QUIZ 3

Year : 2013  |  Volume : 1  |  Issue : 3  |  Page : 189-191

Quiz 3

Priyanka Ahuja
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Source of Support: None, Conflict of Interest: None

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DOI: 10.4103/2320-3897.116849

1. During hydrodissection of lens during cataract surgery, iris prolapses, the chamber shallows and eye becomes firm. What is the likely diagnosis?
   1. Ciliary Body Oedema.
   2. Zonular Dialysis & Vitreous prolapse
   3. Misdirection of irrigating fluid into anterior vitreous
   4. Expulsive choroidal hemorrhage.
2. Which of the following is most likely to increase risk of early post-operative pseudophakic cystoid macular edema?
   1. Topical povidone - iodine.
   2. Intracameral lidocaine.
   3. Subconjunctival gentamicin.
   4. Topical latanoprost
3. Prior to cataract surgery a patient reports an allergic reaction to procaine, an ester anesthetic from a prior dental procedure. Which of the following anesthetics should be avoided?
   1. Lidocaine
   2. Bupivicaine
   3. Tetracaine
   4. Mepi-vacaine.
4. Most common causative organism of infectious crystalline keratopathy.
   1. Staphylococcus aureus.
   2. Streptococcus pneumonias.
   3. Streptococcus viridans
   4. Staphylococcus epidermidis
5. A conjunctival granuloma may be seen in all except
   1. Reaction to foreign body.
   2. Allergic conjunctivitis
   3. Bartonella henselae infection.
   4. Sarcoidosis.
6. Region of conjunctiva likely to have most prominent staining with rose Bengal in case of conjunctivitis medicamentosa.
   1. Infeornasal bulbar.
   2. Superior limbal
   3. Temporal bulbar
   4. Inferior palpebral
7. Plateau iris is a type of primary angle closure glaucoma caused by which one of the following :
   1. Apillary block
   2. Anteriorly positioned ciliary process
   3. Anteriorly positioned iris root
   4. Anteriorly positioned vitreous base.
8. Type of perimetry used to detect glaucomatous visual field loss earlier than conventional white on white perimetry.
   1. Goldmann Perimetry
   2. Tangent Screen Testing.
   3. Short wavelength automated perimetry
   4. Static superthreshold perimetry
9. Which ethnic group is at greater risk of developing pseudoexfoliation syndrome.
   1. Scandinavians.
   2. African American
   3. Eskimos
   4. Asian.
10. A mutation in which gene is associated with juvenile open angle glaucoma in 8% to 33% of pedigrees?
    1. Fibrillin
    2. Optineurin
    3. Rhodopsin
    4. TIGR Myocillin
11. Right homonymous hemianopic scotoma is caused by lesion of
    1. Left geniculate body.
    2. Left posterior occipital lobe
    3. Posterior central chiasm
    4. Junction of optic nerve and left chiasm.
12. A 30 year old woman with B/L optic atrophy, deafness, cataracts and premacular membrane should be evaluated for which of following conditions
    1. Multiple sclerosis.
    2. Pseudo tumor cerebri
    3. Neurofibromatosis 2
    4. Joubert syndrome
13. Most sensitive test for diagnosis of myaesthenia gravis
    1. Single fibre electromyography.
    2. Serum acetylcholine receptor antibody levels.
    3. Neostigmine test
    4. Computed tomography of chest
14. Typical mode of spreading to skull base in adenoid cystic carcinoma is
    1. Direct local invasion only.
    2. Lymphatic metastatsis
    3. Perineural invasion
    4. Hematologic metastasis
15. Anatomic landmark gray line is formed by
    1.  Meibomian gland ^{More Details} orifices
    2. Marginal vascular area.
    3. Superior border of tarsus
    4. Pretarsal orbicularis muscle
16. Which of the following eye muscle is least likely to be paralysed by retrobulbar anesthetic delivered within muscle cone?
