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Optho Exam

Ophthalmology test
1. What is the most serious complication of 7th cranial nerve palsy?
a. Blurred vision
b. Corneal ulceration
c. Purulent discharge
d. Acute angle closure glaucoma
e. Loss of eyelashes

2. Ultrasonography of the posterior segment is used in ophthalmology because of


a. Intraocular tumors
b. Lack of transparency of normally transparent eye structures
c. Evaluation of posterior sclera
d. None of the above
e. All of the above

3. Possible complications of corticosteroids medication is/are not:


a. Elevated intraocular pressure
b. Nuclear cataract
c. Elevated risk of herpes simplex keratitis
d. Reduced intraocular pressure
e. B and d

4. Set the treatment for large corneal abrasion:


a. Steroids, pupil dilation, patch
b. Antibiotic in eye-drops, patch, pupil dilation
c. Antibiotic ointment, pupil dilatation, patch
d. Topical analgesics, pupil dilation, antibiotic ointment
e. Systemic analgesics, steroids, patch

5. What may be the cause of tractional retinal detachment?


a. Blunt trauma
b. Proliferative retinopathy
c. Choroidal tumors
d. Retinal hole
e. Low intraocular pressure

6. The Amsler grid test is used for diagnosis and monitoring of:
a. Early glaucoma
b. Age related macular degeneration
c. Retinal detachment
d. Excessive tearing
e. Protrusion of the eye globe

7. A 35- years old woman with normal optic margin has slightly reduced visual acuity,
reduced color vision and pain on eye movement. Your diagnosis is:
a. Papilledema
b. Optic neuritis
c. Retrobulbar neuritis
d. Ischemic neuropathy
e. Central retinal vein occlusion

8. Choose risk factor for closed-angle glaucoma:


a. Myopia
b. Hypermetropia
c. Chronic topical steroid use
d. Young age
e. Deep anterior chamber

9. Choose the most characterisitic signs/symptoms for acute iritis:


a. Cells in anterior chamber
b. Precipitates on the
c. Shallow anterior chamber
d. Limbal injection

10. Screening for diabetic retinopathy should be done:


a. In type 1 DM at the diagnosis of the disease
b. In type 2 DM at the diagnosis of the disease
c. In type 1 DM 5 years after the diagnosis of the disease, but only if glucose blood level
control isn’t tight
d. In type 2 DM 5 years after the diagnosis of the disease
e. In all cases of DM at the beginning of the disease

11. The most common cause of bilateral exophthalmos in adults is/are:


a. Malignant tumors of the orbita
b. Inflammation
c. Hyperthyroidism
d. Varices of the orbia
e. Trauma
12. Which child should be referred to the ophthalmologist:
a. With variable strabismus in the age of 2 months
b. With “white pupil” at the age of ?? (2) months
c. A 2 months old one with family history of congenital cataract
d. B and c
e. A and b

13. Which of the following is TRUE concerning the intraocular pressure?


a. It varies during the day with……. in the early morning
b. Normal value is 9-21 mm….
c. It can be normal in patients in glaucoma
d. A and b only
e. All of the above
?????????

1​4. Symptoms of acute anterior uveitis include all, except:


a. Injection of perilimbal vessels
b. Photophobia
c. Painless blurred vision
d. Keratic precipitates
e. Pain during reading

15. Which of the following are sign/symptom of congenital glaucoma?


a. Epiphora
b. Buphthallmos
c. High IOP
d. A and c
e. A, b and c
f. A and b

16. Age related macular degeneration?


a. Is a disease of the elderly population
b. Is characterized by the presence of …. drusens on ophthalmoscopy
c. Affects central vision
d. One of treatments for the exudative stage is Anti-VEGF… therapy
e. All of the above

17. The pupil in the acute angle closure is:


a. Normal
b. Smaller
c. Dilated
d. Any of above
e. All of above

18. The symptoms of orbital preseptal cellulitis are all except:


a. Erythematous lids
b. Decreased visual acuity
c. Fever
d. Normal pupil
e. Pain

19. The symptoms of central retina occlusion are all except?


a. Relative afferent papillary
b. Cherry red spot in the macula
c. Retina pallor
d. Good visual acuity
e. Sudden onset

20. One of most common constricted pupil (miosis)?


a. Conjuntivitis
b. Acute gangle closer glaucoma
c. Trauma
d. Iritis

21. Hyphema means:


a. Hemorrhages in the vitreous body
b. Edema of the lids
c. Venous stasis
d. Pigment depositions in the cornea
e. Bleeding into anterior chamber

22. What is average of IOP?


a. 30
b. 21
c. 16
d. 6
e. 10

23. During accommodation the lens thickens in which direction?


a. Diameter decreases, thickness increases
b. Diameter decreases, thickness decreases
c. Diameter increases, thickness increases
d. Diameter increases, thickness decreases
e. Diameter and thickness are c….
24. Uveal melanoma can metastatize to?
a. Liver, bone, lungs
b. Brain, gut, bone
c. Liver, lungs, kidney
d. Kidney, brain, bone
e. Brain, lungs, lymph nodes

25. Which is the most common intraocular tumor?


a. metastatic
b. uveal melanoma
c. retinoblastoma
d. osteoma
e. Haemangioma
OPTHO 2018
1. Concerning the measurement of IOP: ​they wrote B but i think it should be d - Goldmann
2.Concerning cornea - choose the right answer: F​luorescein staining is useful in the dx of
corneal endothelium defects? - they marked this but idk if it should be epithelial or endothelial
3. ​Choose an appropriate answer about strabismus​:
Not treated can damage stereoscopic vision I can’t read the word well before “vision”
4. White pupil - so called leukoria:​ may be induced by congenital cataract
5. Which sentence is true: a dilated and minimally reactive to light pupil may “is lol” connected to
4th nerve paresis
6. Visual field defects: ​can’t really read the options clearly
-are evaluated in perimetry!
7.​Blow out fracture of the orbit:​ Enopthalmos (inferior displacement of the eye)
8.Indicate false statement relating to dysthyroid opthalmopathy: ew idk
9.​ Vitreous hemorrhage is NOT a complication of:​ retinitis pigmentosa?
10.​ Retinal detachment sxs do not include:​ PAIN! - painless
11. ​In diabetic retinopathy we typically do not fin​d: macroaneurysms?
12.In choroidal malignant melanoma all the statements are true except:​ best treatment is chemo
- i think surgical is best
13.​ Symptoms of acute anterior uveitits include all excep​t: ? I think ans is painless blurred vision
(this is painful)
14. The Amsler grid test:​ Age related macular degeneration
15. The pupil in acute angle closure is: ​Dilated
16.Hyphema:​ bleeding into the anterior chamber
17. During accommodation the lens thickens in which direction: ​diameter decreases thickness
increases
18. Average IOP: ​16
19. The pupil in acute angle closure is:​ dilated

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