MCQs

Question 1

1- Entropion is

a-Rolling in of the lid margin.
b-Accessory row of eye lashes.
c-Downward drooping of the upper lid.
d-Loss of eye lashes.

Answer 1

a-Rolling in of the lid margin.

Question 2

2- In ulcerative Blepharitis

a-Lid margin is not inflamed.
b-Scaly dandruff like material is seen between cilia.
c-Treatment is by antifungal drugs.
d-There are yellow crusts and ulcers on lid margin.

Answer 2

d-There are yellow crusts and ulcers on lid margin.

Question 3

4- Fundus examination of background diabetic retinopathy may show the following EXCEPT:

a-Vitreous hemorrhage.
b-Tractional retinal detachment.
c-Hard exudates.
d-Microaneurysms.

Answer 3

a-Vitreous hemorrhage.

Question 4

5- Myasthenia Gravis can be diagnosed by the following tests EXCEPT

a-lmproved ptosis with applying hot packs on lids.
b-lncreased ptosis with up gaze.
c-Rapid improvement of ptosis on intravenous injection of tensilon (edrophonium).
d-Demonstrating specific antibodies and electromyography.

Answer 4

a-lmproved ptosis with applying hot packs on lids.

Question 5

6- Different Types of keratoplasties include the following EXCEPT

a-Penetrating keratoplasty PKP.
b-Deep lamellar keratoplasty.
c-Descemet’s membrane endothelial keratoplasty.
d-Application of intrastromal rings.

Answer 5

d-Application of intrastromal rings.

Question 6

7-Aqueous humor is secreted by:

a-Angle of the anterior chamber.
b-The ciliary body.
c-Posterior surface of iris.
d-Lens.

Answer 6

b-The ciliary body.

Question 7

8- The well-known causes of ptosis include the following EXCEPT:

a-Blunt trauma to the eyelid.
b-Hypertension.
c-Myasthenia gravis.
d-Horner’s syndrome.

Answer 7

b-Hypertension.

Question 8

9-The following are signs of Dysthyroid eye disease EXCEPT:

a-Upper lid retraction.
b-Uveitis.
c-Unilateral or bilateral proptosis.
d-Lid lag.

Answer 8

b-Uveitis.

Question 9

10-Complications of trachoma include the following EXCEPT:

a-Entropion.
b-Pannus.
c-Trichiasis.
d-Glaucoma.

Answer 9

d-Glaucoma.

Question 10

11-The current standard technique for cataract extraction in adults is:

a- Trabeculectomy.
b- Extracapsular cataract extraction with hard PMMA intraocular lens (IOL). c- Combined phacoemulsification with trabeculectomy,
d- Phacoemulsification with posterior chamber foldable IOL.

Answer 10

d- Phacoemulsification with posterior chamber foldable IOL.

Question 11

12-Causes of leukocoria include all of the following EXCEPT;

a- Congenital glaucoma.
b- Congenital cataract.
c- Retinopathy of prematurity.
d- Retinoblastoma.

Answer 11

a- Congenital glaucoma.

Question 12

13- Forms of dry eye include the following (EXCEPT)

a- Deficiency of aqueous tears (Keratoconjunctivitis sicca)
b- Mucin deficiency due to wide spread loss goblet cell,
c- Dryness secondary to eye lid disease,
d- Dryness due to lid edema

Answer 12

d- Dryness due to lid edema

Question 13

14-Opacitv of the crystalline lens is known as:

a-Leucoma.
b-Cataract.
c-Ciliary staphyloma.
d-lris bombe.

Answer 13

b-Cataract.

Question 14

15-Aqueous humor is drained through:

a-Angle of the anterior chamber.
b-The ciliary body
c-Posterior surface of iris.
d-Lens

Answer 14

a-Angle of the anterior chamber.

Question 15

16- Miosis may found in all EXCEPT:

a-lridocyclitis.
b-Old age (senile).
c-Homer’s syndrome.
d-Optic atrophy.

Answer 15

d-Optic atrophy.

Question 16

17-With complete relaxation of accommodation, a myopic eye focuses images:

a-ln front of the lens.
b-ln front of the retina.
c-Behind the retina.
d-Behind the cornea

Answer 16

b-ln front of the retina.

Question 17

18- In primary open angle glaucoma one of the following is true :

a- It usually presents with headache.
b- Optic disc analysis is mandatory.
c- It requires surgery in most cases,
d- Gonioscopy reveals areas of Synechiae

Answer 17

b- Optic disc analysis is mandatory.