    1. Medial rectus.
    2. Lateral rectus.
    3. Inferior oblique
    4. Superior oblique
17. Positive forced duction test is found in
    1. Myasthenis gravis.
    2. Acute sixth cranial nerve palsy
    3. Internuclear ophthalmoplegia
    4. Thyroid ophthalmology
18. Ocular albinism is typically associated with
    1. Pigmentary retinopathy.
    2. Salt and pepper fundus
    3. Bulls eye maculopathy
    4. Foveal hypoplasia
19. Which of following will most likely help to differentiate Duane's syndrome from sixth cranial nerve palsy?
    1. Incomitant esodeviation
    2. Anomalous head posture
    3. Limited adduction of affected eye
    4. Limited abduction of affected eye
20. Findings suggestive of forms fruste keratoconus include all except
    1. 2D of astigmatism at 180.
    2. BCVA at 20/40
    3. Average keratometry of 48D
    4. Asymmetric bowtie astigmatism
21. Which of the following is spherical equivalent power of Jackson Cross Cylinder?
    1. One half of cylinder power.
    2. Zero
    3. Full cylinder power
    4. Twice of cylinder power
22. Chronic vitreous cells are likely to be absent in
    1. Ocular lymphoma
    2. Ocular histoplasmosis
    3. Pars planitis
    4. Retinitis pigmentosa
23. Which form of ocular inflammatory disease most commonly occurs in association with multiple sclerosis?
    1. Scleritis.
    2. Posterior Uveitis
    3. Panuveitis
    4. Intermediate Uveitis
24. D/D of 3 year old child with hypopyon uveitis include :
    1. Ocular histoplasmosis.
    2. Multifocal choroiditis
    3. Retinal dysplasia
    4. Retinoblastoma
25. A 44 year old patients spectacle correction -8.00 sphere with vertex distance of 16 mm. Which of the following contact lens power should be ordered for this patient.
    1. -8.00 D
    2. -7.00 D
    3. -7.50 D
    4. -8.50 D
26. All are correct statements about orbital septum except
    1. Inserts on orbital rim
    2. Is separated from levator aponeurosis by orbital fat
    3. Is firmly attached to Witnalls ligament
    4. Fuses with capsulopalpebral fascia in lower lid
27. Histologically arcus senilis shows
    1. Stromal deposition of lipid
    2. Peripheral Descemets membrane deposition of lipid
    3. Peripheral Bowmans membrane deposition of lipid
    4. All of the above
28. Which of the following anomalies of lens growth does not occur at birth
    1. Duplication of lens
    2. Microspherophakia
    3. Lenticonus
    4. Phakoma
29. All of following can be associated with angioid streaks except
    1. Acromegaly
    2. Ehlers danlos syndrome
    3. Hemochromatosis
    4. Sarcoidosis
30. Incorrect statement about Fuchs heterochromic iridocyclitis
    1. Occurs with equal frequency in men and women
    2. May appear at any age
    3. Has been associated with immune response to antigen
    4. Is usually bilateral
31. Least likely cause of unilateral leucocoria in a child
    1. Coats disease
    2. Persistent primary hyperplastic vitreous
    3. Ocular onchocerciasis
    4. Ocular toxocariasis
32. Corneal signs typically associated wit acanthamoeba keratits include
    1. Subepithelial infiltrates
    2. Ring infiltrate
    3. Corneal neovascularization
    4. Crystalline midstromal infiltrate
33. Which of the following drugs is associated with corneal verticillata?
    1. Metaprolol
    2. Amiodaron
    3. Erythromycin
    4. Tetracycline
34. Indication for peterygium surgery is
    1. Induced myopia
    2. Tear deficiency
    3. Induced astigmatism
    4. Macular degeneration
35. Corneal haze secondary to corneal edema is primarily caused by
    1. Reflection
    2. Light scattering
    3. Refraction
    4. Diffraction