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Your Name : makmur

Your Email : makmur_dr@yahoo.com
Your Institution : RSUD LASINRANG
Your Phone : 081355500693

Name of Quiz : Pre Requisite INASCRS Fellowship Test

Time of Take Quiz : 3707
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Bellow are your answer:
============================

The advantages of topical anesthesia for cataract surgery include

Answer Provided: A. Eliminating the risk of ocular perforation
Correct Answer: A. Eliminating the risk of ocular perforation
Comments Entered:

Macular function in cataract patient could be predicted by several

examinations, except:
Answer Provided: C. Pinhole visual acuity test
Correct Answer: C. Pinhole visual acuity test
Comments Entered:
Termasuk komplikasi pasca operasi katarak adalah berikut ini, KECUALI :
Answer Provided: D. Retrobulbar Hemorrhage
Correct Answer: D. Retrobulbar Hemorrhage
Comments Entered:

Keadaan dibawah ini terdapat pada congenital rubella syndrome, KECUALI :

Answer Provided: C. Membranous cataract
Correct Answer: C. Membranous cataract
Comments Entered:

Istilah yang digunakan untuk menerangkan kemampuan cairan viskoelastik

dalam hal resistensi terhadap aliran ataupun gaya gesekan adalah :
Answer Provided: A. Viscoelasticity
Correct Answer: B. Viscosity
Comments Entered:

The most appropriate IOL formula for very short eye (axial length) is:
Answer Provided: B. Holladay-2
Correct Answer: B. Holladay-2
Comments Entered:

Evaluasi keadaan kornea sangat penting sebelum melakukan operasi katarak.

Pilihlah pernyataan yang paling benar dari yang tersedia dibawah ini :
Answer Provided: A. Nilai pachymetry yang normal saat diperiksa pagi hari bisa
menjadi petunjuk bahwa kornea akan tetap jernih pasca operasi katarak
Correct Answer: A. Nilai pachymetry yang normal saat diperiksa pagi hari bisa
menjadi petunjuk bahwa kornea akan tetap jernih pasca operasi katarak
Comments Entered:

Jika pasien dalam terapi antikoagulan dan hendak menjalani operasi katarak,
pernyataan mana dibawah ini yang SALAH?
Answer Provided: D. Operasi katarak dengan anestesi umum merupakan
pilihan terbaik pada pasien tersebut
Correct Answer: D. Operasi katarak dengan anestesi umum merupakan pilihan
terbaik pada pasien tersebut
Comments Entered:
Keadaan dibawah ini yang BUKAN merupakan sisa dari tunika vaskulosa lentis
adalah :
Answer Provided: B. Koloboma lensa
Correct Answer: B. Koloboma lensa
Comments Entered:

Katarak sekunder dapat diatasi dengan kapsulotomi menggunakan Nd:YAG

laser. Pilihlah pernyataan yang BENAR dibawah ini:
Answer Provided: C. Teknik kapsulotomi spiral lebih baik dibandingkan sirkuler
untuk mengurangi risiko robekan radial
Correct Answer: C. Teknik kapsulotomi spiral lebih baik dibandingkan sirkuler
untuk mengurangi risiko robekan radial
Comments Entered:

The advantages of anterior capsulotomy by capsulorhexis include:

Answer Provided: E. All of the above
Correct Answer: E. All of the above
Comments Entered:

Corneal wound healing may be adversely affected by which one of the

following:
Answer Provided: A. Topical corticosteroids
Correct Answer: A. Topical corticosteroids
Comments Entered:

Which of the following is the earliest sign of an impending corneal burn during
phacoemulsification:
Answer Provided: B. Lens milk in the anterior chamber fluid during
emulsification
Correct Answer: B. Lens milk in the anterior chamber fluid during emulsification
Comments Entered:

Which of the following statements about ectopia lentis in Marfan Syndrome is

FALSE?
Answer Provided: B. The lens usually subluxated in an inferior and nasal
direction
Correct Answer: B. The lens usually subluxated in an inferior and nasal
direction
Comments Entered:

The following is true of the lens epitheliem:

