Sample Exam

1.  True statement regarding pt using Tamoxifen include all except:                                                              

  • Some pt develop retinopathy resemble that of canthaxanthin (Orobronze) retinopathy
  • Macular edema is often present in pt with clinical retinopathy
  • Some pt develop whorl like corneal changes 
  • Tamoxifen therapy places these pt at increased risk for retinal vascular occlusions

2.  All of the following are true about bowman’s membrane except:                                     

  • Is approximately as thick as Descement membrane
  • Can be considered the basement membrane of the epithelium
  • Fuses in to the corneal stroma with no well defined line of demarcation
  • Consists mainly of collagen fibrils
  • Dose not regenerates when destroyed

 3.  All of the following are true regarding orbital septum except:                                                                           

  • The palpebral portion of the lacrimal gland is posterior to it
  • The lateral palpebral ligament is posterior to it.
  • The orbicularis oculi is anterior to it
  • The lacrimal sac is posterior to it
  • The septum pass in front of the trochlea of the superior oblique

4.  Phlyctenular keratoconjunctivitis is associated with all of the following except:                

  • TB
  • Staphylococcal blepharitis
  • Pneumococcal conjunctivitis
  • AKC
  • Koch-weeks conjunctivitis

 5.  Reis-Buckler’s corneal dystrophy is characterized by all of the following except:                               

  • It is inherited as Autosomal dominant
  • It is usually not associated with recurrent erosions
  • Destruction of bowman’s membrane is the primary disturbance
  • Multiple minute discrete opacities are seen just beneath the epithelium

 6.  Spontaneous absorption of the lens is associated with: 

  • Myotonic dystrophy                                
  • Hallermann-Streiff syndrome
  • PHPV
  • Aniridia
  • Refsum’s disease

7.  Schwartz’s syndrome is caused by:                    

  • RPE blocking the trabecular meshwork
  • Forward rotation of the lens iris diaphragm
  • Ciliary body and choroidal edema
  • Photoreceptor outer segments blocking the trabecular meshwork

8.  All of the following are true of optic nerve drusen except: 

  • They are not familial                               
  • They may be berried
  • VF defect may be present
  • VA may be affected
  • Optic nerve atrophy may be seen

 9.  The most common cause of pseudo-Foster Kennedy syndrome is: 

  • Glaucoma                                                 
  • Leber’s hereditary optic atrophy
  • Optic neuritis
  • Ischemic optic neuropathy
  • Non of the above

 10.  Conditions imitating a bitemporal hemianopia due to chiasmal compression include all of the following except: 

  • Bilateral nasal sector retinitis                
  • Bilateral cecocentral scotoma
  • Refractive scotomas
  • Tilted discs
  • Glaucoma

 11.  Uveitis associated with JRA:                                    

  • Occur more frequently in girls than boys
  • Is rarely complicated by glaucoma
  • systemic steroid is the initial treatment of choice
  • usually unilateral
  • dose not occur until after age of 5years 

 12.  All of the following are true about the asteroid hyalosis except: 

  • It is most commonly bilateral                     
  • Average age of diagnosis is 60years
  • The eye is other wise is normal
  • It is composed of calcium soaps
  • It is attached to vitreous fibrils

 13.  The prevalence of cilioretinal artery is:               

  • 5-10%
  • 15-20%
  • 25-30%
  • 35-40%
  • Non of these

 14.  Which of the following is true regarding the synchysis scintillans? 

  • It is much rarer than asteroid hyalosis       
  • It is usually bilateral
  • It has freely floating opacities
  • Crystals are composed of cholesterol
  • All of these

 15.  All of the following are true regarding the squamous cell carcinoma of the conjunctiva except:                            

  • It is most commonly found in the limbus
  • It has strong tendency to infiltrate cornea either as a neoplastic process or as a degenerative process (pannus formation)
  • Tumors are highly radiosensitive
  • 1/3 of these tumors will invade intraocular content

 16.  Chocolate cysts are associated with:

  • Teratoma
  • Dermoid
  • Lymphangioma
  • Cavernous hemangioma
  • Neurofibroma

 17.  The most common site for metastases to the eye is:      

  • iris                                                                                                                      
  • CB
  • Orbit
  • Choroid at the periphery
  • choroid at the posterior pole

 18.  The most common condition producing leukocoria of pseudoretinoblastoma type is:                  

  • PHPV
  • Coat’s disease
  • Cataract
  • Chorioretinal coloboma
  • Uveitis

 19.  All of the following are true about Marfan's syndrome except: 

  • Aortic aneurysms are commonly seen        
  • The lens is usually dislocated in the downward direction
  • Blue sclera may be associated with it
  • A normal urinary cyanide nitroprusside reaction is important in diagnosing these pts
  • It is inherited as autosomal dominant

 20.  Ocular feature associated with Down's syndrome include all of the following except:                                   

  • Lisch nodules
  • Brusheield spots
  • Myopia
  • Strabismus
  • Keratoconus

 21.  Pt presented with proptosis sclerouveitis, trcheitis, lung cavitations & glomerulonephritis was also present, the most likely diagnosis is:

  • Polyarteritis nodosa                                      
  • SLE
  • Wegener’s granulomatosis
  • Henoch Schonlein purpura
  • TB