Ophthalmology Final Questions (2010-2012)

1) All are true about retina, except:

1- Composed of 10 separable layers

2- Loose attachment between neurosensory and RPE
3- Fovea not supplied by CRA (central retinal artery)
4- Soft exudates are swollen axons of ganglion cells
5- Translucent

2) Cause of blindness in HIV patient:

1- Cotton wool spots

2- HIV microangiopathy
3- CMV retinitis
4- Kaposi sarcoma

3) Pseudophakia is loss of: Pseudophakia is the presence of a

false lens that cannot accommodate.
1- Accommodation
2- Conversion
3- Saccadic eye movements
4- Contrast sensitivity

4) All are used for treatment of myopia, except:

1- Convex lenses
2- Concave lenses
3- Lens refractive surgery
4- LASIK

5) One is indicative of past optic neuritis in multiple sclerosis
patients:

1- Mild RAPD (relative afferent pupillary defect)

2- Internuclear ophthalmoplegia
3- Horizontal gaze palsy
4- Nystagmus
5- Diplopia

6) Emmetropia is:

1- Parallel rays of light brought on retina

2- Visual acuity of 6/6
3- Parallel rays of light brought before retina
4- Parallel rays of light brought after retina
5- (1) & (2)

7) One doesnt cause exophthalmos:

1- Orbital varix
2- Optic nerve tumor
3- Blow out fracture

8) One is not a cause of entropion:

1- Facial nerve palsy

2- Blepharospasm
3- Congenital
4- Cicatricial pemphegoid
5- Conjunctival scaring

9) Which one is responsible for strongest refraction in the eye:

Cornea

10) Chronic blepharitis is associated with all, except:

1- Ectropion
2- Eyelid margin ulceration
3- Red eye
4- Obstruction of meibomian glands

11) Carotidcavernous sinus fistula causes all, except:

1- Bruit over globe

2- Pulsatile tinnitus
3- Proptosis
4- Glaucoma
5- Scleral veins congestion

12) All of the following are risk factors for bacterial keratitis,
except:

1- Chalazion
2- Contact lenses
3- Long term use of steroids
4- Trauma
5- Dry eye

13) About trichiasis, all are true, except:

1- Sign of dry eye

2- Iris atrophy
3- Corneal opacity
4- Backward misdirection of eye lashes

14) All are true about herpetic infection, except:

1- Dendritic ulcer characteristic

2- Primary infection asymptomatic
3- HSV 2 is causative
4- Uveitis & glaucoma associated
5- Steroid may be used for treatment

15) All are used in open angle glaucoma, except:

1- Steroid
2- Parasympathomimmetics

16) All are true of open angle glaucoma, except:

1- Commonly causes headache
2- Familial predisposition
3- Optic disc cupping
4- Peripheral visual loss
5- Medical treatment is 1st line

17) All are signs of keratoconus, except:

1- Thickening of central cornea
2- Munson sign
3- Prominent corneal nerves

18) All are used for treatment of keratoconus, except:

1- LASIK
2- Intracorneal rings
3- Contact lenses
4- Keratoplasty
5- Glasses

19) Patient presented with large angle right esotropia, surgery is:
1- Right recession
2- Right resection
3- Left resection
4- Lateral rectus resection & medial rectus recession on right
eye
5- Lateral rectus resection & medial rectus recession on left eye

20) All are true about branch vein occlusion, except:

1- Improves with time & minimal visual loss

2- Surgery indicated if macula not involved
3- Steroids and anti VGEF rarely used
4- Two types; ischemic & non ischemic

21) In proliferative diabetic retinopathy, one is true:

1- PRP 1st line of management
2- All have poor visual acuity
3- Aspirin is used for treatment

22) All are true about retinal detachment, except:

1- Uveitis cause exudative type

2- DM cause tractional type
3- PVD cause rhegmatogenous type
4- Surgery indicated for all types
5- Floaters & flashes are 1st symptoms

23) One type about age-related macular degeneration is correct:

1- Dry type not converted to wet type

2- Anti VEGF is the drug of choice

24) All are true about retinitis pigmentosa, except:
1- Day light vision spared all over life
2- Complains of loss of night vision
3- AD is mildest form

25) All are related to angle closure glaucoma, except:

1- Common in high myopes

2- Painful red eye
3- Acute presentation
4- Treatment for both eyes

26) Most common nerve affected by blow-out fracture:

1- Infra-orbital n.
2- Supratrochlear n.
3- Optic n.
4- Nasocilliary n.

