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MCQ of the Cornea

MCQ of the Cornea

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Published by Hamdy Gabal

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Published by: Hamdy Gabal on Oct 22, 2010
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MCQ of the Cornea

1- a debilitated person with watering Rt eye, unable to face light, severe headache, developed a discoid shaped opacity in the centre of his cornea, white contents of the AC, & high IOP. In addition to antibiotics we give: A- miotics& acetazolamide. B- atropine& acetazolamide. C- atropine& local steroids. D- miotics& local steroids.

2- in early hyopyon ulcer the AC contains: A- pus cells& microorganisms. B- pus cells& high protien content. C- RBCs. D- esinophils.

3- in a patient of HZ ophthalmicus the apperance of the following means a high possibility of corneal affection: A- copious conjunctival discharge. B- massive edema of the eyelids. C- eruption of the tip of the nose. D- severe periocular pain.

D. two weeks later.V. C. B. but he deteriorated more.culture for virus.4.C/S for specific A.culture for fungus.B. He received broad spectrum A. The most appropriate next step: A.culture for acanthameba. he developed D.B ED& ointments for 2 weeks.a farmer had a vegetable trauma to his eye. feathery edged corneal infiltration. redness. .

funduscopy. . The most accurate diagnostic method is: A.5. D.tonometry. B.a female patient 18 y old C/O of gradual drop of vision in one eye that improve with hard CL.perimetry.corneal topography. C.

B. . D. C.lagophthalmos.fifth nerve palsy could cause: A.neurotrophic keratitis.6.proptosis.ptosis.

B.trachomatous ulcer.dendretic ulcer. C.7- corneal perforation complication of : is an expected A. .fasicular ulcer.hypopyon ulcer. D.

2ry viral infection. C.local steroids contraindicated in bacterial corneal ulcer for fear of: A.cortical catract. B.2ry glucoma. .8. D.corneal perforation.

. C. D.dendretic ulcer.hypopyon ulcer.Ex of one eye of patient showed dense central opacity with iris strands attached to the back of the cornea: A.trachomatous.9.phlyctenlar ulcer. B.

D.pnemococcal ulcer.trachomatous ulcer. .perforation is a common complication of: A.dendretic ulcer.fasicular ulcer.10. B. C.

C.atropine& acyclovir.cortisone& acyclovir. B. the best local ttt is: A.atropine& gentamycin.11. D.cortisone& gentamycin. .a patient with recurrent branching linear corneal ulcer.

. B.soft CL.PKP.hard CL. C.an early case of keratocouns with clear cornea is best treated with: A. D.12.lamellar keratoplasty.

13. . B.central nebula.the following complication is likely to occur with fasicular ulcer: A.perforation. D. C.anterior polar catract.desmatocele.

ciliary injection. D.the sure diagnostic sign of corneal ulcer: A. B.blepharospasm.miosis. . C.14.+ve FL test.

systemic steroids. B. C. D.15.the effective ttt of dendretic ulcer of the cornea is: A.surface anathesia.acyclovir ointment. .local corticosteroids.

pus in the AC.tendecy to perforation.corneal hypothesia. B. C. .16.no recurrence. D.HS keratitis is ccc by: A.

.corneal biopsy.corneal topography.a farmer had a eye trauma by tree branch followed by photophobia & lacrimation. D. The cornea show stromal infiltration. The correct diagnosis is reached by: A. B.tonometry.17. C.FL stain.

.interstatial keratitis. B. D.bacterial ulcer.fasicular ulcer.dendretic ulcer.18.which of the following can be complicated by corneal fistula: A. C.

D. . B.maroxella lacunata.staph aureus. C.bacteria that can attak normal corneal epithelium: A. gonorrhea.19.staph epidermids.N.

B.chemical cauterization.desmatocele can be ttt by all of the following except: A.20.theraputic CL. .pr bandage. D. C.tissue adhesive (cyanoacrylate).

hard CL.RGP CL. C. D. B.advanced keratoconus is least corrected when ttt by: A.PKP.21.spectacles .

