Rehman Medical College

Roll No: 19
MCOS
MBBS 4th Prof. Date: 24/11/2023
Write your Roll No. on
Select the best answer Scoring sheet & (M-2)
EOSE-M
EYE
1. A
from given choicesQuestby ion Paper. Time: 90 min.
16-year-old
body contact lens wearer since 1 filling the circle in Scoring sheet as Marks: 90
sensation both eyes. On last vear, presents to your
diagnosis? in
a. Bacterial keratitis examination, there is papillary clinic withWhat pain, islacrimation, and
b.
Cornealcongestive
C
Acute foreign body
glaucoma
conj u nctivitis. the most foreign
probable
d. a
e. Giant papillary conjunctivitis
Blepharitis
2. A25 yrs old male
eye followed by presents eye clinic with corneal
to
incarceration corneal repair. There is no opacity in right eye. He gives a history of
of iris in it and
a. Corneal ulcer call it as fluorescein staining. You note a dense corneal scartrauma in this
b. Adherent leucoma win
C. Staphyloma b
d. Scleritis
e.
Conjunctival
3. 8 years old
l mass
child brought by his parents with chief complaints of
swelling of both eyes for the last two months, On mucopurulent
examination there are folliclesdischarge, redness and
conjunctiva and superior corneal pannus. Which the most probable diagnosis?
on the upper tarsal
a. Allergic conjunctivitis
b. gneous
Chronic bacterial
Coniunctiunctivitis.
d
Trachoma
e. Viral conjunctivitis
4. A 56 yr. old female presenting to eye clinic with scleritis in both eyes for last 5 years. She also has
keratoconjunctivitis sicca (KCS) and peripheral ulcerative keratitis in both eyes. she has been taking some
steroids and immunomodulator therapy. What systemic disease she might be having?
a. Toxoplasmosis
b Lymphoma
C Rheumatoid arthritis c
d. Sarcoidosis
e. Tuberculosis
eye OPD with history of sudden loss of vision in her right eye. On
5. A 25-year female presented to theeffected
examination her VA is 6/60 In the eye and there is relative afferent papillary defect and defective
fundus. What is your diagnosis?
color vision with normal
a. Amblyopia
b. Anterior ischemic optic neuropathy.
0otic neuropathy d
Leber heredita
d. Retrobulbar optic neneuritis.
e.
Toxic optic neuropathy
6 nodule
ASOVrold female presented to eye OPD with symptoms of redness pain and discomfort inleft eye.There is a
beneath thecovjunctiva in the interpalpebral zone with associated engorged blood vessels. To
differentiate whether it is scleritis or episcleritis, you will do?
a. Visual acuity testing
b. Visual field testing
Intraocular pressure check e
rmovements
d. xnbrinp test
7. A30 years old male with high myopia comes to the eye OPD with a 2weeks history of photopsia, decrease vision
and fioaters in his left eye. On examination his VA is F and there is relative afferent pupilary defect and tobacco
dust in the vitreous. Which on e of the following is the most accurate diagnosis?
a. Choroidal detachment
b. Exudative Retinal Detachment
C. Rhegmatogenous Retinal Detachment c
d. Retinoschisis.
e. Tractional Retinal Detachment
. A40-year-old female comes to the eye OPD with prominent eyes, grittiness and foreign body sensations in her
both eyes for the last 6 months. On examination there is bilateral asymmetrical axial proptosis with lid
retraction and lid lag. CT-Scan shows enlargement of recti muscles. Which is the most probable diagnosis?
Cavernous hemangioma
b. Orbital pseudo-tumor
C. Orbital cellulitis.
e
d. Optic nerve meningioma
e. Thyroid eye disease.