Question 18

19- Secondary glaucoma may develop after all of the following EXCEPT:

a- Uveitis.
b- Prolonged steroid use.
c- Proliferative diabetic retinopathy.
d- Entropion.

Answer 18

d- Entropion.

Question 19

20- Hordeolum extemum (stye) is an acute inflammation of:

a- Hair follicle.
b- Zeis’ gland.
c- Sweat gland,
d- Wolfring’s gland.

Answer 19

a- Hair follicle.

Question 20

21 clinical picture of glaucomatous optic neuropathy include the following except:

a- Well defined overhanging edge
b- Large deep cup
c- vessels are sheathed
d- Well seen lamina cribrosa

Answer 20

c- vessels are sheathed

Question 21

22-A deep corneal opacity can be treated by:

a-LASIK.
b-Penetrating keratoplasty.
c-lridectomy.
d-Phacoemulsifi cation.

Answer 21

b-Penetrating keratoplasty.

Question 22

23-The presentation of exotropia in primary position with ptosis & limited adduction is suggestive of:

a-Third nerve palsy.
b-Optic atrophy.
c-Fourth nerve palsy.
d-Sixth nerve palsy.

Answer 22

a-Third nerve palsy.

Question 23

24- Acanthamoeba keratitis:

a- A mild corneal infection.
b- Easily treated.
c- Is a painless infection.
d- Occurs in wearers of contact lens

Answer 23

d- Occurs in wearers of contact lens

Question 24

25- Intraocular foreign body effects include

a- Diplopia.
b- Mechanical effects (as perforation) on cornea and sclera,
c- Central retinal artery occlusion.
d- Ptosis.

Answer 24

b- Mechanical effects (as perforation) on cornea and sclera,

Question 25

26- One of the following is a cause of exudative retinal detachment a- Retinal traction. b- Proliferative diabetic retinopathy. c- Choroidal tumors as melanoma. d- Retinal tear.

Answer 25

c- Choroidal tumors as melanoma.

Question 26

27- Complications of high myopia include the following EXCEPT: a- Retinal detachment. b- Macular hole. c- Corneal ulcer, d- Choroidal neovascular membrane.

Answer 26

c- Corneal ulcer,

Question 27

28- Regular astigmatism is characterized by: a- The steep and flat axes are perpendicular. b- The transition between the steep and flat meridian is acute, c- Cannot be corrected by cylindrical lenses, d- Associates corneal opacities.

Answer 27

a- The steep and flat axes are perpendicular.

Question 28

29- One of the following surgeries is considered refractive surgery a-Trabeculectomy. b- Posterior capsulotomy. c- Laser in situ assisted keratomileusis (LASIK). d- Vitrectomy.

Answer 28

c- Laser in situ assisted keratomileusis (LASIK).

Question 29

30-A triangular encroachment of the conjunctiva over the cornea is called: a-Bulbar spring catarrh. b-Symblepharon c-Pterygium. d-Phlyctenular conjunctivitis.

Answer 29

c-Pterygium.

Question 30

31- Ptosis in Horner's syndrome, is due to paralysis of: a. Riolan's muscle. b. Horner's muscle. c. Muller's muscle d. The levator palpebral muscle.

Answer 30

c. Muller's muscle

Question 31

32- Regarding keratoconus, choose the WRONG answer: a-lt is conical thinning and protrusion of the cornea. b-lt causes progressively increasing myopia and myopic astigmatism, c-lt can be diagnosed by corneal topography, d-lt presents in old age.

Answer 31

d-lt presents in old age.

Question 32

33- Ciliary injection is: a- Seen in iridocyclitis. b- Seen in conjunctivitis. c- Not seen in acute angle closure glaucoma. d- Not seen in corneal ulcer.

Answer 32

a- Seen in iridocyclitis.

Question 33

34- Regarding buphthalmos all is true except : a-lt can lead to permanent damage to the optic nerve. b-Can lead to watery eye. c-lts treatment is essentially surgical. d-lt is always associated with small corneal diameter

Answer 33

d-lt is always associated with small corneal diameter

Question 34

36- Causes of pseudo-strabismus: a- Extraocular muscle paralysis. b- Presence of large or small interpupillary distance. c-Cranial nerve palsy. d- Extraocular muscle surgery.

Answer 34

b- Presence of large or small interpupillary distance.

Question 35

37- In open angle glaucoma Field changes include the following EXCEPT a-Tubular field in advanced cases. b- Upper or lower arcuate scotoma. c- Bitemporal hemianopia. d- Isolated scotoma in the form of nasal step.

