Davinci Medical Academy

Opthalmology
1. Strongest attachment of vitreous is - Base
2. Junction between retina & cornea is - Ora serrata
3. Muscles to close the Eyelid - Orbicularis
4. Keratometry is - measurement of curvature of cornea
5. Pachymetry is to measure - thickness of the cornea
6. Refractometer is to measure - Retractive index of lens
7. Cotton wool spots are seen in - T2DM/HTN
8. MC distant metastasis seen in retinoblastoma is - Bone.
9. In Rt.Homonomous hemianopia the MC site of lesion would be - Lt.optic tract
10. Hypopyon is due to - Fungal infection
11. Nummular keratitis is most commonly caused due to - Herpes zoster virus
12. Vossius ring are seen in - Trauma
13. Most potent antibiotic for trachoma treatment is - Azithromycin.
14. Steroids are contraindicated in - herpetic corneal ulcer/chronic simple glaucoma
15. Coloured halos are seen in – accommodation /narrow angle gaucoma/phakogenic
glaucoma & not seen in - steroid induced glaucoma
16. Large hemangioma of lid & cheek with glaucoma is seen in - sturge webers syn-
drome
17. Rx for malignant glaucoma - topical atropine / vitreous aspiration
18. Earliest change in glaucoma - Hazy cornea
19. Neovascular glaucoma is seen in - CRVO/diabetes
20. Coloured halos are found in - acute angle closure glaucoma/cataract/uveitis
21. Secondary glaucoma is seen in - IOL implantation/epidemic dropsy/CRVO

Opthalmology
Davinci Medical Academy
22. In acute congestive glaucoma, best prophylaxis for the other eye is - Laser
iridectomy
23. Fincham’s test is used to differentiate - acute congestive glaucoma & cataract
24. 100 day glaucoma is seen in - central vein oclusion (CRVO)
25. Complication of operation of malignant glaucoma - retinal detachment
26. TOC in angle closure glaucoma - pilocarpine
27. DOC in chronic simple glaucoma in a young myopic - Timolol
28. TOC for the other eye in open angle glaucoma - laser trabeculoplasty
29. TOC for other eye in angle closure glaucoma - laser iridotomy
30. Pupils are mid dilated & fixed in - acute congestive glaucoma
31. Commonest complication of topical corticosteroids - Glaucoma
32. Argon laser trabeculoplasty is used in - primary open glaucoma
33. Haab’s sclera is seen in - Infantile glaucoma
34. Congenital glaucoma is present as - photophobia
35. Chorioretinitis is caused by - congenital toxoplasmosis
36. Ideal site for intra ocular lens implantation - in the lens capsule
37. Lens capsule is thinnest at - posterior
38. Unilateral aphakia can be corrected by - spectacles/contact lens/intra ocular
implants
39. Candle wax spots in the retina is seen in - Sarcoidosis
40. Sudden visual loss is due to - central retinal vein & artery occlusion/papillitis
41. Herbet’s pits is seen in - Trachoma
42. Chalcosis - reaction due to copper of foreign body in the cornea
43. tylosis - hypertrophy & dropping of eyelid
44. Bupthalmous-boys>girls,B/L eyes involved, autosomal recessive ,Rx-trabeculecto-
my
45. Lens derives its nutrition from the - Aqueous
46. Dendritic ulcer is due to - Herpes simplex
47. Satellite nodules in the cornea are caused by - Fungus