27) About choroidal melanoma, one is true:

1- If no visual potential, enucleation is recommended
2- Can be preceded by choroidal nevus
3- Lymphatic spread is common

28) All are caused by blunt trauma, except:

1- Uveitis
2- Glaucoma
3- Cataract
4- Sympathetic ophthalmitis
5- Iridiodialysis
29) About chemical injury of the eye, all are true, except:
1- Alkali is neutralized with weak acid
2- Alkali most severe
3- Limbal ischemia prognosis poor

30) All are side effects of acetazolamide, except:

1- Bronchial asthma
2- Renal stones
3- Aplastic anemia
4- Metabolic acidosis
5- Steven Johnson syndrome

31) One not causing leukocoria:

1- Retinitis pigementosa
2- Cataract
3- Retinoblastoma
4- Old total retinal detachment

32) Which is an indication for oral steroids in thyroid eye?

1- Corneal exposure
2- Periorbital edema
3- Chemosis

33) Bitemporal hemaniopa is due to problem in:

1- Optic chiasm
2- Optic radiation
34) Which is present only in acute phase of thyroid eye disease?

1- Lid retraction
2- Lid lag
3- Diplopia
4- Chemosis
5- Proptosis

35) Which is not part of thyroid eye disease?

1- Optic disc swelling
2- Choriodal neovascular membrane
3- Restrictive myopathy
4- Ophthalmoplegia

36) Which cataract does improve near vision?

1- Cortical
2- Sutural
3- Nuclear

37) In which cataract does vision improve with changing glasses or

wearing glasses?
1- Christmas tree
2- Nuclear

38) Which cataract is associated with intraocular inflammation?

1- Nuclear
2- Posterior subcapsular
39) Least systemic disease to cause peripheral ulcerative keratitis
is:
1- SLE
2- RA
3- WG
4- PAN
5- Sarcoidosis

40) About the optic nerve, which of the following is wrong?

1- The intracanlicular segment is the longest
2- The intraocular segment is the shortest
3- It has a central cavity called the cup
4- It represents the blind spot
5- All of the listed are true
41) The most common type of cataract in chronic use of steroids is:

1- Posterior subcapsular
2- Nuclear
3- Cortical
4- Anterior subcortical
5- Christmas tree

42) Ethambutol causes:

1- Optic neuropathy
2- Cataract
3- Glaucoma
4- Keratopathy
43) Left eye looking straight on primary position, right eye is
looking upward, which is true?
1- Left hepertropia
2- Left hypotropia
3- Right hypertropia
4- Left hepermetropia

44) Left esotropia surgical correction includes:

1- Right medial rectus recession and left lateral rectus recession

2- Left lateral rectus recession only
3- Right lateral rectus recession only
4- Left lateral rectus recession and medial rectus recession
5- None of the listed

45) The yoke muscle of right superior oblique is:

Left inferior rectus

46) All of the following about fungal keratitis are true, except:

1- Satellite lesion
2- Can be cause by eye trauma to plant
3- Amphotericin B are used in the treatment
4- Caused by fusarium
5- Surgery is contraindicated in active infection

47) All of the following are true about acute closed angle glaucoma,
except:
1- Corneal edema
2- Fix dilated pupil
3- Optic disc cupping (bcuz cupping occurs in chronic open angle)

48) About optic neuritis in adults, all are true, except:

1- More in white
2- Usually bilateral
3- Central scotoma

49) Ultrasound is used in dense cataract patient to show:

1- Optic atrophy
2- Macula edema
3- Macula hole
4- Retinal detachment
5- Retinal artery occlusion

50) The most common ophthalmologic complication in multiple

sclerosis is:
1- Optic neuritis
2- Intranuclear ophthalmoplagia

51) Patient with benign intracranial hypertension:

1- LP is diagnostic and therapeutic

2- 3rd nerve palsy (very rare in BIH)

52) All are causes of glaucoma, except:
Although a thin cornea is a risk factor
1- Steroids
for open angle glaucoma
2- Myopia
3- Thin cornea

53) Best method to deal with alkali trauma:

Irrigation with copious liquid

54) What is true about the commonest ocular tumor in adults?