. sq.the cornea is detergescent .22.the cornea is avascular.the factors of corneal transparency don t include: A. B. non kr. E. C.the cornea contains high population of goblet cells.the epithelium is st.the stroma is formed of fine collagenous fibers of the same refractive index. D.

intact epithelium.intact endothelium.the corneal luster is due to integrity of the tear film accompanied by: A. .intact bowman s membrane.intact desmet s membrane. B. C. D.23.

the nutritional supply of the cornea is not drived from: A. B.the trabecular meshwork.diffusion from perilimbic BVs.24. C.atmospheric oxygen through tear film.aqueous humor. . D.

O/E: BCSVA was 6/60.25. the main cause of D.high myopia. uncomfortable glasses. 6/36. but the rt AC was deeper than the lt.a school boy 10 years old. frequent itchy sensation.active trahcoma. it was not possible to have accurate refraction.bulbar spring catarrh. C/O of blurring of vision. The cornea look clear. . D.V: A.early keratoconus. B. c.

it is bilateral progressive in nature.26. . C. B.all the following is correct about keratoconus except: A.it is non inflammatory axial protrusion of the central part of the cornea.it is self limited & regressive in nature. but one eye may precede the other.ccc by the presence of Flischer ring at the base of the cone.it is non heredofamilial ectatic disorder of the cornea. D. E.

RGP CL.27. B. . C.lamellar keratoplasty.soft CL.PKP. D.keratoconus can not be managed by: A.

do the LASIK when she is 18y old. came asking you if she can do LASIK to correct myopia. your advice: A.00. C.28.do LASIK at once. D.must do LASIK when her refraction is stable for 2 successive glasses. her last year glasses was -3.00 in both eyes. she uses soft CL occasionally with no complication.the glasses & CL are more safe. B. don t do LASIK .16 y old female wearing glasses -4. Her BCSVA is 6/6.

. C.HZ.pnemococcal ulcer. B.trachomatous ulcer. Staphyloma can be a complication of: A.total ant. D.HS.29.

B.episcleritis. .30. C.bandage of the eye is indicated in : A.MPC.spring catarrh. D.corneal abrasion.

B.penetrating keratoplasty.LASIK. .lamellar keratoplasty.31. D.total staphyloma can be ttt by: A. C.enucleation.

C. He developed. The next ttt is: A. watering. .32. 10 days later his vision improved partially to 6/60 with correction with disapperance of watering and discomfort.PKP.contine RGP CL.epikeratophakia. D. discomfort in Rt eye.a patient known to have keratoconus and using RGP CL with BCVA 6/9 in both eyes. B.shift to soft CL. he developed sudden drop of vision.

C. B. .severe endogenous uveitis.perforated CU.hypopyon is not sterile in the following condition: A.acid burn to cornea.33.retinoblastoma seedings. D.

C.corneal topography.the earliest indicator of keratoconus is : A. .34.keratometry. B. D.keratoscopy.retinoscopy.

.microcornea. C.megalocornea. D.35.corneal scar. B.lengthy catract surgery.corneal edema is commonly seen with: A.

increased ocular pain. .+VE FL stain. B. C. D.marked hypotony.the presence of stromal infiltrate.36.the diagnosis of corneal perforation is sure by: A.

perforation is expected. B.37.affect primarly the corneal periphery.doesn t stain with FL.HSV keratitis ccc by: A.show recurrence. C. . D.

corneal opacities. .keratoconus.corneal luster is affected by: A. C. B.corneal abrasion.disciform keratitis.38. D.

39- keratitis metaherpetica can be caused by: A- active viral infection. B- immune reaction to stroma. C- abuse of antiviral. D- stromal scarring.

40- in recurrent HS keratitis: A- antiviral theraby is not effective. B- there is extensive vasularization. C- there is tendency of corneal perforation. D- there are deep stromal infiltration.