Opthalmology
 48. Toxic amblyopia is produced by - ethambutol
49. Optic foramen is located between - lesser wing & body sphenoid
50. Trachoma can cause - trichiasis, entropion ,blindness
OPTHALMOLOGY
51. Roth’s spots in the fundus are seen in - bacterial endocarditis
52. Commonest causative organism of corneal ulcer - Staphylococci
53. Presence of kayser-fleischer ring is pathognomonic of - Wilson’s disease
54. Cylindrical lenses are used in - Astigmatism
55. Arcus senile is composed of - lipid deposits
56. Earliest change noticed in hypertensive retinopathy - arteriolar spasm
57. Salmon patch of cornea is seen in - Interstitial keratitis
58. Image in Indirect opthalmoscope is - inverted-real-magnified
59. Eyepads are contraindicated in - purulent conjunctivitis
60. Amaurotic cat’s eye reflex is seen in - Retinoblastoma
61. Bitot’s spots seen in - Vit A defeciency
62. Length of the intra-orbital optic nerve is - 25mm
63. Bitemporal hemianopia indicates the lesion is at - Optic chiasma
64. Vossious ring is seen in - Anterior capsule
65. In webers syndrome there is - 3rd nerve palsy
66. Lacrimal duct opens at - inferior meatus
67. Commonest cause of vitreous hemorrhage - Trauma
68. Size of the eyeball in myopia - bigger
69. Earliest change in diabetic retinopathy - micro aneurysm
70. Commonest fungal lesion of eyelid is - candida
71. Retinoblastoma - autosomal dominant/treatment is enucleation/radiotherapy
72. Elevation of disc margins seen in- papilloedema
73. Uncrossed diplopia is seen in - Esotropia
74. Drug causing Bulls eye macula - chloroquine
75. primary deviation less than secondary deviation seen in- paralytic squint
76. Painless sudden visual loss is seen in - retrobulbar neuritis/retinal detachment/
CRAO
77. Sympathetic opthalmia is due to injury to - iris & ciliary body
78. Examination of vitreous is best done by - slit lamp with contact lens
79. IOL is contraindicated in - young diabetes/one eyed/over corneal dystrophy
80. Cornea attains the size of adult cornea by which year - 1 yr
81. Blue scelra is seen in - Osteogenesis imperfecta
82. Rubeosis iridis is most commonly seen in - Diabetes mellitus
83. Ropy discharge from eye is seen in - spring cataract
84. Metabolically active layer of cornea is - Endothelium
85. Interstitial keratitis is seen in - TB/leprosy/syphilis
86. Organism penetrates normal cornea is - Gonococcus
87. Ring scotoma is seen in - retinitis pigmentosa
88. Riders cataract is seen in- zonular cataract
89. Early feature of diabetic retinopathy is - micro aneurysm
90. Anisometropia - Refractive error
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91. Commonest type of congenital cataract - Zonular cataract
92. Depth of anterior chamber of eye - 2-3mm
93. Angiography is IOC in - central serous retinopathy
94. Radial keratotomy is indicated in - Myopia
95. Yoke muscle for right superior rectus is - Left inferior oblique
96. Earliest symptom in corneal ulcer is - pain
97. Vortex vein drains to - uveal tract
98. Rx for aphakia is - posterior chamber IOL
99. MC type of Lid carcinoma is - Basal cell carcinoma
100. Shortest acting Mydriatic - Tropicamide
101. Accommodative squint is corrected by - spectacles/contact lens/ocular excercise
102. Periphery of retina is best visualised with - indirect opthalmoscope
103. Dacryocystorhinostomy drainage is into - middle meatus
104. Enlargement of blind spot is indicative of - papilledema
105. sun appearance in fundoscopy is a feature of - papilledema
106. D-shaped pupil is seen in - iridodialysis
107. Hirschberg test is used to detect - Squint
108. Wheelers operation is done for - entropion
109. MC occular complication in renal transplant - cataract
110. Cataract in newborn is -Zonular
111. Diabetic cataract is due to accumulation of - sorbitol
112. Cataract caused by intake of steroids - posterior subcapsular
113. Polychromatic lusture is seen in - posterior subcapsular cataract
114. Second sight phenomenon is seen in - Nuclear cataract
115. Recovery in cataract surgery is fastest in - phacoemulsification
116. Commonest cause of cataract - age related
117. Snow flake cataract is seen in - Diabetes
118. Rosette cataract seen due to - Trauma

Opthalmology
 119. Follicles are not seen in - spring cataract
120. Vision is diminished in day light in which type of cataract - central
121. Intense itching is a feature of - spring cataract
122. Zonular cataract - B/L,stationary,autosomal dominant,hypocalcemia
123. Commonest type of cataract in adult - cortical cataract
124. MCC of blindness in India - Cataract
125. Oil drop cataract is seen in - Galactosemia
126. Blaskowicz operation is done for - ptosis
127. Average volume of the Orbits is - 30cc
128. Orange skin cornea results due to - Mustard gas
129. Blind spot of Marotte is - Optic disc
130. Berlin’s edema results due to - trauma to eye
131. Lens dislocation occurs in - marfans syndrome/homocystinuria/trauma
132. Snellens chart is used to test - vision
133. Colour vision is by - cones
134. MC adverse effect on eye due to OCP usage - optic neuritis
135. Vitreous hemorhage in young adult indicates - Eales disease
136. Laser therapy for retinal disease laser affects which layer of retina - pigment
layer
137. Maximum refractive index is for - anterior surface of cornea
138. Photopthalmia is due to - UV rays
139. Drooping of upper eyelid is called - Ptosis
140. Painful movement of eye is a feature of - retrobulbar neuritis
141. Vossiuous ring is seen in - lens concussion
142. Rx of choice in Aphakia is - IOL insertion
143. DOC in CMV retinitis in AIDS pts is - Gancyclovir
144. Scintilating scotoma is seen in- Migraine
145. Panuveitis involves - Iris, ciliary body, choroid
146. Optic atrophy is caused by - Methyl alcohol
147. For transplantation cornea is preserved in - modified MK medium
148. Implantation of IOL is contraindicated in - corneal dystrophy
149. MC retinal change in AIDS - cotton wool spots
150. Rays of light from distant object are focussed in front of the retina in - Myopia
151. Photopsia occurs in - choroiditis
152. Argon laser is used in - retinal detachment/retinal vein occlusion/eales disease
153. Photoretinitis is due to - Infrared rays
154. Ptosis is due to involvment of - oculomotor.N
155. Ulcer serpens is caused by - pneumococcus
156. Paralysis of the 6th cranial nerve causes - uncrossed diplopia
157. TOC for photopthalmia - covering the eye
158. Black floaters in DM indicates - vitreous hemorhage
159. Amslers grid is used in - Maculopathy
160. Berlin’s edema is due to - Trauma
161. Cherry red spot is also seen in - metachromatic leukodystrophy
Davinci Medical Academy
162. Cherry red spot is due to - choroidal vascularity & pale retina
163. Enucleation - means removal of entire globe along with a portion of optic nerve
164. In mumps the most common lesion is - dacryoadenitis
165. Uveitis with raised IOT drug used is - 1% atropine
166. Pepper salt fundus is seen in - Rubella
167. Uncrossed diplopia is seen in - esotropia
168. Angle of anterior chamber is visualized by - gonioscopy
169. Not an error of refraction is - presbyopia
170. Lansoprost acts by - increased uveoscleral outflow
171. Most sensitive part of eye is - fovea centralis
172. Anterior uveitis is seen in - ankylosing spondylitis
173. Retinal change in dropsy is - soft exudate
174. Lattice degeneration is seen in - Myopia
175. All visual reflexes are developed by - 1 year
176. Traumatic dislocation of lens is diagnosed by - slit lamp examination
177. MC occular problem is - Refractive error
178. Immediate restoration of vision is by- Phacoemulcification
179. Weakest wall of Human orbit is - Medial wall
180. Length of the eyeball is - 2.4cms
181. Ideal drug for hypertensive having uveitis - atropine
182. Pseudopapillitis is seen in - hypermetropia
183. IOL is mostly implanted in - posterior chamber
184. Differential diagnosis for cotton wool spots - AIDS / diabetic retinopathy
185. Amsler’s grid is used to diagnose - Macular function
186. Diameter of the optic disc is - 1.5mm
187. Best diagnosis for BEST disease - EOG