1- Has good prognosis

2- Hematogenous spread
3- 1st metastasis is to bone
4- It is rhabdomyosarcoma

*The commonest malignant primary intraocular tumor in adults is uveal

melanoma.

55) The eyelid tumor with the worst prognosis:

Sebaceous gland tumor

56) The large eye will be in:

1- Axial myopia
2- Refractive myopia
3- Hypermyopia

57) In third cranial palsy, all are true, except:

1- Diplopia
2- Dilated pupils
3- Absent pupillary reflex
4- Relative afferant pupillary defect

58) Neural fiber layer of retina is:

1- Axons of bipolar cells

2- Axons of photoreceptors
3- Axons of ganglion cells
4- None of the above

59) Patient with unilateral cataract, the most common etiology is:

Trauma

60) All of this can be used to differentiate between orbital

cellulitis and preseptal cellulitis, except:

1- Ptosis
2- Proptosis
3- Strabismus
4- RAPD

61) All are risk factors for glaucoma, except:

White race

62) All of the following are seen in blow-out fractures, except:
Exophthalmous
*Blowout Fracture is a fracture of the walls &/or floor of the orbit

63)Dysthyroid eye disease has which of the following

complications:

1- Macular edema

2- Retinal detachment

3- Decrease in visual acuity

4- Cataract
5- Glaucoma

64) All of these cause ectropion, except:

1- Age
2- Burn of the face
3- 3rd cranial nerve palsy
4- Congenital

65) The most important risk factor for retinal vein occlusion is:

1- Diabetes
2- Hypertension
3- Age

66) All are true about foreign body treatment, except:

1- Acid cause worse injury than alkali

2- Irrigation is the treatment of choice

67) The main risk factor that play a role in DM retinopathy:

1- Duration of the DM
2- Control of DM
3- (1) & (2)

68) All of the following are true regarding dermoid cysts, except:

1- Located at the superiolateral aspect

2- Main treatment is by excision
3- It is commonly seen in adulthood (mainly in children)

69) One is/are considered as motor adaption for strabismus:

1- Head tilt
2- Ace turn
3- Chin elevation
4- Chin depression
5- All of the above

70) One of the following statements is true:

1- In Jordan, the tractional detachment is most commonly seen

because of diabetic retinopathy
2- Rhegmatogenus detachment is always treated by surgery

71) In right 6th nerve palsy, what will you see?

1- Esotropia + limitation of adduction

2- Esotropia + limitation of abduction

72) All are considered as complication of anterior uveitis, except:

1- Glaucoma
2- Cataract
3- Macular edema
4- Retinal detachment

73) Regarding hyphema, all are true, except:

1- Atropine will be used in treatment

2- Always treated by surgical evacuation
3- Iris & ciliary body are source of blood
4- Causes increasing intra ocular pressure

74) What is the least common cause of amblyopia?

1- Simple viral conjunctivitis

2- Esometropia
3- Constant exometropia

75) One of the following is caused by infection:

External hordeolum

76) In optic TRACT lesion, all true except:

1- Central scotoma
2- Decrease visual acuity
3- Loss of color vision
4- Normal light reflex

77) About fovea, all are true, except:

1- Rich in cons
2- Lateral to optic disc
3- Responsible for color
4- Dim light
5- All are right

78) About giant cell arteritis:

1- ESR > 60
2- Anterior ischemic neuropathy
3- Jaw claudication may be presented
4- All of the above

79) Which one of the following is true?

