Question 1

Retinitis Pigmentosa can be:

Answer
a. an inherited condition with a “bone spiculed” fundus appearance causing loss
of central vision
b. a sporadic condition with a “salt and pepper” fundus appearance causing
loss of peripheralvision
c. an inherited condition with a “bone spiculed” fundus appearance causing
loss of peripheralvision
d. a sporadic condition with a "bone spiculed fundus" appearance causing
loss of peripheralvision
e. an inherited condition with a “salt and pepper” fundus appearance
causing loss of centralvision

Question 2
A neutropenic patient undergoing induction chemotherapy for acute leukaemia grows
andidaalbicans on routine blood culture taken after a fever. !hilst the culture has been proceeding
the patient beginsto complain of floaters in one eye. The most important reason for re#uesting a
specialist ophthalmicconsultation is:
Answer
a. o e$clude retinal detachment
b. To exclude fungal endophthalmitis
c. o e$clude fungal keratitis
d. o e$clude lymphomae.
e. o $clude autoimmune uveiti

Question 3
A %& year old patient presents to accident and emergency complaining of sudden loss of
thesuperior visual field in one eye. 'n ophthalmoscopy( a yellow pla#ue is noted in the arterioles of the
inferiortemporal arcade and the inferior retina appears white and swollen. he investigations most
likely to identify the source of this problem are:
Answer
a.Carotid doppler ultrasound and echocardiography
b. CRP and ESR
c. O'cular coherence tomography
d. MRI brain and orbits
e. Thyroid function testing

Question 4
A /0 year old woman has had type 1 diabetes for 02 years and presents to the ophthalmologyclinic
for retinopathy screening by the resident. 'n dilated fundus e$amination the resident notes the
patienthas scattered microaneurysms( several dot haemorrhages and a small area of new blood
vessels at an A-V crossing. The resident is likely to:
Answer
a. Diagnose no retinopathy and follow the patient up in a year
b. b. 5iagnose background diabetic retinopathy and follow the patient up in a year
c. c. 5iagnose clinically significant macula oedema and seek the advice of an ophthalmologist
d. d. 5iagnose proliferative diabetic retinopathy and seek the advice of an ophthalmologist
e. e. 5iagnose vitreous haemorrhage and seek the advice of an ophthalmologist

Question 5
A 61 year old student attends the university health service complaining of slowly worsening
visionover the last year( and she is now unable to see the front of the lecture theatre. 7owever her
near visionremains perfect. he e$amination most likely to diagnose the cause of this problem is:
Answer
a. Pupil reaction testing
b. Ocular motility testing
c. Confrontation visual field testing
d. Refraction
f. slit lamp examination

Question 6
Dry (atrophic), age related macular degeneration:
Answer
a. Is characterised by new vessel formation at the macula
b. s treatable with intravitreal in8ections
c. s rapidly progressive( leading to loss of central vision
d. s rapidly progressive( leading to loss of central and peripheral vision
e. s characterised by hard drusen at the early stages

Question 7
Wet (exudative,) age related macular degeneration
Answer
a. -ay be treatable with intravitreal injections
b. s slowly progressive( leading to loss of central vision over many years
c. s a type of ocular diabetic complication
d. ommonly follows to$oplasmosis infection
e. s characterised by flame shaped haemorrhages

1 pointsQuestion 8
A 45 year old man who has worn thick glasses since childhood presents to his GP complaining of
flashing lights in his right eye and no history of trauma. he most likely serious cause of these
symptoms that must be considered for this patient is:
Answer
a. Retinal detachment
b. Temporal arteritis
c. Subarachnoid haemorrhage
d. Uveitis
e. Blow out fracture of the orbit

Question 9
The most common cause of flashes and floaters is

a. Posterior vitreous detachment

b. Retinal detachment
c. )ndophthalmitis
d. emporal Arteritis
e. 'ptic neuritis

1Question 10
Toxoplasmosis:
Answer
a. is most damaging to the vision when contracted in adult life
b. s caused by e$posure to sheep faeces
c. s one of the most significant visual problems in the developing world
d. s caused by infection with a helminth
e. s a reason pregnant women should avoid cats

