1. An obese male smoker of 55yrs is complaining of sudden and severe loss of vision in one eye.

Few days ago, he had an attack of painless transient visual loss with complete recovery in the
same eye. He has amaurotic pupil. Most likely retinal finding is
● Retinal detachment with tears
● Cherry red spot with pale retina*
● Swollen optic nerve.
● Retinal edema with hard exudates
● Extensive retinal hemorrhages
2. High myope has complaints of flashes of light, floaters and visual field defect in right eye.. He
describes the pattern of visual loss as if a curtain has come in front of his eye. What will retinal
examination show?
● Exudative RD with shifting fluid
● Tractional RD at macula
● Retinal break with Rhegmatogenous RD *
● Fresh vitreous hemorrhage.
● Macular hole
3. Four years after cataract surgery, a patient comes with decreased vision in the operated eye.
On slit lamp examination there is a white opacity in the pupillary area behind the lens. What is
it?
● Iris prolapse
● Posterior capsule opacification*
● Bacterial endophthalmitis
● Nucleus drop
● Retinal detachment
4. The therapy of choice of the fellow eye of angle closure glaucoma is
● Lifelong use of Pilocarpine
● Goniotomy*
● Trabeculotomy
● Trabeculectomy
● Peripheral Laser iridotomy
5. A 60yrs old diabetic presents to eye OPD complaining of sudden drooping of left upper eye lid
from last 3days. When he tries to open the eye with hand, he has double vision. On
examination, there is complete Ptosis and eye is abducted in primary position. Patient is
having
● Myasthenia gravis
● 3rd nerve palsy*
● 7th nerve palsy.
● Orbital cellulitis
● 6th nerve palsy.
6. 50 yrs old aphakic patient comes to clinic with sudden painless loss of vision in right eye. He
has RAPD . The examination of eye revealed low intra-ocular pressure, mild iritis and tobacco
dust in anterior vitreous. The most likely diagnosis of this patient is
● Tractional retinal detachment
● Rhegmatogenous retinal detachment*
 ● Vitreous hemorrhage
● Exudative retinal detachment
● Anterior uveitis
7. The muscles having the same action in the same eye are called
● Yoke muscles
● Divergent
● Antagonists
● Synergists*
● Conjugative
8. Only eye injury that requires emergency treatment without first taking a history and
performing a careful examination is
● Chemical burns*
● Penetrating injury
● Firearm injury
● Blunt ocular trauma
● Blow out orbital fracture
9. In the presence of opaque media, the posterior segment can be examined by
● Fundus photography
● Direct ophthalmoscope
● B scan Ultrasonography*
● Indirect Ophthalmoscopy
● Three mirror examination
10. Which clinical sign alone is not an indication for initiation of treatment in cases of anterior
uveitis
● Busacca nodules
● Mutton fat KPs
● Aqueous cells
● Aqueous flare*
● Hypopyon
11. What is oedema and necrosis of the axons of ganglion cells in nerve fiber layer within the
retina called?
● Flame shaped hemorrhages
● Cotton wool spots*
● Neovascularization
● Cystoid macular edema
● Hard exudates
12. A patient having normal intra-ocular pressure with glaucomatous disc changes and field
defects is a patient of which disease?
● Secondary open angle glaucoma.
● Normal tension glaucoma*
● Ocular hypertension
● Angle closure glaucoma
● Primary open angle glaucoma
13. What is the first step in the management of acute bacterial endophthalmitis?
 ● Vitreous and aqueous tap.
● Intra-vitreal steroids
● Intra-vitreal antibiotics*
● Oral antibiotics
● Use of topical antibiotics
14. Emergency treatment of central retinal artery (CRA) does not include which of the following?
● Vigorous massage of the globe
● Inhalation of CO2
● Retrobulbar steroids*
● Paracentasis
● Acetazoleamide
15. A 45 years old obese female is complaining of generalized headache aggravating with head
movements, projectile vomiting and transient visual obscurations lasting few seconds in both
eyes from the last two weeks. Fundus examination shows bilateral disc hyperemia, moderate
disc elevation with indistinct margins. She is having
● Anterior ischemic optic neuropathy
● Papilloedema*
● Central retinal vein occlusion
● Multiple sclerosis
● Migraine
16. What is the most common side effect of topical steroids when used long term in uveitis?
● Raised intra-ocular pressure*
● Fungal keratitis
● Corneal melting
● Optic neuropathy.