1- Timolol is contraindicated in bronchial asthma

2- Sympathomimitic drug used as anti glaucoma
3- Prostaglandins analogue treat glaucoma by increase the
outflow of aquous humor
4- All of the above

*The selective alpha-2 agonists are the ones used; as far as option 2
goes.

80) Optic tract lesion is:

1- Bitemporal heminopia
2- Homonomys heminopia

81) In daibetic retinopathy, which one is true?

1- Focal laser & grid laser is the treatment of ischemic

maculopathy
2- Maculopathy & vitreous hemmorhage responsible for
decreasing visual acuity
82) Something about overcorrection:

Consecutive esotropia

83) Least one to cause severe ptosis is:

1- Congenital ptosis
2- Involutional ptosis
3- Third nerve palsy
4- Horner's syndrome

84) One of the following never causes severe ptosis:

Horner's syndrome

85) Regarding myopia, all are true, except:

1- Corrected by convex spectacles

2- Corrected by concave spectacles

86) All are found in caroticocavernous fistula, except:

1- Bruit over the globe

2- Lid retraction
3- Proptosis
4- Ophthalmoplagia

87) Subluxated lens is found in all of the following, except:

1- Marfan Syndrome
2- Homocystinurea
3- LoeysDietz syndrome.
4- Heterochromic Fuchs' syndrome

88) Which type of cataract is associated with myopic shift?

1- Anterior subcapsular
2- Sclerosing nuclear

89) Safest method to treat myopia:

1- Wear eye glasses

2- Contact lens
3- LASIK

90) Which is wrong about the optic nerve?

1. Intraorbital segment is the longest
2. Have 4 compartments
3. Pial vessels supply most of the course

91) Inflammation of eyelids:

External hordeolum

92) First line treatment for diabetic macular edema:

1- Panretinal photocoagulation
2- Intravitreal Steroids Injection
3- Intravitreal antiVEGF (currently it is the first line)
4- Focal/Grid Laser

93) First line treatment for old man with wet AMD:

1- Panretinal photocoagulation
2- Intravitreal Steroids Injection
3- Intravitreal antiVEGF
4- Focal/Grid Lase

94) Muscles that mostly affected in dysthyroid eye disease is:

1- Superior oblique
2- Superior rectus
3- Inferior rectus
4- Medial rectus
5- Lateral rectus

95) 30 years old female complains that she is annoyed by car

flashlight at night. What is most likely?

1- Vortex keratopahty
2- Optic neuritis
3- Posterior subscapular cataract

96) 60 years old female with SLE is on systemic steroids. What
type of cataract she could have?

1- Posterior subscapular
2- Nuclear
3- Cortical
4- Anterior subscapular

97) 60 years old male assumes that he can read without using
sunglasses. What is the type of cataract?

1- Posterior subscapular
2- Nuclear
3- Cortical

98) Fovea:
1- Receive nutrients from choroids
2- Mostly rods
3- Sensitive to dim light
4- Located nasally to the optic disc
5- Thickest in the retina

99) Appropriate intervention for acute dacrocystitis:

1- DCR
2- Warm compressors
3- Topical antibiotics (actually it should be systemic antibiotics)

100) Wrong about benign intracranial hypertension:

1- Bilateral 6th nerve palsy

2- Headache
3- Tinnitus

101) Not supplied by 3rd cranial nerve:

1- Ciliary muscle
2- Dilator papillae
3- Superior oblique
4- Superior rectus

102) Not a treatment for esotropia:

1- Bilateral lateral recession

2- Bilateral lateral resection
3- Medial rectus recession, Lateral rectus resection
4- Bilateral medial recession

103) Which is not true about ophthalmic neonatorum?

1- Self limiting, benign and no need treatment

2- Bilateral purulent discharge is typical of gonorrheal
conjunctivitis
3- Use systemic antibiotics
4- Most common is Chlamydia trachomatis

104) All are complications of chronic anterior uveitis, except:

1- Retinal detachment
2- Iris atrophy
3- Glaucoma
4- Cataract

105) Not associated with 3rd nerve palsy:

1- Miosis
2- Mydriasis
3- Ptosis

106) Which eye drops are not used for glaucoma?