!
1 pointsQuestion 11
A patient presents with severe eye pain to the 9P 0 days following cataract removal. 'ne$amination
with a torch( the eye is red and inflamed with ciliary in8ection and a layer of pus in the
anteriorchamber. he most likely diagnosis is:
Answer
a. <ormal postoperative inflammation b. 7=A3;6% associated uveitisc. Adenoviral con8unctivitisd.
)ndophthalmitise. 7erpetic keratitis
1 pointsQuestion 12
Presentation of a central retinal vein occlusion is characterised by:
Answer
a. *udden onset loss of vision with masses of dot haemorrhages in the fundusb. 9radual loss of
vision with masses of dot haemorrhages in the fundusc. *udden onset loss of vision with masses of
flame haemorrhages in the fundus d. 9radual loss of vision with masses of flame haemorrhages in
the funduse. <one of the above
1 pointsQuestion 13
Physiological aniscoria:
une#ual pupil si>es

Answer
a. s often associated with relative afferent pupillary defect b. ypically results from
traumatic mydriasisc. s associated with normal light and near refle$d. 9enerally worsens with agee.
s typically a sign of a serious neurological disorder
1 pointsQuestion 14
Papilloedema can be associated with:
Answer
a. *welling of the optic nerve headb. venous dilationc. absent spontaneous venous
pulsation d. retinal e$udatese. all of the above
1 pointsQuestion 15
'ptic neuritis can be associated with:
Answer
a. Pain with eye movementb. 4ision lossc. olour vision compromise d. -acular oedemae. All of
the above
1 pointsQuestion 16
;itemporal hemianopia can be locali>ed to:
Answer
a. 'ptic chiasmb. 'ptic nervec. 'ccipital corte$ d. Parietal lobee. emporal lob
1 pointsQuestion 17
7omonymous hemianopia can be locali>ed to:
Answer
a . ' p t i c n e r v e b . p s i l a t e r a l p a r i e t a l l
o b e c . p s i l a t e r a l t e m p o r a l l o b e d . ont ra la te r
a l occip ita l lobe e . p s i l a t e r a l o c c i p i t a l l o b e
1 pointsQuestion 18
n testing visual acuity( if the patient is unable to identify any letters on the *nellan chart youshould
ne$t test for the ability to:
Answer
a. ount fingers b. dentify direction of hand movementsc. dentify position of a stationary
lightd. dentify presence of a stationary light
1 pointsQuestion 19
A ?2 year old woman notices that her left pupil is smaller than the right pupil. 7er left eyeliddroops
intermittently. he lesion might be located in:
Answer
a. =eft orbitb. =eft neckc. =eft third cranial nerved. =eft mediastinum

1 pointsQuestion 2
n normal sub8ects( the ratio of the hori>ontal diameter of the physiologic cup to the diameter ofthe
optic disc should be no more than:
Answer
a. 2./b. 2.%c. 2.1d. 2.?
1 pointsQuestion 21
@louro#uinolones
Answer
a. can cause tendonitisb. can adversely affect musculoskeletal growth in children c. Routinely
used in childrend. *tains teethe. A and ; are correct
1 pointsQuestion 22
!hich of the following can be a side effect of systemic or topical steroid
Answer
a. 9laucomab. -ood instabilitc. ataractd. )yelid skin atrophy e. All of the above
1 pointsQuestion 23
7ydro$ychloro#uine
Answer
a. s an antimalarial agentb. auses vorte$ keratopathy B whorl3like corneal epithelial depositsc.
auses maculopathy 3 bulls eye d. Rarely causes ocular to$icitye. All of the above
1 pointsQuestion 24
)thambutol
bacteriostatic antimycobacterial drug prescribed to treattuberculosis
Answer
a. an lead to optic neuropathyb. ypically presents with binasal hemianopiac. Responds well
to systemic steriod treatment s not dose dependent<one of the above
1 pointsQuestion 25
A handy way to screen for visual field defects is:
Answer
a. Amsler grid testb. Pinhole testc. Red refle$ testd. umbling )Cs test
1 pointsQuestion 26
n the swinging light pupil test( if the right pupil dilates as the light is swung in its
direction( the