Answer 35

c- Bitemporal hemianopia.

Question 36

38- Medical treatment of open angle glaucoma includes the following EXCEPT a- Prostaglandin analogues. b- Beta blockers. c-Topical steroids. d- Carbonic anhydrase inhibitors.

Answer 36

c-Topical steroids.

Question 37

39- Results of central retinal artery occlusion: a- cherry red spot b- Macular edema. c- Retinal detachment. d- Reduced blood coagulation.

Answer 37

a- cherry red spot

Question 38

40- Treatment of the wet type of age related macular degeneration ARMD: a-Antibiotics. b-Repeated intravitreal injections of anti VEGF. c- Yag laser. d- Correction of high myopia.

Answer 38

b-Repeated intravitreal injections of anti VEGF.

Question 39

41- Retinitis pigmentosa: a- Flat electroretinogram (ERG) is diagnostic.. b- Can not be genetically determined. c- Several lines of successful treatment are present, d- Generally affects old age.

Answer 39

a- Flat electroretinogram (ERG) is diagnostic..

Question 40

42- Relative afferent pupillary defect occurs in the following conditions a-Acute iridocyclitis. b- Open angle glaucoma. c- When flash light is projected to one eye. d- Unilateral optic nerve diseases.

Answer 40

d- Unilateral optic nerve diseases.

Question 41

43- Causes of mydriasis include the following EXCEPT a-3rd nerve palsy. b- Paralytic stage of cerebral compression. c- Trauma. d- Pontine hemorrhage

Answer 41

d- Pontine hemorrhage

Question 42

44- Central retinal vein occlusion can be treated by; a- Antibiotics. b- Parasympathomimetics. c- Anti-vascular endothelial growth factor, d- Analgesics.

Answer 42

c- Anti-vascular endothelial growth factor,

Question 43

45-Retinoblastoma: a- Causes leukocoria. (it can also present withOUT leukocona) b- Does not spread through the optic nerve, c- Can be diagnosed at the age of 4 years, d-lt is never associated with inflammation.

Answer 43

c- Can be diagnosed at the age of 4 years,

Question 44

46- A patient with Behcet's disease suffers from : a- Iritis, hypopyon panuveitis and oro-genital ulcers, b- Hyphema. c- Lens subluxation. d- Esotropia.

Answer 44

a- Iritis, hypopyon panuveitis and oro-genital ulcers,

Question 45

47- Blunt trauma can affect the iris as follows EXCEPT a- Traumatic mydriasis. b- Iridodialysis and D shaped pupi.. c- Lost anterior chamber and anterior iris displacement, d- Iris sphincter tear.

Answer 45

c- Lost anterior chamber and anterior iris displacement,

Question 46

48- Uveitis associated with vitiligo and poliosis often presents in patients with: a. Behcet's disease. b. Vogt Koyanagi Harrada. c. Toxoplasmosis. d. HLA B27 -associated sero- negative arthritis

Answer 46

b. Vogt Koyanagi Harrada.

Question 47

3- In squamous Blepharitis a-Lid margin is not inflamed. b-Scaly dandruff like material is seen between cilia. c-Treatment is by antifungal drugs. d-Causes ulcers on lid margin.

Answer 47

b-Scaly dandruff like material is seen between cilia.

Question 48

4-Congenital ptosis is due to a-lncreased weight of the upper lid. b-Levator tendon injury. c-3rd nerve palsy. d-Dystrophy of the levator muscle

Answer 48

d-Dystrophy of the levator muscle

Question 49

14- Causes of vitreous hemorrhage include the following (EXCEPT) a-Trauma. b- Posterior vitreous detachment causing retinal tear. c- Extracapsular cataract extraction. d- Ruptured neovascularization at the disc or elsewhere in retina in proliferative diabetic retinopathy.

Answer 49

c- Extracapsular cataract extraction.

Question 50

15- The following stain is used to diagnose a viral corneal ulcer: a- Atropine. b- Tetracaine. c- Rose Bengal. d- Acyclovir.

Answer 50

c- Rose Bengal.

Question 51

16- Glaucomflecken can be found in: a- Acute angle closure glaucoma. b- Congenital cataract. c- Traumatic cataract. d- Hyper mature cataract

Answer 51

a- Acute angle closure glaucoma.

Question 52

20-The following drug is used in the treatment of infective corneal ulcers: a- Pilocarpine. b- Latanoprost. c- cycloplegics. d- Prednisolone.