1- Dorsozolamide
2- Tropicamide
3- Bromidine
4- Pilocarpine

107) Vitreous body attached to all of the following except:

1- Large blood vessels

2- Posterior lens
3- Optic nerve
4- Fovea

108) Primary tumor that metastasis to the orbit in men is:

1- Carcinoid
2- Colon
3- Melanoma
4- Lung

109) All are causes of secondary open angle glaucoma, except:

1- Trauma
2- Exfoliative
3- Rubeosis iridis
4- Pigmentary

110) All are true about optic nerve glioma, except:

1- Gradual onset
2- Disc swelling
3- Pain

111) Chronic peripheral uveitis will cause:

1- Glaucoma
2- Cystoid macular edema
3- Cataract
4- All of the above

112) All are true about accommodation, except:

1- Better in adult
2- Zonules tighter
3- Relaxed ciliary
4- Thicker lens

113) Measurement of intraocular lens power:

1- Pachimetry
2- Biometry (optical coherence biometry)
3- Gonioscopy
4- Keratometer

114) Not a risk factor of chronic open angle glaucoma:

1- Myopia
2- Hypermetrope
3- DM
4- Family history

115) Neonatorum ophtalmia:

1- Caused by chlamydia trachomatis

2- Treated by systemic antibacteria/antiviral
3- No need treatment

116) Which of the following is not associated with increased VEGF?

1- Retinopathy of Prematurity
2- Proliferative Diabetic Retinopathy
3- CRVO
4- None of the above

117) Which of the following not associated with uveitis:

1- Behcet disease
2- Sarcoidosis
3- Wilson's disease
4- Toxoplasmosis
5- Herpes Simplex

118) Which one is not recommended with contact lens?

1- Three month old with aphakia

2- Keratoconus

119) Regarding retinitis pigmentosa:

1- If macular edema occurs, treated by grid laser

2- Only rods affected

120) False about giant cell arteritis:

1- CRP more reliable than ESR

2- Biopsy seen skip lesion

121) Orbital varices:

Bruit over globe

122) False regarding fovea:
1- Thicker than rest of retina
2- Nutrient from choroid
3- Located nasally to optic nerve

123) What is the common thing between proliferative diabetic

retinopathy, central vein occlusion & retinopathy of prematurity:

1- Increase VEGF
2- Decreased retinal blood demand

124) Orbital varix causes all of the following, except:

1- Proptosis
2- Glaucoma
3- Eyelid lesion

125) Which one of the following is false about the drug and its side
effects?

1- Isoniazid: Glaucoma
2- Chlorpromazine: Cataract
3- Amiodarone: Keratopathy
4- Chloroquine: Maculopathy

126) What is term used when the lens is partially deviated from the
visual axis?

1- Dislocated
2- Subluxated (complete deviation is called Luxation)

127) Which of the following cancers is not associated with the sun
exposure?

1- Lentigo
2- Basal Cell Carcinoma
3- Sebaceous gland carcinoma
4- Squamous cell carcinoma

128) All drugs can cause cataract except:

1- Miotics
2- Chlorpromazine
3- Steroids
4- Amiodarone
5- Erythromycin

129) All are signs of keratoconus, except:

1- Vogts striae
2- Munsons sign
3- Thinning of central cornea
4- Prominent corneal nerve
5- Keyser Fleisher rings

130) Gelatinous material on sclera with capillary on periphery:

1- Follicles
2- Papilla
3- Lamina fusca sclera

 HAYAT Ophthalmology Final Questions (2013)

Note: The exam was 45 questions, 60 minutes, 2 forms. Some

questions came up in both forms while others were different.