 9. A35 yrs. old male presentsto eye clinic with symptoms of redness and discomfort inn right eye. On
him surgery
because it has caused?
examination you find pterygium. You have advised
Retinal detachment
b. Cataract
C Astier
tigmatism c
d. last one month.
e.
neuritis
ar degeneration with
eye for theprobable
leuco-coria in his right your most
nosis? Accordin
10. A 7-year-old child is brought by hissmother
m contacts with puppies. What is
a E here is a
history of long
a. Congenital cataracthyperplastic vitreous.
Persistent primary
C. Retinoblastoma e
congenital
d. Retinopathy of prematurity him as a case of
e Toxocara granuloma , who diagnosed
SUggestive of Buphthalmos?
11. Blaucoma/Buphthalmos.
Parents bring their 2yrs.What
old child to an ophthalmoloI
is the corneal
Increased Intraocular pressure.
b. Optic disc cupping c
C. Large corneal diameters
d. Cataract
painless swelling on rign
hSthe upper What
e. Pterygium months history of away from lid margin.
a 3
e AZS year old male comes to the clinic withrounded nodule slightly
examination there is posterior blepharitis and asmooth
ir most probable diagnosis?
is vour
a. Chalazion.
b. Dermoid a
C. Haemangioma
d. Papilloma eye.He is
ulcer in his rightWhat
e. Sebaceous cyst with signs and symptoms of corneal the recent past. is
man in
old
Opntnaimologist examined a 25ofyrsmokingand had been wearing contact lens
theimyope. He gives history
development of corneal ulcer in this case?
the risk factor for
a. Male gender
b. Young age c
C. Contact lens
d. Smoking for the last2 days. On
in her left eye
and visual loss with She was diagnosed as
e. My female comes to you with severe pain chamber raised iOP.
14. A 60-year-old edema and shallow anterior
examination there is ccorneal treatment option?
glaucoma. What is the best
acute angle closure , miotics and steroids.
a. Anti-glaucoma, cycloplegics
mio and steroids. a
b. Anti-glaucoma,
Anti-glaucoma, miotics and
antibiotics
Anti-glaucoma and antibiotics examination his vision was
d. Miotics and antibiotics. visual loss in his right eye. On retinal edema and cherry
department with a diffuse
comes to the nwith afferent papillary defect. Fundus shows
e.
15. A 70 years malelight perception tprobable diagnosis?
reduced to nomacula. What is the most
red spot at ischemic optic neuropathy.
a. Anteriorretinal vein occlusion. c
b. Central retinal artery occlusion
C. tritional optic neuropathy
e. Optic neuritis.
human eye: - are corrected to 6/6 with a pin hole
16. Regarding refractive errors orescription. retina
lens in the pres c
is corrected with plus imagefallsbehind the
All
a. Astigmatism
b. e
an
uncorrected I
(uncorrectedlthe h image falls behind the retina
C. In myopija
d. In correct astigmatism
Minus lens is used to
17. Orbital Cellulitis: disturbance.
Does not cause motility infection in children.
a.
Frequently causes intracranialantibiotic. d
b. Gentamycin is an appropriate
C. caused by sinus infection?
d. Is most frequently
accompanied by fever.
usually not
Is hemorrhage is a typical feature of:
18. Sub a.conjunctival
Allergicl conjunctivitis
b. Corneal ulcer
c. Fungal IKeratitis
d. Ophthalmia neonatorum
e. Subarachnoid hemornaget(RAPD) is seen in ;
Pupillary
19. Relative Afferent cataract
A mature
b.a. Hypertensive retinopathy
C. Retinalaldetachment c
d. Viral Keratitis
e. Vitamin A deficiency
 insertion of
a. inferior oblique is
Lacrimal Sac
b Macula

