MSQ-tests to topic 6

* - correct answer

1. A patient, 27 years old, complains of pain in his right eye, more intensive at night, blurred
vision, photophobia, lacrimation. The patient is known to have flu a week ago. Objectively: right
palpebral fissure is narrowed, pupil is small with sluggish reaction to light, color of iris is
changed, content of the anterior chamber is opalescent. There is cyclic pain when the eyeball
palpation. What diagnosis is the most probable?
A. *Iiridocyclitis
B. Orbital cellulitis
C. Keratitis
D. Conjunctivitis
E. Dacryoadenitis

2. A 40-year-old female has a history of rheumatism. She complains of acute pain in her left eye,
more intensive at night, impairment of vision, photophobia, lacrimation. Objectively: there is
slight pericorneal injection of the eyeball, edema and discoloration of iris, narrow pupil of
irregular shape. What is the most probable diagnosis?
A. *Iridocyclitis
B. Orbital cellulitis
C. Keratitis
D. Conjunctivitis
E. Dacryoadenitis

3. A patient 25 years of age complains of visual acuity impairment, pain and redness of his right
eye since the previous day. There is injection of the eye, pupil of irregular shape, narrow,
precipitates on the posterior corneal surface. Angle of anterior chamber is open. Intraocular
pressure is 18 mm. Hg. What is the preliminary diagnosis?
A *Acute iridocyclitis
B Acute attack of primary glaucoma
C Secondary inflammatory glaucoma
D Acute conjunctivitis
E Acute keratitis

4. A patient complains of lacrimation, photophobia, loss of vision, and pain in his left eye more
intensive at night. There is blepharospasm, mixed injection of the eye, tenderness when ciliary
body palpation, change of iris color. Visual acuity of the sick eye is 0,2, not uncorrectable. What
is emergency aid in this case?
A *Instillation of mydriatics
B Instillation of myotics
C Instillation of antibiotics
D Instillation of corticosteroids
E Instillation of nonsteroid anti-inflammatory drops

5. A 65-year-old patient complains of gradual loss of vision in his left eye for 10 months. On
examination: visual acuity of the eye is 0,01, uncorrectable. The eye is not irritated, pupil is of
grayish color, reflex from eyefundus is absent. Intraocular pressure is 18 mm/Hg. What is the
most probable preliminary diagnosis?
A. *Cataract
B. Glaucoma
C. Occlusion of retinal vessels
D. Corneal leukoma
E. Iridocyclitis

6. A 70-years-old patient complains of significant gradual impairment of vision in both his eyes.
Visual acuity of his right eye is 0,08, not correctable. Visual acuity of his left eye is 0,03, not
correctable. In both eyes: cornea is normal; anterior chamber is of average depth; biomicroscopy
reveals inhomogeneous opacity of lens, in focal light there is semilunar shadow from the iris;
reflex from eyefundus is absent. What is the diagnosis?
A *Immature senile cataract
B Incipient senile cataract
C Mature senile cataract
D Hypermature cataract
E Morgagnian cataract

7. A patient 67 years of age complains of gradual loss of vision for 3 years without any reason.
At examination: visual acuity is light perception with correct projection of light; cornea is
transparent; angle of anterior chamber is open, lens is totally opaque; shadow from iris is absent.
Examination of eye fundus is impossible. What is preliminary diagnosis?
A *Mature senile cataract
B Incipient senile cataract
C Immature senile cataract
D Hypermature cataract
E Morgagnian cataract

8. In 80-years-age patient visus of his right eye is light perception with correct projection of
light; visus of his left eye 0,05, not correctable. At examination of the right eye: lens is totally
opaque, shadow from the iris and reflex from eye fundus are absent; IOP (intraocular pressure) is
20 mm. Hg. What is the diagnosis?
A *Mature senile cataract
B Incipient senile cataract
C Immature senile cataract
D Hypermature cataract
E Morgagnian cataract

9. A patient complains of impaired vision in his right eye. From anamnesis the eye is known to
be red and painful some time ago. Objectively: the eyes are not irritated, cornea is transparent,
anterior chambers are of average depth, their fluid is transparent. Iris of the right eye has normal
color, pupil is of irregular shape, scalloped. Biomicroscopy of the lens reveals the areas of
opacity and vacuoles. Diagnosis?
A. *Complicated cataract
B. Incipient senile cataract
C Immature senile cataract
D. Mature senile cataract
E. Secondary cataract