1. Biometry is:
A. Measuring the thickness of the cornea
B. Measuring the curvature of the cornea
C. Measuring intraocular lens power

2. The use of ultrasound in dense cataract is to detect:

A. Retinal detachment
B. Macular edema
C. Central retinal vein occlusion

3. All of the following are false about entropion except:

A. Inward turning of otherwise normal lid margin towards the globe
B. Other false definitions

4. Which one of the following is not a cause for ectropion?

A. 6th cranial nerve palsy
B. Aging process
C. Congenital ectropion

5. What is false about conjunctival degeneration?

A. Surgical removal of pterygium is very effective with low
recurrence rate.
B. Ptyregium is related to UV light exposure
C. Ptyregium can extend to the cornea and affect vision
D. Treatment of pinguecula may include mild topical steroids

6. What is false about subconjunctival hemorrhage?

A. It may indicate basal skull or orbital fracture if the posterior
extension cannot be seen
B. It may be a manifestation of intraorbital tumors
C. Kaposis sarcoma can be misdiagnosed as subconjunctival
hemorrhage in HIV patients
D. Topical steroids and NSAIDs may fasten the resolution

7. What is the treatment of wet age-related macular disease?
A. Intravitreous anti-VEGF
B. Focan/grid laser
C. Panretinal photocoagulation
D. Pars plana vetrictomy
E. Intra vitreous steroids

8. What is true about congenital glaucoma?

A. Not related to consanguinity
B. Cant present at birth
C. Treatment is always surgical
D. Mostly will develop hypermetropia

9. All are true about primary open-angle glaucoma, except:

A. Disc cupping
B. Peripheral visual field defects
C. Headache

10. All are true about acute narrow-angle glaucoma, except:

A. Red painful eye
B. Nausea and vomiting
B. Disc cupping

11. Which one of the following is not a risk factor for open
angle glaucoma?
A. Family history
B. White race
C. Thin cornea

12. All of the following are causes of excessive tearing except:

A. Congenital cataract
B. Congenital obstruction of the punctum
C. Congenital obstruction of the nasolacrimal duct
D. Congenital ectropion
E. Congenital glaucoma

13. In which type of cataract the red reflex appears as
peripheral spokes with dark red background:
A. Sutural cataract
B. Nuclear cataract
C. Cortical cataract
D. Posterior subcapsular cataract

14. If the lens in cataract causes glaucoma, it is called:

A. Phacolytic Phacomorphic glaucoma: secondary angel
B. Phacomorphic closure glaucoma caused by a mature cataract
(effect of lens).
C. Phacoantigenic Phacolytic glaucoma: secondary open angel
glaucoma caused by a hypermature cataract.

15. Most common primary orbit tumor in children is:

A. Cavernous hemangioma
B. Rhabdomyosarcoma
C. Capillary hemangioma

16. Myopia with astigmatism is corrected by:

A. Minus unifocal lens
B. Minus varifocal lens
C. Minus cylindrical lens
D. Plus spherical lens
E. Plus cylindrical lens

17. Hypermetropia:
A. Parallel rays fall on a point behind the retina

18. What is false about the treatment of glaucoma?

A. BB are contraindicated in asthma patients.
B. alpha-2 agonists are not used for infants.
C. Prostaglandin analogues decrease the intraocular pressure by
increasing the trabecular aqueous outflow.
D. Parasthesia is a common side effect of acetazolamide
E. Parasympahtomimetics are used as topical treatment

 19. All of the following are side effects of acetazolamide,
except:
A. aplastic anemia
B. Metabolic acidosis
C. Stevens-Johnson syndrome
D. Bronchial asthma

20. What is false about choroidal melanoma?

A. Size and thickness affect the prognosis
B. Heart is the most common site for mets

21. What is false about the retina?

A. Three layers
B. Transparent
C. Strongly attached to the retinal pigmented epithelium

22. What is true about the foveola?

A. Nourished by the choroid
B. Nasal to the optic disc
C. Rich in rods
D. Sensitive to dim light

23. The vitreous body is strongly attached to all of the

followings, except:
A. Optic disc
B. Large vessels
C. Fovea
D. Anterior retina
E. Posterior capsule of the lens

24. What is true about diabetic retinopathy?

A. Focal/Grid laser is the treatment for macular edema (now it is anti-
VEGF)

25. A 60 year-old female brought by her family complaining of
diplopia, ptosis and her family noticed esotropia during the
attacks. What is the least relevant to this case:
A. Weakness after minimal exercise as combing her hair.
B. Weakness is more at the end of the day
C. Putting Ice on the eye will relieve the ptosis
D. She has presbyopia
E. She suffers from dysphagia and speech difficulty.