● Serous retinal detachment
17. What is the most common cause of reversible painless gradual visual loss in elderly
population?
● Age related macular degeneration
● Retinal artery occlusion
● Diabetic retinopathy
● Senile cataract*
● Open angle glaucoma
18. A boy presents with Diplopia following blunt trauma to his Right eye. X-Ray reveals -Blow out
fracture of the orbit. Which orbital wall is most likely to be involved.
● Inferior wall
● Superior wall
● Medial wall*
● Inferior and lateral wall
● Lateral wall
19. Sherrington law of reciprocal innervation states that increased innervation to an Extraocular
muscle is followed by reciprocal decreased innervation to which muscle?
● Synergist muscle
● Opposite muscle
 ● Agonist muscle
● Yoke muscle
● Antagonist muscle*
20. Mutton Fat KP's on the corneal endothelium are seen in which condition?
● Vasculitis
● Posterior Uveitis
● Non- Granulomatous Iridocyclitis
● Granulomatous Iridocyclitis*
● Intermediate uveitis
21. What is most sight threatening intra operative complication of cataract surgery?
● Suprachoroidal hemorrhage*
● Opacification of posterior capsule
● Bullous keratopathy
● Vitreous hemorrhage
● Retinal detachment
22. What is extracapsular cataract extraction?
● Lens removal by ultrasonic tip
● Lens removal leaving anterior capsule behind
● Lens removal by laser
● Lens removal leaving posterior capsule behind*
● Lens removal with whole capsule
23. Double diplopia in orbital floor fracture is caused by
● Direct injury to an extra-ocular muscle
● Infra-orbital nerve anesthesia
● Mechanical entrapment of extra-ocular muscles
● Hemorrhage and oedema in the orbit*
● Enophthalmos
24. Which is the earliest sign of diabetic retinopathy?
● Flame shaped hemorrhages
● Deep hemorrhages
● Microaneurysm*
● Hard exudates
● Cotton wool spots
25. 50 years old male patient of hypertension comes with sudden visual loss in left eye from last 3
days. Examination showed RAPD and extensive flame shaped hemorrhages. What is the most
likely cause?
● Ischemic vein occlusion
● Retinopathy of prematurity
● Proliferative diabetic retinopathy
● Central retinal artery occlusion*
● Age related macular degeneration
26. An elderly female has severe pain in left eye and vomiting. Her cornea is hazy and pupil is
unresponsive. What test is most inappropriate?
● B Scan
 ● Tonometry
● Corneal staining
● Biometry*
● Keratometery
27. First and most important step in the management of a chemical burn to eye is
● Removal of retained particulate matter
● Steroids to reduce inflammation
● Topical antibiotics for prophylaxis.
● Copious irrigation with saline*
● Debridement of necrotic areas
28. A female of 50 years of age has a lesion affecting left optic tract. What will be the visual field
defect?
● Bitemporal hemianopia
● Binasal hemianopia
● Right homonymous hemianopia*
● Bilateral quadrantanopia
● Left homonymous hemianopia
29. A medical student is performing tests for squint evaluation. He swiftly cover fixating eye with
an occluder and observe the other eye for any movement to take up fixation and carefully
notes down the direction of movement. He is performing
● Prism cover test
● Corneal light reflection test.
● Alternate cover test*
● Uncover test
● Cover test
30. Monocular transient recurrent episodes of visual loss are characteristic of a syndrome due to
ischaemia of eye or optic nerve.
● Carotid occlusive disease
● Neuromyelitis optica
● Multiple sclerosis
● Ocular ischaemic syndrome
● Amaurosis fugax*
31. In young male patient of recurrent acute anterior uveitis which investigation is the most
relevant?