Nasolacrimal
Optic toramenduct
immediately adjacent to-
21. Ayoung uperior orbital fissure
e.

boy b
examination
a. On, t presentsare with itching,
there
b. Bacterial
Viral c cobble watering, and
conjunctivitis
stone papillae on redness in both his
lconjunctivitis
d.
Verna
ernal conjunctivitis
Trac palpebral conjunctiva.eyes.WhatIt recurs
22. Axial rachoma
Cicat e.
catricial conjunctivitis c is the every
summer season.On
most likely
a. Proptosis
Frontal occurs in
Mucocele
b. Lacrir
diagnosis?
C. crimal gland tumors
O y carcinoma
23. An 80e. Thyroid floor fracture
years old Ophthalmop mopathy of recent
female complains
distorted and blank
e

Glaucomapresent. problems
Acute angle Patcnesbeing
Age-related The most with reading vision,
Anterior
C.
Imacular degeneration
Cataract ischemic optic neuropathy
d.
probable cause is: specifically words appearing
e.
24. The Central retinal artery
following
b
B/Scanocular occlusion
BiHRTomety investigation
has a risk of
C.
d.
FFA anaphylactic shock.
c
25. The e.test OcT
used to
a. B/Scan calculate the power of intraocular lens
b. Biometry prior to cataract surgery ls
C. FFA b
d. HRT
e. OCT
26. A fit 48 years old
ISion when sh
visi she
woman complains ofa very severe
diagnosis headache and droopy left upper lid, she gets double
lifts up her eye lid. The
Fifth is
b. Fourthcranial nerve palsy
cranial
C Seventh cranialnerve
nervepalsy
palsy e
d.
Sixth cranial nerve palsy
e. Third cranial nerve
27. The retina in case palsy
of dense cataract can be
a. B-Scan assessed best by:
b. CTScan orbit
C. FFA
d. MRI Scan
28. Lid retractscOpy
e. a
f
AcCute facial
characteristic sign of
a. nerve palsy
b. Myasthenia gravis
Myotonic dystrophy e
d Third nerve palsy
e. Thyrotoxicosis
29. Majorcause of world blindness is
a. Cataract
C.b. GlauComanopathy
Diabetic r
a
d. Onchocerciasis
e. Trachoma
. Following drugs are used as anti-glaucoma except.
a. Dipivefrin
b. Latanoprost
C. Pilocarpine e
d. Timolol
e. Tropicamid
Cherry red spot in the macular area of the retina is seen in:
a. Age related macular degeneration
b. Central chorio-retinitis
C. Central retinal artery occlusion c
d. Central retinal vein occlusion
e. Central serous retinopathy
32. All of the following are causes of leuco-coria exceptylalelbbenialdoonsn
a.

33. The
b Cohalmos

e.
diseasecataract
C. Congenital
d. Persistent hyper-plastic primary vitreous
Retinopathy of prematurity
a