Opthalmology
 188. MC sign of retinoblastoma - Leukocoria
189. Art’s line is seen in - trachoma
190. Twilight vision is due to - Rods
191. Astigmatism is due to - irregularity of curvature of cornea
192. Unit of light remitted from a surface is - Lambart
193. Which continues to grow in the lifetime - Lens
194. Retinal detachment is seen in – high myopia/aphakia/ & not in
hypermetropia
195. Photopsia is characteristic of - Retinal detachment
196. Macular sparing is seen in affection of - Occipital lobe
197. Safe strategy has been developed for the control of - Trachoma
198. In a pt with AIDS chorioretinitis is typically caused by - CMV
199. Blow out # of orbit involve - floor & medial wall
200. Corneal epithelium is - startified squamous non keratinized
201. Avascular coat in eye is - cornea
202. Night blindness is seen in - high myopia/vit A def./retinitis pigmentosa & not in
tobacco amblyopia

Davinci Medical Academy

 MCQ’s
1. In the normal human right eye , the periph- downward on his nose he will feel that his
eral field of vision is usually least: near vision:
A. On the left side (nasally) A. Becomes enlarged
B. In the downward direction B. Becomes distorted
C. In the upward direction C. Becomes decreased
D. On the right side (temporally) D. Remains the same
Ans. C Ans. A

2. Tonography helps you to determine: 7. Occulomoter nerve palsy affects all of the
A. The rate of formation of aqueous following muscles, except:
B. The facility of outflow of aqueous A. Medial rectus
C. The levels of intraocular presure at B. Inferior oblique
different times C. Lateral rectus
D. The field changes D. Levetor palpabrae superioris
Ans. B Ans. C

3. Any spectral colour can be matched by a 8. Kusum Lata presents with acute painful red
mixture of three monochromatic lights eye and mildly dilated vertically oval pupil.
(red, green, blue) in different proportions. Most likely diagnosis is:
If a person needs more of one of the colour A. Acute retrobulbar neuritis
for matching than a normal person, then B. Acute angle closure glaucoma
he has a colour anomaly. More red colour is C. Acute anterior uveitis
needed in the case of: D. Severe keratoconjunctivitis
A. Deuteranomaly Ans. B
B. Tritanomaly
C. Protanomaly 9. You have been referred a midle-aged patient
D. Tritanomaly to rule out open angle glaucoma. Which of
Ans. C the following findings will help in the diag-
nosis:
4. The colours best appreciated by the central A. Cupping of the disc
cones of our foveo-macular area are: B. Depth of anterior chamber
A. Red and blue C. Visual acuity and refractive error
B. Blue and green D. Angle of the anterior chamber
C. Red and green Ans. A
D. Blue and yellow
Ans. C 10. In a case of hypertensive uveitis, most useful
5. Epiphora is: drug to reduce intraocular pressure is:
A. Cerebrospinal fluid running from the A. Pilocarpine
nose after FRACTURE of anterior B. Latanoprost
cranial fossa C. Physostigmine
B. An epiphenomenors of a cerebral tu- D. Dipivefrine
mor Ans. B
C. An abnormal overflow of tears due to
obstruction of lacrimal duct 11. A patient having glaucoma develops blep
D. Eversion of lower eyelid following inju- aroconjunctivitis after instilling some anti-
ry glaucoma drug. Which of the following drug
Ans. C can be 62 responsible for it:
A. Timolol
6. A 35 years old hypermetrope is using 1.50 D B. Latanoprost
sphere both eyes. Whenever his glasses slip C. Dipivefrine