● X-Ray Sacroiliac Joint
● X-Ray Chest*
● Toxoplasma antibodies
● Mountaux test
● Fundus fluorescine angiography
32. The angle of anterior chamber can be visualized by which method?
● Tonometry
● Gonioscopy*
● Ophthalmoscopy
● Corneal topography
 ● Specular microscopy
33. 30 years old man is complaining of visual blurring. On slit lamp examination the lens is slightly
displaced, and the margin of the lens is visible through the pupil. This condition is most
commonly seen in
● Keratoconus
● Marfan syndrome*
● Aniridia
● Trauma
● Homocystinuria
34. An old lady has been taking an anti-glaucoma eye drop for the past 20 years in her one eye.
Examination reveals difference in the iris colour of both eyes. What medication is she likely to
be on?
● Prostaglandin analogs*
● Sympathomimetics
● carbonic anhydrase inhibitors
● Beta blockers
● Parasympathomimetics
35. Special investigations of uveitis are not indicated in which condition?
● Granulomatous uveitis
● Recurrent uveitis
● Unilateral acute anterior uveitis*
● Bilateral disease
● Uveitis associated with systemic manifestations.
36. Which of the following is true in Acute Anterior Uveitis in a patient suffering from Ankylosing
Spondylitis?
● The uveitis is non-granulomatous*
● Involves non axial skeleton It is a disease of old age
● It is associated with positive rheumatoid factor
● The uveitis usually precedes arthritis
37. Which drug is not indicated in acute anterior Uveitis?
● Cyclopentolate
● Pilocarpine*
● Atropine
● Precinisolone
● Dexamethasone
38. Proliferative diabetic retinopathy is diagnosed by the presence of which sign?
● Cotton wool spot
● Flame shaped hemorrhages
● Neovascularization*
● Dot and blot haemorrhages
● Hard exudates
39. Eye movements that are binocular, simultaneous and conjugate movements in same direction
are called
● Accommodation
 ● Ductions
● Nystagmus
● Vergances*
● Versions
40. Flash of light (photopsia) is due to
● Subluxation of lens
● Traction of vitreous on retina*
● Traction of vitreous on optic disc
● Irregular corneal astigmatism
● Haemorrhage into vitreous
41. What is the clinical investigation of measuring the visual fields called?
● Topography
● Perimetry*
● Tonometry
● Keratometry
● B scan ultrasonography
42. The patients of retinitis pigmentosa come with the symptom of
● Decreased visual acuity and redness
● Night blindness and diminished visual acuity*
● Chronic pain in eye
● Color blindness
● Persistent discharge and decreased vision
43. Bilateral asymmetrical impairment of vision with macular drusens and sharply circumscribed
area of RPE atrophy in old patient of 75yrs point towards the diagnosis of
● Diabetic macular edema
● Retinal detachment
● Dry age related macular degeneration*
● Myopic maculopathy
● Age related macular hole
44. A Rhegmatogenous retinal detachment means
● A retinal detachment with retinal hole*
● A retinal detachment with traction
● A retinal detachment with exudates
● A retinal detachment without hole
● A retinal detachment with inflammation.
45. The principle of Argon laser in the treatment of diabetic retinopathy is?
● Ablation of ischemic areas of retina.*
● Direct destruction of vitreous hemorrhage
● Making holes in retina for new vessel to grow
● Direct destruction of abnormal vasculature
● Liquifying vitreous so nutrients can easily reach retina
46. Most frequent type of optic neuritis associated with multiple sclerosis is
● Papillitis
● Isolated optic neuritis
 ● Papilloedma
● Neuro retinitis
● Retrobulbar neuritis*
47. MRI is contra-indicated in which eye condition?
● Penetrating ocular trauma
● Blunt ocular trauma
● Chemical injury to eye
● Metallic intra-ocular foreign body*
● Blow out orbital fractures
48. A patient suffering from asthma and glaucoma should not be treated with which medicine?
● Latanoprost
● Acetazolamide
● Betaxolol
● Pilocarpine
● Timolol*
49. The commonest complication of recurrent iridocyclitis is
● Glaucoma
● Retinal Detachment
● Cataract*
● Corneal ulcer
● Optic atrophy
50. On first post op day after cataract surgery a patient has congested red eye and some brown
tissue is protruding through the wound. What is the most likely diagnosis?
● Pigmented cornea
● Broken stitch
● Retinal detachment
● Iris prolapse*
● Lens subluxation