capsular opacification.
V
following Laser
Argon laser
is used Ifor posterior capsulotomy in posterior
b Carbon dioxide laser
C.
Diode laser
d. Excimer laser e
e. YAG laser following except:
34. corrected by any of the
Unilateral aphakia when the other
a. Anterior chamber
eye is normal, is best
b. Contact lens intraocular lens
C. Epikeratophakia b
d. Glasses
e. Posterior chamber intraocular lens
35. Phacolytic glaucoma is best treated by:
a. Cataract extraction
b. Cyclo-destructive procedure
C. Diode laser Cycloablation a
d. Fistulizing operation
e. Miotics and Beta blockers
36. The best Optical management for Aphakia is
a. Anterior chamber IOL
b. Contact lens d
Excimer laser
d. Posterior chamber I0L
e. Spectacles
37. Following usually cause complicated cataract, except:
a. Disciform Keratitis
b. Iridocyclitis a
C Retinitis pigmentosa
d. Retinal detachment
e Scleritis
38. Cylindrical Tlenses are used in the treatment of:
a. Aphakia
b. Astigmatism b
C. Hypermetropia
d. Myopia
e. Presbyopia
39. Mosta. common cause of adult unilateral proptosis is?
Inflammation
b. Lymphoma e
Meningioma
d. Metastasis
Thyroidid orbitopathy
e.
40. Ultrasonography is helpful in confirming the diagnosis of:
Central retinal artery occlusion
b. Central retinal vein occlusion
Retinitis pigmentosa e
d. Subluxated clear crystalline lens
Thyroid Ophthalmopathy
41. The first line of treatment in chemical injury is
a. Oralanalgesia
b. Saline Irrigation b
Topical antibiotics
d. Topical cycloplegia
e. Topical Steroid
42. In blow out fracture the commonest bone to fracture is
a. Ethmoidal (medial
b. Frontal (roof)
c. Lacrimal (medial wal) d
d. Maxillary (floor)
e. Zygomatic (lateral wal)
43. The a.commonest painless lid swelling is
Chalazion
b. Cyst of Moll
C. Cyst of Zeis
d. Externa Hardiolum
a
e. Internal Hardeolum
44. The commonest cause of cataract is;
a. Diabetes
b. Hypo-parathyroidism
C. Old age c
d. TORCH infections
e. Trauma
 ion to High l0P and
Black race High vertical
Family history cup-disc ratio, risk factors for POAG
Hypermetropia
d. Increasing age
e. Myopia
c
include all of the following
except
The earliest visual
a. field defect in
Arcuate scotoma.
POAG is
b. Bjerrums scotoma
C.
Central Scotoma
d. Centro-cecal scotoma
e. Isolated e
47. In myopia, whichardcentral
is true
scotoma
a. The
b, The radius
radius
of Corneal
of Corneal curvature isis less.
C. Lens is less spherical. curvature more. b
d. Length of eyeball is short.
e. Patient can see far
48. Symptoms of cataract objects clearly when he exerts
include
Color vision defects
all the following except: accommodation.
b
Decreased vision in bright light a
Decreased vision in low illumination
d. Glare
e. Haloes
49. WH0 gradinggof
of trachoma includes all except
a TF follicles
TI inflammation
TS SCarring e
d TT trichiasis
e. TP pannus
50. Complications of contact lenses include all the following except
a. Allergy
b. Corneal infiltrates
Corneal pigmentation
Corneal ulcer c
d.
Giant papillary conjunctivitis
51. Pupil in acute anterior uveitis is
Dilated and irregular with good reaction.
b. Dilated and regular with poor reaction
C Mid-dilated and oval with poor reaction
d. Miosed and irregular with poor reaction d
e. Miosed and regular with poor reaction
52. When the eye is medially rotated, the prime depressor muscle of eyeball
a. Inferior rectus
b. Inferior oblique
c. Inferior rectus and inferior oblique
d. Lateral rectus
e
e. Superior oblique
53. Radioscopy is done for Examination of
Axial length of eye
b. Cnerve
C. fractive power of eye c
d. Retina
e. the Fundus
54, Which of the following ocular structures produces mucin, which contributes to the stabilization of the tear film?
Conjunctival epithelium
om b. Glands of Zeiss a
C. Meibomian glands
d. Glands of Moll
e Glans of Wolfring
55. Which one of the following is used to stain dead and devitalized tissues?
a. Fluorescein stain
b. Rose Bengal stain
C. Indo-cyanine g r e e n i d
d. Methylene blue
e. Hematoxylin epithelium?
56. Which one of the following organisms is able to penetrate intact corneal
a. Staphylococcus aureus
b. Streptococcus pneumoniae d
C. StreptococcuS pyogens
d. Neisseria gonorhea
e. Staphylococcus epidermidus
except.
7. All of the following are used as objective tests in the diagnosis of squint
a. Hirschberg Test
b. Maddox rod
C. Maddox wing
d. Synaptophore e
e. Maddox tangent
 58. Parents
brought first2-years
most important old
step in thechild to OPD, theyof are very concerned about esotropia of their
a. Observation only
b. Cycloplegic refraction
management this child?
C. Squint surgery not sure
d. Amblyopic treatment b
e.
Prescriptionabout
59. Which statement of prisms
the
It is rarely involved in inferior rectus muscle is not truet
It is connected to lowerthyroid
lid by Lmyopathy b
dcions are depression ertoSgament
U runs between the globe and inferiucton. a is also correct its comonly
e.
Ie's yoke muscle is the superior obliqueroblique muscle involved
60. All the following are true
complications of strabismus surgery
The most common complication is unsatisfactory except
alignment
b. Diplopia after surgery is common if there is under
C. Perforation of sclera of sclera is rarely followed by correction
serious complications
0. Anterior segment ischemia can occur after surgery on 3 recti muscles. e
e. Pyogenic granuloma can occur at conjunctival suture site.
51. Allthe following are the features of hereditary Retinoblastoma except
a. It's usually multifocal
b. Accounts about 40% of all cases
e
C. Presents earlier
O. Chromosomal anomaly is germ line mutation
62. Which Osonal anomaly is somatic mutation
a.
following is the most common presentation of retinoblastoma?
Strabismus
b, Anterior uveitis
C. Leukocoria
d. Secondary glaucoma
c
e. Metastasis
63. Which one of the following is the most common tumor found on the lower lid?
Squamous cell carcinoma
C Malieoma b
d. Caplary hemangioma
e. Sebaceous cell carcinoma
64. Which one of the following is the best indicator for enucleation in a patient with retinoblastoma?
mor involving> SO% of the globe
Anterlor segmentinwobeosement
b
d. Neovascular glaucoma
65 uA Al of the abovp
of the following is best procedure in the management of the lid tumor removal, to preserve normal
Radiotherapy
b.
C.
Chemotherapy
d.
Surgical excision with 2mm normal lid margins c
Moh's microsurgical procedure
e.
None of the above
66. The most common systemic
b. Multi Myeloma disease assoclated with optic neuritis is which one of the following?
osis
C. Herpes simolex b
d. Chicken pox
e. Rubella
67. A36 young male is diagnosed with grade three
option for this patient? pterygium, which one of the following is the best treatment
a. Simple excision
h Excision along with 5 FFU drops
C. Excision along with MMC drops
d. Excision along stem cell graft c
e. All of the above
68. Majority of the Posterior Vitreous Detachment
patients present with which one of the following scenarios.
a. Retinala tear
detachment (RD)
reous hemorrhage e
d. Vitrenue
e. Witha bSequelae
RD
69. Retinal detachment lpge with ch is characterized by presence of retinal break held open by vitreoretlnal
traction that allows accumulation of
liquefied vitreous under NSR separating it from RPE, is referred as which
one of the following types?
a. Tractional Retinal Detachment (RD)
b. Rhegmatogenous RD
C. Traumatic RD b
d. Exudative RD
e. None of the above
 (DME)?Which 79. 74. 73. Distance72.
78. 75.
photographs
Fundus
e. d. C. Which 77, T6 Maddox
Ocular b. a. Withcen
ACcouolved were A Angle Synoptophore
e. d. Cb. a. e. A eft
Slit of
pressure bleb Wwdesoread
A diagnosis Hypertension
is right her 65 meter
20 d. feet b.6
e.10 Hyr e. d 4.06 e.md.
Fundus Fluorescein eAguEetonalCouncll
Macular Cataract Aqueous
Choroidal
efusion
d. c patient d.C.Color
Depth b. a.meter
e.blindness
Esotropia ontact
Neovascular
RhegmatogenOus
the
Preretinal/vitreous of Bl
leak
eb b.
Detachment
Hypertensive
Retinopathy 7Ovears
Detachment Reual d. b. a.
C. reacuve Rightvears e. d. Exotropia
subtended 0.06mm
lamp months
6 912 thatRetinal e. d. b. a. meter 6 me/exotropia
5exophoria Near
Distant wing 3.06mm 2.06
mmn 1.06mm
month
t3months
months
he months Over-filtration 12 3 5 Abnormal Exotropia
eye Neuritis
Vitreous Central
heticCentral Eye. min/ min min/arc min/arc fSnellen 0tropia
examination
tomography
coherence following followingis presentsis Central Central showed old er
area
fundus edema Seidel tand
o D old a t l u e
esophoria is ertropia
and Onlady arc arc perception is used
misdirection Retinal
and man
Occlusion
Retinal
Artery
Retinal used of
angiography glaucoma Retinal byretinal
neovascular negative. also examination with chart Goldman
examination. isand DME postOper ne
bermorrhages presented the for
the mi for /
retinal the vejeArtery from Vein a letters
correspondence from exophoria
diagnosis
with hemorrhages
neo-vascular should history all
most and most Posterior Occlusi n Occlusion the
Occlusion Chronic to visual of patient prism
thalmoscope (FA) detdcnmeglaucoma 7Cun/disc
and of following
sensitive
tractional common be OPD Snellen of
d

re-examined Dlabetes to
cotton acuiyn

d
(0CT) while

b
and of enO with corneal
glaucoma Dabetle acuity
Ophthalmology ination except?
b
for retinal
tractional
preretinal/vitreous
hemorrhages and cause woolratio, sudecn a gEye
Melitus testing
IOP n surface

a
chart
a

assessing
presenceand Retinooathy.
of in ls spots His

c
for
how normal, of4 left loss wes tor at
a
detachments severe for is

b
retinal mmHg, examination
with last the
longt (cO), Oination
fundus visual
vislon nodal
vision The The15yean,

a
blurred
detachments a shallow Her point acuity
likely showed
patient most
loss of hisin
preEue
rieht
process
opticFundus, of is
related anterior left ikely the
with dilated
disc Fundus
severity he
eve. eye
cause
moderate, for bas with
to chamber margins. and his
visual He is
the for was equal
of prollferative right has sudden
low tortuous her not 6/12.
diatbetlc The acuity been to;
and eye visual

b
non-prolferathve intaocurar visible
Her loss
a most suffering
bl0showed
of
macular large
disease 6/18 los3while both of
vision
diffuse npupils
eary In
from her
we
hls in
edema In
DR? Dk
 81.
Which ofthe
macular edema (DME)?fol owing
BradingDRlevels for
Mild, non-proiferative
b. Proliferatiye
diabetic
e DR
Severe, non-proliferative DR
d. Severe Prolif retinopathy (DR) associated with the
is
82.
Which e: DME Can
of t berative Diabeticr presence of
diabetic
d.
b.
Phe folloWieSent ini
Patip ents with
ients with
cretinopathy
any leve
proper indicatia D
for laser pan
e
C. Anter
d. Patier
moder.
rior segment non-proliferativs
poe non-proliferat diabetic retinal
retinopathy photocoagulation
treatm
ve diabetic retinopatano poor compliance
83, A5 e. Diabeti with combined vascularization in with follo
sU-year-old dicular Edemaonal and rhepm With white catarart center involved macular edema.
amination bie
tpatient
presents natogenous retinal detachment
treatmentCataract
optionsurgery Clear,
in this and to you. He has
case? you can't see fundus due to vitreous decreased
a
vision in the right eye for the last 1 yr. o
der
Glaucoma surger hemorrhage.
What will be the best
arS piana vitrectomy d
84. A 32 yr old eatment
generalizedfemale
fa has variable ptosis in both her eves with
a. Congenitalt3aoility as well. The complains
symptoms get worse in the of
diplopia as well. She
b.
c.
Multiple sclero
Myasthenia gravis
evening. What would you suspect in this
th case?
d
Thyroid eye disease c
e.Third nerve palsy
63. A20 yr old male presented to your clinic with decreased
paleedisc, vascular vision at night. On examination you saw a
attenuation, and bone spicule ty relatively
entation in the fundus. You will make a diagnosis
Dental serouschorioretinopathy
Toxoplasmos
C. d
d. Retinitis pigmentosa
e. Retinal detachment
86. A 2 Year boy presented with right Retinoblastoma on
proptosis with left normal eye findings best treatmentexamination there Is total retinal detachment and
for right eye is
a. Photocoagulation therapy
b. Cyoationtherapy
c
d. Brachytherapy
e. Evisceration
87, Anewborn with left cystic swelling of medial canthus with bluish discoloration of overlying skin. The probable
diagnosis would be.
a. Dermoid cyst
b. Dacryocele b
rngus Hemangioma
e. Capillary Hemangioma
88. A 12-year-old boy with Keratoconus, having a visual acuity of 6/12 in both eyes corrected with glasses. The
Keratoconus is progressive as seen on corneal topography. The best treatment option to stop progression
would be.
Rigid contact lens
C Keratoplasty e
d. Lubricating eye drops
e. Collagen Cross linkages
89. Apatient came to OPD with refraction done having +1.00 in right eye and +5.00 In left eye rest of eye
examination is Normal. What type of AMBLYOPIA will patient have?
a. Strabismus amblyopia
b. Anisometropic Amblyopia
C. Ametropic Amblyopia
d. Meridional Amblyopia b
e. Organic Amblyopia
90. Blow out fracture characterized by:
a. Proptosis
b. Enophthalmos
Fracture of the inferior orbital rim c
d. Diplopia increased on down gaze.
e. Cataract