interpretation is:
Answer
a. Right afferent pupil defectb. @aulty techni#uec. =eft afferent pupil defectd. <ormal result
1 pointsQuestion 27
A D0 year old woman complains of photophobia( foreign body sensation( and blurred vision in
her right eye for several days. !hat is the diagnosis
Answer
a. Acute angle3closure glaucomab. ;lepharitisc. veitisd. Eeratitis
1 pointsQuestion 28
he proper management of a suspected bacterial con8unctivitis of one dayCs duration in
animmunocompetant adult is:
Answer
a. ulture con8unctiva treat with topical antibiotic( empirically until culture results come
back( thenswitch if necessary.b. reat with topical antibiotic empirically without culturing.c. *mear
con8unctiva( treat with topical antibiotics appropriate to results.d. Refer immediately to an
ophthamologist without intervening.
1 pointsQuestion 29
 Fou diagnose orbital cellulitis in an otherwise healthy / year old. he correct management is:
Answer
a. <o imaging( treat with intravenous antibioticsb. 'rbital imaging( treat with oral antibioticsc. 'rbital
imaging( treat with intravenous antibioticsd. <o imaging( treat with oral antibiotics
1 pointsQuestion 34
<ystagmus in a child:
Answer
a. s always associated with a serious systemic disorder when present in an infant b. an present
as an isolated( idiopathic conditionc. s not typical of albinismd. Always portends a poor visual
outcome +worse than visual acuity of DGD2,e. All of the above
1 pointsQuestion 35
A patient presenting with Amaurosis @uga$: +
is loss of vision in one eye due to atemporary lack of blood flow to the retina.,

nswer
a. -ay have a retinal embolusb. <eeds cardiovascular work upc. Always needs to be hospitali>edd. A
and ;e. All of the above
1 pointsQuestion 36
5acryocystitis +infection of nasolacrimal sac,
Answer
a. s always managed by surgery as the first line of treatmentb. s typically managed with
systemic antibiotics as the first line of treatment c. an lead to orbital cellulitisd. Rarely
presents with a dacryocystocoelee. All of the above

1 pointsQuestion 37
pper eye lid retraction is typically a sign of
Answer
a. )ntropionb. Ptosic. 'rbital fractured. hyroid eye disease e. <one of the above
1 pointsQuestion 38
'ptic nerve glioma is typically associated with
Answer
a. sudden loss of vision b. proptosisc. retinoblastomad. enophthalmose. All of the above
1 pointsQuestion 39
<eurofibromatosis can be associated with:
Answer
a. Proptosisb. =isch nodulesc. Pseudo3ptosisd. afe au lait spots e. All of the above
1 pointsQuestion 4
he best way to manage a primary malignancy involving the eyelid generally is:
Answer
a. nitially with topical and systemic antibiotics b. ryotherapyc. *urgical e$cision
with clear marginsd. Radiotherapye. hemotherapy
1 pointsQuestion 41
5ifferential 5iagnosis for proptosis in an adult would include:
Answer
 a. hyroid )ye 5iseaseb. <eurofibromatosisc. 'ptic nerve gliomad. 'ptic nerve meningioma e. All of
the above
1 pointsQuestion 42
A 10 year old boy presents to you in )5 with blurred vision after being hit in the eye with a cricketball.
'n e$am( you see a layered haemorrhage within the anterior chamber. !hich of the following is<'
trueabout hyphaema
Answer
a. 'ften results from blunt ocular traumab. *evere hyphema can be associated with glaucoma.c.
Rebleeding is most common after the third week of presentation d. ypically treated with bed rest
and topical medicatione. *urgical intervention is needed in severe cases
1 pointsQuestion 43
7yphaema may be caused by each of the following )H )P :
Answer
a. rauma

