour. Movable. Not affected by vasoconstrictors. Individual vessels are easily distinguished. 45. One of these is not manifested by ciliary injection: Corneal ulcer Episcleritis Acute congestive glaucoma. Acute iridocyclitis. 46. Persistent unilateralconjunctivitis is usually due to: Purulent conjunctivitis. Chronic dacryocystitis. Mucopurulent conjunctivitis. Foreign body. 47. In ophthalmia neonatorum, all are true except: Caused by birth trauma. Frequently caused by gonococcal infection. Maternal infection plays a role. Silver nitrate drops were used as a prophylaxis. 48. All the following can be causedby chlamydial infection except: Ophthalmia neonatorum Trachoma. Inclusion Conjunctivitis. Central corneal ulcer. 49. These organisms can be seen normally in the conjunctiva: Koch- Weeks bacillus. Pneumococci. Corynobacterium xerosis. Corynobacterium diphtheria. 50. Most common organism inpurulent conjunctivitis is: Pneumococci. Streptococci. Gonococci. Herpes simplex virus. 51. Subconjunctival hemorrhage is not caused by: Trauma. Mucopurulent conjunctivitis. Adenoviral infection. Acute hemorrhagic conjunctivitis. 52. conjunctivitis: Vernal keratoconjunctivitis Phlyctenular keratoconjunctivitis Viral conjunctivitis Angular conjunctivitis 53. Which is true about vernal conjunctivitis : Always unilateral. Usually occurs in young boys. Antibiotic drops are the main therapy. Main symptom is foreign body sensation. 54. All of the following are non-specific signs in conjunctivitisexcept Subconjunctival hemorrhage Papillae Follicles pseudomembranes 55. Patient presented with itching, lacrimation, excoriation and macerated outer canthus, the claimed organism is: Morax Axenfeld diplobacillus. Haemophylus influenza. Pnumococci.. Koch- Weeks diplobacillus. 56. presented with severe red eye after acuteattack of cough, most propably may be dueto: Corneal abrasion. Acute conjunctivitis. Spontaneous subconjunctival hemorrhage. Acute iritis. 57. All are sure signs of trachoma except: Arlts line. Papillae of upper tarsal conjunctiva. Herberts Pits. Expressible follicles. 58. Itching is common with: Spring catarrh. Trachoma. Mucopurulrnt conjunctivitis. Corneal ulcer. 59. The secretions of spring catarrh arerich in: Eosinophils. Neutrophils. Basophils. Lymphocytes. 60. Pinguecula is: Fatty degeneration. Hyaline degeneration. Elastoid hyaline degeneration. Elastoid degeneration. 61. Giant papillary conjunctivitis can be caused by the following except: Artificial prosthesis. Spring catarrh. Contact lens wear. Acute conjunctivitis. 62. Topical treatment used for phlyctenularconjunctivitis is: Antibiotic drops. Vasoconstrictor drops. Corticosteroid drops. Antiviral drops. 63. These may cause pterygium,except: Exposure to ultra violet rays. Viral infection. Pinguecula. Living in tropical area. 64. Etiology of ptrygium is: Neoplastic Infection Inflammation Degenerative 65. Pneumococci can cause: Acute dacryocystitis Chronic dacryocystitis Atypical hypopyon ulcer Ulcerative blepharitis 66. Staphyloococci can cause: Acute dacryocystitis Stye Atypical hypopyon ulcer Ulcerative blepharitis All of the above 67. Episcleritis is similar to phlyctenclinically but differs in being: Tender Flat Pigmented Multiple 68. Patient had a pterygium, excised since one month, and starts to see doublevision, this may be due to: Medial rectus weakness. Lateral rectus paralysis. Symblepharon formation. Recurrence. 69. These treatments are useful inpreventing the recurrence afterpterygium excision except: Topical antibiotics. Topical corticosteroids. Beta irradiation. 5 FU eye drops. 70. Which of the following is specific forthe diagnosis of allergic conjunctivitis? Eye redness Itching Foreign body sensation Excessive lacrimation 71. 71 72. The corneal touch reflex involvesthe following cranial nerves: II and III II and IV V and III V and VI V and VII 73. The corneal light reflex depends onthe following, except: Healthy tear film. The convex mirror property of the cornea. Corneal nerve fibers are demyelinated. Intact corneal epithelium. The corneal epithelium is non-keratinized. 74. The direct and immediateconsequence of corneal endothelialinjury is: Corneal vascularization. Corneal edema. Corneal hyposthesia. Corneal scarring. Corneal ulcer. 