prometric exam ophthalmology 28-3-2013

1-picture everted upper lid show swelling(chalizion):

• associated with rosecia and chronic blepharitis

2- phase of retinobastoma for prenatal diagnosis:

• metaphase

3-time for tensoline effect for mayathenia graves diagnosis:

• 5-10minutes

• 10-15minutes

• 15-20minutes

• 20-30minutes

4-congenital ocular motor apraxia:

• absence of corpus callosum

5-ocular hypertention with normal vision called:

• galucoma suspect

• hypertensive galucoma

6-habb´s stria :

• breaks in desmet s membrane in congental galucoma

• breaks in desemet s membrane in developmental galucoma

• breaks in desmet s membrane in keratoconus

7-figure. girl 10 years female with port stain lf side of the face VA 6/9, 6/18 IOP12, 28, C/D o.3, o.8

what to do:

• CTorbit and brain

• measures to decrease IOP

8-double elevator palsy:

• paralysis of SR,IO musules of the same eye

• paralysis of SR of both eyes

9- corneal topography after LASIK of central steeping with decrease central corneal thickness diagnosis:

• ectasia

• KC

• forme fruste

• pellucid marginal degentration

10- elderly patient had maxillary sinus surgery 3days early with nasal pack with ointment and systemic antibiotic ,come with eyelid leasion ,biopsy from eyelid leasion shows large empty spaces diagnosis:

• xanthgranuloma

• lipogranuloma

• mucormycosis

• histocytosis

11- patient not complaining from diplopia :

• blow out fracture

• 6th nerve palsy

• orbital myositis

• supranuclear gaze palsy

12-sclertis is common except:

• rhumatic fever

• systemic lopus

• herpes zoster

• rhumatoid arthritis

13-sclertis is common except:

• juvenile rhumatoid arthritis

• polyartetis nodosa

• wegner granulomatosis

14- photocoagulation for diabetic retiopathy all except:

• visul acuity is the most important factor for treatment detrenination

15- diabetic retinopathy study all false except:

• prompt treatment for high risk diabetic retinopathy

16- diplopia test except:

• titmus test

17-causes of subretinal neovascularizationexcept:

• DM

• degenerative myopia

• choroidal rupture

• angeoid streak

• age related macular degneration

18- argon laser used in all except:

• cutting vitrearetinal adhesions

19- blepharophemosis all except:

• distichasis

20- 3years child with nasolacrimal duct obstruction primary measure of treatment:

• probing

• probing with irigation dilatation

• probing with stent

• DCR

21-patient done canalecular dilatation ,put plug 6months early,come with discharge explored plug ,diagnosis:

• congunctivitis

• canaleculitis

• dacryocyctitis

22- child 10years aquired esotropia ,no diplopia treated with prism but the angle of devation increase possibilities:

• uncorrect prism

• abnormal retinal corrospondance

• ambylopia

• neurological problem

23- FA dilated arteries and veins (?capillary retinal haemangeoma) diagnosis:

• neurofibromatosis

• von hipple´s lindou

24-10years with ptosis ,external ophthalmoplegia,fundus shows pigmented retinoscopy diagnosis:

• chronic progressive external ophthalomoplegia

• myathenia gravis

25- picture of marcus gunne jaw winkining most common cause:

• aberrant 3rd nerve regneration

• marcus gunne ptosis

• dawane syndrome

26- most important factor in detrmining ptosis surgery:

• margin reflex measure

• vertical palpepral measure

• ongental or aquired

• levator function

27- nasopharngeal mass eroding the bone onCTscan what to do:

• MRI

• refer for neurosurgent

28- picture of cystcercosis?of fundus befor and after treatment with resolution of the leasion what was done:

• subretinal removal of cysticercous

• laser photocoagulation of central serous retinopathy

29-fundus both eyes ,young patient with2days of headache,palpetation. ?peripapillary retinopathy,anterior segment free,no vitritis diagnosis:

• hypertention

• DM

• syphalis

• TB

30- picture of chemical burn.best mangment:

• take history

• measure VA

• irrigation with ringer lactate for30 minutes then measure PH

31- patient with acute glaucoma ,after use of usual antiglaucoma drugs what to do:

• gonioscopy

• manitol IV

• fundoscopy

32- fig,overhanging of bleb after trabeculectomy treatment:

• autologous blood with bleb needling

• needling

33- 2days after trabeculectomy with pain,shallow AC,shallow bleb,opened peripheral iridectomy,IOP45 what to do:

• topical steroid,oral acetazolamid,topical antiglaucoma

• topical atropin,topical steroid ,topical antiglaucoma

• topical atropin, oral acetazolamide,topical antiglaucoma

• topical antiglaucoma,after 1week phacoemulesfication

34- an object placed25cm to the left of -1,00D lens ,where is the image:

• 20cmto the left

• 20cm to the right

• 25cm to the left

• 25cm to the right

35- which of the following keratometric measurment indicative of with the role astigmatism:

• 46.00/43,00@175

36- biological factors render chlamydia close to bacteria than virus all except:

• nuclic acid content

• mechanism of replication

• cell wall proparties

• full presence of organelles

• resopnse to antibiotics

37-most safe antiglaucoma drug in asthmatic patient:

• betoxalol

38- lateral orbital walls relation:

• perpendicular

39- rust in the cornea due to iron:

• couled be removed 24-48 hours after FB removal

40- parent bring his 2nd child 6 months age complain from non seeing and socially not as his 1st child ,routine ophthalmic examination normal what to do:

• observation

• elecrophysiological tests

• ultrasonography

• CT brain

41- in chronic anterior uveitis in juvenial idiopathic arthritis all true except:

• band keratopathy

• 2ry glaucoma

• 2ry catract

• no posterior synchia

42-child 1year old ,catract surgery ,measures to do to decrease postcatract PCO :

• posterior contenous capsulorhexis with anterior vitrectomy

43- diabetic patient refraction-3.50spher ,after attack of hyperglacemia refraction -4.50 what to do :

• redo refraction after controlling blood glucose

44- 2nd sight occure due to :

• nuclear catract

• cortical catract

45- all bacteriostatic except:

• ciprofloxacin

46- cross cylinder 1st we measure :

• cylinder axis

• cylinder power

47- duchrome test all true except:

• refinement of spherical power

• after spherical power mersurment

• if green light appear more clear patient is over corrected

• of little clinical importance

• depend on chromatic abbrations

48- corneal ulcer treated with cefazoline eye drop,tobramycin eye drop every 2hours for 14 days come with corneal ulcer with vascularization,congunctival hyperemia,diagnosis:

• fungal keratitis

• drug toxicity

49- pathology report of malignant melanoma which is not predesopse for bad prognosis:

• pagetoid growth

• thickness

• basement mmbrane intact

50- 3 years with esotropia 30degree.cycloplegic refraction +2.00 rt eye 0.5 lf eye what to do:

• glasses prescription

• full time occlusion

• part time occlusion

51- least useful method for evaluation of glaucometous optic nerve :

• indirect ophthalmoscope

• slit lamp with contact lens

• direct ophthalmoscope

• slit lamp with 90D lens

• slit lamp with robe lens

52- dalen fuch s nodules:

• usullaly muliple or multifocal

• may disappear in the course of the disease

• epitheloid cells

53- PVD detected with:

• real time B scan

• real time A scan

54- least helpful in orbital diseases assessment:

• x ray

• orbital ultasound

• CT

• exophthalmometer

55- 6 years VA 20/20,20/200 with no prevous complain what to do:

• cycloplegic refraction

56-exudative RD most characterestic of subretinal fluid:

• shifting

• demarcation line

57- chemical burn all true except :

• alkaline liqufy fatty acids

• alkali more dangerous than acid

• acid coagulate tissue

• acid liqufy fatty acids when be more acidic

• alkali if not removed or denaturated more danderous

59- congenital esotropia all true except:

• may not occure untile 4 months

• cross fixation

• surgery nessecary

• if surgery done early may maintaine binocular single vision

60- most indicative of rupture globe:

• blow out fracture

• dislocated or sublaxated lens

• hyphema

• chemosis,subconjuctival haemmorage decrease intraocular pressure