Optometry and Ophthalmology MCQ Part-03

1.Distichiasis is:

  1. Misdirected eyelashes
  2. Accessory row of eyelashes✓
  3. Downward drooping of upper lid
  4. Outward protrusion of lower lid

2. Band shaped keratopathy is commonly caused by deposition of:

  1. Magnesium salt
  2. Calcium salt✓
  3. Ferrous salt
  4. Copper salt

3. Irrespective of the etiology of a corneal ulcer, the drug always indicated is:

  1. Corticosteroids
  2. Cycloplegics✓
  3. Antibiotics
  4. Antifungals

4. Dense scar of cornea with incarceration of iris is known as:

  1. a. Adherent Leucoma✓
  2. b. Dense leucoma
  3. c. Ciliary staphyloma
  4. d. Iris bombe

5. Corneal sensations are diminished in:

  1. a. Herpes simplex✓
  2. b. Conjunctivitis
  3. c. Fungal infections
  4. d. Marginal keratitis

6. The color of fluorescein staining in corneal ulcer is:

  1. Yellow
  2. Blue
  3. Green✓
  4. Royal blue

7. Phlycten is due to:

  1. Endogenous allergy✓
  2. Exogenous allergy
  3. Degeneration
  4. None of the above

8. A recurrent bilateral conjunctivitis occurring with the onset of hot weather in young boys with symptoms of burning, itching, and lacrimation with large flat topped cobble stone papillae raised areas in the palpebral conjunctiva is:

  1. Trachoma
  2. Phlyctenular conjunctivitis
  3. Mucopurulent conjunctivitis
  4. Vernal keratoconjunctivitis✓

9. Which of the following organism can penetrate intact corneal epithelium?

  1. Strept pyogenes
  2. Staph aureus
  3. Pseudomonas pyocyanaea
  4. Corynebacterium diphtheriae✓

10. A 12 years old boy receiving long term treatment for spring catarrh, developed defective vision in both eyes. The likely cause is:

  1. Posterior subcapsular cataract✓
  2. Retinopathy of prematurity
  3. Optic neuritis
  4. Vitreous hemorrhage

11. A young child suffering from fever and sore throat began to complain of lacrimation. On examination, follicles were found in the lower palpebral conjunctiva with tender preauricular lymph nodes. The most probable diagnosis is:

  1. Trachoma
  2. Staphylococal conjunctivitis
  3. Adenoviral conjunctivitis✓
  4. Phlyctenular conjunctivitis

12. Patching of the eye is contraindicated in:

  1. a. Corneal abrasion
  2. b. Bacterial corneal ulcer
  3. c. Mucopurulent conjunctivitis✓
  4. d. After glaucoma surgery

13. Ten years old boy complains of itching. On examination, there are mucoid nodules with smooth rounded surface on the limbus, and mucous white ropy mucopurulent conjunctival discharge. He most probably suffers from:

  1. a. Trachoma
  2. b. Mucopurulent conjunctivitis
  3. c. Bulbar spring catarrh✓
  4. d. Purulent conjunctivitis

14. In viral epidemic kerato-conjunctlvitis characteristically there is usually:

  1. a. Copious purulent discharge
  2. b. Copious muco-purulent discharge
  3. c. Excessive watery lacrimation✓
  4. d. Mucoid ropy white discharge

15. Corneal Herbert's rosettes are found in:

  1. a. Mucopurulent conjunctivitis
  2. b. Phlyctenular keratoconjunctivitis
  3. c. Active trachoma✓
  4. d. Spring catarrh

16. A patient complains of maceration of skin of the lids and conjunctiva redness at the inner and outer canthi. Conjunctival swab is expected to show:

  1. Slaphylococcus aureus.
  2. Streptococcus viridans.
  3. Streptococcus pneumonae
  4. Morax- Axenfeld diplobacilli✓

17. Tranta's spots are noticed in cases of:

  1. a. Active trachoma
  2. b. Bulbar spring catarrh✓
  3. c. Corneal phlycten
  4. d. Vitamin A deficiency

18. A painful, tender, non itchy localized redness of the conjunctiva can be due to:

  1. Bulbar spring catarrh.
  2. Episcleritis✓
  3. Vascular pterygium.
  4. Phlyctenular conjunctivitis.

19. In trachoma the patient is infectious when there is:

  1. Arlt's line
  2. Herbert's pits
  3. Post-trachomatous concretions.
  4. Follicles and papillae in the palpebral conjunctiva✓

20. A female patient 18 years old, who is contact lens wearer since two years, is complaining of redness, lacrimation and foreign body sensation of both eyes. On examination, visual acuity was 6/6 with
negative fluorescein test. The expected diagnosis can be:

  1. Acute anterior uveitis.
  2. Giant papillary conjunctivitis.✓
  3. Bacterial corneal ulcer.
  4. Acute congestive glaucoma

21. Fifth nerve palsy could cause:

  1. Ptosis
  2. Proptosis
  3. Neuropathic keratopathy✓
  4. Lagophthalmos

22. Topical steroids are contraindicated in a case of viral corneal ulcer for fear of:

  1. Secondary glaucoma
  2. Cortical cataract.
  3. Corneal perforation✓
  4. Secondary viral infection.

23. The sure diagnostic sign of corneal ulcer is

  1. Ciliary injection
  2. Blepharospasm
  3. Miosis
  4. Positive fluorescein test✓

24. The effective treatment of dendritic ulcer of the cornea is:

  1. Surface anesthesia
  2. Local corticosteroids
  3. Systemic corticosteroids
  4. Acyclovir ointment✓

25. Herpes simplex keratitis is characterized by:

  1. Presence of pus in the anterior chamber
  2. No tendency to recurrence
  3. Corneal hyposthesia✓
  4. Tendency to perforate

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