75. Munson sign is seen in: Corneal fistula Corneal dystrophy Keratoconus Corneal facet 76. In corneal edema; all are true except: There is increase in corneal diameter There is increase in corneal thickness Cloudy cornea Epithelial bullae 77. Corneal damage with trachomais due to: Trichiasis Dryness Lagophthalmos and exposure All of the above 78. Double staining pattern of the cornea is characteristic for: Fungal corneal ulcer Herpetic corneal ulcer Exposure keratopathy Acanthaembic corneal ulcer 79. Corticosteroids are given in: Bacterial corneal ulcer Herpetic corneal ulcer Fasicular ulcer Stromal fungal keratitis 80. Corticosteroids are the mainline in the treatment of: Bacterial corneal ulcer Herpetic corneal ulcer Interstitial desciform keratitis Stromal fungal keratitis 81. Blood staining of the cornea is due to: Hyphema Hyphema with rise of IOP Corneal edema Corneal FB 82. Infective corneal ulcers includeall except: Bacterial corneal ulcer Fungal corneal ulcer Moorens ulcer Viral corneal ulcer 83. In treating bacterial corneal ulcer all are true except: Antibiotics drops Vitamin A,C Mydriatics and cycloplegics drops Corticosteroids drops 84. In treating bacterial corneal ulcer all are true except: Antibiotics drops Vitamin A,C Mydriatics and cycloplegics drops Corticosteroids drops 85. Gonococci Pneumococci Staphylococci Pseudomonas 86. corneal ulcers: Gonococci Pneumococci Staphylococci Pseudomonas 87. Gonococci Pneumococci Staphylococci Pseudomonas 88. Typical hypopyon corneal ulcers. Herpetic corneal ulcers. Acanthameba corneal ulcers. Neuroparalytic corneal ulcers. 89. Typical hypopyon corneal ulcers. Herpetic corneal ulcers. Acanthameba corneal ulcers. Neuroparalytic corneal ulcers. 90. Fascicular ulcer. Typical trachomatous ulcer. Typical hypopyon ulcer. Moorens ulcer. 91. include: Keratectasia. Keratoconus. All of the above. Non of the above 92. keratoconus progression except: Frequent change of glasses. Progressive irregular astigmatism. Progressive hypermetropia. Appearance of Fleisher ring. 93. except: Rigid gas permeable contact lenses Laser in situ keratomileusis (LASIK) Intracorneal ring segment implantation Penetrating or lamellar keratoplasty 94. 94 95. A nuclear cataract present more than 10 years A posterior subcapsular cataract that reduces visual acuity to 6/60 or worse A cortical cataract that involves the entire cortex An anterior subcapsular cataract that causes capsular wrinkling. 96. Visual acuity HM Absent RR Absent iris shadow All of the above 97. Its shadow lies on the macula Close to the nodal point It matures early It blocks the pupillary area 98. Myopia Hypermetropia Astigmatism No change in refraction 99. Myopia Hypermetropia Astigmatism No change in refraction 100. is: Cystoid macular edema Posterior capsule opacification Corneal decompansation Retinal detachment 101. Surgical excision Laser opening Surgical polishing Leave alone 102. Yag laser Argon laser Diode laser Excimer laser 103. Decreased aqueous production Increased aqueous drainage Lower episcleral venous peressure All of the above 104. 104 105. Exophthalmos Lid retraction Diplopia Conjunctival chemosis 106. Trauma Orbital cellulitis Rhabdomyosarcoma All of the above 107. Trauma Cachexia Post radiotherapy Secondaries of breast scirrhus carcinoma All of the above 108. Congenital Vitamine A defficiency Nuclear cataract Retinitis pigmentosa 109. Partial anterior staphyloma Ciliary staphyloma Intercalary staphyloma Equatorial staphyloma Posterior staphyloma 110. Phlycten Hypopyon ulcer Iridocyclitis Metastatic endophthalmitis 111. Large deep cup Interrupted retinal vessels Waxy yellow colour Overhanging margins 112. Papillitis Papilloedema Retrobulbar neuritis All of the above 113. Prednisolone Observation Antibiotics Atropine 114. Rapid deterioration of vision Amaurosis Fugax Pain on eye movements Early loss of color vision 115. Nasal step Arcuate scotoma Cocentric contraction of peripheral field Enlarged blind spot 116. pathologies except: Degenerative myopia Chorioretinitis CRAO CRV thrombosis 117. Papillitis Hysteria Optic atrophy Retrobulbar neuritis 118. 118 119. Phaco morphic glaucoma Phacoanaphylactic glaucoma Phacolytic glaucoma Neovascular glaucoma 120. Hypermetropic eye Myopic eye Astigmatic eye Aphakic eye 121. after: Gonioscopic examination Fundus examination Tonometry Visual field examination 122. except: Large deep cup Overhanging margins Retinal vessels appear broken at the margin Lamina cribrosa is not visible 123. Decreased aqueous production Increased aqueous drainage Lower episcleral venous peressure All of the above 124. Retinoblastoma Megalocornea Congenital High myopia Babies of diabetic mothers 125. Lacrimation and sneezing Optic cupping Enlarged hazy cornea Flattened sublaxated lens 126. Projection of light Cofrontation test Automated perimetry Bjerrum screen 127. Projection of light Cofrontation test Automated perimetry Bjerrum screen Perception of light 128. Post sublaxated lens Post dislocated lens Intumescent cataract Anterior dislocated lens 129. Pilocarpine + anti-inflammatories Pilocarpine + beta blockers Atropine Cyclocryotherapy 130. Phakomorphic Glaucoma is: Induced by intumescent cataract Induces pupillary block A closed angle secondary glaucoma Urgent cataract extraction