b. 4itreous haemorrhag c. ris new vesseld. 'ptic neuritise. ataract surgery

1 pointsQuestion 44
!hich of the following histories is<' suspicious of a penetrating eye in8ury
Answer
a. 7ammering metal on metal( painful eye( but visual acuity is DGDb. !oke with a sudden( painless
loss of visionc. 7ammering metal on metal( painful eye( but wearing safety glassesd. 7ammering
metal on metal( painful eye( but normal pupil reactionse. 9lass broken over head( sore eye( but
without an entry wound found by referring consultant
1 pointsQuestion 45
!hich of the following steps should<' be taken in the event of a ruptured globe
Answer
a. Place a hard plastic shield over the eyeb. ape a *tyrofoam cup over the affected eyec. 9ive
tetanus vaccined. est visual acuity with a pinholee.Pad the eye
1 pointsQuestion 46
*urgery to remove an intraocular foreign body is reasonable in which situation:
Answer
a. !aiting for surgery for ?D hours will not increase the likelihood of infectionb. *hould be performed
within hours( but there is still a risk of infectionc. f inert substance( will not pose problems if
left in the eyed. he eye should be removed immediately due to the risk of sympathetic
ophthalmia
1 pointsQuestion 47
An orbital fracture is not associated with:
Answer
a. An eye in8ury( because the orbit protects the globe from in8uryb. Ruptured globec. 7yphaemad.
'ptic neuropathye. =acrimal tumours
1 pointsQuestion 48
!hich of the following statements about traumatic optic neuropathy is R ):
Answer
 a. 'ccurs in end3stage glaucomab. 9enerally worse in diabeticsc. s present whenever there is loss
of vision associated with orbital fractures d. s associated with visual acuity at nil perception
of lighte. f the other eye is normal( it will cause a relative afferent pupillary defect
1 pointsQuestion 49
A foreign body under the upper eyelid should be looked for in the following situations:
Answer
a. nilateral red eye of unknown causeb. orneal abrasionc. hemical splash in8ury
to cornead. 7istory of "con8unctivitis" for the past 0 weeks e. All of the above
1 pointsQuestion 5
!hich of the following statements is R ) about choroidal melanoma:
Answer
a. t is synonymous with con8unctival melanoma

b. t does not occur because the choroid doesn t contain melanin c. t may transform from
a choroidal naevusd. he only safe option is to treat by enucleation
1 pointsQuestion 51
Retinoblastoma is a genetic disease with the following characteristics( )H )P :
Answer
a. here is always a family historyb. t may be associated with a pinealomac. hildren
treated for bilateral retinoblastoma may get sarcomas later in life d. 'ften bilateral in a
germline mutatione. 9enerally lethal if not treated
1 pointsQuestion 52
Fou are a country relieving 9P. A very worried mother with a family history of congenitalglaucoma
brings her 6 months old baby son and an$iously asks you if her son has the same condition.
!hatwould you look for in the baby
Answer
a. orneal clouding but not buphthalmos 3
abnormally narrow angle betweenthecornea andiris blocks the outfow o aqueous
humor
b. ;uphthalmos but not corneal cloudingc. =ines or breaks in corneal 5escemet s membraned. 'ptic
nerve cuppinge. All of the above
1 pointsQuestion 53
Fou are in the middle of a well3child check in your rooms and note that the pupil refle$ in a 1?month
old child you are e$amining is not red but white. Fou think back to your 'phthalmology rotation in
yourfinal year of medical school and try to remember the possible ocular conditions that may present
with a whitepupil refle$. !hat would be the most important of the differential diagnosis to consider for
leukocoria
Answer
a. Retinoblastomab. ongenital cataract c. orneal scard. o$ocariasise. <one of the above
1 pointsQuestion 54
'cular involvement in Iuvenile diopathic Arthritis typically presents as
Answer
a. ritisb. Proptosisc. 7emangiomad. 'ptic disc 5rusen e. All of the above
1 pointsQuestion 55
-yopia +nearsightedness,
Answer
a. is easily corrected with plus lensesb. can be corrected with =A* E surgery c. is also known as
long sightednessd. has no hereditary component
1 pointsQuestion 56
7yperopia +farsightedness,
Answer
a. is corrected with minus lensesb. is known as short sightednessc. is the common refractive
state in newborns d. is related to outdoor activity as a childe. is related to increased reading as
a child