Answer 52

c- cycloplegics.

Question 53

23- One cause of exudative retinal detachment a- Occurs due to retinal traction. b- Associates proliferative diabetic retinopathy, c- Occurs with choroidal tumors as melanoma, d- Occurs due to retinal tear.

Answer 53

c- Occurs with choroidal tumors as melanoma,

Question 54

24- Complications of high myopia include the following EXCEPT: a- Retinal detachment. b- Macular hole. c- Corneal ulcer. d- Choroidal neovascular membrane.

Answer 54

c- Corneal ulcer.

Question 55

25- Regular astigmatism is characterized by: a- The steep and flat axes are perpendicular. b- The transition between the steep and flat meridian is acute, c- Cannot be corrected by cylindrical lenses, d- Associates corneal opacities.

Answer 55

a- The steep and flat axes are perpendicular.

Question 56

28- Thyroid Ophthalmopathy can present with all EXCEPT: a- Diplopia. b- Proptosis. c- Corneal ulcer. d- Ptosis.

Answer 56

d- Ptosis.

Question 57

29- Cilliary injection is: a- Seen in iridocyclitis. b- Seen in conjunctivitis. c- Not seen in acute angle closure glaucoma. d- Not seen in corneal ulcer.

Answer 57

a- Seen in iridocyclitis.

Question 58

30- . Proptosis is present in the following EXCEPT a- Orbital cellulitis. b- Cavernous sinus thrombosis. c- Thyroid eye disease. d- Acute angle closure glaucoma.

Answer 58

d- Acute angle closure glaucoma.

Question 59

31- Regarding cranial nerves palsy a- 6th nerve palsy cases limitation of abduction. b- 4th nerve palsy causes limitation of elevation. c- 3rd nerve palsy causes limitation of downward movement, d- 5th nerve palsy causes limitation of adduction.

Answer 59

a- 6th nerve palsy cases limitation of abduction.

Question 60

33- Regarding facts about Cataract a- Mature cataract alone can cause no perception of light b- Intumescent cataract can cause 2ndary glaucoma c- Complicated cataract can be caused by Astigmatism d- Medical treatment is possible

Answer 60

b- Intumescent cataract can cause 2ndary glaucoma

Question 61

34- Causes of pseudo-strabismus: a- Extraocular muscle paralysis. b- Presence of large or small interpupillary distance, c- Cranial nerve palsy, d- Extraocular muscle surgery.

Answer 61

b- Presence of large or small interpupillary distance,

Question 62

39- Retinitis pigmentosa: a- Flat electroretinogram (ERG) is diagnostic.. b- Can not be genetically determined. c- Several lines of successful treatment are present, d- Generally affects old age.

Answer 62

a- Flat electroretinogram (ERG) is diagnostic..

Question 63

40- Relative afferent pupillary defect occurs in the following conditions a- Acute iridocyclitis. b- Open angle glaucoma. c- When flash light is projected to one eye. d- Unilateral optic nerve diseases.

Answer 63

d- Unilateral optic nerve diseases.

Question 64

41-Causes of mydriasis include the following EXCEPT a-3rd nerve palsy. b- Paralytic stage of cerebral compression. c- Trauma. d- Pontine hemorrhage.

Answer 64

d- Pontine hemorrhage.

Question 65

43-Regarding retinoblastoma: a- Causes leukocoria. b- Does not spread through the optic nerve. c- The age of diagnosis is 4 years. d-lt is never associated with inflammation.

Answer 65

c- The age of diagnosis is 4 years.

Question 66

46- Blunt trauma can affect the iris as follows EXCEPT a- Traumatic mydriasis. b- Iridodialysis and D shaped pupi.. c- Lost anterior chamber and anterior iris displacement, d- Iris sphincter tear.

Answer 66

c- Lost anterior chamber and anterior iris displacement,

Question 67

48- The following is characteristic of diabetic maculopathy EXCEPT: a- Hard exudates. b- Neovascularization. c- Macular edema. d- Microaneurysms.

Answer 67

b- Neovascularization.

Question 68

4- Tearing in a infant aged 6 month can be caused by all of the following Except: a. Nasolacrimal duct obstruction. b. Mucopurulent conjunctivitis. c. Congenital corneal opacity. d. Congenital glaucoma.

Answer 68

c. Congenital corneal opacity.

Question 69

7- The simplest treatment of astigmatism is: a. Cycloplegia. b. Cylindrical lenses glass prescription. c. Laser surgery. d. Keratoplasty.

