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Practice Questions in Ophthalmology
Dany Najjar, MD

Important Notice:

The following questions have been prepared by the residents for educational purposes ONLY. They have nothing to do with the actual written final examination.

 EYE EMERGENCIES:

  1. Which of the following conditions does NOT require emergency ophthalmological management?
  1. Anterior uveitis
  2. Acute angle-closure glaucoma
  3. Orbital floor fracture
  4. Orbital cellulitis
  5. Corneal ulcer
   2.  Which of the following is contraindicated in the early management of a patient with     hyphema?
  1. Steroids
  2. Cycloplegics
  3. IOP lowering agents
  4. Frequent visits to the ophthalmologist
  5. None of the above
   3. A 40 year old lady complains of left eye redness of 2 days duration associated with photophobia and watery discharge. She reports history of URTI that started one week ago.

On exam: vision OU= 20/20. Cornea reveals multiple dendritic lesions that

stain well with fluorescein as well as superficial punctate keratitis.

Which of the following is the most appropriate management?

  1. Topical antibiotics (Fucithalmic)
  2. Topical antibiotics + patching
  3. No antibiotics, no patching
  4. Only patching
  5. None of the above

 

  4. Which of the following is NOT a feature of acute anterior uveitis?

  1. Eye pain
  2. Keratic precipitates
  3. Busacca nodules
  4. Ciliary injection
  5. Mid-dilated pupil
  5. Which of the following is specific for the diagnosis of allergic conjunctivitis?
  1. Eye redness
  2. Itching
  3. Foreign body sensation
  4. Excessive lacrimation
  5. None of the above

 

CORNEA/EXTERNAL DISEASES

  1. Which of the following is true about keratoconus?
  1. It is classified as a corneal dystrophy resulting in severe corneal thinning
  2. It is associated with many systemic conditions including Down’s syndrome.
  3. It is a progressive condition that leads to increasing degrees of hyperopia.
  4. Only A and B
  5. All of the above
   2. Indications for penetrating keratoplasty include all of the following EXCEPT:
  1. Advanced keratoconus
  2. Macular dystrophy
  3. Thick central corneal scar
  4. Perforating corneal ulcer
  5. Age-related macular degeneration

   3. Corneal grafts cannot be collected from donors if the following condition(s) exist(s) in the donor:

  1. Presence of AIDS
  2. History of cataract surgery
  3. Death of unknown origin
  4. Death of more than 10 hours duration
  5. All of the above

    4. Treatment of blepharitis might include:

  1. Lid hygiene
  2. Topical erythromycin
  3. Systemic doxycycline
  4. A and B only
  5. All of the above
   5. Which organism is the most common cause of blepharitis?
  1. Staphylococcus aureus
  2. Staphylococcus epidermidis
  3. Streptococcus
  4. Pseudomonas
  5. Hemophilus influenzae
   6. Slit-lamp findings in vernal catarrh include all of the following EXCEPT:
  1. Conjunctival injection
  2. Giant papillae
  3. Herbert’s pits
  4. Tranta’s dots
  5. Shield ulcers
  7. Presenting symptoms of viral conjunctivitis do NOT include:
  1. Watery discharge
  2. Diffuse conjunctival injection
  3. Foreign body sensation
  4. Pain
  5. Itching
  8. Corneal topography can be used for:
  1. Diagnosing keratoconus
  2. Before cataract surgery to determine the curvature of the cornea
  3. Before photorefractive surgery
  4. Detecting astigmatism
  5. All of the above
  9. Which of the following is the first line management of keratoconus?
  1. Soft contact lenses
  2. Hard contact lenses
  3. Penetrating keratoplasty
  4. A and B only
  5. All of the above

  10. Complications of contact lens wear include all of the following EXCEPT:

  1. Superficial punctate keratitis
  2. Corneal ulceration
  3. Giant papillary conjunctivitis
  4. Keratoconjunctivitis sicca
  5. Superior limbal keratitis

 

  11. Drugs that cause corneal deposits include all EXCEPT:
  1. Phenothiazines
  2. Thiazides
  3. Amiodarone
  4. Chloroquine
  5. Hydroxychloroquine

 

NEUROOPHTHALMOLOGY:

  1. A patient with optic neuritis usually presents with:
  1. Decreased vision
  2. Eye pain
  3. Positive APD
  4. Pale optic nerve head
  5. All of the above
  2. Papilledema differs from optic neuritis in which of the following?
  1. It is usually bilateral
  2. It is more common in females
  3. It is accompanied with eye pain and blurring of vision
  4. It is associated with color vision defects
  5. It may resolve without any treatment
  3. Third nerve (oculomotor nerve) palsy in diabetics is characterized by:
  1. Ptosis
  2. Abnormal pupillary reaction
  3. Normal pupillary reaction
  4. A and B
  5. A and C

 


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