1 pointsQuestion 57
Astigmatism
Answer
a. is related to the si>e of the pupilb. is always the same between the two eyesc. can be corrected
with contact lens or spectacles d. cannot be accounted for in cataract surgerye. cannot be surgically
corrected
1 pointsQuestion 58
Fou are a relieving 9P in a small country town. A // year old man with Acute =ymphocytic=eukemia
presents ? months after his bone marrow transplant. 7e tells you that his eyes have been very
soreand red for the past few week( and you suspect that this may be a part ocular involvement in
9raft3versus37ost5isease. !hat are the signs you would be looking for to confirm your clinical
suspicion
Answer
a. on8unctival erythema with epithelial sloughing b. 5ry eyesc. icatri>ation with
symblepharon formationd. Photophobia is common in moderate casese. All of the above
statements are true
1 pointsQuestion 59
5iabetes -ellitus is not typically associated with the following ocular signs:
Answer
a. ris neovascularisationb. 7ard e$udatesc. Retinal neovascularisationd. *trabismus
disorder in which the two eyes do not line up in the same direction( andtherefore do not
look at the same ob8ect at the same time
e. b and c only
1 pointsQuestion 6
n the eye( hypertension is typically associated with
Answer
a. entral retinal vein occlusion b. ataractsc. horoidal naevusd. Retinal neovascularisatione.
*cleritis
1 pointsQuestion 61
'cular involvement in thyroid dysfunction develops more fre#uently and is more severe among
Answer
a. Foung adultsb. @emale smokers c. 5iabeticsd. 'bese adultse. -ales
1 pointsQuestion 62
<eurofibromatosis is typically
Answer
 a. Autosomal recessiveb. Autosomal dominantc. H linkedd. -itochondrial linkede. <one of the
above
1 pointsQuestion 63
'phthalmic features of A 5* are
Answer
a. otton wool spots
b. Retinitis
c. Eeratitis due to 7*4 or 7J4d. Eaposi sarcoma of the eye lid e. All of the above
1 pointsQuestion 64
he most common initial site of metastasis for a choroidal melanoma is
Answer
a. ;oneb. ;rainc. =ungd. =ivere. <one of the above
1 pointsQuestion 65
!hich region of the eye is most commonly affected by 9raft vs 7ost 5isease
Answer
a. Retinab. irisc. tear ductd. con8unctiva e. eye lid
1 pointsQuestion 66
-ultiple *clerosis is commonly associated with
Answer
a. on8unctivitis b. *cleritisc. 'ptic neuritisd. veitise. Eeratitis
1 pointsQuestion 67
!hat is not a sign of allergic con8unctivitis
Answer
a. on8unctival papilllaeb. =id oedemac. symblepharon
a partial or complete adhesion o thepalpebral conjunctiva o theeyelid to
thebulbar conjunctiva o the eyeball
d. )piphora 3
an excessive tear production usually a result from an irritation of the eye
e. nflamed con8unctival vessels
1 pointsQuestion 68
7erpes *imple$ 4irus can be associated with
Answer
a. on8unctivitisb. Eeratitisc. veitisd. Retinitise. All of the above
1 pointsQuestion 69
!hich of the following statements is incorrect. hlamydia
Answer
a. -ay cause unilateral or bilateral eye diseaseb. 5oes not cause con8unctival scarringc. an cause
mucopurulent discharged. an cause large con8unctival follicles