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MCQs
Bright red colour. Movable. Not affected by vasoconstrictors. Individual vessels are easily distinguished.
Caused by birth trauma. Frequently caused by gonococcal infection. Maternal infection plays a role. Silver nitrate drops were used as a prophylaxis.
Always unilateral. Usually occurs in young boys. Antibiotic drops are the main therapy. Main symptom is foreign body sensation.
Patient presented with itching, lacrimation, excoriation and macerated outer canthus, the claimed organism is:
Old asthmatic hypertensive patient, presented with severe red eye after acute attack of cough, most propably may be due to:
Arlts line. Papillae of upper tarsal conjunctiva. Herberts Pits. Expressible follicles.
Pinguecula is:
Exposure to ultra violet rays. Viral infection. Pinguecula. Living in tropical area.
Patient had a pterygium, excised since one month, and starts to see double vision, this may be due to:
These treatments are useful in preventing the recurrence after pterygium excision except:
EYE LID
A patient suffered from acute onset of facial palsy, the first line of treatment is:
Frequent ocular lubrication. Lateral tarsorrhaphy Topical corticosteroids. Levator muscle resection.
The levator palpebrae superioris is inserted into the following structures except:
Skin of upper eye lid Upper border of tarsus Bulbar conjunctiva Medial orbital margin & medial palpebral ligament
The state of extraocular muscles Fundus examination Amount of levator function Pupillary light reflex
Meibomian glands Accessory lacrimal glands Zeiss glands of the lash Lid margin
follicles
A female patient C / O diffuse hyperemic lid margin with multiple grayish yellow crustations covering the lashes. The best treatment is:
Epilation of affected lashes Electrolysis Hot fomentations and local antibiotics Systemic corticosteroids
Give long acting corticosteroids Give long acting antibiotics Correct any refractive errors Give maintenance dose of vitamins.
Acute suppurative inflammation of meibomian glands Chronic suppurative inflammation of meibomian glands Chronic inflammatory lipogranuloma of meibomian glands. Chronic non granulomatous inflammation of meibomian glands
A male patient is C / O chronic eye lid redness and frequent loss of lashes. The most propable diagnosis is
A case presented with hypermic lid margin, matting of eye lashes, yellow crustations. The treatment include all the following except:
Local lid hygeine Rubbing the lid margin by antibiotic ointment Elctrolysis Systemic antibiotic
When the number is less than four When the lashes are close together In presence of acute corneal ulcer In cases of high refractive error.
Congenital ptosis may be associated with the following congenital anomalies except:
Lid splitting and everting sutures is an operation used for the correction of:
Pure trichiasis of the upper eye lid. Trichiasis and entropion of the upper eye lid. Ectropion of the lower eye lid. Paralytic entropion of the lower eye lid.
Can cause madarosis. Can be complicated by ulcerative keratitis. Can be caused by Morax Axenfeld bacillus. Can be treated by antibiotics.
A 65 ys old patient had recurrence of chalazion after removal from the same site two times. The best management is:
Systemic antibiotic and steroids. Excision and histopathological evaluation. Excision and curette evacuation. Excision and cautery of the edges.
A patient has about 10 maldirected localized lashes of the upper eye lid. The treatment of choice is:
Snellens operation. Lid splitting and cryo application. Epilation Weiss procedure.
Severe ptosis. Levator action less than 5 mm. Moderate ptosis. Levator action 5-8 mm. Mild ptosis. Levator action more than 8 mm. None of above.
Skin muscle layer & tarsus conjunctival layer. Tarsus & canjunctiva. Skin & meibomian glands. Palpebral conjunctiva & meibomian gland orifices.
Ankyloblepharon is :
The adhesion of the lids. The adhesion between palpebral and bulbar canjunctiva. The adhesion of the margins of the two lids. All of the above.
Modified sweat glands. Modified sebaceous glands. Modified meibomian glands. None of above.
Upper border of the tarsus. Skin of upper lid. Upper fornix. All of above.
1.
OCULAR TRAUMA
A 30 ys old patient was subjected to face burn with strong acid, two months later he presented with watering and inability to close his left eye. The explanation of this may be:
A patient subjected to vertical lid wound, he is unable to to close his eye properly. This condition can lead to:
Eye patching. Immediate wash with plain water. Instilling local antibiotic drops. Neutralization of the acid with alkali.
A 10 ys old boy, received blunt ocular trauma by tennis ball to his right eye, you will expect to have:
Hypopion ulcer. Blood staining of the cornea. Hyphema. Tractional retinal detachment.
A patient had penetrating eye injury in the right eye, the first aid management is:
Washing with plain water. Sterile eye bandage. Application of antibiotic ointment. Instilling atropine eye drops.
A patient is C / O monocular diplopia after blunt ocular trauma, the following could cause this except:
A patient had blunt ocular trauma, now he is C / O severe visual defect, the cause of this may be due to:
Blue dot cataract. Anterior subcapsular cataract. Posterior subcapsular cataract. Coronary cataract.
A patient with a history of blunt trauma to the left eye C / O double vision that disappears on covering the left eye & persists on covering the right eye. Examination of this patient would reveal:
Miotic pupil. Ectropion uveae. Pupil showing lens equator. Dilated pupil.
Vitreous hemorrhage. Macular edema. Central retinal vein occlusion. Retinal breaks.
A patient had blunt ocular trauma & C / O double vision that disappears on covering either eye. The cause might be:
A aptient had history of blunt ocular trauma 3 months ago, now is C / O severe headache due to increased intraocular pressure.the most important diagnistic tool is:
Automated field of vision . Manual field of vision. Gonioscopic examination. Fundus examination.
A patient with recent history of ocular trauma & C/ O blurry vision.ocular motility was normal, the most needed investigation is:
Sterile & inert Mild visual affection Its removal will affect the vision. All of the above.
Down & out. Up & out. Up & in. Down & in.
UVR corneal burn. Infra red heat burn. Gamma radiation. X ray radiation.
Which of the following conditions does NOT require emergency ophthalmological management?
Anterior uveitis Acute angle-closure glaucoma Orbital floor fracture Orbital cellulitis
Patient had right maxillary tumours treated successfully with multiple doses of radiotherapy, after that he noted dramatic decrease of visual acuity of the right eye, the explanation of this may be due to:
Complicated cataract. Anterior uveitis. Central retinal vein thrombosis. Acute congestive glaucoma.
Which of the following is not advised in the early management of a patient with hyphema?
GOOD LUCK