Answer 69

b. Cylindrical lenses glass prescription.

Question 70

13- A child with dense congenital cataract can suffer from all of the following EXCEPT: a. Amblyopia. b. Strabismus. c. Vitreous detachment. d. Nystagmus.

Answer 70

c. Vitreous detachment.

Question 71

14- Mature intumescent cataract can be associated with: a. Visual acuity better than 2/60. b Secondary angle closure glaucoma. c. Good red reflex on retinoscopy. d. Can be treated medically.

Answer 71

b Secondary angle closure glaucoma.

Question 72

1$- A Subluxated lens whether clear or cataractpus: a. Is always uniocular. b. Is never hereditary. c. Treatment is only conservative. d. It can be associated with other ocular or non-ocular manifestations..

Answer 72

d. It can be associated with other ocular or non-ocular manifestations..

Question 73

19- Congenital glaucoma: a- Should be treated by topical antiglaucoma eye drops only. b- Surgical treatment is the definitive treatment. c- Is best treated by lens extraction. d- Does not cause blindness if not treated

Answer 73

b- Surgical treatment is the definitive treatment.

Question 73

22- Amblyopia; a- Is a problem of Adolescence. b- Occurs only after age 9. c- Can be caused by congenital cataract and congenital corneal opacity, d - Is not a serious problem that we should avoid.

Answer 73

c- Can be caused by congenital cataract and congenital corneal opacity,

Question 73

Define amblyopia

Answer 73

Lazy eye; it either wanders inward or outward; can occur anywhere from 6 months to 7 years old

Question 74

23- Esotropia can be due to all of the following EXCEPT: a- High hypermetropia. b- Oculomotor cranial Nerve palsy. c- Abducent cranial nerve palsy. d- Medial rectus overaction.

Answer 74

b- Oculomotor cranial Nerve palsy.

Question 75

30- Rhegmatogenous retinal detachment: a- Is caused by a retinal tear and treated by surgery. b- Is caused by a retinal tear and treatment is conservative. c- Is a complication of diabetic retinopathy, d- Is a disease of the choroid.

Answer 75

a- Is caused by a retinal tear and treated by surgery.

Question 76

32- Unresolving vitreous hemorrhage for more than 6 months, is treated by: a. Argon laser photocoagulation. b. Pars plana vitrectomy. c. Oral anti-inflammatory drugs. d. Phacoemulsification.

Answer 76

b. Pars plana vitrectomy.

Question 76

33- Risk factors for central retinal vein occlusion include: a- Hypertension, diabetes, and glaucoma. b- High bleeding time and low prothrombin concentration, c- Hypotension. d- Retinal detachment.

Answer 76

a- Hypertension, diabetes, and glaucoma.

Question 76

34- Multiple sclerosis can present with; a- Optic neuritis in a young female. b- Cataract in a young female. c- Lid retraction. d- proptosis.

Answer 76

a- Optic neuritis in a young female.

Question 77

35- The presence of papilledema Indicates: a. High intra-ocular pressure. b. High intracranial pressure. c. Low intracranial pressure. d. High myopia.

Answer 77

b. High intracranial pressure.

Question 78

42- Fundus picture of central retinal artery occlusion shows : a. Cherry red spot. b- Macular hemorrhage. c- Retinal detachment. d- Dilated Veins

Answer 78

a. Cherry red spot.

Question 79

44- Relative afferent pupillary defect occurs in the following condition: a-Acute iridocyclitis. b- Open angle glaucoma. c-Thyroid eye disease. d- Unilateral optic nerve disease.

Answer 79

d- Unilateral optic nerve disease.

Question 80

45-The following may be used in the treatment of central retinal vein occlusion: a-Antibiotics. b- Parasympathomimetic. c- Anti-vascular endothelial growth factor. d-Analgesics.

Answer 80

c- Anti-vascular endothelial growth factor.

Question 81

46- In a case of penetrating corneal laceration you should: a- Put antibiotic eye drops frequently until surgical repair is done. b- Patch the eye after examination, give systemic antibiotic and prepare for surgical repair. c-Do ultrasound urgently to exclude IOFB. d-Wash with betadine and prepare for surgery.

Answer 81

d-Wash with betadine and prepare for surgery.

Question 82

48- The following is a characteristic of diabetic maculopathy EXCEPT: a- Hard exudates. b- Neovascularization. c- Macular edema. d. Microaneurysms.

Answer 82

b- Neovascularization.