41- which of these corneal curvatures can cause more tendencies toward myopia: A- 7.5mm. B- 7.8mm. C- 8.0mm. D-8.2mm.

its central location. .42.the deep location of infiltration. B. D. C.the tendency of recurrence.which of the is not ccc of HS keratitis: A.the presence of hypothesia.

CAIs. & high IOP.BB.43.a patient presented with ocular pain. +ve FL stain of the cornea with a constricted pupil. B. D.pilocarpine. The following is contraindicated: A.atropine. C. .

the most common indication for keratometry is the following except: A. C.diagnosis of astigmatism.before CL fitting.before keratoplasty. B. .44. D.diagnosis of keratoconus.

C.it affect corneal luster. B.not stain with FL.usually involve Bowman s membrane. .45.it affect corneal transparency.which of the following is not true about abrasion: A. D.

D.C/S for spesific AB.46.culture for virus. C. The next step: A. B. DV. the patient rubbed his eyes. Fot 2 weeks but he deteriorated.culture for fungus. 2 weeks later he developed severe pain. red eye.water from the swimming pool splashed into the eye of soft CL wearer.culture for acanthameba. He received broad spectrum AB ed & oint. .

47. the ttt of choice: A. D.one year after an attack of HZ.cauterization with carbolic acid. C.therapeutic CL. B. .subconjunctival AB. a patient developed central corneal ulcer that resisted the usual line of ttt with loss of corneal sensation.topical antiviral ED& oint.

lammellar keratoplasty.PKP. .black pupil coloured CL. C. D. B.a female patient C/O of history of old perforated central corneal ulcer that ended in a blind ugly opaque cornea. Your management: A.48.clear pupil coloured CL.

haemosidrein. B.cu compound. C. .49.in kayser flischer ring the pigment deposited Is: A.zinc compound.melanin. D.

Arlet s line.50. . C.one of the following signs disappears with ttt: A.Arcus senilis.Tranta spot.Pannus siccus. B. D.

C. D. .the following signs are present in peripheral leukoma adherent except: A.iris adherence to the back of the cornea.irregular depth of AC.51. B.PS.pear shaped pupil.

52.staph epidermidis.N. . C. B. D.bacteria that invade healthy corneal epithelium: A.corynebacterium Diphteria.H.influnza.gonorrhea.

D.fleshy pannus.53. C. .ciliary injection. B.signs of bacterial corneal ulcer don t include: A.lost luster with +ve FL test.miotic pupil.

C.a patient 65 y old. diabetic. pus in the AC. there was also +VE regurge from the lower pnctum. D. On EX: this eye showed dull cornea. ciliary injection.acute dacryocystitis. B.54. The most reliable diagnosis is: A. .acute congestive glucoma. since 15 y was presented by red painful eye. Uveitis.acute pnemococcal CU.acute ant.

E.C/S test. C.55. B.control blood sugar.hopsitalization.in the above case all the following is soon indicated except: A.DCR. D.broad spectrum AB till the results of the culture. .

To reach the diagnosis one must do: A.corneal senstivity.corneal scrapping. was complaining of redness. he mentioned that the same condition has happened last year.56. C.blurring of vision in the Lt eye. D. B.a male 35y old.measurmet of IOP.regurge test. . On examination the cornea showed an irregular linear defect.

phylectnular ulcer.57.recurrent herpetic ulcer. D.in the above case if corneal senstivity is impaired the most reliable diagnosis is: A.trachomatous ulcer. B. . C.bacterial keratitis.

abuse of antivirals. .58.concurrent infection with HZ. C.disciform keratitis is a complication of herpetic keratitis. D.hypersenstivity reaction to the viral protien. B.concurrent infection with pemococci. due to: A.

.Trifluorothymidine.cycloguaninase.59. C. D.prednisolone. B.management of herpetic CU can be by the following except: A.adenine arabinoside.

C.topical antiviral+ systemic AB.ttt of disciform keratitis consist of: A.topical antiviral+ topical AB.topical +systemic antiviral. D.60. B.topical antiviral+ topical steroids. .

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