Answer Provided: A. It is a single layer of cells
Correct Answer: A. It is a single layer of cells
Comments Entered:

A 65-year-old man noticed that the vision in his left eye had deteriorated over
the last 6 years. A large againts the rule astigmatic error is noted in this
uninflamed eye. Examination reveals marked thinning of the superior
pheripheral cornea, along with the superficial vessels extending from the
limbus and a thin line of yellow material deposited on the axial side of the
thinned cornea. The cornea is clear. The most probable diagnosis is :
Answer Provided: D. Terrien’s degeneration
Correct Answer: D. Terrien’s degeneration
Comments Entered:

Postoperative cystoid macular edema is:

Answer Provided: E. Almost always a result of increased perifoveolar capilarry
permeability
Correct Answer: E. Almost always a result of increased perifoveolar capilarry
permeability
Comments Entered:

Which of the following is the LEAST LIKELY potential complication of the use of
iris hooks:
Answer Provided: C. Endothelial cell loss
Correct Answer: C. Endothelial cell loss
Comments Entered:

In preparation for cataract surgery, each of the following conditions in the

ocular history is important EXCEPT:
Answer Provided: B. Family history of cataracts
Correct Answer: B. Family history of cataracts
Comments Entered:
In addition to the AcrySof, which of the following models is a hydrophobic
acrylic IOL:
Answer Provided: A. Sensar
Correct Answer: A. Sensar
Comments Entered:

Which of the following preoperative measures has been proven most effective
in reducing the risk of endophthalmitis?
Answer Provided: D. Administering topical 5% povidone-iodine solution at the
time of surgery
Correct Answer: D. Administering topical 5% povidone-iodine solution at the
time of surgery
Comments Entered:

During hydrodissection, when the fluid wave has passed around the posterior
aspect of the lens, the entire lens bulges forward. Which of the following is the
next step in the procedure:
Answer Provided: E. The capsule is decompressed by depressing the central
portion of the lens with the side of the cannula.
Correct Answer: E. The capsule is decompressed by depressing the central
portion of the lens with the side of the cannula.
Comments Entered:

Which of the following statements about phacoemulsification incision burns is

true?
Answer Provided: C. Heat is generated during phacoemulsification surgery by
frictional forces resulting from vibration of the phaco tip
Correct Answer: C. Heat is generated during phacoemulsification surgery by
frictional forces resulting from vibration of the phaco tip
Comments Entered:

Which of the following statements is true if cortex is remaining following

removal of all the nucleus and epinucleus:
Answer Provided: E. All of the above.
Correct Answer: E. All of the above.
Comments Entered:
Which of the following statements DOES NOT APPLY to hydrophobic acrylic
IOLs:
Answer Provided: C. Smaller incisions compared with silicone
Correct Answer: C. Smaller incisions compared with silicone
Comments Entered:

If the posterior capsule ruptures and nuclear material falls back into the
vitreous during phacoemulsification, the surgeon should:
Answer Provided: D. Remove the remaining nuclear and cortical material from
the posterior chamber and perform vitrectomy
Correct Answer: D. Remove the remaining nuclear and cortical material from
the posterior chamber and perform vitrectomy
Comments Entered:

Several clinical and laboratory studies on use of the nontoxic capsular dyes
suggested that staining of various intraocular structures could be helpful to
enhancing visualization during the ophthalmic surgery. Vital dyes can be
helpful to enhance visualization and to learn and perform in which of the
following surgical step(s):
Answer Provided: E. All of the above
Correct Answer: E. All of the above
Comments Entered:

Appropriate management of severe retrobulbar hemorrhage includes all of the

following EXCEPT:
Answer Provided: A. Proceeding with surgery if the red reflex is maintained
Correct Answer: A. Proceeding with surgery if the red reflex is maintained
Comments Entered:

A surgeon should be cognizant of which of the following factors to ensure a

safe and successful cataract surgery:
Answer Provided: E. All of the above
Correct Answer: E. All of the above
Comments Entered:

Which of the following maneuvers facilitates proper hydrodissection:

Answer Provided: B. Tenting the anterior capsule edge with the tip
Correct Answer: B. Tenting the anterior capsule edge with the tip
Comments Entered:

The development of a posterior vitreous separation is often accelerated in the

setting of:
Answer Provided: E. A, B, and C
Correct Answer: E. A, B, and C
Comments Entered:

Which of the following techniques is the LEAST HELPFUL in preventing

incisional burns:
Answer Provided: C. Wound construction at the 12 Oclock position
Correct Answer: C. Wound construction at the 12 Oclock position
Comments Entered:

All of the following statements regarding a properly performed bimanual

vitrectomy are true EXCEPT:
Answer Provided: C. A bimanual system allows for higher levels of infusion and
flow, thereby increasing the efficiency of vitreous removal.
Correct Answer: C. A bimanual system allows for higher levels of infusion and
flow, thereby increasing the efficiency of vitreous removal.
Comments Entered:

As the cataract incision is moved more posteriorly:

Answer Provided: C. There is less induced with-the-rule astigmatism in the
initial postoperative period
Correct Answer: C. There is less induced with-the-rule astigmatism in the initial
postoperative period
Comments Entered:

All of the following statements regarding ways to decrease the complications

causing explantation of foldable intraocular lenses are correct EXCEPT:
Answer Provided: C. Axial length measurements and IOL power calculations
are unimportant
Correct Answer: C. Axial length measurements and IOL power calculations are
unimportant
Comments Entered:

Which type of congenital cataract is LEAST LIKELY to be visually significant?

Answer Provided: D. Membranous
Correct Answer: A. Anterior polar
Comments Entered:

Extremely short eyes have increased the risk for all of the following
complications EXCEPT:
Answer Provided: C. Iris prolapse
Correct Answer: D. Retinal detachment
Comments Entered:

Which of the following measures is the LEAST RELIABLE method in directing

the axis for a pair of limbal relaxing incisions:
Answer Provided: A. Refraction
Correct Answer: A. Refraction
Comments Entered:

Cataracts may be medically managed by all the following EXCEPT:

Answer Provided: A. Taking aspirin twice daily
Correct Answer: A. Taking aspirin twice daily
Comments Entered:

Intraoperative small pupils increase the risk of the following complications

EXCEPT:
Answer Provided: D. Retained nuclear chip
Correct Answer: A. Phaco wound burn
Comments Entered:

All of the following steps are more challenging with short eyes than with eyes
of average axial length EXCEPT:
Answer Provided: D. Cortex removal
Correct Answer: D. Cortex removal
Comments Entered:
The optic of the accommodating lens moves forward with ciliary muscle
contraction. Which of the following statements is supportive evidence from
two historical papers that an increase in vitreous pressure occurs with ciliary
muscle contraction:
Answer Provided: D. All of the above
Correct Answer: D. All of the above
Comments Entered:

Which of the following statements is true regarding insertion of intraocular

lenses (IOLs):
Answer Provided: A. Three-piece silicone IOLs are rarely used today because of
problems associated with their injector delivery devices.
Correct Answer: D. Single-piece plate-haptic silicone implants have lost some
of their appeal recently, but were popular because of their associated use with
early injectors that permitted ease of insertion and minimal incision sizes.
Comments Entered:

Which of the following factors DOES NOT INFLUENCE the personalization of

lens constants:
Answer Provided: B. IOL optic size
Correct Answer: B. IOL optic size
Comments Entered:

All of the following are advantages of the Perfect Pupil EXCEPT:

Answer Provided: C. The Perfect Pupil is reusable
Correct Answer: C. The Perfect Pupil is reusable
Comments Entered:

Signs and symptoms of the patient with a cornea at high risk for
decompensation following cataract surgery include:
Answer Provided: E. All of the above
Correct Answer: E. All of the above
Comments Entered:

The sub-Tenon space extends from the limbus to:

Answer Provided: C. The subdural space
Correct Answer: C. The subdural space
Comments Entered:

Which of the following statements is true:

Answer Provided: D. Both A and B.
Correct Answer: D. Both A and B.
Comments Entered:

One advantage of a sutured IOL in the face of inadequate capsular support is:
Answer Provided: C. Ability to use in patients with abnormal iris or angle
Correct Answer: C. Ability to use in patients with abnormal iris or angle
Comments Entered:

Exposure of the knot through the conjunctiva may cause:

Answer Provided: D. All of the above
Correct Answer: D. All of the above
Comments Entered:

A touchdown maneuver is:

Answer Provided: D. All the above

Correct Answer: D. All the above
Comments Entered:

The proper management of a patient with intraoperative sudden increase of

intraocular pressure (IOP) should include all of the following, except:
Answer Provided: C. Ocular massage
Correct Answer: C. Ocular massage
Comments Entered:

Interpseudophakos/interlenticular opacification (IPO/ILO) most commonly

occurs in eyes implanted with which of the following:
Answer Provided: B. Piggybacked silicone IOLs
Correct Answer: A. Piggybacked acrylic IOLs
Comments Entered:

Which of the following statements is true:

Answer Provided: A. The endocapsular tension ring provides expansile
capsular support, but does not provide vertical (anteroposterior) support of the
lens-capsule complex.
Correct Answer: C. Both A and B
Comments Entered:

All of the following statements regarding neodymium:yttrium-aluminum-garnet

(Nd:YAG) laser cataract surgery are true except:
Answer Provided: C. The laser probe requires a cooling irrigation bath, similar
to phacoemulsification.
Correct Answer: C. The laser probe requires a cooling irrigation bath, similar to
phacoemulsification.
Comments Entered:

All of the following statements are true regarding the Dodick Photolysis system
except:
Answer Provided: E. Posterior chamber intraocular lenses that fit through the
1.4-mm surgical wound are currently available.
Correct Answer: E. Posterior chamber intraocular lenses that fit through the
1.4-mm surgical wound are currently available.
Comments Entered:

Which of the following statements is false:

Answer Provided: C. An endoilluminator is not necessary to perform a properly
controlled anterior vitrectomy.
Correct Answer: D. Generally, vitrectomy parameters should be set at maximal
vacuum and minimal cutting speeds.
Comments Entered:

All of the following statements regarding ways to decrease the complications

causing explantation of foldable intraocular lenses are correct except:
Answer Provided: C. Axial length measurements and IOL power calculations
are unimportant.
Correct Answer: C. Axial length measurements and IOL power calculations are
unimportant.
Comments Entered:
Which of the following will decrease the amount of astigmatism corrected by a
limbal relaxing incision:
Answer Provided: C. Increased corneal diameter
Correct Answer: C. Increased corneal diameter
Comments Entered:

Which of the following lens models would be the easiest to explant through a
small incision:
Answer Provided: C. Three-piece hydrophobic acrylic IOL
Correct Answer: B. Three-piece silicone IOL
Comments Entered:

After in-the-bag implantation of a 23.5-D all PMMA posterior chamber IOL, the
refraction is +2.50-D. The opposite psuedophakic eye is emmetropic, resulting
in an intolerable symptom of anisometropia. The calculations are rechecked
and it is confirmed that a 23.5-D power was chosen preoperatively. Of the
following therapeutic options, which would be the least reliable means for
achieving emmetropia in the +2.50-D eye:
Answer Provided: D. IOL exchange
Correct Answer: D. IOL exchange
Comments Entered:

In 2000, the most common reason for explanting a foldable three-piece

silicone intraocular lens was:
Answer Provided: A. Incorrect lens power
Correct Answer: A. Incorrect lens power
Comments Entered:

Which of the following is the most common source of organisms for

endophthalmitis:
Answer Provided: B. The patient’s own lid and conjunctival flora
Correct Answer: B. The patient’s own lid and conjunctival flora
Comments Entered:

Which of the following agents has been shown most unequivocally to prevent
endophthalmitis:
Answer Provided: B. Preoperative Betadine preparation of the skin and cul-de-
sac
Correct Answer: B. Preoperative Betadine preparation of the skin and cul-de-
sac
Comments Entered:

Which of the following statements does not apply to hydrophobic acrylic IOLs:
Answer Provided: C. Smaller incisions compared with silicone
Correct Answer: C. Smaller incisions compared with silicone
Comments Entered:

Atkinson noted proptosis after what volume of anesthetic was injected:

Answer Provided: B. 2 mL to 3 mL
Correct Answer: B. 2 mL to 3 mL
Comments Entered:

Which of the following factors is not considered to be a risk factor for

suprachoroidal hemorrhage:
Answer Provided: B. Hyperopia
Correct Answer: B. Hyperopia
Comments Entered:

The fluorescein angiographic findings in cystoid macular edema (CME) include:

Answer Provided: E. All of the above
Correct Answer: E. All of the above
Comments Entered:

A 63-year-old woman presents with complaints of decreased vision in her left

eye. She has a history of uncomplicated cataract extraction in her left eye with
phacoemulsification and posterior chamber IOL placement 4 months ago. Her
visual acuity is 20/60; the last measured visual acuity was 20/25 4 weeks after
surgery. The anterior segment was unremarkable including a clear capsule.
The fundus examination is shown below (Slide 1). The next step is:
Answer Provided: D. Refraction
Correct Answer: C. Fluorescein angiography
Comments Entered:
John Shepherd, MD, first described the four quadrant divide and conquer
technique based upon the technique of which of the following surgeons:
Answer Provided: B. Howard Gimbel, MD
Correct Answer: B. Howard Gimbel, MD
Comments Entered:

The optic of the accommodating lens moves forward with ciliary muscle
contraction. Which of the following statements is supportive evidence from
two historical papers that an increase in vitreous pressure occurs with ciliary
muscle contraction:
Answer Provided: D. All of the above
Correct Answer: D. All of the above
Comments Entered:

In randomized studies, which of the following IOL materials has the highest
percentage of patients with giant cell deposits:
Answer Provided: B. PMMA
Correct Answer: B. PMMA
Comments Entered:

Along with the hydrophilic acrylic intraocular lenses (IOL), which of the
following IOLs is associated with the lowest rate of PCO in randomized
studies:
Answer Provided: C. PMMA
Correct Answer: C. PMMA
Comments Entered:

One advantage of a sutured IOL in the face of inadequate capsular support is:
Answer Provided: C. Ability to use in patients with abnormal iris or angle
Correct Answer: C. Ability to use in patients with abnormal iris or angle
Comments Entered:

The Perfect Pupil instrument must be removed before IOL insertion.

Answer Provided: B. False
Correct Answer: B. False
Comments Entered:
All of the following are advantages of the Perfect Pupil except:
Answer Provided: C. The Perfect Pupil is reusable.
Correct Answer: C. The Perfect Pupil is reusable.
Comments Entered:

Hasil pengukuran biometri dipengaruhi oleh factor-faktor dibawah ini KECUALI:

Answer Provided: E. Teknik operasi phaco yg digunakan saat operasi
Correct Answer: E. Teknik operasi phaco yg digunakan saat operasi
Comments Entered:

Pilihlah pernyataan dibawah ini yang dianggap SALAH :

Answer Provided: C. Wound burn paling jarang terjadi pada incisi sclera
Correct Answer: D. Incisi temporal paling jarang menimbulkan SIA
dibandingkan incisi sclera
Comments Entered:

Manakah diantara pernyataan di bawah ini yang BENAR:

Answer Provided: A. High bottle height setting pada kasus high myope tidak
akan mengurangi surge saat occlusion break
Correct Answer: C. Phacoemulsication pada kasus hyperopia sebaiknya
dilakukan dengan low bottle height setting
Comments Entered:

Pernyataan di bawah ini yang BENAR adalah:

Answer Provided: D. Vacuum rise time pada high vacuum di system venturi
lebih cepat dari pada peristaltik karena aspiration ratenya linear dengan tinggi
vacuum.
Correct Answer: D. Vacuum rise time pada high vacuum di system venturi lebih
cepat dari pada peristaltik karena aspiration ratenya linear dengan tinggi
vacuum.
Comments Entered: