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OPHTHALMOLOGY TESTS

Clinical features of visual

analyzer.
1.How is the motor innervation of the external
straight muscles?
A. Oculomotor
B. diverting
C. Blokov
D. Trigeminal
E. Visual

2.Woman, 70 years old, went to the doctor.

decrease in object vision in the right eye, in the amnesis notes
increased blood pressure. Ophthalmic examination
revealed the preservation of light sensation, the reaction of the pupil to the light is saved,
vitreous clouded. What is your preliminary diagnosis?
A. Decrease in blood pressure
B. haemorrhage vitreous body
C. Total retinal detachment
D. Complete complicated cataract
E. Thrombosis of the central retinal artery

• A 30-year-old patient was admitted to the Department of Neurotraumatology,

complains about the omission of the upper-eyed left eye.
movement in the city fell into a road traffic accident,
was severely hit from the temporal side of the orbit.
ptosis, vision is preserved, the eyeball is immobilized, the pupil
enlarged, no sensitivity of the cornea, which led to
occurrence of this situation?
A. Fracture of the inner wall of the orbit
B. Break of the lower wall of the orbit
C. Main arm wing offset
D. Detachment of the upper oblique muscle from the block
E. Fracture of the upper wall of the orbit

• A 20-year-old patient has gone to the hospital for a consultation with a doctor.
Complaint about lack of left eye vision.
injured by rocks and falls in mountains, this day
inpatient. on examination of the left eye0, optical environment
eyespicture of the eyeday unchanged.
Is the intervention necessary to clarify the diagnosis?
A. Ultrasound examination of the eyeball.
B. Magnetic resonance imaging of the orbit
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C. Review radiography of the orbit

D. Automatic refractometry
E. Gonioscopy of the anterior chamber angle of the eye

• During an ophthalmological examination of conscripts,

a conscript complaining of difficulty in moving him to
twilight A coediagnostic study must be carried out
to identify it as unfit for military service?
A. Investigation of perimeter polarization
B. Study on the Belostotsky adapter
C. Investigation in 4-point color test
D. Research on synoptophores
E. Research in Rabkin's Table

6.In case of ophthalmic examination of conscripts, identified

a conscript who does not distinguish between red. By what method
studies, it is possible to identify this congenital anomaly
color perception?
A.TestSchirmer
V. TableOrlova
S. Table Golovina-Sivtseva
D. Four-point color test
E.Rabkina's Table

7.The visual nerves are shaped by the axons:

• Photoreceptors of the retina
• Ganglionic neurons
• Bipolar neurons
• Neurons of the knee body
• Neurons of the cerebral cortex

8 .Select the appropriate characteristics for the posterior epithelium

cornea:
• Structureless fiber formation
• High capacity for regeneration
• Organized fibrillar structure
• When damaged, the cornea appears
• Most resistant to chemical influences

9.Name what mechanism is involved in the accommodation of ciliary

body:
• Relaxation of the ciliary muscles
• Stretching the ciliary muscles
• Contraction of ciliary muscles
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• Strengthening the production of the intraocular

• Weakening of production of intraocular fluid

10. The most thickened area of ​the sclera, this is the place where
attaches:
• Tenon capsule
• Tendons of the eye muscles
• Internal muscles of the eye
• Internal links of the century
• Outside linkage century

11.Together with anatomical formation of the lens, participates

vaccomodation?
• Schoroid
• Retina
• Sciliary body
• Cornea
• Cenon capsule

12 intraocular fluid produced by the ciliary body

what function does it perform?
• Nutrition of the eye-catcher
• Nutrition of optical middle eyes
• Power supply of the inner layer of sclera
• Power supply of outer layers of retina
• Nutrition of the internal muscles of the eye

13. Name the required shell of the eyeball for

restoration of visual purple: A. iris
• Ciliary body
• Choroid
• Retina
• Vitreous body

14.Name the shell regulating the flow of light into the eyes:
• Ciliary body
• Choroid
• Retina
• Iris
• Cornea

15. Name the place of the nerve's vision, as it appears

a vulnerable spot of the sclera due to the exit: A. External straight
eye muscles
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• Axons of multipolar cells

• Main venous collectors
• Large retinal arteries
• Endings of sensitive nerves

16. Name the fibers due to which the sclera performs the support
function:
• Collagen fibers
• Muscle fibers
• Elastic fibers
• Nerve fibers
• Mucous membrane

17.What is the function of the eye channel helmet:

• Filtration of intraocular fluid
• Development of visual purple
• Participation in the dynamics of accommodation
• Participation in the photochemical reaction
• Participation in conducting nerve impulses

18. During surgical interventions it is necessary to remember about

maximum thickness of sclera in the zone: A. Limba
• Equator
• Discussion nerve
• Tendon of rectus muscles
• Tendon of skeletal muscles

19.Remove the removal of a foreign cornea.

the number of layers.
Name their quantity:
•2
•3
•4
•5
•6

20. Due to the special arrangement of the corneal layers, it has

high refractive power:
• Parallel to the surface of the cornea
• Chaotic corneal surface
• Concentric corneal surface
• In the direction of the corneal surface
• Circular surface of the cornea

21. Nutrition of which vascular network needs to be strengthened in burns

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cornea?
• Edge looped network
• Central artery of the retina
• Posterior short ciliary arteries
• Anterior ciliary arteries
• Central retinal vein

22. To predict the functional state of the organ of vision

it is necessary for ophthalmoscopy to know the location of the disc
visual nerve:
• In the center of the eye
• Intravenous half a day
• Temporal half-eye-eye
• Upper half a day
• Out of the eye of the day

23. For the characteristics of the functional retinal center, it is necessary

examine ophthalmoscopically: A. Discreet nerve
• Central box
• Jagged line
• Vascular bundle
• Juxtapapillary zone

24.In case of decreased vision, it is necessary to exclude inflammatory

the process of release of the nerve's suspicion is orbit through:
• Upper orbital fissure
• Channel of the visionary nerve
• Lower orbital fissure
• Round hole
• Maxillary sinus

25.For normal functioning of the eyeball, the function of the vascular

the path consists in:
• Trophic function
• Light refraction functions
• Light sensing functions
• Protective function
• Support functions

26. Perception of the external world occurs due to the fulfillment

retinal function:
• Refraction of light
• Trophic
• Perception of light
• Protective

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• Support

27. To maintain the transparency of the optical media of the eye,

intraocular fluid is produced in: A. iris
• Choroid
• Lens
• Ciliary body
• Cornea

28.For comfortable movement of the eyeball, tenonovacapsule

separates:
• Choroid sclera
• Retinaglass-shaped body
• Eyeballs
• Correct answer
• Cornea sclera

29. Assessment of the condition Bowman Membrane important for

predicting the inflammatory process in the cornea, it
is between:
• Corneal epithelium, mystroma
• Stromoidescemet sheath
• Descemet shell and endothelium
• Endothelium of the cornea and intraocular fluid
• The iris of the ciliary body

Anatomy adnexa, physiological

features

30. How is the superior oblique muscle innervated?

A. Blocked nerve
B. Wandering nerve
C. Optical nerve
D trigeminal nerve
E. facial nerve

31. The patient injured the skin with tweezers

the upper century, which the consequence of the development of the abscess, then
phlegmon of the century. What prevents the situation of phlegmonuorbitis?
A. Accessory conjunctival glands
B. Tarzo-orbital fascia

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C. Levator muscle of the upper eyelid

D. Circular muscle century
E. Muscle Riolanavec
32. Patient with upper-lower-lower age, skin unchanged
painless. the eye opening is narrowed. palpation of the century appears
sound of crepitus (sound of bursting bubbles) What can you
assume in this situation about the possible reason for this
states?
A. Crack in the inner wall of the orbit
B. Fissure of the zygomatic bone
C. Crack in the lower wall of the orbit
D. Coloboma of the Upper Age
E. Abscessing barbellum of the Upper Age

33. Patient 40 years old, complains of watery eyes during the course of 2
-3 months, with pressure on the inner ligament of the eyelid from
the lacrimal opening is marked by mucous discharge. What methods
research needs to be applied to solve the problem of
A. To make a function of the tear bag
• Rinse the tear bag with furacilin solution
• Get a diaphanoscopy of a tearbag
• Make a swab of a tear bag with an antibiotic solution
• Make a swab of a tear bag with a solution of novocaine

34 Source of motor innervation of the internal rectus muscle

eyes:
• Optic nerve
• Oculomotor nerve
• Block nerve
• Abduction nerve
• Facial nerve

35. What artery passes through the hole of the nerve's visual canal:
• Upper ocular vein
• Ocular artery
• Lower ocular vein
• Blockchain nerve
• Facial nerve

36. Name the muscles involved in the rise of centuries.

• Circular
• Raising
• Upper straight
• Bottom straight

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• Upper oblique

37.Name the place where the mouth of the lacrimal duct opens.
• Average nozzle
• Lower nose passage
• Maxillary sinus
• Upper nozzle
• Nasopharynx

38. Name where the Meibomian iron is.

• Vkhryaschevek
• In the conjunctiva
• Vlimbe
• Vsiliary body
• In follicles of eyelashes

39. Name the formations located in the conjunctiva.

• Meibomian iron
• Goblet cells
• Sweat glands
• Monounitary cells
• Sebaceous glands

Visual analyzer function.

40. Acute visualization is determined by:

• Angle
• Width of polarity
• Physiological scotome
• FormulaSnellen
• Perception of colors

41. Name the most improbable cause of concentric narrowing

polarity of young patients?
• Blepharochalasis
• Ptosis
• Ever-turner
• Cataract
• Retinal degeneration

42. When checking the patient's field of vision, abnormal

hemianopsia - what is the probable cause A. pituitary tumor
• Defeat of the visual tract

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• Defeat the vision nerve

• Defeat of visual radiation
• Defeat 17-18 Brodman fields

43. Name the most improbable causes of hemeralopia

A. avitaminosis
B. Exhaustion
C. Nervous stress
D trauma
E. Retinal detachment

44. The first stage of the treatment of the children’s squint is

A. Improving visual acuity
B. Visual gymnastics
C. Operation
D occlusions of the good eye
E. Synoptophore

45. During the examination of the patient for a violation of light sensation on
Apparatus Belostotsky, revealed hemeralopia, what drugs
it is necessary to prescribe, to increase light sensation? A. Vitamin A.
B. Vitamin P
C. Vitamin C
• Vitamin D
• Folic acid

46. ​In the study of the patient's visual acuity, it was found that
the patient does not see the upper letter of the Golovin table with the right eye
–Sivtseva. Until what distance should the table be brought closer to
determine the patient's visual acuity?
• Whom the first row of the table sees
• Whom the second row of the table can see
• Whom the third row of the table can see
• Whom the fourth row of the table sees
• Whom does the fifth row of the table see

47 In the study of unborn presence or absence

vision need to be investigated?
A. Condition of color perception
B. State of arc
C. Size of the horn shell
D. Front camera size
E. Pupillary reflex

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48. Is it used for the study of visual acuity?

A. Table Ishihara
V.Tablitsa Golovina-Sivtseva
S. Table Yustovoy
D Table Eagle
E.Rabkina's Table

49. Objective visual acuity can be determined by:

A.TableGolovina
–Sivtseva V. Nystagmus
apparatus
S. Optotypov Polyaka.
D. Rabkin's tables
E. Skiascopic ruler

50. Acute visualization is determined by:

• Angle
• Width of polarity
• Physiological scotome
• FormulaSnellen
• Perception of colors

51. From what angles of view the entire optotype is seen from a given
distance in norm:
• 1 minute
• 2 minutes
• 3 minutes
• 4 minutes
• 5 minutes

52. Which of the following colors belongs to long-wave

?
• Red
• yellow
• Green
• blue
• Blue

53. Name the most improbable cause of concentric narrowing

visual fields in young patients. A. Dry
retinal macular degeneration
• Occlusion of the central retinal artery
• Thrombosis of the retinal vein
• Wet retinal macular degeneration
• Retinal pigment degeneration

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54.An examination of the visual acuity of a 6-year-old child revealed

view of the left eye.Estate that day was hit by a heavy head
metal object.
education in the brain is excluded.
Diagnosis: A. Ruptured nerve
• Defeat of the visual tract
• Defeat of visual radiation
• Retinal tear
• Damage to the cerebral brain

55. The patient cannot see long waves from the visible radiation spectrum.
Who is he?
• Dichromat
• Deuteroanomal
• Protanomal
• Tritonomal
• Cyanopsia

56. Principles of treatment of amblyopia in low acuity of the squinting

eyes
• Pleoptics
• Visual gymnastics
• Operation
• Pellénization
• Synaptophore

57. If the letters "W" and "B" are visible at a distance of 2.5 m, then
vision is equal to: A.0.01
• 0.05
• 0.1
• 0.5
• 1.0

58. Which value of the listed is equal to the minimum angle

vision?
• 1 second
• 5 seconds
• 1 minute
• 5 minutes
• 3 seconds

59. In which of the following units is visual acuity measured?

• Vedinitsy

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• Diopters
• Meters
• Centimeters
• Millimeters

60. Name which part of the retina provides the greatest

visual acuity?
• Region of the central retinal
• Yellowspot all along
• Area of ​vision nerve
• Optical part of the retina throughout
• Place of transition arches to ciliary body

61. Which of the following signs characterizes the

vision of a newborn child?
A.0.01
• 0.09-0.1
• 0.1-0.3
• 0.5-0.8
• 0.8-1.0

62.People should see the first row of eyesight of 1.0

Sivtsev distance tables:
• 1m, angle of view in 1min
• 5m, at 5min angle
• 10m, at 1min angle
• 50m, angle of view in 1min
• 50m, at 5min angle

63. What is the visual acuity of the patient, if at a distance of 1 m, reads 10

row of table
Sivtseva?
• 0.1
• 0.2
• 0.5
• 0.6
• 1.0

64. When examining a patient for impaired light perception,

Kravkova table
Purkinje, revealed a violation of the dark adaptation, what drugs
take the patient? A. Vitamin D
• Vitamin E
• Vitamin C
• Vitamin A

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• VitaminK

65. What is the patient's visual acuity, if at distance 1m, reads 5

row of table
Sivtseva?
• 0.1
• 0.2
• 0.5
• 0.6
• 1.0

66. The patient sees the 2nd row of the Sivtsev table at a distance of 2.5 m.
equal to acuteness? A.0.01
• 0.05
• 0.1
• 0.5
• 1.0

67. The child sees 1 row of the Sivtsev table with a distance of 3 m.
equal to acuteness? A.0.01
• 0.06
• 0.1
• 0.6
• 1.0

68. An elderly man considers fingers at a distance of 1 m.

acuity? A.0.02
• 0.05
• 0.2
• 0.7
• 1.0

69. What information can predict visual acuity before

operation in diffuse opaque media?
• Projection of light
• Anamnesis
• Image tomography
• Color perception of the eyes
• Retinal acuteness

70. The patient's ophthalmologist has diagnosed protoanopia. Give a definition.

• Lack of perception of blue color
• Lack of perception of red color
• Lack of perception of yellow color
• Lack of perception of violet color
• Lack of perception of green color

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71. Which of the following colors are medium wave?

• Red
• Orange
• Green
• blue
• Blue

72. What of the following colors refers to

shortwave?
• Red
• Orange
• Green
• yellow
• Blue

73.Choose a name for your normal color perception?

• Achromazia
• Monochromasia
• Dichromasia
• Trichromasia
• Pentachromasia

74. How does the diagnostic state characterize protanomaly?

• Abnormal perception of red color
• Abnormal perception of green color
• Abnormal perception of blue color
• Abnormal perception of yellow color
• Abnormal perception of violet color

76. What is the diagnostic value of the study of the blind

spots?
• Projection in view of the visionary nerve
• Projection in view of the yellow spot
• Limited to cattle of any part of the polarization
• Defects of polarisation from retinal vessels
• Defect of polarity from a dystrophic focus

77. Where is the blind spot of the campimetry determined?

• Upper half-polarity
• Temporal half-polarity
• Nasal half-polarity
• Supernasal quadrant
• Upper half-polarity

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78. What kind of diagnostic research methods are necessary for

definition of change in polarity?
• Visometry
• Anomaloscopy
• Gonioscopy
• Perimetry
• Biomicroscopy

79. For what research is an anomaloscope used?

• To determine anomalies of refraction
• For the study of color perception
• To detect anomalies in favor
• To determine visual acuity anomalies
• To determine the polarity

Optical system of the eye.

clinical refraction.
80. The greatest refractive power is possessed by:
A.Khrustalik
B. Moisture in front camera
C. Vitreous body
D cornea
E. Moisture back chamber

81. Refraction of the eye in case of accommodation spasm (with the initial
emmetropia):
A. Becomes presbyopic
B. Becomes myopic
C. Becomes hypermetropic
D. Becomes
astigmatic E.
Becomes
anisometropic

...
82. The mother of a 7-year-old boy consulted an ophthalmologist because of

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vision impairment of sons after school, as in preschool

The visual acuity of the child was 100%. Objectively, the visual acuity of both
the eye on examination was 0.3 with a correction of -1.0D, visual acuity
increased to 1.0. What kind of diagnostic measures is necessary
apply to distinguish between true myopia and urgent?
A.Provestiskiscopy in paralysis of accommodation
B. Provestikampimetry during paralysis of accommodation
C. Perform the perimetry while paralyzing accommodation
D. Conduct tonography while paralyzing accommodation
E. Conduct gonioscopy during paralysis of accommodation

83. 12-year-old girl turned to a cofthalmologist complaint

subject vision of the previously written glasses (-5.0D).
On examination by an ophthalmologist, it was noted that myopia
last time increases every half year 1.0D, PZO-
25.0 mm, ugly girls with moderate myopia.
explain progression of diopia and recommendations of attraction?
Stretching of the eyeball on the axial axis, scleroplasty is indicated
B. Extension of the eyeball along the axis,
akeratotomy is shown.
apple-axis, shows keratomalacia
• Stretching of the eyeball on the axis, shown LASIC.
• Stretching of the eyeball in the lumbar region, akeratoplasty is indicated.

84. Under what state of the optical system of the eye presbyopia
appears earlier?
• Emmetropia
• Myopia
• Hyperopia
• Astigmatism
• Amblyopia

85. The smallest refractive power of the optical medium has:

A. cornea
V.Lenticular
C. Vitreous body
D optic nerve
E. Retina

86.Name the lenses for the correction of myopia:

• Spherical collecting
• Spherical scattering
• Cylindrical collecting
• Sphero-prismatic lenses
• Cylindrical scattering

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87. Name the clinical refraction in which the parallel

rays and after refraction by the optical environment, the eyes are collected in
focus with the retina in the state of rest of accommodation A. emmetropia
• Hyperopia
• Myopia
• Amblyopia
• Presbyopia

88 What are the contraindications for refractive surgery for

myopia:
• Greater anisometropia
• Intolerance to contact correction.
• Myopia of weak degree
• Moderate myopia
• Inflammatory diseases of the membranes

89.Nazovitevidclinical refraction of a patient 20 years old, acuity

vision in the far side of the patient's eyes is 1.0.A. Myopia is average
degree
• Latent hyperopia
• Myopia of a high degree
• Moderate hyperopia
• Mixed astigmatism

90. Name the preventive measures for bringing pregnancy to

childbirth women with high degree of myopia:
• Refractive surgery for keratomileusis
• Laser surgeryLASIC
• Refractive surgery epikeratofakia
• Photorefractive keratoectomy
• Laser coagulation of the retina

91. Male emmetrope, 40, complains of worsening

view of reading.
What are the spherical lenses required for reading?
• Dissipative (concav) 2.0d
• Convex 1.0d
• Convex 2.0d
• Dissipative (concav) 3.0d
• Convex 3.0d

92. A child is 2 years old, an objective examination determines 2x

side converging strabismus. What is the diagnostic method
need to apply for research?
• Refractometry

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• Tonometry
• Perimetry
• Campimetry
• Topography

93.Presentation of a woman, 30 years old, with myopia 8.0 d, during ophthalmoscopy

on the periphery of the retina large dystrophic
changes, bold breaks of the jagged line.
need to apply in this case?
• Iridocycloretraction
• Diathermocoagulation
• Sinustrabeculectomy
• Cryoextraction
• Laser coagulation

94. The patient's examination revealed a simple, direct

myopic astigmatism at 3.0D. What treatment is needed
to apply for correction?
• Spherical scattering (concav) 3.0d
• Spherical collecting (convex) 3.0d
• Convex 3.0d
• Cylindrical scattering (concav) 3.0d
• Spheroprismatic scattering (concav) 3.0d

95. A 15-year-old boy complains about impaired vision, notes

that the dots are 8 years old.
at 12.0 D, with ophthalmoscopy at the fundus was determined
myopic cone, and lack of macular reflex.
treatment is necessary to stop progression
myopia?
• Photorefractive keratoectomy
• Keratomileusis
• Scleroplasty
• Keratotomy
• Laser coagulation of the retina

96. Female hyperopic 2.0D 60 years old complains about

deterioration of vision when reading. How to choose lenses for reading.
patient?
A. Spherical scattering
(concav) 5.0d B. Spherical
convex 5.0d
• Spherical collecting (convex) 3.0d
• Spherical scattering (concav) 4.0d
• Spherical collecting (convex) 1.0d

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97. A girl, 10 years old, was admitted with a complaint.

vision of the left eye. Objectively: visual acuity of the right eye - 1.0.
Visual acuity of the left eye - 0.01 does not correct. When
ophthalmoscopy by eye Dnepathology was not detected.
additional research is needed to clarify
diagnosis?
• Perimetry
• Refractometry
• Tonometry
• Campimetry
• Topography

Research methods in ophthalmology.

Binocular vision.

98. Human binocular vision apparatus includes:

A. muscular apparatus
B. Tactile apparatus
B. Hearing apparatus
C. Excretory
D. Nervous apparatus
99.Copthalmologist visited a 20-year-old patient with low blood pressure
object vision and the eyesight of the left eye.
of vision of the right eye - 1.0. Acute visualization of the left eye 0.1 n / cor.
Deviation of the left eye 25 0 .
Determine the tactics of attraction.
A. Surgery to remove the inner rectus muscle of the left eye
mm.
B. Surgery to remove the inner rectus muscle of the left eye for 5 mm.
B. The operation of deposition of the external straight muscle of the dust eye is 5 mm.
C. Surgery to remove the upper straight muscle of the dust eye for 5 mm.
D. Surgery of the upper oblique muscle of the dust
eyes 5 mm. E. Operation of the lower scythe
muscle of the left eye is 5 mm.

100. The ophthalmologist observes for 6 months of the child - 5 years,

visual acuity of both eyes without correction 0.1 correction - 4.0 D = 0.4,
divergent squint of the right eye -20 0. Correction deviation
disappears. Skiascopy, refractometry shows myopia at 4.0 D. C
in order to increase the visual acuity of both eyes, recommend:
A.Pleopto-orthoptic treatment of both eyes

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B. Recommend keratotomy of both eyes

C. Recommend LASIC both eyes
D. Recommend scleroplasty of both eyes
E. Recommend goniopuncture for both eyes

101. For the study of binocular vision of schoolchildren

it is necessary to use the device:
A. Apparat Golovina-Sivtseva
V. Apparatus
Goldman S.
Apparatus
Belostotsky
D. Apparatus Refractometer.
E. Apparatus Ophthalmometer

102. Priority of the angle between the optical visual axes is equal to:
• 1–2 °
• 3-4
• 5-6 °
• 5-8 °
• 9-10 °

103. Considering that the light reflex from the ophthalmoscope

localized on the cornea of ​the squinting eye on the inner edge,
it corresponds:
• Converging squint with an angle of 15º
• Converging squint with an angle of 30º
• Diverging eyes with an angle of 30º
• Converging with an angle of 45º
• Diverging eyes with an angle of 45º

104. What is the most significant symptom of the disorder

binocular vision:
• Tritanopia
• Amblyopia
• Protonapia
• Hemeralopia
• Deuteranopia

105. Treatment of amblyopia in children using special equipment

(synoptophore) maybe children starting from:
• 2 years
• 3years
• 4years
• 5 years

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• 6 years

106. What is the value of the angle of strabismus if the location

corneal reflex the head of the doctor in the Hirschberg test:
• 0º
• 15º
• 25-30º
• 45º
• 60º

107. What is the value of the strabismus angle if the location

corneal reflex polyimbuvtest Hirschberg:
• 0º
• 15º
• 25-30º
• 45º
• 60º

108. In the case when the light reflex from the ophthalmoscope
localized on the cornea of ​the squinting eye, projecting in the middle
distance from the edge of the pupil to the edge of the cornea in its inner
half, this corresponds to: A. Concavity with an angle of 15
º
• Converging squint with an angle of 30º
• Diverging eyes with an angle of 30º
• Converging with an angle of 45º
• Diverging eyes with an angle of 45º

109. If the light reflex of the otophthalmoscope is localized on

the cornea of ​the biting eye is seated on the outer edge, this corresponds to: A.
Converging with an angle of 15º
• Converging squint with an angle of 30º
• Diverging eyes with an angle of 30º
• Converging with an angle of 45º
• Divergent eye with an angle in 45

110. In the diagnosis of a converging angle of the eye at 45 degrees according to Hirschberg
both eyes, estimate how many mm the inner
rectus muscle of both eyes? A. by 2mm
• by 4mm
• by 6mm
• by 7mm
• by 9mm

111. In sharpness 0.08uncorrected hypermetropav

8.0D at the age of 4 years, amblyopia was revealed. What treatment

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need to plan for improving the visual acuity of the child?

• Pleoptics
• Magnetotherapy
• Vitamin therapy
• Anti-inflammatory
• Desensitizing

112. When selecting cadets for military institutions, it is necessary

diagnose a violation of binocular vision, what tests
need to select?
• Probass with color test
• Schirmer's test
• ProbeRomberg
• Water load sample
• Dark sample

113.Sokolov's test is used in research:

• Binocular vision
• Mobility of the eyeballs
• Pathology of intraocular pressure
• Research of refraction
• Research of polarity

114. For the sake of the child I assign the points of the
medium farsightedness?
• For working close to
• For constant wear
• For long distance
• For orthopedic treatment
• Carrying out pleoptic therapy

Pathology of the optical system of the eye

115. What is the most common cause of astigmatism?

A. Pathology of the lens
B. Pathology of the retina
C. Pathology of the cornea
D pathology of the conjunctiva
E. Pathology of the vitreous body

116. What is the most likely cause of accommodative

asthenopias?

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A. Emmetropia
• Myopia
• Clouding of the cornea
• Astigmatism
• Clouding of the lens

117. The patient was presented with a diagnosis of "Presbyopia."

he presented to the ophthalmologist? A. Deterioration of vision
B. Appearance of the diplopiivdal
C. Impairment of near vision
D. Impairment of far and near vision
E. Deterioration of binocular vision
118. A 32-year-old woman, consulted a cofthalmologist
complaints of decreased visual acuity for the last year.
anamnesis clear
that the patient at the child's place of the sieves on the basis of the phytomyopia.
anterior segment of both eyes impaired optics
transparent Ophthalmic diamacular area rough
pigmented lesions. What is the likely reason for this
conditions? A. Retinal detachment
C. Bleeding vitreous body
C. bleeding retina
D. Detachment of the glassy body
E. Colobomachoroid

119. A 9-year-old child's right eye is constantly deviated to the front, the left
normal eye. Optical media of both eyes
transparent. ocular anesthesia. sharpness of the right eye
= 0.02 uncorrected, left eye = 1.0, which is the likely cause
of this state?
A. Myopic disease
B. Muscular asthenopia
C. Hypermetropia
D. Complicated cataract
E. Retinal detachment 120. What lenses

corrected presbyopia with emmetropia?

A. Spheroprismatic
B. Negative
C. Positive
D. Cylindrical
E. Prismatic

121. Name the main reason for the decrease in visual acuity in
friendly children?
A. Intracranial hypertension

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B. Muscular asthenopia
C. Paralysis of accommodation
D. Amblyopia
E. Eye bleeding

122. The ophthalmologist has addressed the schoolboy 13 years old

blurred vision in the distance, especially close
distance. In the study of refraction, spasm was revealed.
accommodation. coediagnostic measures are necessary
conduct a patient to improve his prognosis?
A. Visometry
B. Perimetry
C. Biomicroscopy
D. Cycloplegia
E. Ophthalmoscopy

123. A 16-year-old schoolchild complains of itching at the reception of an ophthalmologist,

redness of the edges of the century, foamy detached from the inner corners
eye fatigue, quick eye fatigue when reading texts.
ophthalmologic examination is necessary for
establishing the cause of this condition?
A. flushing the lacrimal tract
C. Radiography of the orbit
C. Conjunctival staining with fluorescein
D. Autorefractometry
E. Determination of corneal sensitivity

124. Men 30 years old have high degree of myopia 7.0d.

The anterior segment of the eye is without features.
center - 560mµ.
Ophthalmic indigestion.
disease.This situation is the most preferred is:
A. Eyeglass correction with lenses
B. Correction with contact lenses
C. Radial keratotomy
D. Excimer laser correction
E. Scleroplasty

125. Office worker, 30 years old, came to see a doctor with complaints
fatigue in the eyes, rapid fatigue, frequent blinking.
objective research. Visual acuity of both eyes = 1.0. Eyes
perfectly calm. The propulsion system is unchanged.
segment of the eye of invisible changes. Optical media transparent.
The fundus of the eye is normal. Refractometric - emmetropia.
diagnosed with accommodation spasm. What drops can you
assign this to the patient?
 Page 25

• Dexamethasone 0.1%
• Pilocarpine 1%
• Sulfacyl sodium 20%
• Tropicamide 1%
• Diclofenac 0.1%

126. A 13-year-old schoolchild, complaining about impaired vision

reading. Distances good. Visual acuity of both eyes = 1.0. Eyes
are healthy. What is your presumed diagnosis?
• Amblyopia
• Emmetropia
• Amauroz
• Hyperopia
• Myopia

127. Pharmacist, 45 years old, appealed with a complaint for fatigue, pain
eyes, their redness in the evening, especially after
work with recipes. This time marks the inability to work with
small objects at close range Objectively: sharpness
both eyes = 1.0. Eyes are calm. Anterior segments not
changed. Optical media are transparent.
the norm. What is your presumed diagnosis?
• Amblyopia
• Emmetropia
• Presbyopia
• Hyperopia
• Myopia

128.Parents with a child T., 9-year-old, please

pediatrician. The child complains of headache, especially in the evening
time after school. No complaint.
Visual acuity in both eyes = 1.0; but with weak corrections
spherical positive lenses, vision is not
worsens. What is your presumed diagnosis?
• Latent squint
• Latent amblyopia
• Latent astigmatism
• Latent amyopia
• Latent hyperopia

129. Repairman, 47 years old, complains about deterioration

vision when working at close range.
Both eyes = 1.0. Eyes are healthy. What is the optical
correction is necessary for the patient?
• Prismatic lenses
 Page 26

• Gathering lenses
• Cylindrical lenses
• Diffusion lenses
• Contact lenses

130. A 60-year-old patient consulted a doctor, complained of a worsening

close-up vision.Objective examination revealed myopia in (-) 2.0
diopters. Anterior segments of the eyes without changes.
features.What glasses for work you need to write out this
patient? A. (-) 1.0 diopters
• (-) 2.0 diopters
• (+) 1.0 diopter
• (+) 2.0 diopters
• (+) 3.0 diopters

131. How can complications lead to hyperopia?

children?
• Converging squint
• Chronic blepharitis
• Chronic conjunctivitis
• Accommodative asthenopia
• Horizontal nistagmus

132.Mom made the child like a doctor complaining about bad eyesight
both eyes. Notices that the child is in the child
but for some unknown reason he stopped wearing.
The survey and this point are of no help.
environments are transparent. The fundus of the eye was normal. What kind
amblyopia of a child?
• Refractive
• Dysbinocular
• Obscuration
• Anisometropic
• Genetic

133. A 19-year-old student complains of low vision in both eyes.

Objectively: visual acuity of the right eye = 0.4 with spherical
glass - 1.0dpt. = 1.0. Acute left eye = 0.09 with
spherical glass -6.0dpt. = 1.0. Eyes are calm. Front
segments unchanged. Optical media transparent.
the right eye is normal. What correction is contraindicated
to the patient?
• Laser correction
• Correction with contact lenses
• Spectacle correction
 Page 27

• Refractive keratomileusis
• Refractive keratotomy

134. Young girl complained about impaired vision

of both eyes over the past year. Has not been tested anywhere before.
subjective visual acuity of both eyes = 0.5 without
Correction. What objective research method is necessary for
further correction of the patient? A. Light and dark
adaptometry
• Automatic eye refractometry
• Ultrasound examination of the eye
• Pulsed electrooculography
• Optical coherence tomography

135. A 50-year-old engineer consulted the eye room.

Complains that it has become difficult to discern details close up, feels
heaviness in the eyes, head pains and after work.
examination revealed hyperopia in (+) 1.5 diopters.
glasses for work do you need to write this to the patient for work?
• (+) 2.0 diopters
• (+) 2.5 diopters
• (+) 3.0 diopters
• (+) 3.5 diopters
• (+) 4.0diopters

136. What is the main cause of presbyopia?

A. Paul
B. Age
C. Hormonal status
D. Allergic background
E. Genetic predisposition

137. A 10-year-old child complains of low vision

eye, the left eye sees well. Optical environments of both eyes
transparent. ocular anesthesia. sharpness of the right eye
= 0.08 uncorrected, left-eyed = 1.0.
emetropia in both eyes. What is the probable cause of this condition?
A. Myopic disease
B. Amblyopia
C. Hypermetropia
D. Complicated cataract
E. Retinal detachment

138.Man46years
in the distance, in particular complains that the car numbers are not visible
and the numbers on the traffic light board when driving, objectively sharpness

Page 28
both eyes: 0.7ccyl-1.0axis0degree = 1.0
comes out

Intraocular media are transparent, ocular deficiencies.

What is your suspected diagnosis? A. Simple myopic
astigmatism
B. Complex myopic astigmatism
C. weak myopia
D. Weak hyperopia
E. Mixed astigmatism

139.Man38years old turned cocoopercomplainobamininfluidity

images in the distance, in particular, complains that the invisible
transport, emphasizes that images merge from afar,
objective visual acuity of both eyes: 0.6ccyl-1.0axis90degrees
= 1.0

Intraocular media are transparent, ocular deficiencies.

What is your presumed diagnosis?
A. Simple myopic astigmatism
B. Complex myopic astigmatism
C. Weak degree of myoipia
D. Weak hyperopia
E. Mixed
astigmatism

140. 15-year-old schoolboy turned to cocktail party complainedobamininfluidity

images in the distance, in particular, complains that they merge
images of the lasting diligent study, objectively
visual acuity of both eyes: = 0.5 s-0.75 D = 1.0 Doctor ophthalmologist
prescribed drops for cycloplegia and rithrin 2.5% for 2 weeks.
weeks visual acuity of both eyes = 1.0. What your
presumptive diagnosis?
A. Simple myopic astigmatism
B. Complex myopic astigmatism
C. Spasmacomodation
D. Weak hyperopia
E. Mixed
astigmatism

141.Woman 35years-old turned coco-gooistcomplainobaminlow

close-up vision. Notes that the dots for a distance + 1.0 na
both eyes. Prior to this period, close reading
Objectively sharpness of both eyes = 0.3
c + 1.0D = 1.0. Intraocular media are transparent, eyes are normal.
What is your presumptive diagnosis? A. Simple myopic

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astigmatism
B. Presbyopia
C. Spasmacomodation
D. High degree hyperopia
E. Mixed
astigmatism

142.Woman42years-old
images in the distance, in particular, complains that the invisible
transport, advertising inscriptions emphasizes that from afar
image, objective visual acuity of both eyes: 0.6 correction
= 1.0

The intraocular medium is transparent, the fundus is unremarkable.

Some lenses should be used to correct metropia
this situation?

A. Spherical scattering
B. Spherical collecting
C. Spherical collecting
D. Cylindrical scattering
E. Cylindrical collecting

143. 49year-old woman appealed to the cocktail party complaining low

object vision in the distance, especially at dusk and night time,
objectively sharpness of both eyes: 0.6 correction = 1.0
skiascopy is coming out

Intraocular media are transparent, ocular deficiencies.

What lenses should be used to correct metropia
this situation?
A. Spherical scattering
B. Spherical collecting
C. Spherical collecting
D. Cylindrical scattering
E. Cylindrical collecting

144. Female 32y

in the distance, from the anamnesis of the school
age, objectively sharpness of both eyes: 0.1 correction = 1.0
Priskiascopy is coming out

The intraocular medium is transparent, the fundus is unremarkable.

Some lenses should be used to correct metropia
this situation?
A. Spherical scattering

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B. Spherical collecting
C. Spherical collecting
D. Cylindrical scattering
E. Cylindrical
collective

145. A 44-year-old woman consulted an ophthalmologist about

blurred images in the distance, in particular, complains that
at night, objective visual acuity in both eyes: 0.6 s
correction = 1.0

The intraocular medium is transparent, the fundus is unremarkable.

Some lenses should be used to correct metropia
this situation?
A. Spherical scattering
B. Spherical collecting
C. Spherical collecting
D. Cylindrical scattering
E. Cylindrical collecting

146.Man 68years old

low vision in the distance of both eyes, patient estates
were operated on for cataracts 2 years ago without
implantation of an intraocular lens. Visual acuity of both eyes 0.01 s
correction 0.6. Expose the diagnosis postoperative phakia of both
eye.Kelens need to be assigned to correct
this situation?
A. Spherical + 10.0
B. Spherical + 5.0
C. Cylindrical + 10.0
D. Spherical-8.0
E.
Cylindrical
cue-10.0

147. A 7th grade high school student consulted an optometrist with

complaints of impaired vision in the distance, and anamnesis of myopia
has been suffering for 6 years, has marked a sharp deterioration in the last two years
vision, objectively: visual acuity of both eyes 0.1 csph-6.5 = 1.0.
Diagnosed with high grade progressive myopia
eye. What method of surgery is indicated for
prevent progression opia?
A.Lasik
B. Keratotomy
C. Scleroplasty
D. Keratoplasty
E. Facogenous operations

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Diseases of the eyelid conjunctiva

148. What form of inflammation belongs to chalazion?

• Purulent
• Catarrhal
• Granulomatous
• Serous
• Fibrinous

149 Patient, 35 years old, complains of reddening of both eyes, profuse

purulent discharge from them, feeling of a foreign body, sticking of eyelids
in the morning. vision has not changed. sick already 5 days, symptoms have begun
The right eye is reddish at first, the left eye after 2 days.
The doctor prescribed an eye ointment, but after use for
weeks the patient did not notice an improvement in the condition, in connection with what
came again. What should be done by a doctor?
eye study
• Continue with treatment
• Conduct bacterial sowing
• Emergency hospitalization
• Send to dermatologist

150. Which of the following is a common complication

twist?
• Corneal erosion
• Cataract
• Dacryocystitis
• Chronization of the process
• Bacterial scleritis

151 Patient E., 19 years old, complained of redness

mucous membrane of both eyes, moderately mucous discharge,
sticking eyelashes in the morning, feeling of sand under the eyelids,
lacrimation. Sick two days ago after swimming in a pond.
examination of the conjunctiva of the eyelids of the eyeballs sharply peremic,
moderately edematous, there are single follicles on the conjunctiva
both eyes, moderate mucous discharge. What complication
can be a given pathology?
• Choroiditis
• Retinitis
• Panophthalmit
• Keratitis

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• Endophthalmitis

152. A patient has come to you 52 years old with a complaint about redness,
limited painful swelling and puffiness around the edge
the upper eyelid of the right eye for two days.
there is a moderate hyperemia, hyperemia and edema
conjunctiva of the upper eyelid. From the anamnesis it became clear that
the last two years this is repeated for the third time. What method
research will allow for differential diagnosis
given pathology?
• Ophthalmoscopy
• Tonometry
• Diaphanoscopy
• Biomicroscopy
• Perimetry

153. The area where you will work as a nonoculist.

maternity ward, where at the beginning of a single newborn, and through
two days, two more, there was swelling and edema for centuries, then
redness and increasing edema of the conjunctiva of the ophthalmic
apples. When bred, it is noted significantly
purulent discharge. Diagnosis was made bacterial
conjunctivitis, what drops are appropriate to assign?
What prophylaxis measures normally exist for this disease?
• Vitamin D
• Tobramycin ointment
S. oz Vishnevsky
• Vitamin C
• Mercury ointment

154. The patient complains of incomplete closure of the eyelids, dry eye,
redness of the eye especially in the morning, lacrimation on the right.
Injury, what is the cause of this pathology? A.
Oculomotor
• Facial
• Discharge
• Block
• Visual

155 Patient 26 years old, complains of redness of both eyes, profuse

purulent discharge from them, feeling of a foreign body, sticking of eyelids
in the morning. Eyesight has not changed. Sickness. Day 5.
redness of the right eye, after 2 days the other eye also fell ill.
What is your preliminary diagnosis?
• Dacryoadenitis

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• Conjunctivitis
• Blepharitis
• Iridocyclitis
• Keratitis

156. Epicanthus is a congenital anomaly of the eyelids, which

characterized by:
• Full fusion of the centuries
• Semi-lunar skin fold
• Complete absence of centuries
• Descent of the Upper Age
• Eversion of the lower century

157. Man, 36 years old. After suffering a craniocerebral injury

full, unilateral ptosis is detected.
it was revealed that when the patient opens the prottosis it disappears.
diagnosis of the patient?
• Behcet's syndrome
• Vogt-Koyanagi-Harada Syndrome
• Forster-Kennedy Syndrome
• Marcus-Gunn Syndrome
• Morphan syndrome

158. Man 78 years old. Revealed the turn of the century, which worries him in
over the course of a month.
There were no traumas and diseases.
pathology?
• Excessive stretching of the ligaments
• Damage to the cervical sympathetic nerve
• Inflammation of the tear bag
D. Hypertrophy of the circular muscles of the century
E. Damage
oculomotor nerve

159. A 59-year-old patient has consulted a doctor with pain upward

eyelid, headaches and fever, which
bother for 4 days.At examination revealed a purulent pustule
Upper century Damage is one-sided, painful
conjunctiva. from anamnesis, the patient is sick with sugar
type 2 diabetes, suffered from flu a week ago.
disease?
• Staphylococcus
• Gonococcus
• Pneumococcus
• Lefleur sticks
• Mycobacteria

Page 34

160 Patient 19 years old was admitted to a hospital with severe edema
severe itching and bolds of the age of the century.
so that the patient took antibiotics.
What diagnosis are you
put? A.
Toxicoderma.
• Hives.
• Quincke's edema.
• Phlegmonavek.
• Blepharochalyasis

161. What disease can damage the eye?

• Skin horn
• Furunculveka
• Partial ptosis
• Trichiasis
• Chaliazion

162. Patient 27 years old.

painless nodules in the upper eyelid.
yellowish-white, the pressure on the knot stand out
tiny white masses. Diagnosis was made.
Will you choose the treatment tactics? A. Wet compresses with
antiseptic
• Using interferon as a candle
• Excision of the nodule with a sharp spoon
• Irradiation with infrared light
• Applying a pressure bandage

163. A 17-year-old patient. Appealed to a cophthalmologist complained of feeling

tension pain in the eyes, lacrimation, narrowing of the eye
cracks, general malaise, headache.
hyperemia, increased local temperature and marked edema
skin, palpation, edematous tissues, dense, sharply painful.
Fluctuation detected Increased pain is observed
regional lymph nodes. What diagnosis will you make?
• Abscessvek
• Hemangiomavec
• Lymphangiomavec
• Urticaria
• Dystrophy

164.The patient was diagnosed with neurofibromatosis of the lower age.

examination is necessary to clarify the diagnosis? A.
Automatic eye refractometry
• Light and dark eye adaptometry

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• Ultrasound examination of the eye

• Pulsed electrooculography of the eye
• Computer tomography of the eye

165 Patient, 46 years old, has seen a cophthalmologist with lacrimation and
pain in the right eye, on time examination of the doctor noticed redness
wrong eyelashes (hair turned to the side of the eye).
What kind of treatment did the patient receive?
• Diathermocoagulation
• Phacoemulsification
• Blepharoplasty
• Dacryocystorhinostomy
• Trabeculectomy

166. A patient, 77 years old, was admitted to the hospital with severe swelling of the eyes,
as
"Watery" swelling, skin, pale, waxy tinge.
The patient cannot open his eyes.
unexpectedly, in the morning after the morning. Local ailments disappear.
Diagnosis of blepharitis. What kind of treatment will you give? A. Skin Treatment
2% salicylic alcohol.
• Eye instillation of a 20% solution of albucide
• Lubrication of the skin with 1% tetracycline ointment
• Instillation of 0.1% solution of dexamethasone
• Using interferon as a candle

167. For epidemic follicular keratoconjunctivitis

incubation period: A.1-2 days
• 3-7days
• 8-11days
• 12-20days
• 20-30days

168. A 30-year-old patient has approached you with a complaint with increased
temperature up to 37.7 degrees, accompanied by malaise,
runny nose, edema appeared, hyperemia and edema of the conjunctiva
(especially in the area of ​the lower transitional fold), moderate
mucous-purulent discharge. On palpation of lymph nodes
celebrated swelling and soreness. What your
preliminary diagnosis?
• Chlamydial conjunctivitis
• Bacterial conjunctivitis
• Adenoviral conjunctivitis
• Epidemic conjunctivitis
• Angular conjunctivitis

Page 36

169. Name the most unlikely cause of acute conjunctivitis:

• Bacterial infection
• Viral infection
• Hypothermia
• Neuropsychiatric stress
• Metabolic disease

170. A 22-year-old patient was admitted to the hospital with complaints of edema,
soreness of centuries. The process was observed at the beginning in one eye,
then in the other eye. Clinical manifestations appeared after
hypothermia. On examination, point
hemorrhages on the conjunctiva of the sclera, on the mucous membrane of the eyelids
whitish-gray films are formed that can be easily removed
damp wool. What basic research should you assign
given to the patient?
• Bacteriological examination
• Eyewear Research
• Check visual acuity
• Make a detailed blood analysis
• Carry out a tubular sample

171. Patient 33 years old, found in the morning that both her eyes were flowing,
stuck together, eyes blushed sharply.
edematous, in the conjunctival sac there is an abundant purulent discharge.
Conjunctival injection of the eyeball is pronounced,
the conjunctiva of the eyelids is edematous, hyperemic. Diagnosed
bacterial conjunctivitis. What is the primary treatment strategy
sick?
• Antifungal therapy
• Steroid therapy
• Antibacterial therapy
• Ultra-high frequency therapy
• Antiviral therapy

172. Patient 15 years old, complains of edema, hyperemia and

soreness of the eyelids. The disease began a week ago, after
hypothermia. When viewed at the edges of the eyelids in the intercostal
gray film deposits are visible in space; they are tightly soldered to
the underlying tissue, their removal is difficult.
removal of plaque, the mucous membrane bleeds heavily.
probable cause of this condition?
• Staphylococcus aureus

Page 37

• Leffler's wand
• Pneumococcus Frankel-Vekselbaum
• Gonococcus Neisser
• Diplobacillus Morax-Axenfeld

173. The child, after two days after birth, appeared

hyperemia of the iotekvekoboth eyes, eyelids are dense.
the gap is impossible. From the eye slits there is a discharge of color
meat slops. The conjunctiva is sharply hyperemic.
diagnosis of bacterial conjunctivitis.
will you assign?
• 5% potassium iodide in large doses
• Ultra-high frequency therapy
• Instillation of bramycin solution 0.3%
• Washing eyes with 2% boric acid solution
• Application of 0.5% zinc sulfate solution

174. Conjunctivitis, accompanied by the appearance of follicles and

hyperplasia of the papillae, which in the process of decay always
are replaced by scar tissue. What conjunctivitis belongs to
this condition?
• Tuberculosis
• Chlamydial
• Allergic
• Diphtheria
• Herpetic

175 Patient N., 45 years old, complains of severe itching, burning and cutting
eyes, frequent painful blinking. On examination revealed
pronounced redness in the corners of the palpebral fissure, here the skin
eczematous changes with weeping cracks.
conjunctiva scanty, in the form of viscous mucus, covering the pupillary
area of ​the cornea, it interferes with vision.
diagnosis?
• Diphtheria conjunctivitis
• Blenoric conjunctivitis
• Adenoviral conjunctivitis
• Angular conjunctivitis
• Herpetic conjunctivitis

176. Patient 23 years old has redness of both eyes, mild

swelling of the eyelids, mucous discharge from the eye. Acute vision = 0.7.
The conjunctiva of the eyelids and eyeball is moderately injected,
hypertrophied. cornea upper half limba descends

Page 38

inflammatory infiltration in the form of a film permeated with vessels.

What additional methods should be prescribed to the patient?
• Tubular sinus samples
• Virological diagnostic methods
• Bacteriological examination of the
• Eyewear Research
• Microscopy of conjunctival nipples

177. A 30-year-old female patient, applied to a cophthalmologist with a complaint, a drought

, burning and irritation of the conjunctiva, sensation of a splash in the eyes
and a decrease in visual acuity, increasing throughout the day.
examination revealed mucinous "threads", redness and local edema
conjunctiva of the eyeball, decrease in tear secretion.
anamnesis was found that the patient was
Diagnosis of serocornea. What drug would you recommend?
• 0.5% solution of artificial tears
• 2.5% solution of ramphotericin
• 0.3% solution of cypromed
• 1% solution of fusidic acid
• 0.1% solution of dexamethasone

Inflammatory diseases of the sclera

apparatus
178. What is the mechanism of the onset of Sjogren's syndrome?
• Hypofunction of the lacrimal gland
• Hyperfunction of the lacrimal apparatus
• Pathology of the lacrimal duct
• Narrowing of lacrimal points
• Obstruction of the lacrimal tubules

179. 3% solution dripped into the conjunctival cavity

collargola. The time of its disappearance from the conjunctival
cavity made 15 minutes. What the given
test? A. Pathology of the lacrimal pathways
• Violations of tear production
• Pathology of the conjunctiva
• Normal function of the lacrimal apparatus
• Lesions of the retina

180 Patient, 25 years old, consulted an ophthalmologist with complaints of

the appearance of a red spot on the right eye, pain, aggravated by
When viewed, an area of ​dark red color with
a purple tint. The conjunctiva soldered on the affected area

Page 39

sclera, vessels intersect in different directions.

Exposed to the diagnosis of pingveculitis. What is the treatment strategy?
• Non-penetrating scleroplasty
• Hydrocortisone ointment
• Ultra-high frequency therapy
• Layered keratoplasty
• Kaplioftalmoferona

181. A 45-year-old female patient complains of constant tears from

right eye, especially on the street.
The objective position of the lacrimal points is correct, when
pressure on the area of ​the tear bag - separating the coins.
lacrimation Colored lacrimal test is negative.
flushing the lacrimal passages, the liquid does not pass into the nose,
returns through the superior lacrimal opening.
eyes = 1.0. eyes of health. lacrimal test is positive, with
flushing, the liquid passes freely. TOS = 21mmHg.
Diagnosed with inflammation of the lacrimal sac.
shown for this state?
• Dacryocystorhinostomy.
• Collagen crosslinking
• Penetrating keratoplasty
• Vitreoectomy
• Limbosclerectomy

182. During several days of sick R., 52 years old,

swelling of the appendages, soreness, palpation, lacrimation,
fever, general malaise, headache.
lacrimation disturbed for 3 years. Objectively determined
pronounced edema, tissue hyperemia, medial adhesions,
eyes. Swelling spreads forever, cheek of a cunnose. Palpation
tissue painful, increased local temperature.
closed. sharpness of the eyes is not reduced. eyes are calm.
diagnosis of the patient.
• Acute dacryocystitis
• Periorbital abscess
• Acute dacryoadenitis
• Angular blepharitis
• Phlegmon lacrimal bag

183 ... a patient came to you with complaints, dryness, burning, itching,
painful eyes, photophobia, decreased vision on the eyes, almost
complete absence of tears even while crying, dry skin
cover in the cavity of the mouth, swelling, stiffness in the joints of the hands
legs. Sick for half a year. On examination, there is a moderate

Page 40

mixed injection of the conjunctiva of both eyes, scanty, stringy

The lower part of the cornea has moderate swelling,
small-point infiltrates, superficial opacities. What
do you expect a complication?
• Phlegmon orbit
• Thrombosis of the cavernous sinus
• Filamentous keratitis
• Dislocation of the lens
• Retinal disinsertion

184. Patient E., 10 years old, complains of reddening of the right eye.
About a week no effect is treated from conjunctivitis.
the eyelid of the right eye.
and thickening of the conjunctiva. Redness is local in nature.
Inflammation area 1.5x2.0 cm in size bright red, violet
The palpation is painful. The rest of the eyes are not
changed. What is the diagnosis of the patient? A. Blepharitis
• Conjunctivitis
• Tenonite
• Sclerite
• Keratitis

185. What is the function of the sclera?

• Optical
• Protective
• Trophic
• Accommodative
• Conductor
186. The etiology of scleritis and episcleritis is:
• staphylococci
• Pseudomonas aeruginosa
• klebsiella
• pale trepanema
• gonococcus

187. A 20-year-old patient, presented with complaints of nabolism, redness,

deterioration of vision in the left eye; a history of chopping wood
about an hour ago. They made the diagnosis:
membranes and hemorrhage in the sclera. Provided first aid:
analgesics, broad-spectrum antibiotics. What kind
are complications possible with trauma?
• Conjunctivitis
• Sclerokeratitis
• Keratoglobus
• Iridocyclitis

Page 41

• Cataract

188. A patient, 18 years old, complains of redness of the left eye and
moderate pain, increasing pressure
on the eyeball (through the eyelids). Eye is sick 6th day.
during this time remains good. The patient also
reported that aggravation of hey is relatively good
laying of hydrocortisone. Make a preliminary diagnosis.
• Sclerit
• Iridocyclitis
• Glaucoma
• Cataract
• Conjunctivitis

189. Child, 2 years old, revealed swelling of the right eye, purple
blue shade sclera, and cry close to the eye.
the clinic was diagnosed with adenoviral conjunctivitis,
prescribed treatment according to diagnosis, but no improvement
was observed.Further revealed the setting of the wrong
diagnosis. What diagnosis should be made for the appointment
correct treatment?
• Conjunctivitis
• Iridocyclitis
• Choroiditis
• Blepharitis
• Sclerite

190. Child, 1 year 5 months, parents turned to the local

outpatient clinic with anxiety for detecting sclera blue
the child, from the history of the child has congenital deafness and
congenital atrial septal defect, blue sclera
they noticed the birth. With what anomalies in the development of the eye
can this disease be combined?
• Glaucoma
• Viral conjunctivitis
• Keratoconus
• Cataract
• Melanozsklera

191.The patient, 16 years old, is examined by an ophthalmologist with a diagnosis

melanoses sclera throughout life, what etiology of this
diseases?
• Congenital anomaly in the development of the eye
• Acquired deformity of the eye
• Viral disease, transferred in childhood
• Violation of the integrity of the sclera in early childhood

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• Allergic disease, transferred in childhood

192. Patient, male, 47 years old, presented with a complaint about a painful
redness of the right eye, which began 5 days ago, is noted
increased pain when moving the eyes, pain when pressing the eye through
eyelids. Objectively: sclera violet blue shade,
biomicroscopy of the sclera on a slit lamp shows inflamed
blood vessels. Anamnesis: the patient is sick with rheumatoid arthritis on
over the past 3 years. Diagnosed with scleritis.
drugs below those listed do I need to assign a patient?
• Diclofenac 2.5% -3.0 intramuscularly
• Ceftriaxone 1.0 intramuscularly
• Metronidazole 100.0 intravenously
• Prednisolone 1–2 mg / kg intravenously
• Meldonium 5% -10.0 intravenously

193. In the village where you are, a non-oculist, you have

the patient complained of bamines, pain, redness, sharp impairment of vision
left eye. hour back.
Objectively: eye swelling, diffuse hyperemia,
soreness trying to close and open the eyes
diagnosis of bacterial conjunctivitis. Choose the first drug
a series for intravenous administration to the patient A.
Physiological solution 0.9%
• Ceftriaxone 1.0
• Citicoline 100.0
• Prednisolone 1–2 mg / kg
• Meldonium 5% -10.0

194. A child, 2 years old, revealed swelling of the right eye, lumpy
protrusions of black color in sclera, violet-blue tint
sclera, and cry near the eye. What is the method of diagnosis
prescribe for an accurate diagnosis in this case?
Adaptometry
• Perimetry
• Tonometry
• Ophthalmoscopy
• Biomicroscopy

195 .K A 32-year-old woman moved on, took pains for pain

left eye with irradiation to the temple, eyebrows, jaw that are not
relieved by analgesics. History: female diabetes mellitus
Type 2. Intraocular pressure is normal. What is the diagnostic method?
to assign a specific diagnosis for this case?
• Adaptometry

Page 43

• Perimetry
• Biomicroscopy
• Visometry
• Diaphonoscopy

196. The patient in the dispensary during the morning round was found
hyperemia of both eyes, in the presence of dust, manifestations of complaints, feeling
burning sensation and discomfort in both eyes, increased pain on movement
eye, feeling of an object in the eyes.
there is pain on palpation of the eyes, externally
vasodilation, swelling of the eyelids are determined. What
will you provide a preliminary diagnosis?
• Simple blepharitis
• Viral conjunctivitis
• Anterior scleritis
• Acute dacryoadenitis
• Disciform keratitis

197. A 50-year-old man complains of persistent lachrymation, purulent

discharge from the eye. The above complaints appeared 3 days
back. When examining the patient, pay attention to the excess
tears along the edge of the lower eyelid, bean-like soft protruding
skin and internal ligament of century. Preliminary diagnosis:
• Lymphadenitis
• Dacryocystitis
• Dacryoadenitis
• Canaliculitis
• Pharyngitis

198. Female, 35 years old, complains of lacrimation at

for 2 weeks. Complaints appeared after the
flu. From the past it is not clear that the patient is an employee
factories for the production of cardboard. The examination revealed
positive tubular test, nasal-nasal-negative.
What pathology to talk about?
• Lymphadenitis
• Dacryocystitis
• Dacryoadenitis
• Canaliculitis
• Pharyngitis

199 Patient A., 25 years old, complained of swelling,

soreness and redness of the outer part of the upper eyelid.
There is an increase in temperature, the total

Page 44

malaise, headache. History, there is a chronic

tonsillitis The objective fissure is changed, hyperemia
conjunctival edema the eyeball in the upper external section,
limited eye mobility, pre-aural
lymph nodes are enlarged and painful.
• Lymphadenitis
• Dacryocystitis
• Dacryoadenitis
• Canaliculitis
• Pharyngitis

200. Patient E., 4 months old, has a lot of mucous

purulent discharge from the right eye.
pressure points on the area of ​the tearbag.
positive. When using disinfectant drops
no improvement. What pathology is there to talk about?
A. Lymphadenitis
• Canaliculitis
• Dacryoadenitis
• Dacryocystitis
• Dacryostenosis

201. VTSSM was admitted sick, 40 years old,

hyperemia, edematous soreness in the lacrimal sac.
The edema has spread forever, the adjacent areas of the
the eye slit is closed. There is an increase in temperature up to 38⁰С.
from anamnesis, 5 years suffers from chronic dacryocystitis.
Diagnosis:
A. Lymphadenitis
• Dacryocystitis
• Dacryoadenitis
• Dacryocystitis of newborns
• Phlegmon lacrimal bag

202. The auxiliary organs of the eye are:

• Cornea
• Ciliary body
• Optic nerve
• Sclera
• Lacrimal apparatus

203. Inflammation of the lacrimal gland is called:

• Lymphadenitis
• Dacryocystitis
• Dacryoadenitis

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• Canaliculitis
• Pharyngitis

204. If, when introducing into the conjunctival bag of the coloring
substances at the same time injecting the lower shell
with a cotton swab at the end, you can determine the character
functional patency of the entire lacrimal pathway.
research method
• Pump sample
• Probing of the lacrimal canal
• Colored lacrimal test
• Rinsing
• Side (focal) lighting

205 Patient, 50 years old, complains of lacrimation from

internal angle of the eye for 1 week. Inflammatory processes
in the conjunctiva of the lacrimal gland are absent.
you can find a binocular loupe.
• Conical probing
• Rinsing
• Pump sample
• Colored lacrimal test
• Biopsy

206. A 40-year-old woman complains of persistent tearing on the right

the eye, purulent discharge from the eye.
appeared 2 weeks ago.
attention to excess tears I will cut the lower century, bean-shaped
soft protrusion of the skin under the inner ligament of the eyelids. When
pressure on the area of ​the tear bag from the tear points is mobile
the mucopurulent contents follow. Tubular test
positive, lacrimal-nasal negative. What treatment are you
will you spend?
• Keratoplasty
• Dacryocystorhinostomy
S. dry heat
• Anticoagulants
• Tearbag massage

207.CSM appealed to a woman with a baby,

abundant mucous-purulent discharge from the right eye of a child
within 5 days. Two days ago the child began to behave
restlessly, the temperature rose to 37.9 ° C.
Colored test positive.
a drop of improvement is not observed. What complication
dacryocystitis newborns say?

Page 46

• Thrombosis of the cavernous sinus

• Sclerite
• Phlegmonous inflammation
• Retinal disinsertion
• Conjunctivitis

Diseases of the cornea.

208. What disease is characterized by a combination of signs -
photophobia, lacrimation, blepharospasm, eye pain?
A. Cataracts
B. Keratitis
C. Retinal detachments
D blepharitis
E.
Chorus
ioi
dit
a

209. Patient M., 38 years old after suffering from ARVI, complains about
photophobia, decreased vision, feeling of a foreign body.
in the center of the cornea infiltration (probasfluorescene-
vague haze in the view of the tree branches
Corneal sensitivity is reduced. Visus0d = 0.6
n / a VisusOS = 1.0 healthy What is your presumed diagnosis?
A. Viral keratitis.
• Syphilitic keratitis.
• Tuberculous keratitis.
• Viral conjunctivitis. E. Bacterial keratitis.

210. A child of 3 years old with a high-class visitor with pronounced phenomena
lacrimation, photophobia, blepharospasm. Anamnesis: complaints
appeared 3 days ago, accompanied by a periodic increase
fever, cough for 2 months.
the eyelid elevator, a yellowish-gray nodule is visible on the cornea
with a diameter of 4mm and moving vessels in the form of a beam.
diagnosis?
A. Yazvarogovitsy
V. Belmorogovitsa
C. Keratomycosis
D. Conflict keratitis
E. Herpetic keratitis

Page 47

211 Patient C. 40 years old, applied to an eye trauma center with a complaint
pain in the right eye, lacrimation, photophobia.
It was found that the eye was injured yesterday while working in a blower.
On examination: VOD-0.4, VOS-1.0. Pericorneal injection, cornea
in the center when viewed with side light - opalescent; lost
specularity in the optical zone. The doctor instilled in
conjunctival cavity rr fluorescence. Plot
cornea with a size of 2.0x1.5 mm turned greenish.
Exposed to the diagnosis of corneal erosion. Is your treatment strategy?
• Dexamethasone 0.1% ikorneregel
• Timolol 0.5% isolcoserylgel
S. Taurine 4% and Riboflavin 0.02%
D. Levomycetin 0.25% ikorneregel
E. Pilocarpine 1% and
Riboflavin 0.02%

212. Patient K., 47 years old, went to the coc

complaints, cuts, redness, pain, decreased vision of the right eye.
From anamnesis it is not clear that suffers from chronic dacryocystitis
within 2 years; treated conservatively.
arose for the first time. On examination revealed: pronounced
pericorneal injection of the eyeball.
segment eccentrically dull, edematous; there is a deepening in this
zone. One edge of the depression is raised, crescent-shaped.
anterior chamber - hypopyon 2.0 mm, pupil-narrow, rounded;
The iris is hyperemic, edematous. What is your diagnosis?
A. Eye anomalies
B. Corneal dystrophy
C. Corneal erosion
D. Corneal vascularization
E. Ulcer
horns
tsy

213. A young man went to an ophthalmologist with complaints about

mild photophobia, moderate lacrimation. When
test of visual acuity, it is equal to 0.7 of each eye.
lateral light is determined by a slight pericorneal
injection. IN stroma cornea at the limb determined
multiple point infiltrates; surfaces above
infiltrates rough, suitable for some infiltrates
blood vessels from the episclera. With additional examination
revealed: Hatchinson's teeth, saddle nose, sharply protruding
frontal tubercles. Diagnosed with keratitis.
research is necessary to clarify the diagnosis? A.
General blood analysis.
 Page 48

B. Wasserman's reaction.
C. Rheumatological tests.
D. Hepatic tests.
E. X-ray of the organs of the chest.

214. The office of the doctor appealed to the patient with complaints
foreign body in the eye, debris, mild photophobia,
lacrimation, some redness of the right eye.
found that a week ago the patient suffered a cold
disease. On examination: VOD - 0.6; VOS - 1.0. Easy
pericorneal injection. On examination with the aid of a left lamp
groups of small vesicles in the epithelium and superficial
the gray-colored filters that have merged between them, which have become
well distinguishable after dripping into the conjunctival cavity
p-rafluorescein.
The ulcerations had branches of the tree. What kind of additional
Is the examination necessary to make a diagnosis?
A. Blood virus with herpes simplex
B. Wasserman reaction
C. X-ray of the chest
D. Rheumatological tests
E. Blood on
cytomegalovirus

215. A 45-year-old man, a subtotal through

Keratoplasty: What is the optimal time to remove the stitches?
A.3-4 weeks
IN 1-
2
months
caS.
3-4
months
tsa
D.4-5 months
E.6mesyatsev

216. How does it develop

keratoconus? A. Dogoda
B. 3-4 years
12-20years
D. After 40 years
E. After 60 years

217. A man of 30 years old, turned to an eye trauma center with a complaint
photophobia, lacrimation of the eye. I have not found out that
 Page 49

the day before he worked in the garden with a branch in the eye.
acuity of the left eye = 0.4 cornea, central zone of neoplasm
rejection of the epithelium 4mm, the surface of the cornea above the lesion is dull,
Rough. What is your preliminary diagnosis? A. Yazvarovitsa.
B. Corneal erosion
C. Keratomycosis
D. Keratoconus
E. Descemetocele

218. A man of 30 years old, turned to an eye trauma center with a complaint
photophobia, lacrimation of the eye. I have not found out that
the day before he worked in the garden with a branch in the eye.
acuity of the left eye = 0.3 cornea, central zone
rejection of the epithelium 4mm, the surface of the cornea above the lesion is dull,
rough. What additional examination is needed
to conduct a diagnosis?
A. Staining with fluorescein solution.
B. Staining with furacillin solution
C. Staining with a solution of brilliant green
D. Staining with potassium permanganate solution
E. Staining with riboflavin solution

219. A 60-year-old man, turned to the CCMKokulist with complaints about aminaboli,
photophobia, lacrimation right eyes. From the anamnesis:
the above complaints appeared 3 days ago, suffers
chronic sinusitis. On examination: visual acuity of the right eye
= 0.2 Pericorneal injection, corneal ulcer with black
vesicle in the center, pus in the anterior chamber, eyes narrow.
a possible complication in this case?
A. Exophthalmus
B. Development of the simblepharon
C. keratomalacia
D. Perforation of ulcer
E. Trichiasis

220. Female, 45 years old, applied to the CCM kokulistus of complaint

pain, photophobia, watery eyes in the right eye. From the anamnesis:
the above complaints appeared 3 days ago, suffers
chronic sinusitis. On examination: visual acuity of the right eye
= 0.1 Pericorneal injection, corneal ulcer with black
vesicle in the center, pus in the anterior chamber, eyesightly tight.
states have you found in this case?
A. Yazvarovitsy, descemetocele, hypopyon
B. Yazvarovitsy, keratomalacia, hypopyon
S. Yazvarovitsy, chemoconjunctiva, miosis
D. Ulcers, mydriasis, madarosis
 Page 50

E. Yazvarovitsy, keratoconus, miosis

221. Male, 37 years old, presented with a complaint

redness, pain, lacrimation, photophobia of the right eye.
anamnesis 4 days ago in the forest I stuck with a branch of my eyes, I thought it would pass
On examination: visual acuity of the right eye = 1 / ∞
pr.lc mixed injection, corneal infiltration 4mm gray,
in the anterior chamber, pus fills ¾ of the chamber.
take this sick person?
A.Cryoapplications on the cornea
B. Paracentesis of the anterior chamber
C. Enucleation of the eyeball
D. Evisceration of the eyeball
E. Lamellar keratoplasty

222. A 47-year-old patient, applied to the CCM for coculist

photophobia, lacrimation, blepharospasm of the left eye.
the above complaints have appeared 3 days ago, last 3 years
disturbed by the ulcers.
= 0.7 Vecs are thickened, edematous, hyperemic, skin of roots of eyelashes
covered with small scales. Conjunctiva - pericorneal
injection.Corneal puncture infiltrates I will paint, prone to
merger. What is the cause of this corneal lesion? A.
Dacryocystitis
B. Dacryoadenitis
S. Blepharitis
D. Conjunctivitis
E. Barley

223. A 50-year-old patient is in the eye hospital with the following diagnosis:
keratomycosis of the right eye. Conservative treatment was performed
with the use of antimycotics, also carried out
sequestration with a knife, followed by cauterization.
No improvement followed. Your
further tactics?
A. Lamellar keratoplasty
B. Percutaneous keratoplasty
C. Enucleation of the eye
D. Evisceration of the eye
E. Corneal paracentesis

224.A woman with a 3-year-old child contacted the pediatrician.

the last 6 days worried about the expressed fear of light,
lacrimation, blepharospasm. On examination, the child covers with his hands
eyes, eyelids convulsively clenched, maceration, edema is noted.
examination with eyelid lifters: mixed injection, on

Page 51
cornea billions of flickens, with spreading to them
What needs to be done to make a diagnosis?
A. Keratotopography
B. Wasserman reaction
C. Reaction Mantu
D. Cytological diagnostics
E. Soscobs cornea

225. A woman with a 3-year-old child contacted the pediatrician.

the last 6 days worried about the expressed fear of light,
lacrimation, blepharospasm. On examination, the child covers with his hands
eyes, eyelids convulsively clenched, maceration, edema is noted.
examination with eyelid lifters: mixed injection, on
corneal miliary flicken, with spreading to them
vessels. Diagnosed with tuberculous keratitis. What kind
will you use drugs for treatment?
A. Riboflavin, korneregel
B. Streptomycin, ftivazide
S. Acyclovir, streptomycin
D. Emoxypine, troxevasin
E. Diclofenac, amoxicillin

226. The eye hospital was contacted by a man, 45 years old,

pain, photophobia, watery eyes in the right eye. From the anamnesis:
the above complaints appeared 3 days ago, suffers
chronic sinusitis. On examination: visual acuity of the right
eyes = 0.1 Pericorneal injection, corneal margins ulcerate,
anterior chamber is small, pupil is narrow. What complication is possible
in this case?
A. keratomalacia
V. Sclerite
S.Simblefaron
D. Endophthalmitis
E. Madoroz

227. A 47-year-old man, turned to the Central Center of Mass Media and complained about lacrimation,
photophobia, redness of the red eye.
appeared 4 days ago. Earlier he was lying in the station
keratitis of tuberculous etiology. Objectively: visual acuity
left eye = 1 / ∞ pr.lc, mixed injection, cornea diffuse
cloudy, on the background of general turbidity in deep layers yellowish-gray
non-confluent lesions, moderate mixed vascularization
cornea. What is the format of tuberculous keratitis in this patient?
A. Deep diffuse keratitis
B. Sclerosing keratitis

Page 52

C. Phlictenular keratitis
D. Scrofulous keratitis
E. eczematous keratitis

228. A mother with a 7-year-old child contacted a pediatrician.

moderate photophobia and watery eyes in both eyes, also mom
notes that the child is hard of hearing.
protruding cusps, saddle nose, semilunar notch
middle of the anterior upper teeth. General: eyeball moderate
pericorneal injection, interspersed with neoplasm, ulimbadiffuse
infiltration grayish white colors. Exhibited diagnosis
Bacterial conjunctivitis. Exhibit the diagnosis of syphilitic
keratitis What examination should be carried out to clarify
diagnosis?
A. Keratotopography
B. Wasserman reaction
C. Reaction Mantu
D. Cytological diagnostics
E. Soscobs cornea

229. A mother with a 7-year-old child contacted a pediatrician.

moderate photophobia and watery eyes in both eyes, also mom
notes that the child is hard of hearing.
protruding cusps, saddle nose, semilunar notch
the middle of the anterior upper teeth Objectively: the eyeball
moderate pericorneal injection, in the presence of the neoplasm of ulimba
diffuse infiltration grayish white colors. Your
presumptive diagnosis?
A. Tuberculous keratitis
B. Herpetic keratitis
C. Syphilitic keratitis
D. Neuroparalytic keratitis
E. avitaminosis keratitis

230. A mother with a 2-year-old child contacted the pediatrician.

moderate photophobia and watery eyes in both eyes, also mom
notes that the child is hard of hearing.
protruding cusps, saddle nose, semilunar notch
the middle of the anterior upper teeth Objectively: the eyeball
moderate pericorneal injection, in the presence of the neoplasm of ulimba
diffuse infiltration of a grayish-white color.
syphilitic keratitis. What kind of treatment is advisable to assign to
in this case?
A. Bioquinol, penicillin
B. Ftivazide, streptomycin

Page 53

S. Acyclovir, ophthalmoferon
D. Nerobol, tetracycline ointment
E. Retinol, korneregel
240.CSM co-worker was contacted by a mother with a 4-year-old child.
photophobia, lacrimation, pain in the left eye.
the listed complaints bother the 2nd day, the day before the child
had a severe respiratory viral infection.
revealed a small number of small bubbles between
eyelashes, enlargement of the follicles of the conjunctiva. On the cornea
several bubbles and whitish specks of cloudiness.
What is your preliminary diagnosis?
A. Viral epithelial keratitis
B. Viral treelike keratitis
C. Viral metaherpetic keratitis
D. Viral disc keratitis
E. Viral landcartoid keratitis

241. A mother with a 7 year old child came to the children's department.
Complaints about photophobia, lacrimation, soreness of the left eye.
The above complaints bother 2 day the day before the child
had ARVI. On examination, a small amount of
small bubbles between eyelashes, enlargement of follicles
conjunctiva. crimson with several bubbles grayish-white
pinpoint spots of opacity. Expose the diagnosis of viral keratitis.
What treatment is needed for this case?
A. Bioquinol, penicillin
B. Ftivazide, streptomycin
S. Acyclovir, ophthalmoferon
D. Nerobol, tetracycline ointment
E. Retinol, korneregel

242 A 48-year-old man was brought to the eye hospital with total
clouding of the cornea in the two eyes. It is not clear that
the patient suffered a corneal burn 4 months ago and received treatment.
Ultrasound examination of the eye-lensglass body
transparent. Diagnosed with corneal leucorrhoea. What is your
further tactics to restore vision
A. Therapeutic lamellar keratoplasty
B. Full penetrating keratoplasty
C. Prescribing a cosmetic contact lens
D implantation of bionic eye
E. Keratomileusis

243. Prikeratokonuschevy is:

Page 54

A. Correct corneal astigmatism

B. Incorrect astigmatism
C. mixed astigmatism
D. Reverse astigmatism
E. Complex astigmatism
244. A 39-year-old woman, applied to the CCM for coculist with a complaint
lacrimation, soreness, photophobia of the left eye. Above
the listed complaints are worried about the last 4 days, the day before something
got into the eye, she washed it with water. Suffers chronic
dacryocystitis in the last 2 years. Objectively: acute visualization of the left
eyes = 0.05 Biomicroscopy: pericorneal injection, on the cornea
ulceration in the center, one edge of which is raised, the other
flat with delicate epithelialization, hypopyon, narrow pupil.
need to be done before treatment?
A. Rinse the conjunctival cavity
B. Put on a medical contact lens
C.Provide therapeutic layered keratoplasty
D. Make a keratotopogram
E. Take a nipple from the surface of the ulcer

Diseases of the vascular tract.

orbits of the vitreous body.
245. A 3-year-old woman contacted an ophthalmologist in a polyclinic
a girl.Mother accidentally noticed the girl's vision deterioration
the right eye shows that the pupil on this eye has a stellate shape.
From the anamnesis it is known that at the age of 2 years the child
there was a swelling of the knee joint. Objectively: the right
eye-lung photophobia, eyeball injection, soreness
absent on palpation; dystrophic
changes in the surface layers of the ulimban cornea 3-chi-9
hours, crescent shape. The posterior surface of the cornea is small
precipitates, fusion and pupil enlargement.
is absent. visual acuity of the right eye - 0.02. Your
presumptive diagnosis?
A. Illness
B. Morphan Syndrome
C. Marchesani Syndrome
D. Sterge-Weber disease
E. Behcet's disease

246. A 14-year-old boy turned to an ophthalmologist with complaints about

intermittent redness of both eyes, pain, worsening
The boy is being observed by a dentist

Page 55

dermatologist for ulceration of the genital skin

organs.An objective examination of both eyes revealed:
pericorneal injection, hypopyon, powerful posterior synechiae.
There are pronounced opacities in the vitreous body.
will you make a diagnosis?
A. Bekhterev's disease
V. Behcet's disease
S. Bénier-Beck-Schaumann disease
D. Disease Stella
S. Sterge-Weber disease

247. A 47-year-old man, came to the hospital with a complaint about a sudden
loss of vision in the right eye. Anamnesis: Suffering from hypertensive
high risk disease for 20 years. Objectively:
vision of the right eye = 1 / ∞ pr.lc, the anterior segment is not changed.
There is no reflex of the eye for one year.
complete hemophthalmus of the right eye. What additional
examination is required?
A. Optical coherence tomography
B. Measure intraocular pressure
C. Ultrasound examination of the eye
D. Ophthalmoscopic examination
E.Gonioscopy by Van-Beuningen

248. A patient came to you, who was 2 days ago

the dentist removed the upper incisor on the right side.
worried about headache, chills, double vision with
looking at them with the right eye, the temperature rises above 38.5 C,
there is a pronounced tending redness of the skin of the right eye,
bulging of the eyeball, its mobility is limited,
painful.The conjunctiva of the eyelids and eyeball is sharply edematous,
mixed injection of the vessels of the right eye. The cornea is swollen.
Visual acuity: OD = 0.1 cc, OS = 1.0. Your estimated
diagnosis?
A. Phlegmon orbit
V. Abscess century
C. Acute dacryoadenitis
D. Orbital pseudotumor
E. Fibrinous-plastic iridocyclitis

249. A 45-year-old man went to the eye hospital with a complaint

headache, chills, double vision of objects when looking at them
right eye. From anamnesis: 2 days ago dentist
removed the upper incisor on the right side. Objectively: Right eye -
there is a pronounced swelling of the skin of the eyelids, protrusion
the eyeball, its mobility is limited, painful.

Page 56

The conjunctiva of the eyelids and eyeball is sharply edematous, mixed

injection. Cornea is edematous. Acute vision: right eye = 0.1 not
Corr., left eye = 1.0. Exhibit the diagnosis of phlegmon orbit. What
examination is required for diagnosis? A. Optical
coherent tomography
B. Measure intraocular pressure
C. Ultrasound examination of the eye
D. Ophthalmoscopic examination
E. Radiography of the orbit and maxillary sinuses

250. Male 39 years old, was admitted to the hospital with severe pain,
photophobia, lacrimation of the left eye. History: above
the listed complaints started before the evening, had previously been ill
influenza Objectively: left eye - pericorneal injection,
precipitates on the posterior surface of the cornea, pupil, narrow, iris
edematous, changed in color, posterior synechiae. Diagnosed with:
Iridocyclitis of the left eye. Your first aid for this
condition?
A 0.5% solution of ratimolol
B.1% solution of ratropine
C.2% solution of pilocarpine
D.2.5% solution of trasopt
E.4% solution of rataurine

251 Patient K., 32 years old, complains of impaired vision

right eye, curvature of the examined objects.
viewpoint has reached cold two weeks ago.
communicates, is not accompanied by pain. Objectively.
right eye = 0.2 (uncorrected). The accessory apparatus of the eye is unchanged.
The eye is calm. Anterior segment of the eye without visible pathology.
ophthalmoparamacular yellowish-gray lesion round
shapes, up to one diameter of the optic nerve.
The borders of the focus are indistinct. The retina in the central departments is uterine.
Macular foveal light reflexes absent.
eye. Acute vision = 1.0. Eyes of health. What is your diagnosis?
A. Idiopathic iridocyclitis
B. Central chorioretinitis
C. Occlusion of the central artery of the retina
D. Thrombosis of the central retinal vein
E.
Sympathetic
ophthalmia

252. 55-year-old patient with diabetes for 15

years, after extensive bleeding in the glassy body area
the visual nerve organized a mooring

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vitreous body.
newly formed vessels.
gnmophthalmos. What is the further management of this patient?
A. Dacryocystorhinostomy
B. Sinustrabeculectomy
C. Vitrectomy
D. Evisceration
E.
Enu
glue
aci
I

253 A 42-year-old patient was admitted to the ophthalmological department

complaints of severe eye pain, sharp decrease in vision.
inflamed 10 days ago. Suffers from uveitis for 3 years.
Exacerbations are periodically noted, which after treatment
present treatment has no effect. Objectively: acuity
of vision of the right eye = 0.02 uncorrected.
= 41 mm Hg Expressed mixed injection of the eyeball.
Corneal edema. The moisture of the anterior chamber is transparent. Iris
hyperemic, pronounced rubeosis. Pupillo-narrow, punctate, with light
does not react.
The iris puffs into the front camera.
A further tactic? A. Laser iridectomy
B. Sinustrabeculectomy
C. Lens extractions
D. Non-penetrating sclerectomy
E.
Dacryocystori
nostomy

254. What is the injection characteristic for iridocyclitis?

A. Conjunctival
B. Pericorneal
C. stagnant
D. Mixed
E. Skleralnaya

255. While patronizing a newborn, the pediatrician noticed

the effect of the maximally dilated pupil of one eye.
anamnesis during pregnancy, had no flu.
- the cornea is transparent, the rim of the root of the iris,
illumination of the visible contours of the lens and eyelash belt.
congenital anomalies have you thought of? A. Aniridia

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V. Kolobomaraduzhki
S. Policoria
D. Correctopia
E. Colobomachoroid

256. The mother of a one-year-old child consulted an ophthalmologist, with

complaints mild photophobia persistent wide pupils
both eyes. from anamnesis during pregnancy suffered
influenza On examination - the cornea is transparent, the rim of the root is visible
iris, with lateral illumination, the contours of the lens and
ciliary belt.
What's your next tactic?
A. Purpose of the Corrective Contact Lens
B. Prescribing a cosmetic contact lens
C. Appointment of an orthokeratological lens
D. Prescribing an intraocular lens
F. Purpose of the Rigid Contact Lens
257. Mom of a 3-year-old child turned to a cocktail party with a complaint
the unusual shape of the pupil of both eyes. Anamnesis during
early pregnancy were at risk of miscarriage,
The viewer has the shape of a keyhole with
lack of iridescence at 6 o'clock.
saved. What is your diagnosis? A. Aniridia
V. Kolobomaraduzhki
S. Policoria
D. Correctopia
E. Colobomachoroid

258. A 46-year-old man contacted the CCM coculist with a complaint

aching pains, photophobia, lacrimation, redness of the right
eyes.Anamnesis: the present state of concern for the last 3 days,
Recently not acute purulent otitis. Objectively: VOD = 0.06. Eyelids
edematous, conjunctiva - pericorneal injection, on the back
surface of the cornea precipitates, anterior chamber 2mm.,
the pupil is narrow.What kind of disease do you think?
A. choroiditis
B. keratitis
C. Acute glaucoma
D sympathetic inflammation
E. iridocyclitis

259.CSM addressed a 45-year-old man, took pity on the

photophobia, watery eyes, redness of the right eye.
this condition has worried him for the last 3 days.
visual acuity of the right eye = 0.06. eyelids, conjunctiva

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pericorneal injection, posterior surface

corneal precipitates, moisture in the anterior chamber opalescent,
the iris is changed in color, along the pupillary edge are located
yellowish pink papules What is the likely cause of this
conditions? A. pale treponema
B. Golden staflococcus
S. Bacillus Leffler
D. Klebsiella
E. Echinococcus

260. Girl14years old

complaints of decreased vision, pain in the joints.
the state began to notice the last month. Objectively :: acuity
vision of both eyes = 0.4.
slit-like haze, width 4mm., back surface
cornea-dusty precipitates. destruction of the vitreous body.
What is your presumptive diagnosis? A. Behcet's disease
B. Reiter's disease
S. Disease
D.Marfan's disease
E. Disease Marchesani

261. An 8-year-old boy was in the surgical department

purulent peritonitis. Suddenly noted a decrease in the vision of the right
eyes. Ophthalmologist summoned. Objectively: Right eye - eye
irritated, mixed injection, green iris, drawing
obscured, vitreous teleexudate. What is your diagnosis?
A. rheumatic uveitis
B. Syphilitic uveitis
C. Toxoplasmotic uveitis
D. Metastatic uveitis
E. Rheumatoid uveitis

262. A 62-year-old patient, applied to the Central Center of Medical Sciences for floating
flies before the eyes. From the anamnesis suffers from hypertensive
illness for 25 years, 2 weeks ago there was a crisis. Objectively: acute
vision of the right eye = 0.9 the anterior segment of the eye is unchanged, in
vitreous melting opacities. is your diagnosis?
A. Destruction of the vitreous body
B. Complete hemophthalmos
C. Partial hemophthalmos
D. Complete hephema
E. Partial hephema

263. Patient 47 years old, came to the eye hospital with a complaint
breaking pains, photophobia, lacrimation, decreased vision of the right

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eyes. The above complaints appeared for 5 days, but after

the last 2 days the pain increased. Objectively: acute visualization of the right
eyes = 0.1 Eyelids edematous, stagnant injection, cornea edematous, on
posterior surface precipitates Pupil narrow, fibrinopupillary
zone, iris bombarded, dirty green color.
intensified pain?
A. Phakolytic glaucoma
B. Postuveal glaucoma
S. Ostrypanuveitis
D. Purulent endophthalmitis
E. Superficial keratitis

264. Patient 47 years old, came to the eye hospital with a complaint
breaking pains, photophobia, lacrimation, decreased vision of the right
eyes. The above complaints appeared for 5 days, but after
the last 2 days the pain has significantly increased. Objectively:
vision of the right eye = 0.1 eyelids, stagnant injection, cornea
edematous, posterior surface precipitates. Pupil narrow, fibrin
pupillary zone, bombarded iris, dirty green.
additional examination is necessary to facilitate
making a diagnosis?
A.Skyascopy
V.Gonioscopy
C. Diaphonoscopy
D. Tonometry
E. Refractometry

265. Patient 55 years old, came to the eye hospital with a complaint
breaking pains, photophobia, lacrimation, decreased vision of the right
eyes. The above complaints appeared for 5 days, but after
the last 2 days the pain has significantly increased. Objectively:
vision of the right eye = 0.1 eyelids, stagnant injection, cornea
edematous, posterior surface precipitates. Pupil narrow, fibrin
pupillary zone, iris bombarded, dirty green.
exhibited a diagnosis of iridocyclitis. What drug is advisable
to start an ambulance?
A. Pilocarpine
V. Timolol
S. Atropin
D. Dexamethasone
E. Emoxipin

266. A 45-year-old man has applied to the FMC with complaints about a sharp
decreased vision, flashing flies in front of the left eye. Of
anamnesis noted that on the eve of the transfer of tonsillitis.
visual acuity of the left eye = 0.02. The left eye is calm, front

Page 61

segment is unchanged.
zone 0.3 pds with indistinct borders, yellowish-gray color, retina
around infiltrated, edematous. What is your presumed diagnosis?
A. Central choroiditis
B. Peripheral choroiditis
C. Central retinal degeneration
D. age-related maculopathy
E. Papillitis

267. A 70-year-old man has applied to the FMC with complaints about
decreased vision, flashing flies in front of the left eye. Of
anamnesis noted that on the eve of the transfer of tonsillitis.
visual acuity of the left eye = 0.02. The left eye is calm, front
segment is unchanged.
zone 0.3 pds with indistinct borders, yellowish-gray color, retina
around infiltrated, edematous. There was a diagnosis of choroiditis.
What is more expedient to start treatment? A. Vancomycin
V.Khinin
C. Tetracycline Ointment
D. Albucid
E. Ceftriaxone

268.A woman with a 4-month-old child notes that

that the child is not watching the toys, the color is unresponsive.
anamnesis: pregnancyprotected with threats, polyhydramnios.
it is worth taking into account the neuropathologist and the hygrocephalus.
the eye-one-in the macular zone, a large focus corresponds to 1pd,
whitish-brown color with a prominence in a glassy body.
What examination is needed to establish a diagnosis?
A.Krovnabrucellosis
B. Blood toxoplasmosis
S.Krovnarevmotest
D. Herpes simplex virus
E. Blood cytomegalovirus

269. Ocular hospital was contacted by a man 42 y.o.

severe headaches, chills, pain in the area of ​the right eye.
anamnesis suffers from chronic sinusitis, does not receive treatment.
Objectively: body temperature 39.8 Eyelids are sharply edematous,
hyperemic, chemoconjunctiva, eye mobility is limited.
Was diagnosed with phlegmon of the lacrimal sac. What is your
treatment tactics?
A. Flush tear drainage paths
B. Dacryocystorhinostomy
S.Operation according to Kunt-Shimanovsky

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D. Orbitotomy
E. Blepharorrhaphy

270. Eye hospital was contacted by a man 42 y.o.

severe headaches, chills, pain in the area of ​the right eye.
anamnesis suffers from chronic sinusitis, does not receive treatment.
Objectively: body temperature 39.8 Eyelids are sharply edematous,
hyperemic, chemoconjunctiva, eye mobility is limited.
What complication is possible in this case? A. Thrombosis
cavernous sinus
V. Panophthalmit
C. Endophthalmitis
D. Acute glaucoma attack
E. Central chorioretinitis

271. A 59-year-old woman came to the CSM with complaints about dyplopia,
the stance of the eyes and the orbits on the right.
developed gradually, recently joined
paresthesia of the periorbital region. Objectively:
slight edema Exophthalmos, significant limitation
reposition of the eye. By the eye, non-venous congestion.
Is the examination required additionally?
Ultrasonic biomicroscopy
V. Nesterov tonography
C. Computer tomography
D. Optical coherence tomography
E. Study of spinal fluid

272. A 17-year-old patient, treated as a coculist with a complaint

bulging eyes on the right. This phenomenon had appeared several months ago.
Other complaints of exophthalmos are not accompanied.
periodic improvement and deterioration of the state. Objectively.
Visual acuity of both eyes = 1.0 Exophthalmometry: Right eye -
23mm, left eye - 17mm. The eye slits of both eyes close, but
asymmetrical. The eyeball on the right is easy enough
repositions to the bit. Light conjunctive fluid.
presumptive diagnosis?
A. Endocrine ophthalmopathy
B. Phlegmon orbit
S. Tenonite
D. Osteoperiostitis
E. Cavernous sinus thrombosis

273. A 67-year-old woman came to the CMS for a sudden

Page 63

loss of object vision in the left eye.

Diabetes mellitus 20 years. On examination: acute visual acuity of the left eye
= 1 / ∞ pr.lc Anterior segment of the eye unchanged, vitreous
filled with blood. reflex of the eye one day no. exhibit diagnosis
stale complete hemophthalmos. What is the surgical intervention
need to conduct?
A. Phacoemulsification of cataract
B. Sinustrabeculectomy
C. Dacrycystorhinostomy
D refractive surgery
E. Vitrioectomy

274. An 80-year-old woman contacted the CMS for a sudden

loss of object vision in the left eye.
Diabetes mellitus 20 years. On examination: acute visual acuity of the left eye
= 1 / ∞ pr.lc Anterior segment of the eye unchanged, vitreous
filled with blood. reflex of the eye one day no. exhibit diagnosis
complete hemophthalmos. What is the appropriate study?
A. Tonography according to Nesterov
B. Ultrasound examination of the eye
C. Computer tomography
D. Optical coherence tomography
E. Exophthalmometry

275. After suffering a cold 7-milets, suddenly

pain when moving the eyes. Objectively. Visual acuity
both eyes = 1.0. There is a slight exophthalmos, insignificant
limited mobility of the eyeballs.
eye - diplopia. Light conjunctival edema.
mixed injection ocular apples. Detachable of
no conjunctival sacs. Anterior segments without visible
changes.Optically transparent.Eyes are normal.Your
presumptive diagnosis?
A. Osteoperiostitis
B. Phlegmon orbit
C. Retrobulbar neuritis
D. mucocele
E. Tenonite

276. After a cold, a 7-year-old patient, suddenly

pain when moving the eyes. Objectively. Visual acuity
both eyes = 1.0. There is a slight exophthalmos, insignificant
limited mobility of the eyeballs.
eye - diplopia. Light conjunctival edema.
mixed injection ocular apples. Detachable of

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no conjunctival sacs. Anterior segments without visible

changes. The optical media are transparent. The fundus of the eye is normal.
Exposed to the diagnosis of phlegmon orbit. What is your treatment strategy?
A. Dry heat, corticosteroids, antibiotics
B. Dry heat, vitamins, anticoagulants
C. Prostaglandins, antibiotics, vitamins
D. Keratoprotectors, antibiotics
E. Mydriatics, prostaglandins, vitamins

277.Voncostationary was admitted to a patient with new orbit formation,

lack of vision on the right.
increased in the last 4 years. The patient passed 3 years ago
treatment for a case of acryoadenitis. I didn’t see a doctor.
but: the formation goes beyond the orbit, the Vekinesis close.
histological examination confirmed - sarcoma
orbits. Your choice of surgical intervention?
A. Orbitotomy
B. Dacricystotomy
C Orbit Exenteration
D enucleation
E. Evisciation

278. The clinical picture of the supraorbital fissure syndrome is:

A. ptosis, miosis, enophthalmos
B. Ptosis, miosis, ophthalmoplegia
C. Ptosis, mydriasis, ophthalmoplegia
D. ptosis, mydriasis, nystagmus
E. Mydriasis, lagophthalmos, ophthalmoplegia

279. The triad of what are the symptoms of Behcet's syndrome?

A. Iridocyclitis, urethritis, polyarthritis
B. Iridocyclitis, stomatitis, sores on the genital organs
C. Iridocyclitis, glaucoma, acromegaly
D. Uveitis, polyarthritis, myopathy
E. Uveitis, deafness, Hatchinson's teeth

280. Absorption therapy for retinal hemorrhage or

Vitreous diabetes patients should start: A. B
first hours after bleeding
B. In 2-3 days after bleeding
C. One week after bleeding
D. 2 weeks after bleeding
E. One month after bleeding

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Cataract.

281 At what age does the clouding of the lens begin with
senile cataract? A. 30-35 years
• 38-40 years old
• 40-50 years old
• 60-70 years E. 80-90 years

282. A 75-year-old woman consulted an ophthalmologist

lack of object vision in the right eye, the patient's estates
the right eye stopped seeing 3 months ago, vision decreased
Gradually. Privisometry of the right eye function - correct
color projection, intraocular pressure in norm, at
no reflex ophthalmoscopy, what pathology are you talking about?
Swelling cataract
• Immature cataract
• Mature cataract
• Initial cataract
• Overripe cataract

283. Name the most unlikely cause of senile

cataracts.
A. Paul
B. Genetic predisposition
C. Allergy
D.
In
sp
ace
i.e.
St
re
ss
284. Which of the following signs of an incredible
cataract?
• Gradual decrease in object vision
• Sharp decrease in object vision
C. Sharp narrowing of field view
• Concentric constriction
field of view
• Half loss
field of view

285.Man46years
complaints of low vision in both eyes, and of the past

Page 66

indolent uveitis in the last 10 years, periodically receives a course

conservative therapy for the cause of the disease, objectively: the eye is calm,
transparent cornea, middle anterior chamber, irregular pupil
forms, posterior synechiae, cloudy lens, fundus is not
ophthalmoscopic What is the preliminary diagnosis in this
case?
• Mature cataract
• Immature cataract
• Complicated cataract
• Overripe cataract
• Swelling cataract

286. An 80-year-old woman contacted a coco-operator

decreased object vision in the left eye, according to the patient
vision has been decreasing gradually over the last 2 years.
function of the eye-0.05, intraocular pressure is normal, with
ophthalmoscopyreflexgray.Exhibition of the diagnosis of the tract.What
additional examination is necessary for this patient for
confirmation of the diagnosis?
• Ultrasound examination
• Non-contact tonometry
C. Automatic refractometry
• Fluorescent
angiography
• Optical coherent
tomography

287. A 78-year-old woman appealed to a cocultist

decrease in object vision in the left eye
vision in the right eye, according to the patient, vision decreased
Gradually the last 2 years. Privisometry of the function of the right eye
-0.005. Function of the left eye 0.2, intraocular pressure is normal,
during ophthalmoscopy, reflex gray. Clinical diagnosis delivered
mature cataract of the right eye, immature cataract of the left eye.
What method of treatment is appropriate to prescribe given diagnosis?
• Sinustrabeculoectomy
• Extraction of the lens
C. Corneal transplantation
• Discision
intraocular
noylins
• Dacryocyst
rhinostomy

288. A 65-year-old woman appealed to a cocultist

decreased object vision, flickering of ears, and sensation of the veil
before your eyes. With visometry, the functions of both eyes - 0.7

Page 67

intraocular pressure is normal, with biomicroscopy initial

opacities in the lenses delivered clinical diagnostic
cataracts of both eyes. What drops are advisable to prescribe for
given diagnosis?
• Pallas0.1%
• Timolol 0.5%
C. Natural tear
• Diclofenac sodium 0.1%
• Azapentacen 0.015%

289. A man contacted the emergency service of the eye department.

years old, pityed with bites, cut soreness, redness,
object vision in the right eye.
diagnosis of immature cataract of the right eye. On examination of the eyes
injected, cornea edematous, anterior chamber small to medium,
the pupil is wide, the lens is cloudy, swells. Fundus: not
ophthalmoscopic What is the type of secondary glaucoma in this
patient?
• Postuveal
• Neoplastic
C. Facomorphic
• Dystrophic
• Phlebohypertensive

290. What is the presence of an artificial lens in the eye?

• Afakia
• Artifakia
• Monophakia
• Dysphakia
• Difakia

291. What is a subluxation of the lens?

A. Subluxation
B. Atopy
C. Heterotopia
D atony
E. Facotopy

292. Man 59years

complaints of mild decreased vision in both eyes, flickering
flies in front of the eyes, objectively: the eye is calm, the cornea is transparent,
anterior chamber, middle, round pupil, lens lung
clouding, ophthalmoscopic ophthalmology, no features.
What is the preliminary diagnosis for this case?
• Mature cataract

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• Immature cataract
• Initial cataract
• Overripe cataract
E. Incomplete cataract

293. A man contacted the emergency service of the eye department

years old, pityed with bites, cut soreness, redness,
object vision in the left eye.
diagnosed with immature cataract of the left eye 3 years ago, was
an operation was proposed which he refused. Peep the eye
injected, cornea edematous, anterior chamber small to medium,
the pupil is wide, the lens is cloudy, swells. Fundus: not
ophthalmoscopy. Diagnosis of swelling cataract was presented
left eye. What is the likely cause of this condition?
• Watering of the lens
• Lens displacement
C. Lack of lens
• Dissolution of the lens
• Clouding of the lens

294. Woman 79years

complaints about lack of vision in both eyes, and anamnesis
gradually decreased over the last 10 years, an objective examination of
eye: the eye is calm, the cornea is transparent, the anterior chamber is middle,
rounded pupil, cloudy lens, fundus not
ophthalmoscopic What is the preliminary diagnosis in this
case?
• Mature cataract
• Immature cataract
• Initial cataract
• Overripe cataract
E. Incomplete cataract

295. A man contacted the emergency service of the eye department.

years old, took pity on the cut soreness, redness, lack of
object vision in the right eye, low vision in the left eye.
From the anamnesis didn’t forget the diagnosis of overripe cataract right
eyes. On examination, eye-injected, cornea-edematous, anterior
the camera is middle, the pupil is wide, the lens is dark.
The fundus of the eye: not ophthalmoscopic.
diagnosis?
• Mature cataract
• Overripe cataract
• Initial cataract
• Partial cataract
E. Incomplete cataract

Page 69

296.Copthalmologist appealedMan65yearsPityBaminlow
objective vision in both eyes. Objective observation in both eyes:
the eye is calm, the cornea is transparent, the anterior chamber is middle, the pupil
rounded in the center, crystalline lens, opaque, vitreous, transparent,
fundus is not ophthalmoscopic. Which of the following
signs help to make a diagnosis?
A. Muddy lens
B. Rounded pupil
C. Middle chamber
D. Transparent cornea
E. Patient age

297. A man contacted the office of the eye department

years old, compressed with lumps, soreness, redness,
subject vision on the left eye.
hit the head windshield of the car, look at the eye
injected, cornea edematous, anterior chamber irregular,
the pupil is wide, the lens is cloudy, dislocated anterior
camera. The fundus of the eye: neophthalmoscopic.
presumptive diagnosis?
A. Mature cataract
V. ectopia lens
C. Overripe cataract
D subtotal hyphema
E. Secondary aniridia

298.Man46years
complaints of low vision in both eyes, and of the past
diabetes mellitus for the last 10 years, periodically receives a course
conservative therapy for diabetes, objectively: the eyes are calm,
the cornea is transparent, the anterior chamber is medium, the pupil is rounded,
the lens is cloudy, the fundus is not ophthalmoscopic.
preliminary diagnosis of this case?
• Mature cataract
• Immature cataract
• Complicated cataract
• Overripe cataract
• Swelling cataract

299. Man49years.
complaints of low vision in both eyes, and anamnesis
decreased gradually, objectively: the eye is calm, the cornea
transparent, middle anterior chamber, irregular pupil,
rear synechiae, lens cloudy, ocular bottom not
ophthalmoscoped. Was diagnosed with postuveal

Page 70

cataracts of both eyes, which of the following signs will help him
to make a diagnosis?
V.Zadniesinechia
C. Decreased vision
• Transparent cornea
• Half-sick

300.Man72years old turned to the cockpit of the

complaints of mild decrease in vision in both eyes, fog before
eyes, objectively: visual acuity of the right eye = 0.1, left
eyes = 0.2 the eye is calm, the cornea is transparent, the anterior chamber
medium, round pupil, lens opacity, ocular
Zaffler. What is the preliminary diagnosis of this case?
• Mature cataract
• Immature cataract
• Initial cataract
• Overripe cataract
E. Partial cataract

301. A woman of 78 years old applied to a cocultist of the Center for Social Affairs of the
decrease in object vision in the left eye
vision in the right eye, according to the patient, vision decreased
gradually over the last 2 years. With visometry, the functions of the right
eyes - 0.01. Function of the eye 0.3, intraocular pressure in
normal, during ophthalmoscopy, reflex gray.
Diagnosis: mature cataract of the right eye, immature cataract of the left
eyes. What research method is advisable to prescribe for
in this case for the prognosis after the operation?
• Daily tonometry
• Retinal acuteness
C. Computer Perimetry
• Light and dark adaptation
• Examining the angle of the front camera

302. A man contacted the emergency service of the eye department.

years old, pityed with bites, cut soreness, redness,
subject vision to the right eye.
hit with the right eye. On examination, the eyes were injected, the cornea
edematous, anterior chamber, small to medium, wide pupil, lens
cloudy, pulled up. Eye-eating: neo-ophthalmoscopic.
What research is needed to make a diagnosis and
further treatment?
• Computer tomography of the orbit
• Computer perimetry
• Light and dark adaptation
• Examining the angle of the front camera
 Page 71

• Optical coherence tomography

303. A 75-year-old woman has turned to the cocultist

decreased object vision, flickering of ears, and sensation of the veil
before the eyes.With visometry, the function of the right eye - 0.01
.function of the eye 0.7. intraocular pressure is normal, at
biomicroscopy diffuse opacities in the right eye, initial
clouding in the lenses of the left eye.
diagnosis of mature cataract of the right eye, initial cataract of the left
eyes.The right eye was offered cataract extraction, which
drops are appropriate for the left eye?
A. Pallas 0.1%
V.Azapentacene 0.01%
C. Natural tear
D. Diclofenac sodium 0.1%
E. Azopt

305. A 73-year-old patient has been in a cocoa-stage

low vision without eyeglass correction.
with the help of a cataract 10 years ago Objectively: visual acuity of both
eye. = 0.05 s +10.0 = 0.2. Transparent cornea, anterior chamber
deep, pupil-round, in the center, aphakia, eyes are normal.
What kind of surgery is appropriate to offer this patient?
A. Intraocular lens implantation
B. Discision of secondary cataract
C. Lens extractions
D. Corneal transplant
E. Sinustrabeculoectomy

306. A man contacted the emergency service of the eye department

years old, pityed with bites, cut soreness, redness,
object vision in the left eye.
diagnosis of immature cataract of the right eye. On examination of the eyes
injected, cornea edematous, anterior chamber small to medium,
the pupil is wide, the lens is cloudy, swells. Fundus: not
ophthalmoscopic. Was diagnosed with Swelling
cataract, phakomorphic glaucoma of the right eye. What method
radical treatment is it advisable to assign a given diagnosis?
A. Sinustrabeculectomy
B. Sclerectomy.
C. Corneal transplantation
• Extraction of the lens
• Dacryocystorhinostomy

307. A woman of 68 has turned to a cocultist of the Center for Social Affairs of the Republic of Belarus
decreased object vision in the operated right eye.
 Page 72

anamnesis right eye was operated 2 years ago, fog appeared 6

months ago. Objective visual acuity of the right eye = 0.1,
transparent cornea, middle anterior chamber, pupil
rounded in the center, intraocular lens in the posterior chamber,
diffuse opacification behind the capsule, ocular and nosaflerum.
Was diagnosed with secondary cataract, pseudophakia of the right eye.
What surgical intervention is indicated for this patient?
A. Implantation of Artificial Lens
B. Discision of secondary cataract
C. Lens extractions
D. Corneal transplant
E. Sinustrabeculoectomy

308.CSMoculist appealed by a man69years old, compressed with a sliced

soreness, redness, decreased object vision on the left
an anamnesis of an illness appeared sharply, 3 days ago.
eye injected, cornea edematous, anterior chamber small to middle,
the pupil is wide, the lens is cloudy, swells.
ophthalmoscopic. Was diagnosed with Swelling
cataract, phakomorphic glaucoma of the right eye. What method
treatment is appropriate to appoint a prehospital stage?
A. sedative therapy
B. Antihypertensive therapy
C. Anticoagulant therapy
D. Antiplatelet therapy
E. Vasodilator therapy

309.CSM coculist appealed by a woman 74 years old

sharp soreness, redness, lack of object vision
left eye. from an anamnesis of an illness appeared abruptly, 2 days ago, 2 years
was diagnosed with a mature cataract
the patient refused to operate. On examination, the eyes are injected,
cornea edematous, anterior chamber of the middle, pupil of the middle,
the lens is cloudy. The fundus of the eye: not ophthalmoscopic.
Exposed diagnosis: Overripe cataract, phakolytic glaucoma
left eye. What drops is advisable to appoint before
hospital stage? A. Azopt
B. Natural tear
S. Katakhrom
D. Tauphone
E. Emoxipin

310.Woman72years-old
complaints of decreased object vision, flickering of ears, on
a feeling of a veil before the eyes.When visometry functions of the right
eyes - 0.01. function of the eye - 0.7. intraocular pressure in
 Page 73

normal, Diffuse opacities when tested in a gap lamp

to the right eye, initial opacities in the lenses to the left eye.
The clinical diagnosis of mature cataract in both eyes was made.
Is the examination method necessary to inspect the eyes for a day?
A. Tonography
B. Ophthalmoscopy
C. Biomicroscopy
D. Perimetry
E. Proba Sokolova

311.The patient, 73 years old, underwent surgery

from the proposed intraocular lens implantation of the patient
refused, was presented with a diagnosis of postoperative phakia of both
eye. What method of conservative treatment is acceptable for this
patient? A. Eyeglass correction
V.Pleoptics
C. Orthopedic therapy
D. Delenization
E. Work asynoptofore

312.Parents brought the child for 1.5 years

complaints about poor orientation in space, estates
have noticed the above condition for the last 6 months.
Objectively: OU transparent cornea, middle anterior chamber,
the pupil is round in the center, the lens is dull, the reflex of the eye is
no, he was diagnosed with congenital cataracts in both eyes and
prompt treatment was proposed.
Is the start of the tone directed early in the game?
A. Prevention of amblyopia
B. Prevention of secondary glaucoma
C. Prevention of retinal detachment
D. Prevention of retinopathy
E. Prevention of retinoschisis

313.Parents brought the child for 2 years

complaints about poor orientation in space, estates
have noticed the above condition for the last 8 months.
Objective examination of both eyes: transparent cornea, anterior
the camera is middle, the pupil is rounded in the center, the lens is cloudy,
eye reflex was not present.
cataracts of both eyes. How is the treatment indicated for the patient?
A. Defer coming of age
B. Cataract Extraction
C. Eyeglass correction
D. Conservative treatment

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E. Sinustrabeculoectomy

Dry eye syndrome.

314. Which acid, when applied topically, can relieve

state human at syndrome dry eyes? A.
Acetylsalicylic acid
• Betulic acid
• Folic acid
• Riserdron acid
• Hyaluronic acid

315. A 35-year-old woman has consulted an ophthalmologist

redness, feeling of sand in the eyes.
Complaints worried for the last 6 months, after
applied, Objectively: visus ou = 1.0, the eye is slightly injected,
rapid blinking is noted and xerosis of the cornea with
biomicroscopy.
Ophthalmoscopic picture is normal. What is the probable reason
of this state?
• Dry eye syndrome
• Chronic dacryocystitis
C. Primary glaucoma
• Secondary cataract
• Viral conjunctivitis

316. What is the most likely cause of the syndrome

dry eyes
• Gender
• Age
• Availability of an air conditioner
• Diabetes
• Hypertonic disease

317. A 48-year-old woman contacted a cocultist

redness, feeling of sandy eyes, dry eyes.
the above complaints will not be allowed for the last 6 months, according to
which she did not apply to anywhere, she works as an office worker.
Objectively: visus ou = 1.0, the eye is slightly injected, it is noted
xerosis at biomicroscopy. ophthalmoscopic picture
The diagnosis of dry eye syndrome was made. What method
necessary to make a diagnosis?
• Belostotsky-Friedman test
• TestAmsler

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• Schirmer's test
• Test Calfa
• Sokolov's test

318. A 42-year-old woman contacted an ophthalmologist

redness, feeling of sandy eyes, from anamnesis without the above
complaints have been troubling for the past 2 years
applied, works as a programmer in the office. Objectively:
both eyes = 1.0, the eye is slightly injected, xerosis is noted
cornea with biomicroscopy. Ophthalmoscopic picture in
The diagnosis of dry eye syndrome was made. What drops
necessary to treat this condition?
• Tobramycin 0.3%
• Natural tear
• Oftan-katakhrom
• Irifrin2.5%
• Sulfacyl sodium 20%

319. What is the main pathogenic factor in the syndrome of swine eye syndrome?
A. Hyposecretion of tears
B. Hypersecretion of tears
C. Atresia of lacrimal points
D. Dacryocystitis
E. Canaliculitis

320. What is the symptom of the most dominant syndrome of dry eye?
A. Feeling the eyes
B. Feeling cold in the eyes
C. Feelings of sand in the eyes
D. Sensation of heavy eyes
E. Mist in the eyes

321. A 45-year-old woman appealed to a cocultist of the UCM for a bamina

redness, discomfort in the eyes. Anamnesis
the above complaints are of concern for the last 8 months, according to
who has never addressed, works in a sewing workshop, self-ties
conditions of mite. Objectively: visual acuity of both eyes = 1.0, eye
slightly injected, there is frequent blinking and xerocorneal
near biomicroscopy. Ophthalmoscopic picture in the norm. Your
presumptive diagnosis?
• Dry eye syndrome
• Chronic dacryocystitis
C. Primary glaucoma
• Secondary cataract

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• Viral conjunctivitis

322. A man of 64 years consulted an oculist

complaints of redness, burning sensation in the eyes. Anamnesis
the above complaints have been troubling for the last 3 months, according to
what has never been addressed, pensioner, connects
dacryoadenitis half a year ago. Objectively: visual acuity of both
eye = 1.0, eye slightly injected, frequent blinking
dryness of the cornea on biomicroscopy. Ophthalmoscopic
picture is normal. Your presumptive diagnosis is A. Dacristenosis
B. Chronic dacryocystitis
C Syndrome of dry eye
• Secondary cataract
• Viral conjunctivitis

323. A 55-year-old woman appealed to a cocultist

redness, discomfort in the eyes. Anamnesis
the above complaints have been troubling for the last 3 months, according to
she has never addressed, works as an architect, herself
connects the conditions of the labor. Objectively: visual acuity of both eyes
= 1.0, the eye is slightly injected, there is a deficiency of the lacrimal film
on the forehead biomicroscopy. Ophthalmoscopic picture in
What is your presumed diagnosis?
• Dacryoadenitis
• Chronic dacryocystitis
C Syndrome of dry eye
• Acute keratitis
• Viral conjunctivitis

324. 35-year-old woman appealed to the cocktail party with pity

sand, burning sensation, discomfort in the eyes.
Complaints worried for the last 7 months, after
has applied, spends most of her work
with a computer, it binds itself to the conditions of the labor.
visual acuity of both eyes = 1.0, the eye is slightly injected,
deficiency of a tear film on the cornea with biomicroscopy.
Ophthalmoscopic picture without features. Your
presumptive diagnosis?
• Dry eye syndrome
• Chronic dacryocystitis
C. Primary glaucoma
• Secondary cataract
• Ulcer

325. A 42-year-old man consulted an oculist

complaints of redness, a feeling of a foreign body in the eyes.

Page 77

anamnesis of the above complaints have been disturbing for the last 6 months
about which you have not applied anywhere, your complaints associates with
working conditions, works as a loader in a dusty room.
Objectively: visual acuity of both eyes = 0.8-0.9, eye slightly
injected, frequent blinking and dryness of the cornea with
biomicroscopy. Ophthalmoscopic picture is normal. Your
presumptive diagnosis?
• Dry eye syndrome
• Chronic dacryocystitis
C. Secondary glaucoma
• Secondary cataract
• Ulcer

326. A 32-year-old man consulted an oculist

complaints of redness, a feeling of a foreign body in the eyes.
anamnesis without the above complaints worried for the last 2 months
after surgery on the cornea,
Objectively: visual acuity of both eyes = 0.8, the eye is slightly injected,
there is frequent blinking and dryness of the cornea during biomicroscopy.
Ophthalmoscopic picture is normal. Your presumptive
diagnosis?
• Dry eye syndrome
• Chronic dacryocystitis
C. Secondary glaucoma
• Wto
rich
naya
kata
crayfish
that
• ulcers
a
horn
ovi
tsy

327. A 33-year-old woman has consulted an ophthalmologist about

redness, feeling of sandy eyes, fatigue in the eyes.
the above complaints are of concern for the last 8 months, according to
which she did not apply to anywhere, she works as an office worker.
Objectively: visual acuity of both eyes = 1.0, the eye is slightly injected,
celebrated xerosis cornea at biomicroscopy.
The ophthalmoscopic picture is normal. Was delivered
provisional diagnosis of dry eye syndrome. Which method
needed to clarify the diagnosis?
A.TestSchirmer

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V. Proba Sokolova
S.TestMüller
D. TestAmsler
E. ProbaCalfa

328. A 38-year-old patient contacted a cocultist of the Center for Massage Medicine for a
feeling of discomfort, dry eyes, slight fogging of vision.
For the past 6 months, I am not aware of the above complaints.
I haven’t applied for the water supply, she works as an office worker.
Objectively: visual acuity of both eyes = 1.0, the eye is slightly injected,
celebrated xerosis cornea at biomicroscopy.
The ophthalmoscopic picture is normal. Has been diagnosed
dry eye syndrome. What droplets it is advisable to designate for
treatment of this condition?
• Tobramycin 0.3%
• Natural tear
• Oftan-katakhrom
• Irifrin2.5%
• Sulfacyl sodium 20%

329. A 42-year-old female patient came to the backstage.

complaints Feeling dry eyes, slight blurring of vision.
From the anamnesis, the above complaints are disturbed by the last 10
months, with the help of a guide I contacted different optometrists and
natural tear, works as an office worker, notes
Dustiness of the workplace. Objectively: sharpness of vision of both eyes
= 1.0, eye slightly injected, cornea transparent, marked
lack of tear film on cornea with biomicroscopy.
The ophthalmoscopic picture is normal. Has been diagnosed
dry eye syndrome. What manipulations are indicated?
drops?
A. Obturation of lacrimal points
B. Flushing the lacrimal canal
C bougie of lacrimal points
D. Tearbag massage
E. Canaliculotomy

330. A 38-year-old female patient

complaints of sensation, dry eyes, slight fogging
Because of the above complaints, the latter will not be helped
years, about which I turned to different optometrists and drips
natural tear, works as an office worker, notes
Dustiness of the workplace. Objectively: sharpness of vision of both eyes
= 1.0, eye slightly injected, cornea Ma, deficient
tear film on the cornea when viewed with a slit lamp.
The ophthalmoscopic picture is normal. Has been diagnosed
dry eye syndrome. What are the recommendations shown in addition

Page 79

drops? A. soft contact lenses

B. Massage of the tear bag
C bougie of lacrimal points
D. Tearbag massage
E. Canaliculotomy

331. A 32-year-old man consulted an oculist

complaints of redness, feeling of sand, foreign body in the eyes.
From the past 2 months without the above complaints
after surgery on the cornea
(LASIK) Objectively: visual acuity of both eyes = 0.9, eye slightly
injected, corneal xerosis is noted during biomicroscopy.
The ophthalmoscopic picture is normal. Was diagnosed
postoperative dry eye syndrome.
assign in this situation?
• Tobramycin 0.3%
• Natural tear
• Oftan-katakhrom
• Irifrin2.5%
• Sulfacyl sodium 20%

332. A 54-year-old man, a specialty programmer contacted

ophthalmic congestion of pitybamina redness, feeling
sand, foreign body, tired eyes. Anamnesis
the above complaints have troubled the last 6 months, associates
it is with a long stay at the computer. Objectively:
visual acuity of both eyes = 1.0, the eye is slightly injected,
xerosis at biomicroscopy. ophthalmoscopic picture
A preliminary diagnosis was made: dry
eyes. What test method is required to clarify the diagnosis?
A.Testnahemoglobin
B. Testnaprotein
S.TestSokolova
D. Testnalipids
E. Testnogormones

333. Female, 48 years old, IT technologist contacted an ophthalmologist

complaints of redness, feeling of sandy eyes, dryness, fatigue
eyes.It is not the above complaints that will not bother the latter 6
months, after the flow of
Objectively: visual acuity of both eyes = 1.0, eyes slightly
injected, noted tear deficit cornea with
biomicroscopy. Test Schirmer less than 5 mm. Ophthalmoscopic
picture is normal.
A provisional diagnosis of dry eye syndrome was made.
What method is needed to clarify the diagnosis?

Page 80

A. Testlipids
B. Test hormones
S.TestAmsler
D. Test osmolarity
E. Testnaallergens

334. A 48-year-old female patient came to the backstage.

complaints of sensation, dry eyes, slight fogging
From my experience, the above complaints are of concern to the latter4
years, about which I turned to different optometrists and drips
natural tear, works as an office worker, notes
Dustiness of the workplace. Objectively: sharpness of vision of both eyes
= 1.0, eye slightly injected, cornea transparent, marked
deficiency of lacrimal film of the cornea when viewed on a slit lamp.
The ophthalmoscopic picture is normal. Has been diagnosed
dry eye syndrome. What are the recommendations shown in addition
drops?
A. Eyeglass correction
B. Massage of the tear bag
C bougie of lacrimal points
D. Tarsorrhaphy
E. Canaliculotomy

Glaucoma.

335. Receptionist has retired woman, 49 years old, complained of bamina

severe pain and blurred vision of the right eye
the background of an increase in blood pressure to 180 and 90 mm Hg.
The patient reported repeated vomiting, which did not bring relief.
Upon examination, the following data were obtained: visual acuity of the right
eyes 0.09 uncorrected, visual acuity of the left eye 0.1 (+) 3.5
D = 1.0; Biomicroscopy of the right eye revealed congestive
apple injection, corneal edema, small anterior chamber,
iris bombing, pupil dilated, does not react to light.
intraocular pressure in the right eye is 56 mm Hg.
Maklakov, your preliminary diagnosis?
A. Acute fibrinoplastic iridocyclitis
• Acute glaucoma
• Acute obstruction of the central artery and retina
• Acute bacterial conjunctivitis
• Acute purulent endophthalmitis

336.What is the production of watery moisture?

• Pigment epithelium of the retina
• Processes of the ciliary body

Page 81

• Epithelium of the iris

• Own vascular membrane
• Layers of the mitrabecular network

337. A 55-year-old patient at the initial examination revealed

open-angle glaucoma stage 3. Intraocular level
pressure according to Maklakov tonometry was 28 mm Hg.
anamnesis revealed that the patient suffers from bronchial asthma in
for many years. Which of these antihypertensive drugs
contraindicated in the patient? A. Brinzolamide 1%
• Latanaprost0.005%
• Travoprost0,004%
• Dorzolamide 2%
• Timolol 0.5%

338. A 60-year-old patient went to the hospital with a complaint, cutting pain
right eye and occiput, and impaired vision.
began to bother the patient in the morning after the measurement of blood pressure; he caused
ambulance, I had some kind of a tokol, but we didn’t get through.
noticed short periods several times last year
blurred vision both eyes “rainbow circles” in front of the eye, but
On examination eye: Right eye red,
the cornea is cloudy, the drawing of the stools is "blurred", the pupil is wide, with light
unresponsive left eye calm palpation tone right eye
increased. Diagnosed with glaucoma. What pathology
it is necessary to carry out differential diagnostics in this
case?
• Acute conjunctivitis
• Acute keratitis
• Acute iridocyclitis
• Acute dacryocystitis
• Acute scleritis

339.The mother of a one-year-old child applied to the children's department.

Notes that after the birth, she noted that his "large
eyes iodinlaz more than other ", restless behavior of the child,
especially during the day, photophobia, watery eyes.
noticeably large size of the eyeballs and their different sizes,
severe photophobia and lacrimation.
the cornea of ​both eyes is moderately edematous, the diameter of the cornea is large,
it was not possible to examine the deep-lying environments of the eyes due to a strong
photophobia and restless behavior of the child.
is this patient?
• Congenital corneal dystrophy
• Congenital megalocornea

Page 82

• Congenital dacryocystitis
• Congenital cataract
• Congenital glaucoma

340. Emergency department contacted a man 62 years old,

sore left eye, irradiating left half of the head,
lacrimation, photophobia, blepharospasm, redness of the eye.
objective examination: Visual acuity of the right eye 1.0, left eye
- incorrect light projection. Eye-injected, cornea edematous,
the anterior chamber is small, the pupil is dilated, the lens is cloudy,
swollen. Ophthalmic neophthalmoscopy. What kind of secondary
glaucoma of an extraordinary patient? A. Neoplastic
• Postuveal
• Facomorphic
• Phlebohypertensive
• Degenerative

341. A 70-year-old woman, presented with a complaint in the right eye,

irradiating to the right half of the head, lacrimation, photophobia,
blepharospasm, redness of the eye. On objective examination:
vision of the right eye - wrong light projection, left eye 1.0.
Eye injected, cornea edematous, anterior chamber small, pupil
dilated, crystalline lens, swollen.
ophthalmoscopic.
Exhibited a diagnosis of the contract. Which of these events
seeks to address the cause of the patient's data? A.
General antihypertensive therapy
• Extraction of the lens
• Basal iridectomy
• Sinusotrabeculectomy
• Laser trabeculoplasty

342. The ocular department was visited by a 67-millet patient

diagnosed with an immature stage of cataract in both eyes.
right eye near-focal examination in transmitted light
revealed pronounced watering of the lens. What method
examinations will help to exclude the complication of the specified pathology
eye?
• Optical coherence tomography of the eye
• Ultrasound examination of the eye
• Eye tonometry for Maklakov
• Fluorescence angiography of the eye
• Automatic eye refractometry

343.Patient67years old contactedYoumcomplained for lack of

Page 83

subject vision right eye, significantly reduced vision

left eye. Gradual decrease in vision of the eye
within 2 years. The sharpness of the right eye becomes equal to the correct
light projection; left eye = 0.1 uncorrected.
narrow, it is necessary to dilate the pupil for examination of the periphery of the eye
what kind of examination is required to be carried out before
mydriatic drops for the prevention of unwanted
complications?
• Ultrasound examination of the eye
• Fluorescence angiography of the eye
• Automatic eye refractometry
• Optical coherence tomography of the eye
• Eye tonometry for Maklakov

344. The patient 63 turned away with a complaint about fogging eyes.
by
morning, HYPERLINK "https://pandia.ru/text/category/videnie/" HYPERLINK
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"https://pandia.ru/text/category/videnie/"" rainbow"circles at this time,
reduced vision of both eyes. By 12 o'clock in the afternoon, as a rule, "fog"
in front of the eyes passes. Sharpness of the right eye = 0.5, left
eyes = 0.6, uncorrected. Eyes are calm, medium eyes are transparent.
Tonometric intraocular pressure is increased.
research methods will help determine the stage of this pathology?
• Biomicroscopy
• Diaphonoscopy
• Perimetry
• Gonioscopy
• Autorefractometry

345. At the clinic of sick years, the initial examination revealed

glaucoma stage 3.
Intraocular pressure level according to Maklakov tonometry
amounted to 34 mm Hg.
What research method will determine the form of this
pathology?
• Autorefractometry
• Diaphonoscopy
• Perimetry
• Gonioscopy
• Ophthalmoscopy

Page 84

346. An elderly woman urgently contacted the doctor on duty.

complaints of pain in the left eye, radiating to the left half
head, lacrimation, photophobia, blepharospasm, redness of the eye.
Objective examination: Visual acuity of the right eye 1.0, left
eyes - wrong light projection. Eye injected, cornea
edematous, anterior chamber deep, defined by trembling
membranes, the pupil is uneven, in the anterior chamber they reveal
white particles of lysed lens masses.
a weak reflex is determined. What type of secondary glaucoma in
of this patient?
• Neoplastic
• Postuveal
• Degenerative
• Phlebohypertensive
• Facolytic

347. General during the primary open-angle and closed-angle

glaucoma is:
• Progressive deterioration of fluid outflow from the eye
• Secondary inflammation of the attachment of the device
• Development of an atrophysical nerve
• Increased pigmentation of the anterior chamber angle
• Bulging of the root part and arches

348. Patient, 32 years old, male

angle of the front camera.What can cause this condition?
• Unabsorbed mesodermal tissue
• Root iridescent shell
• Newly formed vessels
• undissolved blood
• Pupillary edge iridescent shell

349. State the reason for the blindness that the primary
open-angle glaucoma:
• Total retinal detachment
• Atrophy of the visual nerve
• Clouding of the glassy body
• Persistent corneal opacity
• Clouding of the lens

350.Copthalmologist came to a woman, 46 years old,

unbearable pain in the left eye, which radiates to the left hand,
scapula. Objectively: palpation of the eye hard, symptom of "cobra",
cornea cloudy, edematous, pupil wide, glowing yellow
green. What is your preliminary diagnosis?

Page 85

• Attack glaucoma
• Acute iridocyclitis
• Ulcer
• Sympathetic phthalmia
• Phlegmon orbit

351. The ophthalmologist consulted the mother of a one-year-old child.

of his birth, she noted that his "big eyes
more. "Notices the child's restless behavior, especially
during the day, photophobia, lacrimation.
attention to the large size of the eyeballs and their different sizes,
severe photophobia, lacrimation. On examination: cornea
both eyes are moderately edematous, the diameter of the cornea is large,
it was not possible to examine the deep-lying environments of the eyes due to a strong
photophobia and restless behavior child. Your
preliminary diagnosis?
• Congenital cataract
• Congenital retinoblastoma
• Congenital glaucoma
• Congenital dacryocystitis
E. Congenital corneal dystrophy

352. A patient, 64 years old, has complained of aminaboli, irradiating

nape - feeling of bloating in right eye, in front of right eye
"There is a thick fog" of needles almost never sees.
visual acuity of the right eye - counting the fingers of the eye.
pronounced congestive injection of the anterior vessels, cornea edematous,
anterior chamber is small, iris edematous, pupil is about 4-5 mm.
the diameter of a dark gray color of normal size. What kind
secondary glaucoma of the patient? A.
B. Neoplastic
• Facolytic
• Facomorphic
• Neovascular

353.K A 52-year-old patient has gotten away from himself, who suddenly after
there were strong painful left eye and left half head.
In addition, the patient drew attention to the redness of the eye,
deterioration of vision. On examination of the left eye: red eye (congestive
injection), edematous cornea, small chamber, pattern
iris smeared, pupil wide, up to 6 mm in diameter, light
Decreased by palpation of intraocular pressure
the eyes are dense, but the liposuction is not amplified . Diagnostic acute
an attack of glaucoma. First aid requires
to bury in the conjunctival cavity:
A. Atropine sulfate 1%
B. Timololmaleate 0.5%

Page 86

S. Albucid20%
D. Pilocarpine 1%
E. Travatan 0.04%

354. The 49-year-old patient has contacted you because she is not in the city.
Disturbed by blurred vision in the morning, vision of "rainbow"
circles at this time, reduced vision of both eyes. By 12 o'clock
as a rule, the "fog" passes. Sharpness of the right eye - 0.8, left
eyes - 0.6, uncorrected. Eyes are calm, medium eyes are transparent.
What is your preliminary diagnosis?
A. Cataract
B. keratitis
S. Glaucoma
D. Conjunctivitis
E. iridocyclitis

355.Select the most likely diagnosis on the onset of the patient

after visiting the sauna, a sharp decrease and blurred vision,
rainbow circles around the light source, severe pain in the eye
irradiation to the back of the head:
A. Acute iridocyclitis
B. Acute keratitis
C. Acute dacryocystitis
• Acute conjunctivitis
• Acute glaucoma

356. Indicate the most correct version of the recommendations that

should give a general practitioner to a one-year-old child
suspicion of congenital glaucoma:
• Do not take anything for a 3-year-old child
• Dispensary examination of the child every 6 months
• Be under regular supervision of a pediatrician
• Date of direction for consultation
• Seek a consultation with an endocrinologist

357.Specify what method of investigation can be

changes in the angle of the anterior chamber: A. Ophthalmoscopy
• Gonioscopy
• Research in transmitted light
• Perimetry
• Tonometry

358. Indicate the reason that, from your point of view, cannot
lead to the development of an acute attack of the ill
glaucoma: A. Prolonged exposure to bright light

Page 87

premises
• Long stay in a dimly lit room
• Continuous operation in inclined position
• Medication dilation of the pupil without tonometry
• Excessive neuropsychiatric stress

359.Choose the most likely diagnosis when found in

patients with intraocular pressure at 32 mm Hg.
• Iridocyclitis
• Cataract
• Dacryostenosis
• Glaucoma
• Hyperopia

360.Specify which of the above methods can be used

for the treatment of congenital glaucoma: A. Medication
• Operative treatment
• Functional therapy
• Laser coagulation
• Manual therapy

361. A 34-year-old patient with an onioscopy revealed an open angle

front camera. Choose a medicine that
are prescribed as a prophylaxis for the onset of an acute attack
glaucoma:
• Solution of scopolamine 0.25%
• Solution of ratropin 1.0%
• Solution of pilocarpine 1.0%
• Solution of dexamethasone 0.1%
• Sulfacyl sodium solution 20%

361. What research can determine the form of glaucoma?

• Perimetry
• Gonioscopy
• Ophthalmoscopy
• Tonometry
• Adaptometry

362. When roughly estimating the width of the anterior chamber angle
lateral illumination along Wurthaft in the limb of the examined eye with
On the nasal side, a light strip with a width of 1.5–2 mm appeared.
What is your conclusion about the width of this case?
• Per
cr
s

Page 88

t
s
th
•W
ir
OK
ui
C.
Uz
ki
th
• Soldered
• Abnormal

363. When examining the width of the anterior chamber angle of the lateral
illumination according to Wurthaft in the limb of the examined eye with nasal
side appeared a light strip with a width of 0.5-1 mm.
your conclusion width in this case?
• Closed
• Wide
• Narrow
• Soldered
• Abnormal

364. A 62-year-old patient is receiving treatment at an endocrinological

ward for diabetes mellitus type 1, diabetes mellitus
has been suffering for 16 years. Objectively on the right glaze
absent (color projection is not correct), decreased vision
gradual, IOP = 46.0 mm Hg, pribiomicroscopy of the iris
shell multiple newly formed vessel. Your
preliminary diagnosis?
A. Secondary facotopic glaucoma
B. Primary open-angle glaucoma
C. primary angle-closure glaucoma
D. Secondary neovascular glaucoma
E. Secondary phacomorphic glaucoma

365. Some of the syndromes develop a youthful form of glaucoma

• Rieger's syndrome
• Behcet's syndrome
• Morphan syndrome
• Horner's syndrome
• Itsenko-Cushing's syndrome

366. A 33-year-old man, an auto mechanic, got a blunt trauma

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eyes. The causes of secondary traumatic glaucoma can be:

A. Dislocations of the lens
B. Traumatic retinal detachment
C. Paralytic squint
• Vitreochorioretinal dystrophies
• Rupture of the rioid

367. Young girl 22 years old, on optical coherence tomography

pronounced physiological excavation of the visual nerve.
What method of investigation will exclude the eyes of an affected patient?
• Ophthalmoscopy
• Gonioscopy
• Diaphonoscopy
• Perimetry
• Tonometry

368. What due to the earliest appearance by livestock

paracentral area Bierum in glaucoma:
• Features of the blood circulation of the mesh casing
• The peculiarities of the passage of the ganglion cells
• Features of the location of the nerve fibers of the nerve
• Customized size
• The features of the lattice plate biomechanics

369. A 58-year-old patient, turned to the doctor on duty with complaints:

paroxysmal pain in the right eye.
injection, cornea, anterior chamber, small, intraocular
pressure = 52.0mm Hg What is the reason for this state?
A. Cortical cataract
B. Overripe cataract
C. Swelling cataract
• Nuclear cataract
• Secondary cataract

370. What index testifies to stabilization

glaucomatous process?
• Normal numbers of intraocular pressure
• Narrowing of the field of view boundaries to the nasal meridians
• Increased glaucomatous disc excavation
• Increased defects in nerve fibers of the retina
• Strengthening the pigmentation of the structure of the anterior chamber

371.Differential diagnosis of acute attack of paglaucoma and

acute iridocyclitis with hypertension are important:

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• Complaints
• The nature of the front camera
• Pupil size
• State of arc
• Precipitates

372. A 3-year-old child is fitted with an optical coherent

tomography determines the presence of mesodermal tissue in the corner
anterior chamber. For what glaucoma is the characteristic of this sostonia?
A. Open-angle glaucoma
B. Postuveal glaucoma
C. Congenital glaucoma
D. Phacomorphic glaucoma
E. Neovascular glaucoma

373. That the following is evidence of destabilization

glaucomatous process?
• Decreased visual acuity
• The appearance of pain in the eye
• Narrowing of polarity
• Pericorneal eye injection
• Edematous tissue

374.One of the following diseases can occur

neovascular glaucoma?
• Thrombosis of the retinal vein
• Chorioretinal retinal dystrophy
• Descending atrophy of the visual nerve
• Retinal pigment degeneration
• Amblyopia of very high degree

375.To a general practitioner in a local polyclinic, she turned to

woman, 72 years old.
Complains of pain in the right half of the head, nausea and urge
the right eye does not distinguish one line in the table
Sivtseva.When you look, you see a burning light bulb
rainbow halo On examination of the right eye: pronounced
stagnant injection; the transparency of the cornea is reduced due to
pronounced edema of her epithelium; the pupil is dilated, the light is not
reacts; the anterior chamber is shallow; on palpation of the eyes
painless, but dense like stone. What is your diagnosis?
• Acute retbulbar neuritis
• Acute glaucoma
• Acute iridocyclitis
• Acute blepharoconjunctivitis

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• Acute obstruction of the central artery and retina

376. Patient 40 years old, notes heaviness in the eye, headaches,

intermittent fogging in front of the eye, especially at tilting
Objectively: the eye is calm, the cornea is transparent,
the chamber is medium-sized, with the eye day, there is no displacement of the vascular
the beam of the lens is visually impaired, the functions of the eye are not changed.
What is your preliminary diagnosis? A. Initial glaucoma
• Senile cataract
• Sluggish uveitis
• Latent hyperopia
• Accommodative asthenopia

378. A 47-year-old patient has addressed, under biomicroscopy is determined

development of segmental iris atrophy after an acute attack
glaucoma. What is the reason for this condition?
A. Collapse scleral sinus
• Strangulation of the vasculature
• Paralysis of the intraocular muscles
• Hypoproduction of ciliary body
• Thrombotic veins

379. Tactics of the doctor after the diagnosis of ophthalmic hypertension

with risk factors ":
• Observation of the dynamics of the residence
• Appointment of antihypertensive drops
• Anti-glaucoma laser surgery
• Surgical intervention
• Physiotherapy

380. The following changes were found on the patient:

vision is concentric and narrowed in one or more segments
is located at least 15 ° from the fixation point, the edge is subtotal
ExcavationDiscussionNerve.For what stage of glaucoma
characteristic of objective data?
A. Nachalnoy
• Developed
• Far-gone
• Terminal
• Overripe

381. Receptionist has been treated by a woman, 49 years old, with a complaint.
severe pain and blurred vision of the right eye
background of an increase in arterial pressure up to 180 and 90 mm Hg.
The patient reported repeated vomiting, which did not bring relief.

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Upon examination, the following data were obtained: visual acuity of the right
eyes = 0.09 uncorrected, visual acuity of the left eye = 0.1 (+) 3.5
D = 1.0; During biomicroscopy of the right eye, congestive
apple injection, corneal edema, small anterior chamber,
iris bombardment, dilated pupil, non-responsive to the light.
OD56mmHg according to Maklakov. What is your preliminary diagnosis?
A. Fibrinous-plastic iridocyclitis
• Acute glaucoma
• Total retinal detachment
• Phlegmon lacrimal bag
• Retrobulbar neuritis

382. A 65-year-old patient, turned to a doctor with a complaint for worsening

vision and orientation in space. The above complaints
appeared about six months ago, but did not cause much
Periodic passing fogging
Objectively: Visual acuity of both eyes = 0.4sphera - 3.5
diopters = 1.0. Eyes calm. Transparent corneas. Anterior
chambers of medium depth, subatrophic irises, weak pupils
expanded. Excavation of discs is noted on the fundus
visual nerves, their blanching. intraocular pressure of both
eye = 38mm Hg. What research is necessary for
definition of the stage of glaucoma? A. Refractometry
• Gonioscopy
• Tonography
• Perimetry
• Diaphonoscopy

383. An elderly woman received an eye injury during the fall.

I noticed a decrease in vision in the left eye. Across
for several hours there were eye pain and headaches.
decreased even more. Objectively: The sharpness of the left eye =
0.03 (not corrected). The eye was injected in a mixed manner.
Cornea edematous, anterior chamber deep, as if filled
oil drop. Pupil round, moderately dilated. Pink
fundus reflex.
it is possible due to the swelling of the neoplasm. Intraocular pressure of the left eye =
46 mmHg What type of secondary glaucoma did the patient develop?
A. Facotopic
B. Neoplastic
• Facolytic
• Facomorphic
• Neovascular

384. 70- year- old retiree, appealed with complaints against severe
 Page 93

vision and severe pain in the left eye and left half of the head,
who appeared at night, nausea and vomit. a few days ago
he had a difficult emotional experience. Objective
examination of the left eye: Visual acuity = 0.04 (not corrected).
Intraocular pressure = 47 mm Hg, the palpebral fissure is narrowed,
pronounced congestive injection of the eyeball. Cornea edematous.
The anterior chamber is very shallow. The pupil is dilated to 5 mm,
irregular oval shape. Fundus reflex
dull pink. discernible. inert in the fog.
diagnosis of an acute attack of glaucoma. Which of the following
drops improve the patient's well-being?
A. Dexamethasone 0.1%
V. Diklof 0.1%
S. Albucid20%
D. Pilocarpine 1%
E. Atropin 1%

Retinal diseases; diseases of the optic nerve.

Age-related macular degeneration

385. Symptoms of lesions are metamorphopsias?

• Sclera
• Iris
• Retinas
• Lens
• Cornea

386. Which of these methods is used to examine the retina?

• Biomicroscopy
• Ophthalmoscopy
• Anomaloscopy
• Gonioscopy
• Diaphanoscopy

387. Patient 50L, went to the eye department with complaints about
sharp decrease in vision, the appearance of a curtain from the bottom to the right eye.
At the perimeter, the fall of the upper half of the field was revealed
of the right eye. What diagnosis was presented to the patient?
• Swelling cataract
• Phlegmon orbit
• Retinal disinsertion
 Page 94

• Attack glaucoma
• Anterior uveitis

388. Patient 42L, applied to the emergency department with a complaint

a gradual decrease in vision in both eyes, a history of notes
cranial trauma. With an objective examination
detected an increase in the size of the blind spot, skiascopic
The discomfort of the nerve is determined by hyperopia at 7.0D.
Ophthalmoscopic visual discernment the nerve dominates forward,
borders are fuzzy.
What is the pathology of this patient?
• Descending atrophy of the visual nerve
• Ischemia of the visual nerve
• Stagnant vision nerve
• Post-traumatic tearing of the nerve's eyes
• False neuritis of the visual nerve

389. Patient 60L, after emotional stress sharply decreased

vision of the left eye. Examination of the left eye revealed:
a sharp spasm of the retinal vessels, in the macula a rounded focus
red. What is your diagnosis?
• Thrombosis of the retinal vein
• Hemorrhage in the macular zone
• Age-related macular degeneration of the retina
• Stagnant vision nerve
• Embolism of the central artery of the retina

390. Patient 54 L, applied to the emergency department with a complaint

a gradual decrease in vision in both eyes, a history of notes
cranial trauma. With an objective examination
detected an increase in the size of the blind spot, skiascopic
the optic disc is defined by hyperopia in 7.0 D.
Ophthalmoscopic visual discernment the nerve dominates forward,
borders are fuzzy.
What is the further tactic of an ophthalmologist?
• Prescribing corticosteroid therapy
• Prescription of antibiotics
• Control of intraocular pressure
• Referral to neurosurgeon
• Direction to ultrasound examination

391. Patient 52 y.o. has local retinal detachment

a few weeks ago. What procedure should be carried out for
prevention of total retinal detachment in this case?
• Laser coagulation
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• Diathermocoagulation
• Sinustrabeculectomy
• Cryoextraction
• Iridocycloretraction

392. Admissions office addressed by a man

flashes, lightning, flickering, floating in front of the eyes black spots,
deformation and vibration of the examined objects,
visual acuity, veils in front of the eyes.
worried about the last 3 days.
retinal. What surgical intervention is indicated for this
patient A. Cryopexy
• Circles
• Cyclo-dialysis
• Iridenkleisis
• Iridocycloretraction

393. Patient 65L, vision of the right eye sharply decreased.

examination of the right eye revealed: sharp vasospasm
the retina, in the macula a rounded dark red focus.
The above complaints are disturbed for 15 hours.
diagnosis of occlusion of the central retinal artery. Which of these
drugs indicated to the patient A. Cefamizin
• Furosemide
• Dexamethasone
• Euphyllin
• Pilocarpine

394. Patient examination and revealed right-sided

hemianopsia. Where is the lesion site? A. Right visual
nerve
• on the left of the eye
• In the right view
• On the left
• Vzonechiasm

395. An elderly man has gone to the clinic with a complaint

distortion of straight lines, dark spot in front of the eye,
visual acuity, increased need for bright light
right eye. Upon examination, the doctor found changes in the macular
zone of retina. Exhibit diagnosis of malignant degeneration. What method
diagnostics show to clarify the diagnosis given to the patient?
• Automatic eye refractometry
• Optical coherence tomography

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• Ultrasound examination of the eye
• Pulsed electrooculography
• Light and dark eye adaptometry

396. A 65-year-old woman, complained of worsening

color sensation, decreased visual acuity, the appearance of a little spot
in front of the eye, distortion of objects in the left eye. When
ophthalmoscopy, the doctor found changes in the central zone
retina.What test should be used to clarify the diagnosis
in this case?
• Schirmer's test
• Sokolov's test
• TestAmsler
• Lancaster test
• Jones test

397 A 46-year-old man came to the clinic with complaints about

blurred vision, floating black spots
Anamnesis: suffers from type 2 diabetes mellitus
over the past 10 years. Ophthalmoscopy revealed:
capillary microaneurysms, punctate spotty bleeding
into the retina, hard exudates, cotton-like foci on the retina.
Diagnosed with diabetic retinopathy. What procedure
shown to the patient?
• Diathermocoagulation
• Laser coagulation
• Dacryocystorhinostomy
• Cryoextraction
• Sinustrabeculectomy

398. Patient 40L, complains of gradual decrease in left vision

anamnesis: had a craniocerebral injury a year ago.
ophthalmoscopy revealed: pale discoloration of the nerves
the temporal side, the border of the disc, the vascular bundle in the center,
arteries are narrow. This is the most unlikely diagnosis.
• Retrobulbar neuritis of the visual nerve
• Stagnant papilla of the nerve
• Atrophy of the visual nerve
• Rupture of the Sight-nerve
• Excavation of the visual nerve discs

399. Patient 32L, presented with a complaint with poor eyesight,

narrowing of the field of vision of both eyes. The above complaints are noted
during ophthalmoscopy: areas of dystrophic
destruction of receptor cells on the periphery of the retina in the form

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"Bone corpuscles", narrowing of retinal arteries. Name the most
Probable diagnosis A. Local retinal detachment
• Occlusion of the central retinal artery
• Retinal pigment degeneration
• Macular retinal dystrophy
• Thrombosis of the retinal vein

400. A 16-year-old patient complains of poor vision in both eyes.

sees birth. Glasses not used - not suitable. Objectively:
visual acuity of both eyes = 0.2 (uncorrected).
the apparatus of the eyes is normal. The eyeballs are calm. Anterior segments
of unseen pathology. Optical media transparent.
the days of the optic nerves are pale, somewhat reduced in
other pathologies are invisible. What is the pathology of visual
nerve-impaired patient?
• Retrobulbar neuritis of the visual nerve
• Stagnant papilla of the nerve
• Aplasia of the optic nerve
• Rupture of the Sight-nerve
• Excavation of the visual nerve discs

401. A 30-year-old female patient has a history of

symmetrical subcutaneous hemorrhage of both eyes.
both eyes = 0.6 (uncorrected) .The eyeballs are calm.
Small subconjunctival hemorrhages.
eyes unchanged. Optical media transparent.
there is a clouding of the retina in the macular region.
diagnosis of malignancy. What is the diagnostic method for
to clarify the diagnosis given to the patient?
• Automatic eye refractometry
• Light and dark eye adaptometry
• Ultrasound examination of the eye
• Pulsed electrooculography
• Optical coherence tomography

402. In the neurosurgical department, a patient complains about

periodic blurring of vision in both eyes, headaches.
Objectively: visual acuity of both eyes = 1.0.
eye not changed. Anterior segments without visible changes.
the fundus of both eyes the optic discs are enlarged in
size, mushroom-like swells into the glass-like body.
The color of the disc is pinkish-gray, the borders are indistinct.
Pronounced peripapillary edema with single hemorrhages.
What is your presumed diagnosis?
• Retrobulbar neuritis of the optic nerves
• Congestion of the optic nerves

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• Aplasia of the optic nerve

• Rupture of the optic nerves
• Excavation of the visual nerve discs

403. Patient 33-hlet, addressed by coculist with grievances.

decreased vision in the right eye, which was noticed 2 days ago.
back transferred acute right-sided sinusitis Objectively: acuity
right eye = 0.2 (uncorrected) .Right eye is calm,
optically transparent media.
hyperemic, its borders are blurred, swollen, somewhat
will lead to the vitreous body, the arteries are dilated, the veins are twisted,
the vascular funnel is filled with exudate. The macular area and
the periphery of the retina without pathology. Visual acuity of the left eye = 1.0.
Glazzdorov. What is your presumed diagnosis?
• Neurological nerve
• Stagnant papilla of the nerve
• Atrophy of the visual nerve
• Rupture of the Sight-nerve
• Excavation of the vision nerve

404. The patient has visited the patient, 50 years old, presents
complaints of low vision in the right eye. Vision has decreased
Gradually, painlessly. The disease is not associated with anything.
Objectively: visual acuity of the right eye = 0.3 (uncorrected).
The accessory apparatus of the eye is normal. The eye is calm.
segment without visible pathology. Optical media are transparent.
Intraocular pressure is normal.
the nerve is hyperemic, its borders are blurred. Arteries and veins
expanded, the last twisted. Plasmorrhage on the disk and
hemorrhages. Left eye. Visual acuity = 1.0. eye is healthy.
Exposed the diagnosis of neuritis of the visual nerve.
Do research methods need to be carried out to clarify the diagnosis?
A. gonioscopy
• Diaphonoscopy
• Perimetry
• Autorefractometry
• Biomicroscopy

405. Child 4 years old, class of mother for several months

the vision of the left eye dropped sharply.
wide "luminous" pupil of this eye.
Objectively, visual acuity of the right eye = 1.0.
The sharpness of the left eye is incorrect light sensation.
The accessory apparatus of the eye is not changed. The eye is calm.
a segment of invisible changes. The pupil is round, dilated, in the light

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practically does not react. Optical media transparent.

Ophthalmoscopically, a prominant is visible in the fundus
yellowish-golden tuberous mass. Diagnosed
retinoblastoma. Which diagnostic method is most indicated for
refining the diagnosis?
• Automatic refractometry
• Light and dark adaptometry
• Ultrasound examination
• Pulsed electrooculography
• Fluorescence angiography

406.A 17-year-old patient suffering from myopia, after

severity there was a sharp decrease in vision of the left eye.
complains of the presence of a dark "curtain" on top. Objectively: sharpness
vision of the right eye = 0.04 with a sphere - 7.5 diopters = 1.0.
vision of the left eye = 0.01 (not corrected). Eye perfectly
calm, anterior segment of unseen pathology, optical
environment transparent. passing light background red reflex in
in the lower parts of the eye, a gray veil-like film is visible,
which sways when the eyeball moves. When
ophthalmoscopy: a vesicle-like translucent
formation on which the vessels climb. Diagnosed
detachment of the retina. What kind of surgery is indicated for removal of this
pathology?
• Cataract surgery
• Vitreoretinal surgery
• Glaucoma surgery
• Refractive surgery
• Vascular surgery

407. 34-year-old female patient referred for counseling to

to the optometristfrom the department of rheumatology, where passes
the next course of treatment for popovodureumatoid arthritis on the left.
During ophthalmoscopic examination in the eye of both
sides around the vessels in some extent are detected
grayish compact couplings. The passage of the affected vessels are
grayish proliferative foci.
Retinal hemorrhage What is your suspected diagnosis? A.
Chorioretinitis
• Iridocyclitis
• Dacryocystitis
• Retinovasculitis
• Papillitis

408. An 80-year-old patient, after suffering a hypertensive crisis

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sick decreased vision of the right eye. Decreased vision

happened quickly, painlessly. Objectively: visual acuity
right eye = 0.04 (not corrected). The eyeball is not
injected. anterior segment of the eye without visible pathology.
ophthalmic diurnal, red disc, its contours are shaded,
poorly visible due to numerous hemorrhages,
resembling tongues of flame. Venomous, expanded, crimped,
are lost in places in the edematous tissue of the retina. The arteries are narrow.
Numerous streaky and large bleeding throughout
I’m good at it.
What is your presumed diagnosis?
• Local retinal detachment
• Occlusion of the central retinal artery
• Retinal pigment degeneration
• Macular retinal dystrophy
• Thrombosis of the retinal vein

409 A 46-year-old patient has applied to a polyclinic with complaints about

sudden loss of vision in the left eye. In the morning the vision was
while washing, noticed that the left eye had become
Seeing badly. Reduced vision pain was not accompanied.
minutes the eye is completely blind. The patient suffers from hypertensive
Objectively: sharpness of the left eye = 0.
segment of the eye of invisible changes.
clouded pale retina. On its background, yellow spot
a bright red central frame stands out. The arteries are sharply narrowed.
small arteries intermittent blood columns.
occlusion of the central artery of the retina. Which of these drugs
shown to the patient?
• Cefamizin
• Euphyllin
• Dexamethasone
• Furosemide
• Pilocarpine

410. Patient 50 years old, consulted by an ophthalmologist about

hypertension. Excerpt from the consultant's note: on
eye mucosae both sidesdisks of the optic nerves gray-pink
colors, edematous. Vessels are sharply narrowed, without sclerotic changes.
Salus II-III. Numerous flocculent white spots on the retina.
Retina grayish, posterior pole multiple bleeding
of various shapes and sizes. The area of ​yellow spot on the star figure.
What is the retinopathy of this patient? A. Renal
• Diabetic
• Rheumatic
• Atherosclerotic

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• Physiological

411. A 78-year-old patient complaining of impaired vision, with

both eyes are visible twisted and
dilated veins. The arteries are narrow, in places obliterated.
Where the artery crosses the veins, the latter becomes
invisible.Focal retinal opacities.
hemorrhages passage of vessels. area of ​yellow heels yellow-white
foci of plasmorrhage, forming a star shape.
macular retinal tissue. optic nerve in practice without
changes. Make a preliminary diagnosis.
• Hypertensive angiopathy
• Hypertensive angiosclerosis
• Hypertensive retinopathy
• Hypertensive neuroretinopathy
• Hypertensive scleropathy

412. A 62-year-old patient, applied to a coculist with a complaint

decreased vision of the left eye. Data of complaints appeared about 2
months ago. Diseases with what does not bind. Objectively.
Sharpness of the left eye = 0.1 (uncorrected). Intraocular pressure
right eye = 24 mm Hg. Eyes are calm. Anterior segment without
pathology.Priophthalmoscopy with a narrow pupil, in the lower
the quadrant of the eye is found to have a lot of education.
dilation of the pupil, in the same area a large brown
dominant formation with clear boundaries and foci
hemorrhage on its surface.
spots. Diagnosed with retinal detachment. Which method
diagnosis is the most indicative for clarifying the diagnosis?
• Automatic refractometry
• Light and dark adaptometry
• Ultrasound examination
• Pulsed electrooculography
• Non-contact tonometry

413. A 38-year-old bus driver filed complaints about harsh

decreased vision of the right eye, distortion of shape and size
objects. These complaints appeared 2 days ago, to the doctor did not
Objectively: Visual acuity = 0.08 (uncorrected).
Intraocular pressure = 23 mmHg. Right eye is calm. Cornea
transparent and spherical. The anterior segments of the eye are not changed.
Eye-eating: dyspeptic, pale pink, clear boundaries,
physiological excavation, arteries are slightly dilated. IN
the macular zone shows a round yellowish-gray lesion, with
fuzzy borders and a reddish rim around.
around the lesion is mildly edematous. What is your presumed diagnosis?

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• Pigment degeneration
• Chorioretinal dystrophy
• Retinal abiotrophy
• Central chorioretinitis
• Ischemic opticopathy

414. When consulting a 74-year-old patient suffering

hypertensive disease, the eye-eyebrows of both eyes is determined
next picture: retinal veins are dilated, twisted. Arteries
slightly narrowed, uneven caliber.
neither optic nerves nor eye changes are observed.
vision of both eyes = 1.0. What are the stages of a hypertensive eye
do the changes correspond?
• Hypertensive angiopathy
• Hypertensive angiosclerosis
• Hypertensive retinopathy
• Hypertensive neuroretinopathy
• Hypertensive scleropathy

415. A 59-year-old patient suffering from hypertensive disease on

in the eye of both eyes, enlargement and wrinkling of the veins is determined.
The arteries are narrowed, the walls are thickened, separate
obliterated (silver wire symptom).
Corkscrew tortuosity of venous barrels in macular
areas. Instead of crossing the arteries, the veins in front of the cross
bends and sharply becomes thinner (Salus II).
of hypertensive ocular day do these changes correspond?
• Hypertensive angiopathy
• Hypertensive angiosclerosis
• Hypertensive retinopathy
• Hypertensive neuroretinopathy
• Hypertensive scleropathy

416. Patient 71 years old, during the last week periodically

noted a short-term deterioration of vision in the right eye.
examination by an ophthalmologist: visual acuity of the right eye 0.2, not
corrected, the eye is calm, the optical media are transparent.
visual nerve is hyperemic, slightly protrudes into the vitreous
body, borders of distinct veins are widened, convoluted. Retina at disc
optic nerve and in the central zone of the fundus are visible
multiple bleeding in the form of strokes, "tongues of flame",
located radially along the hob (“symptom of a crushed
tomato "). Exposed diagnosis of thrombosis of the central retinal vein.
Which of these drugs is indicated to the patient?
• Fluconazole 0.3%

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• Acyclovir 3%
• Dexamethasone 0.4%
• Tobramycin 0.3%
• Pilocarpine 1%

417. A 45-year-old patient with myopia in both eyes 9.0 diopters, moving
apartment heavy furniture, noticed the lower-outdoor area of ​the field
vision of the right eye several weak flashes of light
(photopsy), and then the appearance of a semi-transparent shadow (by definition
patient - "curtains"), fluctuating with eye movements and
limiting part of the right eye polypathy.
the shadow disappeared, but in the course of the day it reappeared
increased. What is your presumed diagnosis?
• Swelling cataract
• Phlegmon orbit
• Retinal disinsertion
• Attack glaucoma
• Anterior uveitis

418. Patient 67 years old suffering from diabetes mellitus for 20

years, after extensive bleeding in the glassy body area
the optic nerve has organized a mooring line,
vitreous body. IN mooring celebrated appearance
newly formed vessels. The patient should be advised:
• Vasodilator therapy
• Absorption therapy
• Vitreoretinal surgery
• Vaso-strengthening therapy
• Laser coagulation of the retina

419. A 30-year-old patient complains of pain behind the right eye,

appearing eye movements, blurred vision of the right eye.
About 2 weeks ago, I had a high temperature flu.
examination: visual acuity of the right eye 0.5, uncorrected, Eye
calm, optically transparent.
red, the diameter is enlarged, the borders are shaded, the disc is
vitreous body, retinal veins are dilated, convoluted, along the vessels
pinpoint streaky hemorrhages are determined.
When what disease possible described above
ophthalmoscopic picture?
• Retrobulbar neuritis of the visual nerve
• Stagnant papilla of the nerve
• Descending atrophy of the visual nerve
• Idiopathic nerve tear
• Excavation of the visual nerve discs

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420. What method is used to examine the retina?

• Biomicroscopy
• Ophthalmoscopy
• Anomaloscopy
• Gonioscopy
E. Tonometry

421. Which of these pathologies is a complication of thrombosis

central retinal vein?
A. Secondary
glaucoma B.
Secondary
cataract
• Secondary squint
• Secondary uveite
• Secondary neuritis

422. Damage of what formation as a result of metallosis

leads to blindness?
• Visual nerve
• Iris
• Lens
• Cornea
• Ciliary body

423 The patient has progressed for the last few years
vision, deterioration of vision.
around the eye, the optic disc is pale, the boundaries are clear,
deposits of retinal pigment in the form of bone cells.
Presumptive diagnosis A. Pigment degeneration
• Chorioretinal dystrophy
• Retinal abiotrophy
• Central chorioretinitis
• Ischemic opticopathy

424. A 35-year-old patient who has complained about decreased vision

left eye, which he noticed a week ago after falling from
Objectively: visual acuity of the left eye decreased to 0.3,
correction of vision does not improve. Intraocular pressure is normal.
Narrowing of the left eye's field of vision above, whisker.
left eye in vitreous telescopic retinal bladder lower -
nasal quadrant, optic disc pink, border
clear, the caliber of the vessels is unchanged.
What is your presumed diagnosis?
• Swelling cataract
• Phlegmon orbit

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• Anterior uveitis
• Attack glaucoma
• Retinal disinsertion

425. The doctor of the polyclinic appealed to the man by the son of 17
years old teenager complains about visual impairment in the evening
time. Of the sick, symptoms appeared about a day ago without
visible causes Objectively: visual acuity in both eyes = 0.7.
The anterior segments of the eye are unchanged. Fundus of the eye: disc
the optic nerve is pale, the boundaries are clear, on the periphery of the eye
bottom along the retinal vessels multiple pigment
deposits of a dark brown color in the form of "bone bodies".
vision is sharply narrowed. Lack of vitamins can be
cause of this pathology?
• Vitamin D
• Vitamin E
• Vitamin C
• Vitamin AE. Vitamin K

426. A woman contacted a doctor with a complaint, poor vision in the distance
in both eyes, curvature of objects. Objectively: on the fundus
both eyes have a focus of sharp retinal opacity, whitish
brown color, the central focus area somewhat dominates in
vitreous body, its contours are vague. Diagnosed
retinal detachment. Which of these methods is necessary for clarification
diagnosis?

• Automatic eye refractometry

• Light and dark eye adaptometry
• Ultrasound examination of the eye
• Pulsed electrooculography
• Examining the angle of the front camera

427 On examination of both eyes - The optic disc is pale

pink, myopic cone of the temporal side, clear boundaries,
retina is stretched, pigment loss, macular area without
features, along the periphery of the right eye, several small
valvular ruptures of the retina on the background of lattice dystrophy, in
left eye rare periods of thinning of the retina
"snail tracks". Diagnosed with high myopia,
chorioretinal dystrophy. What is your patient management strategy?
• Iridocycloretraction
• Diathermocoagulation
• Sinustrabeculectomy
• Cryoextraction
• Laser coagulation

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428. Four-Year-Old Birth Permanently Sitting Right

eye. On examination: visual acuity of the right eye = 0.05 not
corrected. Ophthalmoscopic: Optic disc
pale, contoured borders. Retinal arteries are narrowed. IN
history of hypertensive syndrome. Due to what pathology
child's vision loss?
• Atrophy of the visual nerve
• Stagnant papilla of the nerve
• Neurological nerve
• Rupture of the Sight-nerve
• Excavation of the vision nerve

429. A patient consulted an ophthalmologist 59 years old with a complaint

a veil approaching from below-from within the view of the right eye.
The blackout was preceded by fiery sparks in this eye.
suffers from myopia, wears sph (-) 7.0 diopters for the eyes.
Sharpness of the right eye with correction - 0.1, left eye - 0.8.
Ophthalmoscopically: in the upper-outer quadrant of the fundus
a grayish bump with large folds is visible, standing in
the vitreous body, along the grayish tubercle are convoluted vessels.
Exposed the diagnosis of retinal detachment.
given to the patient?
• Keratomileusis
• Phacoemulsification
• Circles
• Enucleation
• Evisceration

430 A 50-year-old patient has come to the ophthalmological hospital.

complaint of low vision of the right eye.
accidentally.
examination: visual acuity of the right eye = 0.2 uncorrected, left
eyes = 1.0. Right eye at external examination, as well as at
biomicroscopy without changes.
pale monotonous, borderline, well-defined. Retinal arteries narrowed,
veins of the usual caliber. No focal pathology was revealed.
Determine the follow-up examination and treatment of the patient.
• Prescribing corticosteroid therapy
• Prescription of antibiotics
• Control of intraocular pressure
• Referral to a neurologist
• Direction to ultrasound examination

431.A man of 81 years old with complaints of

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gradual and painless decrease in vision of both eyes.

of the patient, the vision of both eyes decreases without any visible reasons during
8 years old. Did not apply for medical help, did not receive treatment.
both eyes = 0.04, uncorrected.
the norm. Front segments eye without changes.
Ophthalmoscopically: the optic disc is pale pink,
the boundaries are clear. The arteries are narrowed, sclerosed, the veins are dilated,
The macular region has extensive atrophic foci.
What is your presumed diagnosis?
• Thrombosis of the retinal vein
• Hemorrhage in the macular zone
• Dry macular degeneration of the retina
• Cystic macular edema
• Chorioretinal retinal dystrophy

432. A woman contacted the clinic with her daughter 13 years old.
The girl complains of blurred vision, especially in
evening time.
back for no apparent reason. Visual acuity in both eyes = 0.6 not
Anterior abnormalities. Ocular-eating: disc
pale pink, clear borders, on the periphery
fundus along the retinal vessels multiple
pigment deposits of dark brown color in the form of "bone
Taurus ". The polar views are sharply narrowed. What is the pathology of the retinal
girls?
• Retinal abiotrophy
• Chorioretinal dystrophy
• Pigment degeneration
• Central chorioretinitis
• Ischemic opticopathy

433 Patient K., 46 years old, noticed a sharp decrease in vision in the morning
the right eye in the light sensation.
in front of the eye. The patient suffers from rheumatoid
arthritis.Priophthalmoscopy is seen in the milk retina, all
visible vessels are sharply narrowed, in the macular region of cherry
red spot Exhibit diagnosis central artery occlusion
retina. What is the first aid in this case? A.
Laying eye ointments
• Staying in a darkened room
• Rinsing the eyes with antimicrobial drops
• Finger massage of the eyeball
• Imposition of a monocular dressing

434. Pregnant woman 37 weeks,

to get a conclusion before the sale.

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visual acuity of both eyes 0.3 s correction (-) 5.0 = 0.7.

Ophthalmoscopic: dyspeptic nerve pale pink around
it has a myopic cone, clear boundaries, vascular bundle
from the center, narrow arteries, middle veins. Exhibit diagnosis of myopia.
What additional method will allow you to give a complete conclusion
to this patient?
• Automatic refractometry
• Light and dark adaptometry
• Ultrasound examination
• Pulsed electrooculography
• Fluorescence angiography

435. Patient 43 years old, complains of a gradual decrease in vision, in

the anamnesis notes craniocerebral trauma.
picture: optic disc with a grayish tint, contours
clear. Narrow arteries, medium veins. Diagnosed with atrophy
What kind of therapy is indicated for this patient:
• Vasodilator
• Absorbent
• Anti-inflammatory
• Sedative
• Antibacterial

436. A patient complains of a half-drop in polymerization.

medical history: recently received a head injury. When examining
revealed left-sided hemianopsia. Where is the lesion site
? A. Right Viewer
• on the left of the eye
• In the right view
• On the left
• Vzonechiasm

437 A patient with a complaint was admitted to the Department of Neurosurgery

headache and loss of half of the field of vision in both eyes.
Neurosurgeons in the pictures found a pituitary adenoma, which
compresses the chiasm. What hemianopsia did you find in this
patient ophthalmologist? A. Heteronymous bitemporal
• Heteronymous binasal
• Homonymous right-handed
• Homonymous left-handed
• Homonymous super-quadrant

438. A 46-year-old patient complains of a gradual decrease in vision of both

eye. An objective examination revealed in both eyes
an increase in the size of the blind spot. Ophthalmoscopic disc

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the optic nerve will dominate forward, the boundaries are indistinct.
sharply dilated, middle arteries, hemorrhages nearby
visual nerve. Formulate the state of the patient.
• Increase in intraocular pressure
• Increase in intracranial pressure
• Increase the rate of erythrocyte erosion
• Increase blood glucose
• Increase in leukocytes in blood

439. A 37-year-old patient who is doing excessive physical

load sharply decreased vision of the right eye.
myopia of high degree for 20 years.
the presence of a dark "curtain" on top. The ophthalmologist exposed
the diagnosis "retinal detachment". What kind of retinal detachment by the mechanism
occurrence of the patient?
• Traction
• Exudative
• Traumatic
• Rhegmatogenous
• Mixed

440. An elderly man has complained about impaired vision

left eye in the last 2 months.
anterior segments of the eye without features, optical media
transparent. average pupil. What drops can be used
for a complete retinal examination?
• Tropicamide 1%
• Pilocarpine 1%
• Emoxipin 1%
• Dexamethasone 0.1%
• Inocaine 0.4%

441. A 56-year-old patient has a traction retinal detachment.

What pathology could be the reason for this case?
• Primary glaucoma
• Senile cataract
• Diabetic retinopathy
• Penetrating eye injury
• Myopia of a high degree

442.A 53-year-old female patient, after extensive hemorrhage in

the vitreous in the optic nerve has organized
the mooring line, passing through the glassy body.
the appearance of newly formed vessels. She was offered
vitreoretinal surgery. Replacement is implied in this
surgery technique? A. lens

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• Retinas
• Vitreous body
• Sclera
• Iris

443. Patient, 47 years old, 2 weeks ago when performing home

cleaning sharply decreased vision of the right eye.
examination, the ophthalmologist made a diagnosis of retinal detachment.
retinal detachment of the patient?
• Initial
• Fresh
• Stale
• Far-gone
• Old

Eye injuries.
444. In case of damage to which bone occurs
orbital emphysema?
B. Temporal lobe
C. lattice
D cheekbones
E. Tears

445. What is the most improbable cause of diplopia?

A. mydriasis
V.Mioz
C. Iridodialysis
D. Rubeosis
E. Corectopia

446.Man20years
subject
vision in the right eye.It was not clear that yesterday
in the evening I got a shot on the right
On examination of the eyeball, the following are revealed:
anterior chamber deep, iris living, enlightened
pupil glassy body, what is the probable cause
of this state?
A. Detachment of the glass-like body
C) retinal concussion
S. Dislocation of the lens
D fracturing sclera
E. Root irrigation

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447. A 25-year-old male has been contacted by an ophthalmologist.

deterioration of vision in the left eye.It was not found out that 3 days
back while working, something got into the left eye. After
examinations ophthalmologist made the diagnosis: penetrating wound
left-eye apple. Which of the following signs helped
Can he get a diagnosis?
A. Severe eye pain
B. Bleeding in the front chamber
C. Incorrect pupil shape
D. Hole in the iris
E lens opacity
448. Men 35 years old complaining about naboli,
lacrimation, decreased vision in the right eye
biomicroscopic examination of the eye
revealed signs of penetrating injury.
more diagnostic examination is necessary
conduct?
A. Magnetic resonance imaging of the right orbit
B. Ultrasound examination of the right orbit
C. Radiography of the right orbit
D. Thermography of the right orbit
E. Ophthalmoscopy of the right eye

449. A 20-year-old patient was diagnosed with "Penetrating injury

the cornea of ​the right eye ". Which of these signs is considered
absolute for a given diagnosis?
A. Hypotension of the eyeball
B. Foreign bodies in front camera
C. Post-traumatic subcutaneous emphysema
D. Bulbar conjunctival edema
E. Vascularized corneal opacity

450. Which of these operational interventions is considered the most

a reliable prevention of sympathetic inflammation?
cervical nodes
C. Removal of intraocular foreign body
C. Removing the cloudy lens
D. Removal of injured eye
E. Removal of ciliary ganglion

451.Parents brought the 11-year-old child to the eye clinic with complaints
reduced vision to the left eye of the child.
eyeballs with snow. On examination: visual acuity of the left eye 0.1
uncorrected Hematomavec, eyes calm, transparent cornea, in
anterior chamber blood level 2mm, irregular pupil,
wide, transparent lens.

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body - floating opacity. What is the degree of ocular contusion

apple child? ai
• II
• III
• IV
•V

452. A 40-year-old patient was admitted to the ocular department with a complaint
decreased vision, redness, pain in the left eye that is ill
a week ago for no apparent reason. Two years ago he was treated in
Inpatient hospitalization of severe penetrating injury to the right eye.
After a week of treatment, enucleation of the right
the eyes from which the patient refused. Objectively: acuity
right eye = 0, left eye 0.1 Left eye: pericorneal
injection, corneal precipitates, greenish iris,
pupil 2 mm, fibrin deposition in the lens, reflex eye
dull, details are invisible. What is your presumed diagnosis?
• Vogt-Koyanagi-Harada syndrome
• Iridociliary dystrophies
• Sympathetic phthalmia
• Post-traumatic endophthalmitis
• Purulent panophthalmitis

453. Tractor driver, 35 years old, received an injury to his eye due to drought straw.
Complains of severe eye pain, lack of vision, swelling,
redness of the eyelids, bulging of the eyeball. Ocular status:
visual acuity of the right eye = wrong sense of light.
The right eye is dense with a bluish tint, edematous.
contracted, exophthalmos, ophthalmoplegia, conjunctiva
corneal opacity with decay in the center.
depths, an iris of a dirty gray with a green tint.
narrow. eye reflex one day no. severe soreness
the eyeball The patient has severe weakness, temperature 38 ° C,
headache - what is your preliminary diagnosis?
A. Phlegmonaveca
B. Sympathetic phthalmia
• Post-traumatic endophthalmitis
• Phlegmon orbit
• Retrobulbar neuritis
454.Burn and eyes, along with pathological changes, are divided into:
• 1 degree
• 2 degrees
• 3degree
• 4degrees
• 5degrees

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455. Which of the following applies to magnetic similar bodies?

• Glass
• Copper
• Iron
• Aluminum
• Plastic

456. Hospitalized for 3 days after the injury

preliminary diagnosis "Penetrating corneal injury".
On examination, visual acuity of the right eye = 0 (zero), chemosis
conjunctiva, hypopyon 3 mm, grayish in the lumen of the pupil -
yellow exudate. Exhibit the diagnosis of endophthalmitis of the right eye.
What is the appropriate method of operative treatment in this case?
• Keratoplasty
• Evisceration
• Phacoemulsification
• Circles
• Cryodestruction

457. Emergency department contacted by a man with a complaint

pain, redness, lacrimation, photophobia in the left eye,
puffiness of the century. The estate of the house and the eyes fell the shavings from the grinder.
What diagnostic method is used to determine
foreign body cornea?
• Visometry
• Tonometry
• Diaphonoscopy
• Biomicroscopy
• Radiography

458. The patient consulted a doctor after an eyeball contusion

complaints of decreased vision. on viewing in transmitted light
dark floating opacities are visible on the phonerose reflex.
What is your presumed diagnosis?
• Clouding of the cornea
• Subtotal hythema
• Partial hemophthalmos
• Complicated cataract
• Retinal hemorrhage
459. Patient 28 years old, applied as a coco-puller with a complaint
decreased vision of the right eye 2 months ago was beaten
unknown, there was a blunt trauma on the right. Objectively: visual acuity
right eye = 0.08 not corrected, gray lens, details

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fundus is not visible, but a weak pupil reflex

saved.Diagnosis of complete complicated cataract.What
Does this patient require surgery? A. Keratoplasty
• Evisceration
• Phacoemulsification
• Circles
• Cryodestruction

460. Patient was admitted to the clinic after being hit in the face with blunt
subject.
Visual acuity of the right eye = 1 / ∞ pr.l.certa, eyelid hematoma, in
anterior chamber of the blood at 1/3, the pupil is wide, the lens is transparent,
there is no fundus reflex, which is why there is no
vision?
• Hyphemas
• Hemophthalmos
• Cataracts
• Edekavek
• Mydriasis

461. Welder 50 years old, complains of eye pain, photophobia,

lacrimation, redness, feeling of a foreign body in the left eye.
words during work in the eyes hit the metal shavings.
Objective examination revealed a foreign cornea.
can be used to remove a foreign body?
• Microsurgical forceps
• Cotton swab
• Injection needle
• Conical probe
• Jet physiological solution

462. What is the name of the method radiography by author for

determination of intraocular metallic foreign bodies? A. Method
Wurgaft-Porier
V. Comberg-Baltin Method
S. Sokolov-Belostotsky method
D Mueller-Vanni method
E. Method Ivanova

463. A 29-year-old patient has gone to a hospital clinic with

complaints, pain, redness, decreased object vision
right eye, according to the patient 2 weeks ago received
an industrial injury when repairing a car, objectively:
the function of the right eye is 0.05 uncorrected, the function of the left eye is 1.0.
Right eye: the eye is injected, the cornea is slightly edematous, iris
there is a deposition of yellow-green pigment, the pupil

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rounded, in the center, transparent lens, fundus without

What is your presumed diagnosis?
A.Khalkoz
V. Sideros
S. Hypopyon
D. Hyphema
E. Cataract

464. A woman was admitted to the emergency service of the eye department
years after DTP, class of painful complaint for redness and swelling
eyelid on the right. Objective functions of both eyes = 1.0. Right eye:
the appendages are slightly edematous, the cornea is transparent, local
subconjunctival hemorrhage, the anterior chamber is middle,
the pupil is round in the center, the lens is transparent, the eye
What is your presumed diagnosis?
A. Light contusion
B. Medium contusion
C. Severe contusion
D. Penetrating eye injury
E. Metallose

465.A young guy enrolled in the eye service

28years old, class of the sick, orbited by unknown persons, complaints
redness and swelling on the right, a sharp decrease in
vision, pain on movement of the right eye.
right eye = 0.01. Right eye: edematous appendages, cornea
transparent, local subconjunctival hemorrhage,
middle anterior chamber, hyphema to the middle of the pupil, pupil
rounded in the center, transparent lens, fundus: not
ophthalmoscopic. What is the diagnosis?
A. Light contusion
B. Medium contusion
C. Severe contusion
D. Penetrating eye injury
E.
ABOUT
t
from
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about
th
to
a
from
e
 Page 116

t
h
a
t
to
and

466 The department of the emergency service of the eye department received
male 45 years old, class of ill, received an injury to the left eye, fell
heights repairing the roof, complaints of redness and swelling of the eyelids
on the left, a sharp decrease in object vision, pain on movement
left eye. Objectively functions of the left eye = 0. Left eye:
appendages edematous, cornea edematous , extensive
subconjunctival hemorrhage, front camera
irregular, complete hyphema, pupil is round in the center, ocular
bottom: not ophthalmoscopic. On ultrasound, detachment is determined
retina. What is your presumptive diagnosis? A. Mild contusion
degree
B. Medium contusion
C. Severe contusion
D. Penetrating eye injury
E.
TO
e
R
a
t
about
P
a
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and
I

467. A 25-year-old patient has gone to the hospital clinic with

complaints, pain, redness, decreased object vision
right eye, according to the patient 2 hours ago received
an industrial injury when repairing a car, objectively:
the function of the right eye is 0.05 uncorrected, the function of the left eye is 1.0.
Right eye: the eye is injected, the cornea is slightly edematous,
inlet, wound adapted, pupil is round, in the center,
the lens is transparent, the eye has no special features.
diagnosis of penetrating injury of the right eye. Which method
must be used to determine the intraocular foreign
body?
A. Retinoscopy by Wurgaft
Radiography according to Comberg-Baltin
S. Tonometry according to Maklakov
 Page 117

D. Müller diaphanoscopy
E. Radiography
by
Ivanov

468. A 48-year-old patient has gone to the eye with complaint

severe aching pain, redness, lack of object vision
right to the eye. The sick man got hurt 6 years ago
the right eye, did not apply to ophthalmologists. Objectively: functions
right eye = 0 (zero), the eye is subatrophic, the cornea is transparent,
the anterior chamber is uneven, the pupil is irregular,
the lens is cloudy, the fundus is not ophthalmoscopic. Was
a diagnosis of post-traumatic injury in the right eye
the method of surgical treatment is necessary in this case in
avoid sympathetic inflammation?
A. Cataract Extraction
B. Sphincterotomy
C. Evisceration
D. Sinustrabeculectomy
E. Limbosclerectomy

469 A young man was admitted to the emergency service of the eye department
guy 30years old, class of ill carelessness
right side column, complaints of redness and swelling of the eyelids
right, pain on movement of the right eye. Objectively functions
right eye = 0.8. Right eye: edematous appendages, cornea
transparent, local subconjunctival hemorrhage,
middle anterior chamber, hyphema to the middle of the pupil, pupil
rounded in the center, transparent lens, fundus: not
ophthalmoscopic. Was diagnosed with mild contusion
degree, hyphema of the right eye. Kakiet tablets are recommended for
hyphema resorption?
A. Furosemide 0.04g
V. Asparkam
S. Diacarb
D. Mannitol
E.
IN
e
R
about
w
P
and
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 Page 118

about
n

470. A 26-year-old man went to an eye trauma center with a complaint

lacrimation, feeling of a foreign body, redness of both eyes.
words painfully said weldingmetal objects defenseless
masks, objectively: function of both eyes = 1.0, OU eye-injected,
de-epithelialized cornea, middle anterior chamber, pupil
rounded, in the center, transparent lens, fundus: no
features.Electrophthalmia was diagnosed.
drugs are appropriate to prescribe in this situation?
A. Antibiotics, oily base
B. Vasoconstrictor drops
C. Hormonal drugs
D antiplatelet agents
E. Vasodilator drugs

472. A 22-year-old man went to an eye trauma center with a complaint

lacrimation, feeling of a foreign body, redness of the right eye.
the words of the sick person worked with the metal of a defenseless mask, objectively:
function of both eyes = 1.0, right eye injected, cornea
transparent, on the cornea, a heterogeneous body of a metallic nature,
the anterior chamber is middle, the pupil is rounded, in the center, the lens
transparent, ophthalmic: without features. The diagnosis was made:
foreign body of the cornea. What will be your further
recommendations?
A. Remove the foreign body
B. Numb the patient's eye
C. Compressive bandage eye
D. prescribe antibiotics
E. Assign hormones

Burn eyes.

473. Which burn eyes are the most severe?

A. Ozhogikacidami
V.Ozhogipar
C. Burning alkalis
D. Burning oil
E. Burn with flame

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474. In 2 hours at the eye clinic delivered to the patient 23 years old
complaints: violent pain in both eyes, inability to
In the afternoon, in the mountains at an altitude of 3000 m, when there was a clear
sunny weather - installed a satellite antenna.
blepharospasm, photophobia, lacrimation, severe hyperemia
conjunctiva of the eyelid of both eyes.
2.0% solution of lidocaine, the patient was relieved and
opened his eyes. What is the probable cause of this condition?
A. Eye damage
B. Burn eyes with infrared rays
C. Burn eyes with ultraviolet rays
D. Exposure to ocular ionizing radiation
E. Burning eyes with radioactive waves

475.Man42years
decreased visual acuity in both their eyes.
the patient works as a metallurgist. Before fulfilling an urgent order
stayed to work the night shift. With ophthalmic
examination revealed: hyperemia of both sides, edema, hemorrhage
What is the cause of this condition?
A. Ultraviolet irradiation
B. Exposure to chemicals
C. Infrared radiation
D. Exposure to toxic gases
E. Severe fatigue

476. A 37-year-old man with

complaints of decreased visual acuity, redness, lacrimation and
pain in the right eye. Previous: 2 years ago.
right eye, was repeatedly treated in a hospital.
ophthalmological examination of the right eye revealed:
eye irritated, conjunctiva of the lower century in the middle part of the
coarse scar tissue of the conjunctiva of the eyeball.
the upper eyelids are partially closed. What diagnostic
research is necessary to conduct the patient to improve the prognosis
diseases?
A. Research of corneal sensitivity
C. X-ray of the paranasal sinuses
C. Determination of the stability of the tear film
D. Optical coherence tomography
E. Bacterial inoculum

477. A 27-year-old patient was admitted to the eye clinic with a complaint
low vision in the right eye. Previous history: 2 years ago.
with lime in his right eye, was somewhat cured under hospital conditions.
Last time the recommendation of friends, right eye healed

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diluted honey. On examination: the right eye is irritated,

vision is equal to correct light perception.
vascularized corneal opacity. What operation
appropriate to conduct?
A. Diathermocoagulation of vessels
B. Lamellar keratoplasty
C. Percutaneous keratoplasty
D. Keratoprosthetics
E. Scleroplasty

478. A 20-year-old man is in an ophthalmic hospital

for 15 days with a fresh chemical burn on both eyes.
To improve the trophism and regeneration of the eyes of the
drug is more expedient to continue treatment?
A. Sulfacyl sodium 30%
B. Tetracycline ointment 1%
S. Solcoseryl-gel
D.
Levofloxac
in 0.5% E.
Tobradex

479. 55-year-old woman contacted the doctor on duty

sharp pain in the left eye. According to her, instead of eye drops,
containing vitamins, accidentally dripped "some liquid."
the moment of burying before the appeal has passed 15 minutes.
diagnosis of chemical burn. What drops do you need to drip for
relief of the patient's condition A. Dexamethasone 0.1%
• Pilocarpine 1%
• Atropine 1%
• Tropicamide 1%
• Inocaine 0.4%

480. A 36-year-old patient, was admitted to the clinic for eye diseases with complaints
cutting pain in the left eye, decreased vision. Est. 40 minutes ago in
the eye got a crystal of potassium permanganate. What antidote to apply?
• Riboflavin solution
• Mortarofuratsilin
• Solution of levomycetin
• Solvunithiol
• Solution of corbic acid

481.A worker in the welding shop after his work year contacted

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eye trauma center with subsequent complaints: photophobia,

lacrimation, blepharospasm, conjunctival hyperemia.
preliminary diagnosis?
• Corneal erosion
• Anterior uveitis
• Allergic conjunctivitis
• Exogenous keratitis
• Electrophthalmia

482. A woman who was boiling

water got into the eye.What kind of burn is this? A. Chemical
• Thermal
• Thermochemical
• Beam
• Fire

483. The emergency department was contacted by a 35-year-old man with complaints
eye pain, lacrimation, photophobia, blepharospasm,
redness of the right eye.
the moment of injury, 30 minutes have passed.
can be assigned to the patient?
• Solution of dexamethasone
• Solution of levomycetin
• Solution of ophthalmoferon
• Solution of pilocarpine
• Solution of ratropin

484. Young Girl Complaints

eye, lacrimation, photophobia, blepharospasm, redness,
decreased object vision of the left eye.
blisters are visualized on the skin, the conjunctiva is moderately edematous,
visible soft films in the vaults, on the cornea-deep
erosion. What is the degree of burn damage?
•I
• II
• III
• IV
•V

485. An objective examination of a patient reveals

Simblefaron.Estate a few years ago suffered an eye injury.
What kind of injury is this pathology a complication?
• Penetrating injury
• Contusion of the eyeball
• Burn eyes and adnexa

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• Foreign cornea
• Smudging of the eyeball

486. A 28-year-old patient, applied to the clinic for a doctor on duty

complaints severe pain, decreased vision of the right eye 30 minutes
back to the right eye to the stick.
lacrimation, hyperemia of the conjunctiva of the eyelids, areas of necrosis
conjunctiva of the eyeball, mixed injection of the eyeball.
The cornea of ​the right eye is diffuse, opaque, porcelain-like.
vision of the right eye - 0.01, correction does not improve.
burn patient?
•I
• II
• III
• IV
•V

487. A 25-year-old woman applied to the coculist with a complaint

eye, lacrimation, photophobia, blepharospasm, redness of the right
eyes.Eyes got a few drops of acetic acid.
an objective examination revealed corneal erosion. What from
of the following are contraindicated in the patient?
• Riboflavin 0.02%
• Dexamethasone 0.1%
• Korneregel 5%
• Solcoseryl 5%
• Levomycetin 0.25%

488. The patient went to the clinic to improve the visual acuity
left eye.An objective examination, the patient revealed
post-burn lining of cornea. Which operation is shown as prescribed
to the patient?
• Amniolastics
• Sinustrabeculoectomy
• Circles
• Phacoemulsification
• Keratoprosthetics

489 A 47-year-old female patient complained of severe pain,

decreased vision in the right eye.
acid. On examination, there is a lack of necrosis of the surface layers of the skin,
lacrimation, chemoconjunctiva, eyelids, necrosis of the conjunctiva
eyeball, mixed eyeball injection.
the right eye is dim, resembles frosted glass.
right eye - 0.05, correction does not improve. What is the degree of burn
the patient?

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•I
• II
• III
• IV
•V

490. A 35-year-old patient has returned from a cophthalmologist.

burning sensation, sharp decrease in object vision, swelling of both
eye.Working with the hood of the car hit gray
acid in the eyes. Objectively functions of both eyes 0.1, eyelids
hyperemic edematous, cornea de-epithelialized,
intraocular media are transparent, the eye is normal.
can be in this situation?
A. Sukhoi
V.Vlazhny
S. Powdered
D. Brazed
E. bubbly

491. A 38-year-old patient consulted an ophthalmologist with complaints of

burning sensation, decreased object vision, swelling of both
eye. The sick person was scalded with hot water.
Objectively, the function of both eyes is 0.7, the eyelids are hyperemic, edematous,
the cornea is de-epithelized, the intraocular medium is transparent,
ophthalmic normal. Thermal burn of what degree in this
situations?
A.Idegree
B. II degree
C. III degree
D. IV degree
E.V
from
t
e
P
e
n
and

492. A 33-year-old patient has returned from a cophthalmologist.

burning sensation, a sharp decrease in object vision, swelling of the eyelids, with
labor opens his eyes.
reagents chemical got eyes. Objective function of both eyes 0.1,
the eyelids are hyperemic, edematous, cornea is de-epithelized, cloudy,
intraocular Wednesday not are viewed. Ophthalmologist
stated coagulative necrosis, what causes such necrosis?
A. Alice
B. Acids

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C. Increased temperature
D.Infrared rays
E.Ultraviolet rays

493. A 28-year-old patient has gone back to a cophthalmologist, complaint, severe

burning sensation, a sharp decrease in object vision, swelling of the eyelids,
profuse lachrymation, a stroud opens the eyes.
working in the laundry room with eyes and water.
both eyes 0.3, eyelids are hyperemic, edematous, cornea
de-epithelialized, cloudy, intraocular Wednesday not
are viewed. The ophthalmologist ascertained colliquation
necrosis, what causes such necrosis?
A. Alice
B. Acids
C. Increased temperature
D.Infrared rays
E.
Ultraviolet
miluchami

494. A 35-year-old patient went to the emergency service with a complaint

strong burning sensation, a sharp decrease in the subject vision,
soreness, swelling of the eyelids, profuse lacrimation, with difficulty
opens his eyes. According to the patient, working in the laboratory
reagent in the eye. Objectively functions of both eyes 0.2, eyelids
hyperemic, edematous, de-epithelialized cornea, cloudy,
intraocular Wednesday not are viewed. Ophthalmologist
ascertained colliquation necrosis, how to deactivate the burn
this situation?
A. Weak acidic solution
B. Weak alkaline solution
C. With a solution of permanganate potassium
D. A solution of an ammonia
E. Weak
solution
alcohol

495. A 46-year-old patient has turned to a cophthalmologist with complaints

on, decreased object vision, lacrimation.
a year ago received acid burns. Objectively, the function of both eyes
0.8, eyelids hyperemic, marked ectropion, cornea
transparent, anterior chamber is middle, pupil is round in the center,
transparent lens, fundus: no features
The ophthalmologist diagnosed post-burn ectropion
eyelid, what kind of surgery is recommended in this situation?
A. Cataract Extraction
B. Removal of reversals

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C. Clearing the century

D. Sinustrabeculectomy
E.
E
in
and
from
c
e
R
a
c
and
I
 r
l
a
s
a

496. A 32-year-old patient turned to a cophthalmologist with complaints

on, decreased object vision, lacrimation, feeling of a foreign
body on both eyes. The sick person 2 years ago received a burn
acids. Objective function of both eyes 0.8, eyelids
hyperemic, entropion is noted, cornea is transparent,
anterior chamber middle, pupil round in center, lens
transparent, ophthalmic: featureless ophthalmologist set
diagnosis of post-burn entropion of both centuries, which
surgery is recommended in this situation?
A. Cataract Extraction
B. Removal of reversals
C. Clearing the century
D. Sinustrabeculectomy
E.
E
in
and
from
c
e
R
a
c
and
I
r
l

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a
s
a

497. A 36-year-old patient consulted an ophthalmologist

on, decrease in object vision in both eyes.
one year ago I got burned with alkalis. Objectively, both eyes
0.01, appendages without features, cornea cloudy,
endothelial epithelial dystrophy, middle anterior chamber,
the pupil is rounded in the center, the details of the posterior segment are not
The diagnosis of post-burn dystrophy was made.
total corneal thorns of both eyes. What surgical
Is the operation recommended in this situation?
A. Percutaneous keratoplasty
B. Lamellar keratoplasty
C. Retinal filling
D. Cataract Extraction
E. Sinustrabeculoectomy

AIDS eye Tuberculous lesions of the eyes.

498. Child 14 years old, photophobia, blepharospasm, lacrimation.

The beginning is relatively acute, objectively in the right eye
pericorneal injection, narcotic
infiltration, shallow superficial vascularization.
Preliminary diagnosis: A. Arboreal keratitis
• Disciform keratitis
• Tuberculous keratitis
• Syphilitic keratitis
• Acanthamoebic keratitis

499. A patient with flithenular keratitis made tuberculin

sample, as a result, the diameter of the tightness of the skin was 14 mm.
What is the response of this patient?
• Doubtful
• False positive
• Positive
• Negative
• Hyperergic

500. The patient complains of impaired vision, recurrent pain,

redness of both eyes. Objectively: pericorneal injection,
precipitates on the cornea, posterior synechiae along the pupillary margin.

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The fundus behind the fog. According to the patient used to be sick
tuberculosis. What research method will help to clarify the diagnosis
of this patient?
• Sample of Inzagi
• ProbaBürge
• SampleRapoport
• testMantu
• Test of Wasserman

501. A patient with tuberculosis developed inflammation of the vascular

the membranes of both eyes. Suffering from tuberculosis for 10 years.
As a result, has this eye pathology developed?
• Airborne droplets
• Sexually transmitted infections
• Hematogenous infection
• Lymphogenous infection
• Fecal-oral infection
 502. The patient complained about impaired vision in both eyes.
The patient suspects that this is a consequence of his possible status
"HIV positive". Upon detection of which pathogen
will this diagnosis be clarified?
• Norovirus
• Retrovirus
• Rotavirus
• Adenovirus
• Arbovirus

503. The patient complains of photophobia, lacrimation, blepharospasm,

the sense of a foreign body left eye. The ophthalmologist
diagnosis of "tuberculous-allergic keratitis of the left eye".
the following entities pushed to put this
diagnosis?
• Infiltrate
• Ulcer
• Flickena
• Pustule
• Papule

504. Student 22 years old, complains of photophobia, blepharospasm,

lacrimation. Onset relatively acute. Objectively to the right
eye pericorneal injection, corneal phlyctenular
infiltration, shallow superficial vascularization.
Exhibited the diagnosis of tuberculous keratitis. What are the drugs you
appoint this patient?

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• Antibiotic tetracycline
• Enzymatic preparations
• Corticosteroids
• Antiviral drugs
C. Antimicrobials

504. Female student, 22 years old, complains of photophobia, blepharospasm,

lacrimation. The onset is relatively acute. Objectively on the right
pericorneal injection to the eye, phlyctenular on the cornea
infiltration, shallow superficial vascularization. Exhibited
diagnosis of tuberculous keratitis. What drugs will you prescribe
this patient?
A. Antibiotic tetracycline series
B. Enzymatic preparations
C. Corticosteroids
D. Antivirals
C. Antimicrobials

505. How is the motor innervation of the external

straight muscles?
A. Oculomotor
B. Blokov
C. Trigeminal
D. the visual
E. diverting

506. A man, 90 years old, appealed to a doctor.

decrease in object vision in the right eye, in the amnesis notes
increased blood pressure. Ophthalmologic examination revealed
preservation of light sensation, reaction of the pupil, light, preserved, vitreous
What is your preliminary diagnosis?
A. Decrease in blood pressure
B. Total retinal detachment
C. Complete complicated cataract
D. hemorrhage vitreous body
E. Thrombosis of the central retinal artery

507. The visual nerves form the axons:

A. Retinal photoreceptors
B. Bipolar neurons
C. Neurons of the knee
D. Neurons of the cerebral cortex
E. Ganglionic neurons

508. Select the appropriate characteristic for the posterior epithelium

cornea:
A. Structureless fibrous formation
B. High capacity of regeneration
C. Organized fibrillar structure
D. Most resistant to chemical effects

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E. When the damage occurs, the cornea appears

509.Name what mechanism is involved in the accommodation of the ciliary body:

A. Relaxation of the ciliary muscles
B. Extension of the ciliary muscles
C. Enhancement of intraocular production
D. Weakening of the production of intraocular fluid
E. Contraction of ciliary muscles

510.It is necessary to eliminate the inflammatory process in

the area of ​the exit of the suspicious person orbit through:
A. Channel gonerva
B. Superior orbital fissure
C. Lower orbital fissure
D. Round hole
E. Maxillary sinus

511.For normal work of the eyeball, the function of the vascular tract
consists in:
A. Light refraction functions
B. Light sensing functions
C. Trophic function
D. Protective function
E. Support functions

512. How is the superior oblique muscle innervated?

A. Wandering nerve
B. Visual nerve
C. The trigeminal nerve
D. Blocked nerve
E. Facial nerve

513. The patient, when correcting the eyebrows with tweezers, injured the upper
century, that the consequence led to the development of the abscess, then phlegmon century.
What interferes with the situation with phlegmonuorbitis?
A. Accessory conjunctival glands
B. Levator muscle of the upper eyelid
C. Circular muscle
D. Tarzo-orbital fascia
E. Muscle Riolanavec

514. Patient with upper-lower-lower age, skin unchanged

painless. the eye gap is narrowed. palpation of the century there is a sound
crepitus (popping bubbles) What can be assumed in this
a possible reason for this condition?
A. Fissure of the malar bone
B. Crack in the inner wall of the orbit
C. Fissure of the lower wall of the orbit
D. Coloboma of the Upper Age
E. Abscessing barrens of the Upper Age

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515. Patient 60 years old, complains of watery eyes in the course of 2-3x
months, pressing on the inner ligament of the century from the tear point
there is a mucous discharge. What methods of research should
to apply to solve the problem of natural tear drainage?
A. Make a tearbag function
B. Make a diaphanoscopy of the tearbag
C. Rinse the tear bag with furacilin solution
D. Make a swab of a tear bag with an antibiotic solution
E. Make a swab of a tear bag with a solution of novocaine

516. Name the place where the mouth of the lacrimal duct opens.
A. Medium nozzle
B. Maxillary sinus
C. Upper nozzle
D. Lower nose passage
E. Nasopharynx

518. Name where the Meibomian iron is.

A. In the conjunctiva
B. Vkhryashchevek
C. Vlimbe
D. Biliary body
E. In follicles of eyelashes

519. Name the formations located in the conjunctiva.

A. Meibomian glands
B. Sweat glands
C. Goblet cells
D. Monounitary cells
E. Sebaceous glands
520. In the study of the patient's visual acuity, it was revealed that the patient
sees with the right eye the upper letters of the Golovin-Sivtsev table.
distance need to zoom in the table to determine the visual acuity
patient?
A. Whom does the second row of the table see
B. Whom does the third row of the table see
C. Whom does the first row of the table see
D. Whom the fourth row of the table sees
E. Whom does the fifth row of the table see

521. In the study of unborn presence or absence of vision,

need to investigate?
A. Pupillary reflex
B. State of color perception
C. Ignition state
D. Horn shell size
E. Front camera size

522. On examination of visual acuity of a 10-year-old child, lack of vision was revealed
left-eyed.Estate that day was hit with a heavy head

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metal object.
brain formation is excluded. What is your preliminary diagnosis?
A. Defeat of the visual tract
B. Lesion of visual radiation
C. Severing the eye nerve
D. Retinal tear
E. Damage to the cerebral brain

523. A patient cannot see long waves from the spectrum of visible radiation. Who is it?
A. Dichromate
B. Deuteroanomal
C. Tritonomal
D. Protanomal
E. Cyanopsia

524. Grandma thinks the fingers are at a distance of 1m. What is the sharpness of the eyes?
A. 0.02
B. 0.05
C. 0.2
D. 0.7
E. 1.0

525. What information can predict visual acuity before

operation in diffuse opaque media?
A. Medical history
B. Imaging tomography
C. Color perception of the eyes
D. Projection light
E. Retinal acuteness

526. Mother of a 7-year-old girl, consulted a cophthalmologist, due to

of vision of sons after schooling, as well as in preschool
the child was 100%. Objectively, visual acuity of both eyes was
0.3 correction-1.0D, visual acuity increased to 1.0.
diagnostic measures must be applied to differentiate
true myopia urgent?
A. Provide campimetry for paralysis of accommodation
B. Perform perimetry when paralleling accommodation
C. Carrying out an examination of the paralysis of accommodation
D. Conduct tonography with paralysis of accommodation
E. Conduct gonioscopy for paralysis of accommodation

527.Mom12years-old boy turned to a cofthalmologist with a complaint

subject vision of the previously written glasses (-5.0D).
examination by an ophthalmologist, it was noted that the patient's myopia was the last
time increases every half a year 1.0D, PZO-25.0mm, freaks
girls moderate opia. How do you explain the progress
myopiarecommendations
A. Stretching of the eyeball at the axial axis, akeratotomy indicated
B. Stretching of the eyeball in the axial axis, showing keratomalacia
C. Stretching of the eyeball at the axial axis, indicated by LASIC.

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D. Stretching of the eyeball at the axis, akeratoplasty is indicated.

E. Stretching of the eyeball on the axial axis, scleroplasty is indicated

528. Male Hypermetrope 2.0D60 Years Complaints Deterioration

How should a patient choose lenses for reading?
A. Spherical scatter (concav) 5.0d
B. Convex 3.0d
C. Spherical scatter (concav) 4.0d
D. Spherical convex 5.0d
E. Spherical convex 1.0d

529. Boy, 10 years old, was admitted with a complaint poor object vision
left eye. Objectively: visual acuity of the right eye - 1.0.
left eye-0.01 does not correct.
pathology not detected What additional investigations are needed
carry out a diagnosis?
A. Perimetry
B. Tonometry
C. Campimetry
D. Topography
E. Refractometry

530 Considering that the light reflexotophthalmoscope is localized to

the cornea of ​the biting eye is consumed in the inner edge, this corresponds to:
A. Converging squint with an angle of 15º
B. Converging squint with an angle of 30º
C. Diverging eyes with an angle of 45º
D. Divergent eye with an angle of 30º
E. Converging squint with an angle of 45º

531. The most important symptom of binocular

view:
A. Tritanopia
B. Protonapia
C. Hemeralopia
D. Amblyopia
E. Deuteranopia

532. If light reflexothophthalmoscope is localized on the cornea

squinting eyes on the outer edge, this corresponds to:
A. Converging squint with an angle of 15º
B. Converging squint with an angle of 30º
C. Diverging eyes with an angle of 30º
D. Divergent eye with an angle of 45º
E. Converging squint with an angle of 45º

533. In the diagnosis of a converging angle of the eye at 45 degrees according to Hirschberg
eye, assessed by a few, it is necessary to remove the internal straight muscle
both eyes?
A. by 2mm
B. by 9mm

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C. by 6mm
D. by 4mm
E. by 7mm

534. In the case of the selection of the military, military establishments need to be diagnosed
violation of binocular vision, what samples should be selected?
A. Schirmer's test
B. Probass with color test
C. Romberg test
D. Water load sample
E. Dark test

535.Sokolov's test is used in research:

A. Mobility of the eyeballs
B. Pathology of intraocular pressure
C. Research of refraction
D. Binocular vision
E. Investigation of polarization

536. I give the child's points to the ascending squint and

medium farsightedness?
A. For constant wear
B. To work at close distance
C. For long distance
D. For orthopedic treatment
E. Carrying out pleoptic therapy

537. What is the most improbable cause of acommodative asthenopia?

A. Emmetropia
B. Myopia
C. clouding of the cornea
D astigmatism
E. Clouding of the lens

538. The patient was diagnosed with "Presbyopia."

presented to the ophthalmologist?
A. Impairment of distance vision
B. Appearance of the diplopiivdal
C. Impairment of near vision
D. Impairment of far and near vision
E. Deterioration of binocular vision

539. A 43-year-old man, turned to a cofthalmologist with a complaint

decrease in visual acuity in the last year.
patient with children, sieves along with dysplasia.
a segment of both eyes without features, optically transparent.
ophthalmic pneumacular region-like coarse pigmented lesions.
What is the likely cause of this condition?
A. bleeding retina
C. Bleeding vitreous body
C. Retinal detachment

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D. Detachment of the glassy body

E. Colobomachoroid

540. Bank manager 32 years old, came to see a doctor with a complaint
eye fatigue, rapid fatigue, frequent blinking.
objective research. Visual acuity of both eyes = 1.0. Eyes
perfectly calm. The propulsion apparatus is unchanged.
invisible changes. Optical media transparent.
normal. Refractometric-emmetropia. Diagnosis of spasm was presented.
What kind of drops can be assigned to this patient?
A. Dexamethasone 0.1%
B. Pilocarpine 1%
C. Sodium sulfacyl 20%
D. Tropicamide 1%
E. Diclofenac 0.1%

541. A 60-year-old librarian complained about impaired near vision.

Objective examination revealed anemia at (-) 2.0 diopters.
segments of the eye without changes. eyeballs without disabilities. What are the glasses for
work need to write data to the patient?
A. (-) 1.0 diopter
B. (-) 2.0diopters
C. (+) 1.0 diopter
D. (+) 2.0 diopter
E. (+) 3.0diopters

542. An 18-year-old teenager complained of poor vision in both eyes.

Notes that the children are for several years, but an unknown reason
With an objective examination and this moment
Optical media are transparent.
What kind of amblyopia?
A. Refractive
B. Dysbinocular
C. obscuration
D. Anisometropic
E. Genetic

543. A 19-year-old student complains of low vision in the eye,

the left eye sees well. The optical environment of both eyes is transparent.
acuity of the right eye = 0.08 uncorrected, left
eyes = 1.0. The priski of the scoping comes out of the metropia of both eyes. What is probable
the reason for this state?
A. Myopic disease
B. Amblyopia
C. Hypermetropia
D. Complicated cataract
E. Retinal detachment

544. The area where you will work, a non-oculist.

separation, where at the beginning of one newborn, and after two more
there was swelling and swelling of the eyelids, then redness and increasing

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swelling of the conjunctiva of the eyelids. When diluted, it is noted

significant mucopurulent discharge. The diagnosis was made
bacterial conjunctivitis, what droplets should be prescribed?
What prophylaxis measures normally exist for this disease?
A. Tobramycin Ointment
B. Vitamin D
S. oz Vishnevsky
D. Vitamin C
E. Mercury Ointment

545.K The patient has been waking up 53 years old complaining about redness,
limited painful swelling and edema at the edge of the Upper Age
right eye for two days.
of the Upper Age, hyperemia and edema of the conjunctiva of the Upper Age.
anamnesis it turned out that the last two years it was repeated for the third
times. What research method will allow to carry out a differential
diagnosis of this pathology?
A. Ophthalmoscopy
B. Tonometry
C biomicroscopy
D diaphanoscopy
E. Perimetry

546. Epicanthus is a congenital anomaly of the ages, which is characterized by:

A. Complete fusion of the edge of the century
B. Complete absence of centuries
C. Descent of the Upper Age
D. Eversion of the lower century
E. Semi-lunar skin fold

547. A 25-year-old patient, complains of redness of both eyes, abundant pulmonary

detachable from them, feeling of a foreign body, sticking together in the morning.
The eyesight has not changed. I'm sick already. Day 5.
the right eye, after 2 days the other eye also fell ill.
diagnosis?
A. Dacryoadenitis
B. blepharitis
C. Iridocyclitis
D. Conjunctivitis
E. Keratitis

548. A 37-year-old man. After suffering a craniocerebral injury

full, unilateral ptosis is revealed.
when the patient opens the prottosis and disappears. What is the diagnosis of the patient?
A. Marcus-Gunn Syndrome
B. Behcet's syndrome
C. Vogt-Koyanagi-Harada Syndrome
D. Forster-Kennedy syndrome
E. Morphan syndrome

549. Patient, 46 years old, has seen a cophthalmologist with tears and pain in

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right eye, on time examination the doctor noticed redness of the eye and
wrong eyelashes (eyelashes are directed to the side of the eye).
treatment for the patient?
A. Phacoemulsification
B. Blepharoplasty
C. Diathermocoagulation
D. Dacryocystorhinostomy
E. Trabeculectomy

550. The patient was diagnosed with neurofibromatosis of the lower age.
Is the examination necessary to clarify the diagnosis?
A. Automatic eye refractometry
B. Light and dark eye adaptometry
C. Ultrasound examination of the eye
D. Computer tomography of the eye
E. Pulsed electrooculography of the eye

551. What is the mechanism of the onset of Sjogren's syndrome?

A. Hyperfunction of the lacrimal apparatus
B. Pathology of the lacrimal duct
C. Narrowing of the lacrimal points
D. Obstruction of the lacrimal tubule
E. Hypofunction of the lacrimal gland

552. Patient, 26 years old. Appealed to a cophthalmologist with a complaint of bamine.

red spot on the right eye, pain, aggravated by touch.
On examination, an area of ​dark red color with a purple tint was revealed.
The conjunctiva is soldered to the affected area of ​the sclera, vessels
intersect in different directions. Exhibit the diagnosis of pingveculitis.
What is the treatment tactic?
A. Non-Penetrating Scleroplasty
B. Ultra high frequency therapy
C. Hydrocortisone ointment
D. Lamellar keratoplasty
E. Capliophthalmoferon

553. Within several days of sick R., 53 years old, there is swelling
appendages, soreness, palpation, lacrimation, increased
temperature, general ailment, headache.
worried for 3 years. Objectively determined by pronounced fluid
tissue hyperemia, medial adhesions of the left eye.
spreads forever, the cheek of the cuckoo. The palpation of the tissues is painful,
increased local temperature. The eye slit is closed.
Reduced. Eyes calm. Name the diagnosis of the patient.
A. Acute dacryocystitis
B. Phlegmon tear bag
C. Periorbital abscess
D. Acute dacryoadenitis
E. Angular blepharitis

554. Patient E., 11 years old, complains of redness of the right eye.

Page 137

Weeks without effect are treated of conjunctivitis. Mild swelling of the right eye.
Redness and thickening are detected by side lighting
conjunctiva. Redness is local. The focus of inflammation.
size 1.5x2.0 bright red, with a violet shade.
painful. The rest of the eye is not changed. What is the diagnosis of the patient?
A. blepharitis
B. Conjunctivitis
C. Sclerites
D. Tenonite
E. Keratitis

555. A 22-year-old patient, presented with complaints of nabolism, redness,

deterioration of vision in the left eye.
The diagnosis was made: the separation of the iris, prolapse of the shell
hemorrhage of the sclera. They provided first aid: analgesics, antibiotics
What are the complications possible with this injury?
A. iridocyclitis
B. Conjunctivitis
C. Sclerokeratitis
D. Keratoglobus
E. Cataract

556. Child, 3 years old, revealed swelling of the right eye, violet-blue
shade sclera and cry at the close of the eyes.
made a diagnosis of adenoviral conjunctivitis, prescribed treatment in
compliance with the diagnosis, but no improvement was observed.
identified the setting of an incorrect diagnosis.
to deliver for the correct treatment?
A. Conjunctivitis
B. Iridocyclitis
C. Choroiditis
D. Sclerite
E. blepharitis

557.In the village where you are, a non-oculist, the patient has come
complaints of pain, redness, sharp deterioration of the left eye.
anamnesis indicated a colony about an hour ago. Objectively: swelling
eyes, diffuse hyperemia, soreness on trying to close
Opening the eyes Exhibit the diagnosis of bacterial conjunctivitis.
drug of the first series for intravenous administration to the patient.
A. Physiological solution 0.9%
B. Citicoline 100.0
C. Ceftriaxone 1.0
D. Prednisolone 1–2 mg / kg
E. Meldonium 5% -10.0

558. What are the symptoms of keratitis?

A. Photophobia, lacrimation, blepharospasm, pain.
C. Photophobia, lagophthalmos, lacrimation, pain.
C. Photophobia, exophthalmos, lacrimation, pain.

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D. Photophobia, enophthalmos, lacrimation, pain.

E. Photophobia, akinesia, lacrimation, pain.

559.CSM the patient complained of a foreign body in the eye,

slight photophobia, lacrimation, some redness of the right eye.
anamnesis unclear that the patient had a
disease. On examination: VOD-0.6; VOS-1.0. Light pericorneal
Injection. On examination with the aid of the left lamp, groups of small
bubbles in the epithelium and superficial infiltrates fused between themselves
gray color, which became well distinguishable after dripping into
conjunctival cavity of p-rafluorescein. Ulceration
branches of a tree.
for a diagnosis?
A. Blood virus with herpes simplex
B. Wasserman reaction
C. X-ray of the chest
D. Rheumatological tests
E. Blood cytomegalovirus

560. A 47-year-old patient, turned to the CCM, a coculist with a complaint about a phobia of light,
lacrimation, blepharospasm of the left eye. Anamnesis: the above
Complaints have appeared 3 days ago, the last 3 years have been troubling for beeps.
On examination: visual acuity of the left eye = 0.7 Vecs are thickened, edematous,
hyperemic, the skin of the eyelashes is covered with small scales.
Conjunctiva-pericorneal injection.
infiltrates edge, prone to merging. What is the reason for this
corneal lesions?
A. Dacryocystitis
V. Blepharitis
C. Keratitis
D. Conjunctivitis
E. Barley

561. The pediatrician consulted a mother with a 7-year-old child. Complaints: moderate
photophobia, tears, in both eyes, and the mother notes that the child
hard of hearing. On examination, noticeable sharp protruding lumps,
saddle nose, semilunar recess in the middle of the anterior upper teeth.
Objectively: through the eyeball moderate pericorneal injection, in
stromeroiceulimbadiffuse infiltration of grayish-white color.
What is your presumed diagnosis?
A. Tuberculous keratitis
B. Herpetic keratitis
C. Syphilitic keratitis
D. Neuroparalytic keratitis
E. avitaminosis keratitis

562. A 45-year-old man contacted the eye hospital,

photophobia, lacrimation of the right eye. Anamnesis: the above
complaints appeared 3 days ago, suffers from chronic sinusitis.
examination: VOD = 0.1. Pericorneal injection, corneal margins appear,
 Page 139

the anterior chamber is small, the pupil is narrow. What complication is possible
case?
A. keratomalacia
V. Sclerite
S.Simblefaron
D. Endophthalmitis
E. Madoroz

563. A 42-year-old man, applied to the CCM with complaints about lacrimation,
photophobia, redness of the red eye.
appeared 4 days ago. Earlier he was lying in the station
keratitis of tuberculous etiology. Objectively: acute visualization of the left eye
= 1 / ∞ pr.lc, mixed injection, cornea diffuse turbid, on the background of non-general
turbidity in deep layers yellowish-gray non-removable foci,
moderate mixed corneal vascularization.
tuberculous keratitis of this patient?
A. Deep diffuse keratitis
B. Sclerosing keratitis
C. Phlictenular keratitis
D. Scrofulous keratitis
E. eczematous keratitis

564. Prikeratokonuschevy is:

A. Correct corneal astigmatism
B. Incorrect astigmatism
C. mixed astigmatism
D. Reverse astigmatism
E. Complex astigmatism

565. What is the injection for iridocyclitis?

A. Conjunctival
B. Pericorneal
C. stagnant
D. Mixed
E. Skleralnaya

566. A 47-year-old man, went to the hospital with a complaint about a sudden loss
right eye.Anamnesis: Suffers from hypertensive disease
high risk for 20 years. Objectively: acute
eyes = 1 / ∞ pr.lc, anterior segment unchanged.
The presumptive diagnosis: complete hemophthalmos in the right eye.
What additional research should be done?
A. Optical coherence tomography
B. Measure intraocular pressure
C. Ultrasound examination of the eye
D. Ophthalmoscopic examination
E.Gonioscopy by Van-Beuningen

567. After a cold 7-mile patient, suddenly

 Page 140

Pain in eye movement. Objectively. Visual acuity in both eyes = 1.0.

There is a slight exophthalmos, a slight limitation
mobility of the eyeballs. At the extreme abduction of the eyes - diplopia.
Light edema of the conjunctiva. Slight mixed injection
of the eyeballs. Detachable from the conjunctival sacs are not present.
segments of invisible changes. Optical media transparent.
What is your presumed diagnosis?
A. Osteoperiostitis
B. Phlegmon orbit
C. Retrobulbar neuritis
D. mucocele
E. Tenonite

568. After suffering from ARVI of a sick 8-milets, pain suddenly appeared
eye movement. Objectively. Visual acuity in both eyes = 1.0.
slight exophthalmos, slight limitation of ocular mobility
apples.Eyes - diplopia.Light edema
conjunctiva. Slight mixed injection of eyeballs.
There is no detachable from the conjunctival sacs. Anterior segments without
visible changes. Optically transparent. Eyes are normal.
Exposed to the diagnosis of phlegmon orbit. What is your treatment strategy?
A. Dry heat, corticosteroids, antibiotics
B. Dry heat, vitamins, anticoagulants
C. Prostaglandins, antibiotics, vitamins
D. Keratoprotectors, antibiotics
E. Mydriatics, prostaglandins, vitamins

569. An 80-year-old woman contacted the CSM with a complaint about a sudden loss
object vision left eye.
20 years old On examination: visual acuity of the left eye = 1 / ∞ pr.lc
the segment of the eye is unchanged, the vitreous body is filled with blood.
of the eye is not present. Exhibit the diagnosis of complete hemophthalmos.
is the study feasible?
A. Tonography according to Nesterov
B. Ultrasound examination of the eye
C. Computer tomography
D. Optical coherence tomography
E. Exophthalmometry

570. A 67-year-old woman contacted the CSM with a complaint about a sudden loss
object vision left eye.
20 years old On examination: visual acuity of the left eye = 1 / ∞ pr.lc
the segment of the eye is unchanged, the vitreous body is filled with blood.
eye one day no.exhibitdiagnosis fresh full hemophthalmos.
surgical interventions are required?
A. Phacoemulsification of cataract
B. Sinustrabeculectomy
C. Dacrycystorhinostomy
D refractive surgery
E. Vitrioectomy
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571.A woman of 80 years old appealed to the cocktail partyCSM with a complaint about a reduction
subject vision on the left eye, classes of the patient
Gradually last 2 years. Privisometry of the function of the left eye - 0.05,
intraocular pressure is normal, during ophthalmoscopy, reflex gray.
Exposed the diagnosis of the tract.
does this patient need to confirm the diagnosis?
A. Fluorescence angiography
B. Non-contact tonometry
C. Automatic refractometry
D. Ultrasound examination
E. Optical coherence tomography

572. A 78-year-old woman appealed to the cocktail manager

object vision on the left eye lack of object vision on the right
the eye, the class of the patient, the vision has decreased gradually over the last 2 years.
visometry of the function of the right eye - 0.005. Function of the left eye 0.2,
intraocular pressure is normal, during ophthalmoscopy, reflex gray.
Clinical diagnosis of mature cataract of the right eye, immature
cataract of the left eye. What method of treatment is expedient to prescribe for
given diagnosis?
A. Sinustrabeculectomy
B. Dacryocystorhinostomy
C. Corneal transplantation
D. Discision of the intraocular lens
E. Lens extractions

573. What is a subluxation of the lens?

A. Facotopy
B. Atopy
C. Heterotopia
D atony
E. Subluxation

574. A 64-year-old woman contacted the eye service

complaints of sharp soreness, redness, lack of
of vision in the right eye, low vision in the left eye.
diagnosed with overripe cataract in the right eye.
injected, cornea edematous, anterior chamber, medium, pupil wide
wide medium, opaque lens. Eye-eating: neophthalmoscopic.
presumptive diagnosis?
A. Mature cataract
B. Overripe cataract
C. Initial cataract
D. Partial cataract
E. Incomplete cataract

575.Copthalmologist
object vision in both eyes. objective vision of both eyes: eye
calm, the cornea is transparent, the anterior chamber is middle, the pupil is round
center, lens, opaque, vitreous, translucent, ocular

Page 142
ophthalmoscopically. Which of the following signs will help
to diagnose?
A. Muddy lens
B. Rounded pupil
C. Middle chamber
D. Transparent cornea
E. Patient age

576. Man63years
low vision in both eyes, from the history of the eyesight decreased gradually,
objectively: the eye is calm, the cornea is transparent, the anterior chamber is middle,
irregular pupil, posterior synechiae, crystalline lens, ocular
neophthalmoscopy. The diagnosis of postveal cataract was presented.
both eyes, What of the following signs will help to make a diagnosis?
A.Vozrastbolny
V.Zadniesinechia
C. Decreased vision
D. Transparent cornea
E. The patient

577. Parents brought the child 3.5 years old

complaints about poor orientation in space, parents
noticing the above status for the last 8 months.
check eyes: transparent cornea, middle anterior chamber, pupil
rounded in the center, the lens is dark, the reflex of the eye is not present.
diagnosed with congenital cataract in both eyes.
given to the patient?
A. Defer coming of age
B. Cataract Extraction
C. Eyeglass correction
D. Conservative treatment
E. Sinustrabeculoectomy

578. What is the main factor of pathogenesis of the syndrome of swine eye syndrome?
A. Hyposecretion of tears
B. Hypersecretion of tears
C. Atresia of lacrimal points
D. Dacryocystitis
E. Canaliculitis
In the meantime, there is no need to worry about it. ”
579. What is the symptom of the most dominant syndrome of dry eye?
A. Feeling the eyes
B. Feeling cold in the eyes
C. Feelings of sand in the eyes
D. Sensation of heavy eyes
E. Mist in the eyes

580. A 42-year-old woman appealed to the cocktail manager of the CSCM with a complaint about redness,
Feelings of discomfort in the eyes. Because of the above complaints.
worried about the last 8 months,
works in a sewing workshop, self-ties the conditions of labor.

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visual acuity of both eyes = 1.0, the eye is slightly injected, there is frequent
blinking of the cornea during biomicroscopy. Ophthalmoscopic
picture is normal. What is your presumed diagnosis?
A. Dry eye syndrome
B. Chronic dacryocystitis
C. Primary glaucoma
D. Secondary cataract
E. Viral conjunctivitis

581. A 38-year-old woman contacted a coco-clerk with a complaint about redness,

Feelings of discomfort in the eyes. Because of the above complaints.
worried about the last 3 months,
works in the office as an architect, self-binds the conditions of labor.
Objectively: visual acuity of both eyes = 1.0, the eye is slightly injected,
there is a deficiency of the lacrimal film of the cornea at biomicroscopy.
Ophthalmoscopic picture is normal. What is your presumed diagnosis?
A. Dacryoadenitis
B. Chronic dacryocystitis
C Syndrome of dry eye
D. Acute keratitis
E. Viral conjunctivitis

582. A 43-year-old woman turned to a cocktail party with a complaint, a feeling of sand,
burning sensation, discomfort in the eyes.
worried about the last 7 months,
he spends most of his work time with a computer,
self-binds the conditions of labor. Objectively: visual acuity of both eyes
= 1.0, the eye is slightly injected, there is a lack of tear film
corneal biomicroscopy. ophthalmoscopic picture without
What is your presumed diagnosis?
A. Dry eye syndrome
B. Chronic dacryocystitis
C. Primary glaucoma
D. Secondary cataract
E. ulcers

583. Female, 39 years old, IT-technologist contacted the coco-operator of the CSC with a complaint
redness, feeling of sandy eyes, dryness, fatigue in the eyes.
the above complaints will not be allowed for the last 6 months, according to the
never applied, works as an office worker Objectively: sharpness
both eyes = 1.0, the eye is slightly injected, there is a lack of tears
Corneal biomicroscopy. Test Width less than 5 mm.
Ophthalmoscopic picture is normal. Preliminary
Diagnosis of dry eye syndrome. What method is needed to clarify
diagnosis?
A. Testlipids
B. Test hormones
S.TestAmsler
D. Test osmolarity
E. Testnaallergens

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584. A 63-year-old patient, went to the hospital with complaints of pain and pain
the right eye in the back of the head, and a decrease in vision.
disturb the patient even in the morning after measuring blood pressure; he called an ambulance
help, I was done with some kind of toukol, but the ball was gone. The last year
several times noted short periods of blurred vision
both eyes have "rainbow circles" in front of the eye, but the doctor has not addressed.
examination: right eye red, cornea cloudy, pattern
"Blurred", the pupil is wide, does not react to the light. The left eye is calm.
Palpation of the tone of the right eye is increased. Exhibit the diagnosis of glaucoma. C
what pathology is necessary to carry out differential diagnosis in
in this case?
A. Acute iridocyclitis
B. Acute conjunctivitis
C. Acute keratitis
D. Acute dacryocystitis
E. Acute scleritis

585. Men 33years old, onioscopy is determined by the block of the front
cameras. What can cause this condition?
A. Nonabsorbed mesodermal tissue
B. Newly formed vessels
S. cornea iridescent shell
D. Unabsorbed blood
E. Pupillary edge of the iris

586. A 48-year-old woman turned to the ophthalmologist, with a cut, unbearable pain
in the left eye, which radiates to the left hand, scapula.
palpation eye hard, cobra symptom, cornea cloudy, edematous, pupil
wide luminous yellow-green color.
diagnosis?
A. Acute iridocyclitis
B. Seizure glaucoma
C. ulcer
D sympathetic phthalmia
E. Phlegmon orbits

587. State the reason for the blindness that the primary
open-angle glaucoma:
A. Atrophy of the visual nerve
B. Total retinal detachment
C. Clouding of the glassy body
D. Persistent corneal opacity
E. Clouding of the lens

588. A 35-year-old patient, after an onioscopy, the anterior angle is closed

cameras. Choose a drug that you intend to use as
prevention of the occurrence of acute seizureaglaucoma?
A. Solution of scopolamine 0.25%
B. Pilocarpine solution 1.0%
C. Ratropin solution 1.0%
D. Ordexamethasone solution 0.1%

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E. Sulfacyl sodium solution 20%

589. A 32-year-old man, an auto mechanic, received a blunt injury to his right eye.
Could there be a secondary traumatic glaucoma?
A. Traumatic retinal detachment
B. Paralytic squint
C. Dislocations of the lens
D. Vitreochorioretinal dystrophies
E. rupture of the orioid

590. Female 43-chl, turned to the ocular secretion of pity

Gradually decreased vision in both eyes, in the amnesis there is a cranial
brain injury. Objective examination revealed an increase in
the size of the blind spot, the skyscopic disc of the visual nerve
defined by hyperopia in 6.0D. Ophthalmoscopic visual
nerve dominates forward, boundaries are fuzzy.
ophthalmologist?
A. Prescribing corticosteroid therapy
B. Prescribing antibiotics
C. Referral to neurosurgeon
D. Control of intraocular pressure
E. Direction to ultrasound examination

591.Bus driver55L, went to the clinic with a complaint

Gradually decreased vision in both eyes, in the amnesis there is a cranial
brain injury. Objective examination revealed an increase in
the size of the blind spot, the skyscopic disc of the visual nerve
defined by hyperopia at 8.0D. Ophthalmoscopic and visual
the nerve dominates forward, the boundaries are indistinct. What is the pathology of the man?
A. stagnant vision nerve
B. Descending nerve atrophy
C ischemia of the visual nerve
D. Post-traumatic tearing of the nerve's eyes
E. Pseudo-neuritis

592. Radiologist 57L, vision of the left eye sharply decreased.

examination of the left eye revealed: a sharp spasm of the retinal vessels, in
macular round lesion of dark red color. History: within 10 years
suffers from diabetes mellitus. What is your diagnosis?
A. Thrombosis of the central retinal vein
B. Embolism of the central artery of the retina
Hemorrhage in the macular area
C. Age retinal macular degeneration
D. stagnant vision nerve
E. Hemorrhage in the macular zone

593. A young girl contacted a private clinic

flashes, lightning, flickering, floating in front of the eyes black spots,
deformation and vibration of the examined objects, decrease in acuity
of vision, swaddling in front of the eyes. The above complaints are troubling for
last 3 days.Exhibition of retinal detachment diagnosis.

Page 146

is surgical intervention indicated for the patient?

A. Sinustrabeculectomy
B. Iridocycloretraction
C. Cyclo-dialysis
D. Iridenkleisis
E. Circles

594. A 12-year-old boy, was admitted with a complaint with a sharp decrease in left
On examination of the eye revealed: a sharp spasm of the retinal vessels, in
macula round lesion of dark red color.
worried for 10 hours. Exhibit diagnosis of occlusion central
retinal arteries. Which of these drugs is indicated?
A. Pallas
B. Euphyllin
C. Dexamethasone
D. Furosemide
E. Brinzolamide

595. A 75-year-old patient, after suffering a hypertensive crisis

decreased vision of the right eye. The decrease in vision occurred quickly,
Objectively: visual acuity of the right eye = 0.04 (not
The eyeball is not injected. Anterior segment of the eye without
visible pathology. By eye, daytime, red disc, contours
it is shaded, poorly viewed from numerous bleeding,
resembling tongues of flame. Venomous, expanded, crimped,
ovarian retinal tissue leaks in places.Arteries are narrow.Numerous
streak-like large hemorrhages all over the eye.
presumptive diagnosis?
A. Thrombosis of the central retinal vein
B. Occlusion of the central artery of the retina
C. Retinal pigment degeneration
D. Macular retinal dystrophy
E. Local retinal detachment

596. A 43-year-old seller, complained about a severely impaired vision

right eye, distortion of the shape and size of objects. Data Complaints
appeared 2 days ago, did not apply to the doctor. Objectively:
0.1 (uncorrected) Intraocular pressure = 22 mmHg Right eye
The cornea is transparent and spherical.
altered Eye-eating: discouraging neva pale pink, borders
clear, physiological excavation, arteries slightly dilated.
macular zone is not visible round lesion yellowish-gray in color, very vague
borders of a reddish rim around.Retina around the hearthlight
edematous. What is the diagnosis?
A. Central chorioretinitis
B. Chorioretinal dystrophy
C. Retinal abiotrophy
D. Pigment degeneration
E. Ischemic opticopathy

Page 147

597. An elderly woman has periodically reported during the last week
short-term visual impairment of the right eye.
ophthalmologist: visual acuity of the right eye 0.4 (uncorrected).
calm, optically transparent.
hyperemic, slightly protrudes into the vitreous body, borders of the vein
dilated, crimped. Retina at the disc of the visual nerve
central eye zone one visible multiple bleeding in the form
strokes, "tongues of flame" located radially
("Symptom of crushed tomato") Exposed diagnosis of thrombosis
of the central retinal vein. Which of these drugs is indicated
patient?
A. Tobramycin 0.3%
B. Acyclovir 3%
C. Fluconazole 0.3%
D. Dexamethasone 0.4%
E. Pilocarpine 1%

598. An 18-year-old teenager contacted the student clinic.

complains about visual impairment in the evening.
of the patient, symptoms appeared about one day ago for unseen reasons.
Objectively: visual acuity of both eyes = 0.6. Anterior segments of the eye without
ophthalmic: the discerning nerve is pale, the boundaries are clear,
on the periphery of the eye, on the incision of the urethral vessels, multiple
pigment deposits of a dark brown color in the form of "bone bodies".
The field of view is sharply narrowed. Lack of vitamins can be
cause of this pathology?
A. Vitamin C
B. Vitamin E
C. Vitamin D
D. Vitamin K
E. Vitamin A

599. A teenager complains about impaired vision, especially

In the evening, the sick person, symptoms appeared about a day ago without
of visible reasons. Visual acuity in both eyes = 0.8 uncorrected.
cut-eye without pathologies.
pink, clear borders, on the periphery of the eye, on the cusp of urethral
vessels multiple pigment deposits of dark brown color in
in the form of "bone bodies". Fibers are sharply narrowed. What is the pathology of the retina?
of this girl?
A. Ischemic opticopathy
B. Pigment degeneration
C. Chorioretinal dystrophy
D. Central chorioretinitis
E. Retinal abiotrophy

600.Before the sale, a woman has a slime on the eyes, an inspection.

examination: visual acuity of both eyes 0.2 correction (-) 6.0 = 0.8.
Ophthalmoscopically: the discs of the eyes are pale pink, around it
there is a myopic cone, clear boundaries, vascular bundle from the center,

Page 148

arteries are narrow, veins are medium. Exhibit diagnosis of myopia.

additional method will allow you to give a complete conclusion of the data
patient?
A. Automatic refractometry
B. Ultrasound examination
C. Light and dark adaptometry
D. Pulse electrooculography
E. Fluorescence angiography

601. An elderly man, 72 years old, complains of a gradual decrease in vision, in

anamnesis notes craniocerebral trauma. Ophthalmoscopic picture:
dis- visually impaired with a slightly hazy shade, clear outlines. Narrow arteries,
veins are average.Exhibitdiagnosisatrophy of the visual nerveWhat therapy
shown to this patient:
A. sedative
B. Absorbent
C. Anti-inflammatory
D. Vasodilator
E. Antibacterial

602. 18-year-old girl turned to a cofthalmologist pitying me low

object vision to the right eye. It was not found out that in the evening
got hit with a smoked object in the right eye.
apples revealed: anterior chamber is deep, iris is inhabited, in the light
Pupil glassy body What is the probable cause of this condition?
A. Vyhikh lens
C) retinal concussion
C. Detachment of the glass-like body
D fracturing sclera
E. Root irrigation

603. A 30-year-old man complained of a complaint about the disease

left eye. It was not found out that 3 days ago during
the left eye was hit. After examination, the ophthalmologist put
diagnosis: penetrating wound of the left eyeball.
the listed signs help to make a diagnosis?
A. Severe eye pain
B. hole in the iris
C. Incorrect pupil shape
D. Anterior chamber hemorrhage
E lens opacity

604.Burn and eyes, along with pathological changes, are divided into:
A.1 degree
B.2degrees
C.3degrees
D.4degrees
E.5 degrees

605. Which of the following applies to non-magnetic bodies?

A. Glass

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B. Copper
C. Iron
D. Aluminum
E. Plastic

606. A man was admitted to the clinic after being hit by a policeman with a blunt object.
inspection
Sharpness of the right eye = 1 / ∞ pr.l.certa, hematomavecs, anterior
chamber blood on 1/3, pupil wide, crystalline lens, reflexas
because of which there is no object vision?
A. Hyphemas
B. Deceiver
C. Cataracts
D. Hemophthalmos
E. mydriasis

607. A 35-year-old patient has gone to a hospital clinic with

complaints, pain, redness, decreased object vision on the right
eye, estates 2 weeks ago received an industrial injury in the workshop.
Objectively: the function of the right eye is 0.05 uncorrected, the function of the left eye is 1.0.
Right eye: the eye is injected, the cornea is slightly edematous, iris
there is a deposition of yellow-green pigment, the pupil is round, in
center, transparent lens, eye
presumptive diagnosis?