26. What is false about scleritis;

A. 50% of patients have system illness
B. Infections causes are more common than noninfectious
C. The main complaint is boring severe pain.
D. Treated with systemic steroids, NSAIDs and immunosuppressive
therapy

27. What is false about episcleritis:

A. It is interpalpebral
B. Dull aching pain
C. Blanch in response to 2.5% phenylephrine topically
D. Mostly idiopathic

28. Which one is the least commonly causing uveitis:

A. Sarcoidosis
B. Rheumatoid arthritis
C. Ankylosing spondylitis
D. Behcet disease
E. Inflammatory bowel disease

29. Pseudophakic bullous keratopathy occurs due to damage in

which layer of the cornea:
A. Epithelium
B. Endothelium
C. Bowmans membrane
D. Descement membrane
E. Stroma

30. The advantage of PRK over LASIK:
A. Less post operative infections
B. Less post operative ectasia
C. More predictable refractive outcome
D. Less recovery period

31. Which one of the following does not cause sensory

deprivation amblyopia:
A. Accommodative esotropia
B. Corneal opacity
C. Untreated congenital cataract
D. Untreated traumatic cataract in a 3-year-old girl

32. What is false about orbital cellulitis:

A. Orbital cellulitis and periorbital cellulitis patients are both sent
home with different antibiotics
B. Occurs due to extension of the infection from the ethmoid sinus
C. Can be complicated by cavernous sinus thrombosis

33. What is false about thyroid ocular disease:

A. Axial proptosis
B. Stopping smoking can decrease the progression of the disease.
C. Control of the hormones is the mainstay of treatment
D. Muscular entrapment and optic nerve damage are indications for
surgery

34. What is the treatment of diabetic macular edema:

A. Intravitreous anti-VEGF
B. Focal/grid laser
C. Panretinal photocoagulation
D. Pars plana vetrectomy
E. Intra vitreous steroids

35. You are working as a general physician. Parents brought
their 3-year old daughter who is complaining from new
esotropia, what is the most important thing to do:
A. Head CT
B. Slit lamp examination
C. Red reflex
D. Cycloplegic refraction

36. What is characteristic for nuclear cataract:

A. Index hypermetropia
B. improved near vision
C. Glare

37. All of the following are related to increased VEGF except:

A. Retinopathy of prematurity
B. Choroidal vascular membrane
C. Rhegmatogenous retinal detachement

38. Which is false regarding aqueous humor circulation?

A. Produced by ciliary processes
B. Outflow mainly through uveoscleral pathway
C. Aqueous flows from posterior to anterior chamber through the
pupil

39. Which of the following is not one of the extraocular

muscles?
A. Superior rectus
B. Sphincter pupillae
C. Superior oblique

40. All of the following are signs of uveitis except:

A. Hypopyon
B. Anterior chamber cells
C. Ptosis
D. Flare
E. Keratic precipitates

41. What is false about the retina?
A. Loosely attached to the retinal pigment epithelium
B. Has ten separable layers

42. Which of the following is usually associated with unilateral

cataract?
A. Trauma
B. Diabetic retinopathy
C. Steroid use

43. Which one is not a sign of keratoconus?

A. Kayser-Fleicher ring
B. Corneal thinning

44. Which of the following is false regarding chlamydial

infections?
A. Serotypes d-k cause trachoma
B. Trachoma is the most common cause of infectious blindness
C. Inclusion conjunctivitis is a type of STD
D. Treatment involes topical /- systemic tetracyclines
E. It includes trachoma and inclusion keratoconjunctivitis

45. Which of the following is false regarding blow-out fracture?

A. Bradycardia is an indication for immediate surgical intervention
B. CT scan is better than MRI in evaluation
C. Monocular diplopia is a sign of muscle entrapment
D. Most commonly involved are the medial and inferior bones

46. Which of the following is true regarding intracapsular lens

extraction?
A. Less post-op complications
B. Less intra-op complications
C. Smaller corneal scar
D. Involves removal of the capsule