is indicated All of the above are correct 131. Amaurotic cats eye reflex,In all except: Retinoblastoma Coats disease Toxocariasis Malignant melanoma of the choroid 132. Third cranial nerve innervates all the following except: Superior oblique muscle Levator palpebre muscle Inferior oblique muscle Medial rectus muscle 133. Horners syndrome Ptosis + myosis + enophthalmos + anhydrosis Ptosis + mydriasis + enophthalmos + anhydrosis Lagophthalmos + myosis + enophthalmos + anhydrosis Diplopia + myosis + enophthalmos + anhydrosis 134. Diplopia due to right 6 CN palsy increases while looking: To the right To the left Up Down 135. Diplopia due to right 4 CN palsy disappears on covering: Right eye Left eye Either one Neither one 136. The commonest cause of crossedeyes in the first year of life: Infantile esotropia Accomodative esotropia Six CN palsy Duanes syndrome 137. Convergent squint may be due to: Accommodative esotropia 6 nerve palsy th Graves disease All of the above 138. 139 139. Aphakia Sublaxation of the lens Hypermature cataract Posterior dislocation of the lens All of above 140. A 30 ys old patient was subjected to face burn with strong acid, two months later hepresented with watering and inability to close his left eye. The explanation of this may be: Mechanical ectropion. Cicatricial ectropion. Paralytic ectropion. Corneal ulcer. 141. A patient subjected to vertical lidwound, he is unable to to close his eye properly. This condition can lead to: Corneal scarring Exposure keratopathy. Vascularized corneal scar. Corneal pannus. 142. The first line of treatment in acid burnof the eye is: Eye patching. Immediate wash with plain water. Instilling local antibiotic drops. Neutralization of the acid with alkali. 143. A 10 ys old boy, received blunt oculartrauma by tennis ball to his right eye, you will expect to have: Hypopion ulcer. Blood staining of the cornea. Hyphema. Tractional retinal detachment. 144. A patient had penetrating eye injury inthe right eye, the first aid managementis: Washing with plain water. Sterile eye bandage. Application of antibiotic ointment. Instilling atropine eye drops. 145. A patient is C / O monocular diplopiaafter blunt ocular trauma, the followingcould cause this except: Sublaxated lens. Iridodialysis. Traumatic hyphema. Incipient immature cataract. 146. A patient had blunt ocular trauma, now he is C / O severe visual defect, thecause of this may be due to: Anteflexion of the pupil. Berlins edema. Conjunctival chemosis. Angle recession. 147. A patient with a history of blunt trauma to the lefteye C / O double vision that disappears oncovering the left eye & persists on covering theright eye. Examination of this patient would reveal: Miotic pupil. Ectropion uveae. Pupil showing lens equator. Dilated pupil. 148. Trauma to the eye cannot cause: Vitreous hemorrhage. Macular edema. Central retinal vein occlusion. Retinal breaks. 149. A patient had blunt ocular trauma & C /O double vision that disappears oncovering either eye. The cause might be: Orbital hematoma. Corneal edema. Orbital blow out fracture. Iridodialysis. 150. A aptient had history of blunt ocular trauma3 months ago, now is C / O severe headachedue to increased intraocular pressure.themost important diagnistic tool is: Automated field of vision . Manual field of vision. Gonioscopic examination. Fundus examination. 151. A patient with recent history of ocular trauma & C/ O blurry vision.ocularmotility was normal, the most neededinvestigation is:Ocular ultrasound.Fluorescein angiography.Field of vision.Performing CT brain. 152. Sympathetic ophthalmia is rarely seen in: Corneo scleral wounds PECCE. Acute suppuration Iris encarceration. 153. Metallic IOFB can be localized by the following methods exceptLimbal ring & X rayCT scanUSMRI 154. Pathognomonic sign of IOFB Corneal wound Root in the iris Traumatic cataract hyphema 155. The weakest part of the eye affected byblunt trauma is: Canal of Schlemm Muscle insertion Equator Lens zonules 156. Worker with arc light is exposed to:UVR corneal burn.Infra red heat burn.Gamma radiation.X ray radiation. 157. Which of the following conditions doesNOT require emergency ophthalmological management? Anterior uveitis Acute angle-closure glaucoma Orbital floor fracture Orbital cellulitis 158. Patient had right maxillary tumours treated successfully with multiple doses of radiotherapy,after that he noted dramatic decrease of visual acuity of the right eye, the explanation of this may be dueto: Complicated cataract. Anterior uveitis. Central retinal vein thrombosis. Acute congestive glaucoma. 159. Which of the following is not advised inthe early management of a patient withhyphema? Admission to hospital. Cycloplegics. IOP lowering agents. None of the above. 160. GOODLUCK FORALL