Opthalmology
 D. Pilocarpine C. Uveitis
Ans. C D. Cranial nerve palsies
Ans. B
12. A patient has a miotic pupil, IOP= 25, nor-
mal anterior chamber, hazy cornea and a 16. Bilateral ptosis is not seen in:
shallow anterior chamber in fellow eye . Di- A. Marfan’s syndrome
agnosis is: B. Myaesthenia gravis
A. Acute anterior uveitis C. Myotonic dystrophy
B. Acute angle closure glaucoma D. Kearns-Sayre syndrome
C. Acute open angle glaucoma Ans. A
D. Senile cataract
Ans. A 17. Eye is deviated laterally and downwards
and patient is unable to look up or medially.
13. A woman complains of coloured haloes Likely nerve involved is:
around lights in the evening, with nausea A. Trochlear
and vomiting, IOP is normal. Diagnosis is: B. Trigeminal
A. Incipient stage, glaucoma open angle C. Oculomotor
B. Prodromal stage, closed angle glauco- D. Abducent
ma Ans. C
C. Migraine
D. Raised ICT 18. Left sided lateral gaze is affected in lesion
Ans. B of:
A. Right frontal lobe
14. Babloo, a 5 years old child, presents with B. Right occipital lobe
large cornea, lacrimation and photophobia. C. Left occipital lobe
Diagnosis is: D. Left frontal lobe
A. Megalocornea Ans. A
B. Congenital glaucoma
C. Congenital cataract 19. An elderly male with heart disease presents
D. Anterior uveitis with sudden loss of vision in one eye . Exam-
Ans. B ination reveals cherry red spot. Diagnosis
is:
15. Herpes zoster ophthalmicus causes all ex- A. Central retinal vein occlusion
cept: B. Central retinal artery occlusion
A. Nummular keratitis C. Amaurosis fugax
B. Vitreal haemorrhage D. Acute ischemic optic neuritis

Davinci Medical Academy

 Ans. B C. Circulus iridis minor.
D. Short posterior ciliary vessels.
20. Which of following, is not a feature in dia- Ans. A
betic retinopathy on fundus examination:
A. Microaneurysms 26. A 25 year old male gives history of sudden
B. Retinal hemorrhages painless loss of vision in one eye for the past
C. Arteriolar dilatation 2 weeks. There is no history of trauma. On
D. Neovascularisation examination the anterior segment is nor-
Ans. C mal but there is no fundal glow. Which one
of the following is the most likely cause?
21. Vitamin B12 deficiency is likely to cause: A. Vitreous haemorrhage.
A. Bitemporal hemianopia B. Optic atrophy.
B. Binasal hemianopia C. Developmental cataract.
C. Heteronymous hemianopia D. Acute attack of angle closure glaucoma.
D. Centrocecal scotoma Ans. A
Ans. D
27. The mother of a one and a half year old child
22. All are true regarding optic neuritis except: gives history of a white reflex from one eye
A. Decreased visual acuity for the past 1 month. On computed tomog-
B. Decreased pupillary reflex raphy scan of the orbit there is calcification
C. Abnormal electroretinogram seen within the globe The most likely diag-
D. Abnormal visual evoked response nosis is:
retinogram A. Congenital cataract.
Ans. C B. Retinoblastaoma.
C. Endophthalmitis.
23. Chalky white optic disc on fundus examina- D. Coats’ disease.
tion is seen in all except: Ans. B
A. Syphilis 28. Enlarged corneal nerves may be seen in all
B. Leber’s hereditary optic neuropathy of the following except:
C. Post papilledema optic neuritis A. Keratoconus.
D. Traumatic injury to the optic nerve B. Herpes simplex keratitis.
Ans. D C. Leprosy.
D. Neurofibromatosis.
24. In von Hippel-Lindau syndrome, the Ans. B
retinal vascular tumours are often as-
sociated with intracranial hemangio-
blastoma. Which one of the following
regions is associated with such vascular ab-
normalities in this syndrome?
A. Optic radiation.
B. Optic tract.
C. Cerebellum.
D. Pulvinar.
Ans. C

25. An 18 year old boy comes to the eye casual-

ty with history of injury with a tennis ball.
On examination there is no perforation but
there is hyphaema. The most likely source
of the blood is
A. Iris vessels.
B. Circulus iridis major.

Opthalmology
Davinci Medical Academy