47. Which of the following is true in comparison between
phacoemulsification and extracapsular lens extraction:
A. Foldable lens with phacoemulsification fits better
*Not sure about the other options

48. What is true about choroidal melanoma?

A. If there is permanent visual impairment, enucleation is
recommended

49. Unilateral cataract raises the suspicion of:

A. Trauma

50. What is wrong about retinitis pigmentosa?

A. Daylight vision will be spared all over the life

51. All of the following are true about retinal detachment

surgery, except:
A. Surgery is indicated for all types

52. What is wrong about fungal keratitis:

A. Keratoplasty is contraindicated in active infection

53. All of the following are true about the retina, except:
A. It is composed of 10 separable layers

54. Which one is not a risk factor for bacterial keratitis:

A. Chalazion
B. topical steroids
C. Dry eyes

55. All of the following are used in the treatment of

keratoconus, except:
A. LASIK

56. Which muscle is not supplied by the oculomotor nerve?

A. Superior oblique

(:

 Sama Ophthalmo Final Exam

Most of the exam was past year questions, what is written here are
the new questions only.

1. Regenerating layer in the cornea:

A. epithelium
+ B. endothelium
C. bowman's layer
D. stroma
E. both epithelium and stroma

2. False about herpetic keratitis:

A. HSV2 can be a causative agent
B. + steroids not indicated for treatment of zoster keratitis
C. dendritic ulcer characteristic
D. primary infection usually asymptomatic
E. can be associated with glaucoma and cataract

3. Pseudophakic bullous keratopathy occurs due to damage in which

layer of the cornea:
A. Epithelium
+ B. Endothelium
C. Bowmans membrane
D. Descement membrane
E. Stroma

4. Not an important sign for diagnosing of blow out fracture:

A. lid swelling
B. parasthesia on the cheeks
C. diplopia
D. subcutanous emphysema
E. enophthalmus
5. Sign of congenital cataract:
A. corneal opacity
+ B. leukocoria
C. buphthalmus
D. excessive tearing

6. Which muscle is mostly involved in thyroid oculopathy:

+ inferior rectus

7. All the following can be the cause for no improvement in vision

after cataract surgery except:
A. diabetic retinopathy
B. age related macular degeneration
C. optic disc cupping
D. corneal scarring
E. corneal astigmatism

8. Amblyopia:
A. can be only unilateral
B. patch covering not indicated
C. patch covering of the affected eye
D. occurs due to abnormal visual experience during adulthood
E. strabismus amblyopia is the commonest type

9. 30 years old man develops proptosis on coughing.. most likely

diagnosis:
A. orbital varices
B. orbital pesudotumor
C. orbital lymphoma

10. A patient had a trauma and developed 6th nerve palsy.. all
expected signs to develop except:
A. bilateral optic edema
B. failure of abduction
C. failure of adduction
11. A man came with sudden diplopia & drooping eyelid.. what's your
management:
A. reassurance, his condition due to fatigue.
B. proper and full history and examination and CT scan to rule out
tumor or aneurysm

12. Cycloplegic agents can be used in anterior uveitis in order to:

A. Prevent anterior synechiae
B. Prevent posterior synechiae
C. Relieve ciliary spasm
+D. Last two choices are true

13. Going with "Prevention is better than cure", which is false?

A. You can leave a child playing around with the knife since the floor is
not slippery.
B. A child who's one-eyed for any reason should be encouraged to play
different sports like tennis
C. A child with ambylopia should wear protective goggles
D. People should be aware of their work hazards & wear protective
hazards when needed
E. Both A & B

14. All are causes for madarosis, except:

A. +Topical prostaglandin analogues
B. Trichotillomania
C. Radiotherapy
D. Myxoedema

15. What is the advantage of phacoemulsification over extra-capsular

cataract extraction:
A. Less astigmatism
B. Foldable intraocular lens fits better in the capsule

16. Hutchinson's sign seen in:

A. +herpes zoster keratitis

17. Chlamydia trachomatis cause which type of entropion:

A. +cicatrical