A. Gifema

B. Cataract

S. Hypopyon

D. Chalcosis

E. Sideroz

608. A 28-year-old guy went to an eye trauma center with a complaint

lacrimation, feeling of a foreign body, redness of both eyes.
the patient was welding metal items without a protective mask,
objectively: functions of both eyes = 1.0, OU-injected, cornea
deepithelialized, the anterior chamber is middle, the pupil is round, in the center,
the lens is transparent, ocular: without features.
electrophthalmia.What drugs it is advisable to prescribe in this
situations?
A. Vasodilator drugs
B. Vasoconstrictor drops
C. Hormonal drugs
D antiplatelet agents
E. Antibiotics, oily base

Page 150

609.Simblepharon is found during an objective examination.

words a few years ago have suffered an eye injury. Complication of what kind of injury
is this pathology?
A. Penetrating injury
B. Contusion of the eyeball
C. Burned eyes and appendages
D. foreign cornea
E. Smudge of the eyeball

610. A 38-year-old patient, has gone to the clinic with a complaint about severe pain,
decreased vision of the right eye 30 minutes ago in the right eye
On examination, there is edema, lacrimation, conjunctival hyperemia,
area of ​the necrosis of the conjunctiva of the eyeball, mixed injection
The cornea of ​the right eye is diffuse, opaque, porcelain-like.
Sharpness of the right eye - 0.01, correction does not improve.
the degree of burn of the patient?
AI
B.II
C.III
D.IV
EV
611. A 45-year-old patient has gone back to a cophthalmologist.
burning, sharp decrease in object vision, swelling of both eyes.
the words of a painful work while the hood of a car is hit by sulfuric acid in the eyes.
Objectively, both eyes function 0.1, eyelids, hyperemic, edematous, cornea
de-epithelialized, intraocular media are transparent, the eyes are normal.
What kind of microcopy could be in this situation?
A.Spayanny
V.Vlazhny
S. Powdered
D. Dry
E. bubbly

612. A 38-year-old female patient returned from a cophthalmologist.

burning sensation, decreased object vision, swelling of both eyes.
the patient was steamed with hot water while steaming the dishes.
both eyes 0.7, eyelids are hyperemic, edematous, cornea is de-epithelialized,
intraocular media are transparent, eyes are normal.
What is the degree of this situation?
A.Idegree
B. II degree
C. III degree
D. IV degree
E.Vdegree

613. Schoolgirls 15 years old, photophobia, blepharospasm, lacrimation.

relatively acute. Objectively on the right eye of the pericorneal
injection, neoplastic infiltration, fine superficial
vascularization: What is your preliminary diagnosis?
A. arboreal keratitis

Page 151

B. Discoid keratitis
C. Tuberculous keratitis
D. Syphilitic keratitis
E. acanthamoebic keratitis

614. Woman 50 years old, complains of impaired vision, recurrent pain,

redness of both eyes. Objectively: pericorneal injection,
precipitates on the cornea, posterior synechiae and the transparent margin.
The class of the patient is infected with tuberculosis. What method
research will help to clarify the diagnosis of the patient?
A. Sample Inzagi
B. ProbaBürge
C. Rapoport test
D. sample mantu
E. Wasserman's test

615.Banker 28 years old, complains of photophobia, blepharospasm, lacrimation.

The onset is relatively acute. Objectively on the right eye of the pericorneal
injection, neoplastic infiltration, fine superficial
vascularization.Exhibiting the diagnosis of tuberculous keratitis.What
drugs to give to a patient?
A. Antibiotic tetracycline series
B. Enzymatic preparations
C. Corticosteroids
D. Antivirals
C. Antimicrobials

616. A 35-year-old woman, consulted an eye trauma center with a complaint

photophobia, lacrimation of the eye. I have not found out that the day before
she worked in the garden and with a branch in the eye.
left eye = 0.4 horny veins of the central zone of epithelial rejection
4mm, the surface of the cornea above the lesion is dull, rough.
preliminary diagnosis?
A. Yazvarogovitsy.
B. Corneal erosion
C. Keratomycosis
D. Keratoconus
E. Descemetocele

617. Child, 1 year 6 months, parents contacted the local polyclinic

concern about detecting scleral blue color of a child, from anamnesis
the child has congenital deafness congenital defect in the atrial
septa, blue sclerae have noticed births.
anomalies in the development of the eye can this disease be combined?
A. Glaucoma
B. Keratoconus
C. Viral conjunctivitis
D cataract
E. Melanozsclera

618 Patient A., 23 years old, came with a complaint with swelling, soreness

Page 152

and reddening of the outer part of the Upper Age.

temperature, general malaise, headache.
chronic tonsillitis. Objectively, the eye fissure is changed, hyperemia
edema of the conjunctiva of the eyeball in the upper-external section, mobility
the eyes are limited, the anterior regional lymph nodes are enlarged and
painful. Is your diagnosis?
A. Dacryoadenitis
B. Lymphadenitis
C. Dacryocystitis
D. Canaliculitis
E. Pharyngitis

619.CSM a woman with a baby, mother complains about

profuse, mucopurulent discharge from the right eye
During 5 days. Two days ago, the child started to visit himself, restlessly,
the temperature has risen to 37.9 ° C. The color test is positive.
application of disinfectant drops of improvements is not observed.
complications of acryocystitis in newborns
A. Cavernous sinus thrombosis
B. Phlegmonous inflammation
C. Sclerites
D. Retinal detachment
E. Conjunctivitis

620.Patient 60 years old, suffering from diabetes for 15 years,

after extensive bleeding in the vitreous body of the visual
the nerve was organized by the moor, passing into the vitreous body.
the mooring shows the appearance of newly formed vessels.
total gnmophthalmos. What is the further management tactic for this patient?
A. Dacryocystorhinostomy
B. Sinustrabeculectomy
C. Vitrectomy
D. Evisceration
E. Enucleation

621. A 9-year-old boy was in the surgical department of the

peritonitis. Suddenly noted decreased vision of the right eye.
ophthalmologist Objectively: Right eye-eye irritated, mixed
injection, iris green, drawing shaded, vitreous
exudate Is your diagnosis?
A. rheumatic uveitis
B. Syphilitic uveitis
C. Toxoplasmotic uveitis
D. Metastatic uveitis
E. Rheumatoid uveitis

622. Eye hospital contacted by a man 42 y.o.

headaches, chills, pain in the area of ​the right eye.
chronic sinusitis, no treatment. Objectively: Temperturatela
39.8 Vectose, hyperemic, chemoconjunctiva, mobility
eyes are limited. What complication is possible in this case?

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A. Thrombosis of the cavernous sinus

V. Panophthalmit
C. Endophthalmitis
D. Acute glaucoma attack
E. Central chorioretinitis

623. A woman, 67 years old, contacted the eye service

complaints sharp pain, redness, decrease in
of vision on the left eye.
the windshield of the car, When viewed, the eyes are injected, the cornea is edematous,
the anterior chamber is irregular, the pupil is wide, the lens is dark,
dislocated into the anterior chamber. Eye-eating: neophthalmoscopic.
presumptive diagnosis?
A. Mature cataract
V. ectopia lens
C. Overripe cataract
D subtotal hyphema
E. Secondary aniridia

624.Man67years old appealed to the cocktail partyCSMsComplaintsreduction

object vision on the operated right eye.
the eye was operated 2 years ago, fog appeared 6 months ago.
Objectively sharpness of the right eye = 0.1, the cornea is transparent,
anterior chamber middle, pupil round in the center, intraocular lens in
posterior chamber, diffuse opacification of the posterior capsule, ocular
flerum. Diagnostic secondary cataract, pseudophakia of the right
eyes. What surgical intervention is indicated for the patient?
A. Implantation of Artificial Lens
B. Discision of secondary cataract
C. Lens extractions
D. Corneal transplant
E. Sinustrabeculoectomy

625. A 42-year-old woman appealed to the cocktail party CCM with a complaint about redness,
Feelings of discomfort in the eyes. Because of the above complaints.
worried about the last 8 months,
works in a sewing workshop, self-ties the conditions of labor.
visual acuity of both eyes = 1.0, the eye is slightly injected, there is frequent
blinking of the cornea during biomicroscopy. Ophthalmoscopic
picture is normal. What is your presumed diagnosis?
A. Dry eye syndrome
B. Chronic dacryocystitis
C. Primary glaucoma
D. Secondary cataract
E. Viral conjunctivitis

626. A 38-year-old woman appealed to the cocktail party of the CSCM with a complaint about redness,
Feelings of discomfort in the eyes. Because of the above complaints.
worried about the last 3 months,
works in the office as an architect, self-binds the conditions of labor.
Objectively: visual acuity of both eyes = 1.0, the eye is slightly injected,

Page 154

there is a deficiency of the lacrimal film of the cornea at biomicroscopy.

Ophthalmoscopic picture is normal. What is your presumed diagnosis?
A. Dacryoadenitis
B. Chronic dacryocystitis
C Syndrome of dry eye
D. Acute keratitis
E. Viral conjunctivitis

627.Man45years
near vision. Notices that there are dots for distance + 1.0 on the eyes.
the period of reading close to the distance did not cause any difficulties.
Objective visual acuity of both eyes = 0.3s + 1.0D = 1.0.
transparent, eyes are normal. What is your presumed diagnosis?
A. Simple myopic astigmatism
B. Presbyopia
C. Spasmacomodation
D. High degree hyperopia
E. Mixed astigmatism

628. Patient complains of incomplete closure of eyelids, dry eye,

redness of the eye, especially in the morning, watery eyes on the right.
what is the cause of this pathology?
A. Oculomotor
B. Offset
C. Facial
D. Block
E. The visual

629. In the village where you are, a non-oculist, the patient has come to
complaints of pain, redness, sharp deterioration of the left eye.
anamnesis indicated a colony about an hour ago. Objectively: swelling
eyes, diffuse hyperemia, soreness on trying to close
Opening the eyes Exhibit the diagnosis of bacterial conjunctivitis.
drug of the first series for intravenous administration to the patient.
A. Physiological solution 0.9%
B. Citicoline 100.0
C. Ceftriaxone 1.0
D. Prednisolone 1–2 mg / kg
E. Meldonium 5% -10.0

630. A man, 68 years old, came to an eye hospital with complaints of aminaboli,
photophobia, lacrimation of the right eye. Anamnesis: the above
complaints appeared 3 days ago, suffers from chronic sinusitis.
examination: VOD = 0.2. Pericorneal injection, on the cornea, black
bladder in the center, pus in the anterior chamber, pupil narrow.
possible in this case?
A. Exophthalmus
B. Development of the simblepharon
C. keratomalacia
D. Perforation of ulcer
E. Trichiasis

Page 155
Yedhu krishnan
1.If the first line letters are visible from a distance of 2.5m, then the visual acuity is:

1. 0.05

2. 0.1

3. 0.5

4. 0.01

5. 1.0

2.When vision is decreased, it is necessary to exclude the

inflammatory process in the area of the optic nerve exit
from the orbit through:

1. Infraorbital canal

2. Foramen rotundum

3. Inferior orbital fissure

4. Superior orbital fissure

5. Optic nerve canal

3.Function of aqueous humor:

1. Nutrition of the internal muscles of the eye

2. Nutrition of the external layers of the retina
3. Nutrition of the optical media of the eye
4. Nutrition of the optic nerve
5. Nutrition of the inner layer of the sclera

4. A 70-year-old woman applied to ophthalmologist with

complaints of a sudden decreased vision of her right
eye; she noted this after increased her blood pressure.
Ophthalmological examination revealed no changes of
anterior part but no red reflex from fundus. What is your
preliminary diagnosis?

1. Total retinal detachment

2. Acute angle close glaucoma
3. Complete complicated cataract
4. Central retinal artery occlusion
5. Vitreous hemorrhage
5.Structures involved in accommodation:
1. Iris

2. Ciliary muscles

3. Choroid

4. Cornea

5 .Pupil

6.When diagnosing a convergent strabismus with an angle

of 45° according to Hirshberg in both eyes, how many
mm should the medial rectus muscle of both eyes be
recessed?

1. by 7 mm

2. by 2mm

3. by 4mm

4. by 9mm

5. by 6mm

7.Patient U., 45 years old, complains of constant watery

eyes from the right eye, especially when outside. She
has watery eyes for 2 years. Objectively, the position of
the eyelids and lacrimal openings is correct, when
pressing on the area of the lacrimal sac, there is no
discharge. Tear lake is observed. Colored lacrimal test is
negative. When the lacrimal passages are flushed, the
liquid does not pass into the nose, it returns through the
superior lacrimal opening. Left eye visual acuity = 1.0.
The eye is healthy. The lacrimal test is positive; when
rinsing, the liquid passes freely into the nose. TOS = 21
mm Hg Diagnosed with inflammation of the lacrimal
sac. What operation is indicated for this condition?

1. Vitreoectomy
2. Penetrating keratoplasty
3. Dacryocystorhinostomy
4. Collagen crosslinking
5. Limbosclerectomy

8.If the light reflex from ophthalmoscope is localized on

the cornea of the squinting eye along its outer edge, this
corresponds to:

1. Convergent strabismus with an angle of 45 °

2. Divergent strabismus with an angle of 45
3. Divergent strabismus with an angle of 30 °
4. Convergent strabismus with an angle of 15 degrees
3 Convergent strabismus with an angle of 30°

9.A 13-year-old schoolboy complains of visual impairment

while reading. He sees well in the distance. Visual acuity
in both eyes = 1.0. Eyes are healthy. What is your
presumptive diagnosis?

1. Amaurosis
2. Emmetropia
3. Amblyopia
4. Myopia
5. Hypermetropia

10. When examining a woman, 30 years old, with myopia 8.0

d, during ophthalmoscopy on the periphery of the retina,
large dystrophic changes were determined, with small
retinal tears in the ora serrata line. What treatment
should be applied in this case?

1. Laser coagulation of retina

2. Diathermocoagulation of ciliary body
3. Sinus trabeculectomy
4. lridocycloretraction
5. Cryodiatermocoagulation of retina

11.Patient 59 years old. She went to a doctor with soreness

in the upper eyelid, headaches and fever, which bothers
her for 4 days. On examination, a purulent pustule was
revealed in the upper eyelid. The damage is unilateral,
painful with conjunctival edema. Anamnesis revealed
that the patient suffers from type 2 diabetes mellitus,
had a flu a week ago. What is the cause of this disease?

1. Gonococcus
2. Lefleur's sticks
3. Mycobacteria
4. Pneumococcus
5. Staphylococcus

12.A 16-year-old schoolboy at an ophthalmologist's office

complains of itching, redness of eyelid margin, foamy
discharge at the inner corners of eye fissure, rapid eye
fatigue when reading texts. What ophthalmological
examination does he need to establish the cause of this
condition?

1. Radiography of the orbit

2. Determination of corneal sensitivity
3. Conjunctival staining with fluorescein
4. Irrigation lachrymal ducts
5 Refractometry

13.Sokolov's test is used to diagnose:

1. Mobility of the eyeballs

2.Pathology of intraocular pressure
3. Investigation of refraction
4. Examination of the visual field
5. Binocular vision

14.A 30-year-old female patient consulted an

ophthalmologist complaining of dryness, burning
sensation and irritation of the conjunctiva, with a
sensation of splashing in the eyes and a decrease in
visual acuity, intensifying during the day. Examination
revealed mucinous “filaments”, redness and local edema
of the conjunctiva of the eyeball, decreased tear
secretion. Anamnesis revealed that the patient wore
lenses. Was diagnosed with xerosis of the cornea.
Which drug do you recommend?

1. 0.3% solution of cypromed

2. 2.5% amphotericin solution
3. 0.1% dexamethasone solution
4. 0.5% artificial tear solution
5. 1% fusidic acid solution

15.The patient was diagnosed with Presbyopia. What

complaints does he present to the ophthalmologist?

1. Impairment of distance vision

2. Impairment of far and near vision
3. Appearance of diplopia in the distance
4. Impairment of near vision
5. Deterioration of binocular vision

16.The right eye of a 9-year-old child is constantly deviate

inward, the left eye is in normal condition. The optical
media of both eyes is transparent. The fundus of the eye
is without pathology. Visual acuity of the right eye = 0.02
uncorrected, the left eye = 1.0. What is the likely cause of
this condition?

1. Complicated cataract
2. Myopic disease
3. Muscular asthenopia
4. Hypermetropia
5. Retinal detachment

17.For several days, patient R., 52 years old, has swelling of

the appendages, tenderness on palpation, lacrimation,
fever, general malaise, headache. According to the
words, lacrimation worries for 3 years. Objectively,
pronounced edema of tissue hyperemia in the medial
adhesion of the eyelids of the left eye is determined. The
swelling extends to the eyelids, cheek, and bridge of the
nose. Palpation of tissues is painful, local temperature is
increased. The eye slit is closed. Visual acuity is not
reduced. The eyes are calm. What is the diagnosis in this
patient?

1. Acute dacryocystitis
2. Periorbital abscess
3. Acute dacryoadenitis
4. Phlegmon of the lacrimal sac
5. Angular blepharitis

18.A 39-year-old woman turned to an ophthalmologist at

the FMC with complaints of lacrimation, soreness,
photophobia of the left eye. The above complaints have
been worsening the last 4 days, the day before
something got into the eye, and she washed it with
water. Suffering from chronic dacryocystitis for the last
2 years. Objectively: VOS = 0.05. Biomicroscopy:
precorneal injection, ulceration in the center of the
cornea, one edge of which is swollen and raised, the
other is flat with delicate epithelialization. Hypopyon, the
pupil is narrow. What should be done before treatment?

1. Lamellar keratoplasty
2. Scraping from the surface of the ulcer
3. Make a keratotopography
4. Wear a medicated contact lens
5. Rinse the conjunctival cavity

19.A 15-year-old boy complains of visual impairment, noting

that he had been wearing glasses since he was 8 years
old. Objectively, retinoscopy revealed myopia at 12.0 D,
further ophthalmoscopy revealed myopic crescent in
the fundus, and the absence of a macular reflex. What
treatment is needed to stop the progression of myopia?

1. Keratomileusis
2. Keratotomy
3. Scleroplasty
4. Laser coagulation of the retina
5. Photorefractive keratectomy

20.Patient A., 25 years old, complained of swelling,

soreness and redness of the outer part of the upper
eyelid. There is an increase in temperature, general
malaise, headache. From the anamnesis, there is chronic
tonsillitis. Objectively, the palpebral fissure is changed,
hyperemia and edema of the conjunctiva of the eyeball
is in the upper outer region, the mobility of the eye is
limited, the auricular regional lymph nodes are enlarged
and painful. Your diagnosis:

1. Canaliculitis
2. Dacryoadenitis
3. Lymphadenitis
4. Pharyngitis
5. Dacryocystitis

21.The patient's examination revealed simple, direct myopic astigmatism in 3.0D. What treatment should be applied
to correct vision?

1. Spheroprismatic concave 3,0d

2. Spherical concave 3.0d
3. Cylindrical convex 3.0d
4. Cylindrical concave3.0d
5. Spherical convex 3.0d

22.Name the most significant symptom of binocular vision

disorder:

1. Amblyopia
2. Deuteranopia
3. Hemeralopia
4. Tritanopia
5. Protonapia

23.Indicate the reason which, from your point of view,

cannot lead to the development of an acute angle close
glaucoma:

1. Prolonged stay in a dim room

2. Prolonged staying in well illuminated room
3. Medicated pupil dilation without tonometry
4. Working in head tilt position
5. Stress

24. The patient, 40 years old, turned to the eye trauma

center with complaints of irritation and pain in the right
eye, lacrimation, photophobia. Anamnesis revealed that
yesterday while working in the garden, he injured his eye
with a branch. On examination: VOD - 0.4, VOS - 1.0.
Pericorneal injection, the cornea in the center when
viewed from the side light - opalescent; loss of smooth
in the optical zone. The doctor instilled fluorescence
solution into the conjunctival cavity. An area of the
cornea with a size of 2.0x1.5 mm turned greenish.
Diagnosed with corneal erosion. What is your treatment
strategy?

1. antibiotic and corneregel

2. Taurine 4% and Riboflavin 0.02%
3. Timolol 0.5% and Solcosery| Gel
4. Pilocarpine 1% and Riboflavin 0.02%
5. Dexamethasone 0.1% and corneregel

25. Examination revealed right-sided hemianopsia in a

patient. Where is the lesion site?

1. In the right optic nerve

2. In the right optic tract
3. In the left optic nerve
4. In the left optic tract

26. A 20-year-old man has been in an ophthalmological

hospital for 15 days due to a fresh chemical burn in both
eyes. To improve trophism and regeneration of eye
tissues, which drug is more appropriate to continue the
treatment with?

1. Sulfacyl sodium 30%

2. Tetracycline ointment 1%
3. Tobradex ointment
4. Solcoseryl - gel
5. Levofloxacin 0.5%

27. All of the following statements about aqueous humor are true except:

1. aqueous humor is produced by ciliary body

2. the composition of aqueous humor is altered as it flows from the posterior chamber through the
pupil and into the anterior chamber
3. aqueous humor is formed at the rate of approximately 2-3 ml/min
4. normal aqueous humor has a high protein content
5. there is 1% turnover in aqueous volume eachminute

28.A 72-year-old man consulted an optometrist at the place

of residence with complaints on a slight decrease in
vision in both eyes, fog before the eyes, objectively:
visual acuity of the right eye = 0.1, left eye = 0.2, the eye
is calm, the cornea is transparent, the anterior chamber
is medium, the pupil is round forms, lens opacity, fundus
is not good visible. What is the preliminary diagnosis in
this case?

1. Mature cataract
2. Initial cataract
3. Overripe cataract
4. Partial cataract
5. Immature cataract

29. A 33-year-old patient consulted an ophthalmologist

complaining of a sharp decrease in vision in the right
eye, which he has noticed 2 days ago. A week ago he
suffered acute right-sided sinusitis. Objectively: visual
acuity of the right eye = 0.2 (not corrected). The right eye
is calm, the optical media is transparent. The fundus of
the eye: the optic nerve head is hyperemic, its borders
are blurred, edematous, slightly protrudes into the
vitreous body, the arteries are dilated. The veins are
convoluted, the vascular funnel is filled with exudate.
Macular region and retinal periphery without pathology.
Left eye visual acuity = 1.0. The eye is healthy. What is
your presumptive diagnosis?

1 Ruptured optic nerve

2 Congestive papilla of the optic nerve
3 Optic neuritis
4 Atrophy of the optic nerve
5 Excavation of the optic nerve head

30. A 45-year-old patient with myopia of both eyes of 9.0

diopters, moving heavy furniture in the apartment,
noticed several weak light flashes (photopsies) in the
lower-outer part of the visual field of the right eye, and
then the appearance of a translucent shadow (according
to the patient's definition - "Curtains’), fluctuating with
eye movements and limiting part of the field of view of
the right eye. In the morning after sleep, the shadow
disappeared, but during the day it reappeared and
increased slightly. What is your presumptive diagnosis?
1 Phlegmon orbit
2 Attack of glaucoma
3 Retinal detachment
4 Anterior uveitis
3 Swelling cataracts

31. Patient 40 years old, complains of a gradual decrease in

vision in the left eye. Anamnesis: suffered a head injury a
year ago. Ophthalmoscopy revealed: pallor of the optic
nerve head from the temporal side, the borders of the
disc are clear, the vascular bundle in the center, the
arteries are narrow. What is the most likely diagnosis?

1 Retrobulbar optic neuritis

2 Ruptured optic nerve
3 Congestive papilla of the optic nerve
4 Excavation of the optic nerve discs
5 Atrophy of the optic nerve

32. A patient was admitted to the neurosurgery department

with complaints of headache and loss of half of the field
of vision in both eyes. Neurosurgeons in the pictures
found a pituitary adenoma, which compresses the
chiasm. What hemianopsia did the ophthalmologist find
in this patient?

1 Heteronymous bitemporal
2 Homonymous upper quadrant
3 Homonymous left-sided
4 Homonymous right-sided
5 Heteronymous binasal

33. Indicate which of the following methods can be used to

treat congenital glaucoma:

1 Manual therapy
2 Functional therapy
3 Medication
4 Surgical treatment
5 Laser coagulation

34. What is the cause of blindness due to primary open-

angle glaucoma:

1 Clouding of the vitreous body

2 Lens opacity
3 Persistent corneal opacity
4 Atrophy of the optic nerve
5 Total retinal detachment

35. A 72-year-old woman admitted to emergency room with

complaints of pain in the left eye, radiating to the left
half of the head, lacrimation, photophobia,
blepharospasm, decreased vision. Objective
examination: VOD =1.0, VOS= incorrect light perception.
The eye is bluish injected, the cornea is edematous, the
anterior chamber is deep, tremor of the iris is
determined, the pupil is irregular, small white particles of
lens masses are detected in the anterior chamber. The
fundus of the eye is not good visible. What type of
secondary glaucoma has this patient?

1 Phlebohypertensive
2 Posttraumatic
3 Neoplastic
4 Postuveal
5 Phacolytic

36.A 45-year-old woman turned to an ophthalmologist at

the FMC with complaints of pain, photophobia, watery
eyes in the right eye. From the anamnesis: the above
complaints appeared 3 days ago, suffers from chronic
sinusitis. On examination: visual acuity of the right eye =
0.1. Pericorneal injection, an ulcer on the cornea with a
black vesicle in the center, pus in the anterior chamber, a
narrow pupil. What conditions did you find in this case?

1 Corneal ulcer, descemetocele, hypopyon

2 Corneal ulcer, mydriasis, madarosis
3 Corneal ulcer, keratomalacia, hypopyon
4 Corneal ulcer, Keratoconus, miosis
5 Corneal ulcer, conjunctival chemosis, miosis

37. A 37-year-old man consulted an ophthalmologist with

complaints of decreased visual acuity, redness,
lacrimation and pain in the right eye. In the anamnesis: 2
years ago, he received an acid burn in his right eye, he
was repeatedly treated in a hospital. Ophthalmological
examination of the right eye revealed: the eye is irritated,
the lower eyelid conjunctiva in the middle part is fused
with the conjunctiva of the eyeball by scar tissue. The
lower and upper eyelids are partially closed. What
diagnostic study is necessary for the patient to improve
the prognosis of the disease?
1 Bacterial culture of tear
2 Test of the sensitivity of the cornea
3 Optical coherence tomography
4 Determination of tear film stability
5 X-ray of the paranasal sinuses

38. A 74-year-old man admitted to the emergency room with

complaints on severe pain, decreased vision in the left
eye. From the medical history, patient's diagnosis was
immature cataract of the right eye. On examination, the
eye is red, the cornea is edematous, the anterior
chamber is shallow, the pupil is mydriatic, the lens is
opaque, and swells. The fundus of the eye is not visible.
Diagnosis is Hyper mature cataract, phacomorphic
glaucoma of the right eye. Which of the more
appropriate treatment for this diagnosis?

1 Sclerectomy.
2 Extraction of the lens
3 Corneal transplantation
4 Sinus trabeculectomy
5 Dacryocystorhinostomy

39. A 75-year-old woman consulted with an FMC

ophthalmologist complaining about lack of object vision
in her right eye; according to the patient, her right eye
stopped seeing 3 months ago, and her vision gradually
decreased. With visometry, the function of the right eye
has a correct color projection, intraocular pressure is
normal, with ophthalmoscopy there is no reflex. What
pathology are we talking about?

1 Mature cataract
2 Hypermature cataract
3 Immature cataract
4 Secondary cataract
5 Initial cataract

40. After suffering a cold, a 7-year-old patient suddenly

developed pain when moving his eyes. Objectively: visual
acuity in both eyes = 1.0. There is small exophthalmos, a
slight limitation of the mobility of the eyeballs. With
extreme abduction of the eyes - diplopia. Slight swelling
of the eyelids and conjunctiva. Minor mixed eyeball
injection. There is no discharge from the conjunctival
sacs. Anterior segments without visible changes. Optical
media are transparent. The fundus of the eye is normal.
Diagnosed with phlegmon of the orbit. What is your
treatment strategy?
1 Dry heat, vitamins, anticoagulants
2 Keratoprotectors, antibiotics
3 Mydriatics, prostaglandins, vitamins
4 Dry heat, corticosteroids, antibiotics
5 Prostaglandins, antibiotics, vitamins

41. Choose the most probable diagnosis when the aged

patient develops decrease and blurred vision after
visiting the sauna, rainbow circles around the light,
severe pain in the eye with irradiation to the back of the
head, teeth, ear:

1 Acute dacryocystitis
2 Acute keratitis
3 Acute angle close glaucoma
4 Acute conjunctivitis
5 Acute iridocyclitis

42. A 42-year-old man came to the eye hospital with

complaints of severe headaches, chills, pain in the right
eye area. The anamnesis suffers from chronic sinusitis,
does not receive treatment. Objectively: body
temperature 39.8 Eyelids are sharply edematous,
hyperemic, conjunctival chemosis, eye mobility is
limited. Was diagnosed with lacrimal sac phlegmon.
What are your treatment tactics?

1 Flush the lacrimal duct

2 Dacryocystorhinostomy
3 Blepharorrhaphy
4 Kunt-Shimanovsky operation
5 Orbitotomy

43. A 78-year-old woman referred to ophthalmologist

complaining of a decrease in object vision in the left eye,
lack of object vision in the right eye, according to the
patient, vision has been gradually decreasing for the last
2 years. With visometry, the function of the right eye is
0.005. Left eye functions at 0.2, intraocular pressure is
normal, with ophthalmoscopy, the reflex is gray.
Clinically diagnosed as a mature cataract of the right
eye, immature cataract of the left eye. What method of
treatment is advisable to prescribe for this diagnosis?

1 Corneal transplantation
2 Extraction of the lens
3 Sinus trabeculectomy
4 Dacryocystorhinostomy
5 Discission of the secondary cataract

44. Parents brought a two-year-old child to the children's eye

department with complaints on poor orientation in
space during for last 6 months. Objectively: OU —
anterior part of eyes without changes, the cornea is
transparent, the anterior chamber is normal, the pupil is
rounded in the center, the lens is opaque, there is no red
reflex. A diagnosis: Congenital cataract of both eyes and
surgical treatment was proposed. What type of
treatment is indicated for this patient?

1 No surgery till adolescence

2 Spectacle correction
3 Medicamentous treatment
4 Extraction of cataracts
5 Sinustrabeculoectomy

45. A 27-year-old patient was admitted to an eye clinic with

complaints of low vision in the right eye. Anamnesis: 2
years ago, there was a lime burn in the right eye, several
times he was treated in a hospital. Recently, on the
recommendation of friends, the right eye was treated
with diluted honey. On examination: the right eye is
irritated; the visual acuity is equal to the correct light
perception. Diagnosed with vascularized corneal
opacity. What operation is advisable to carry out?

1 Diathermocoagulation of vessels
2 Layered keratoplasty
3 Keratoprosthetics
4 Scleroplasty
5 Penetrating keratoplasty

46. An 80-year-old woman consulted with an

ophthalmologist of the FMC with complaints of
decreased object vision in her left eye; according to the
patient, her vision has been gradually decreasing for the
last 2 years. With visometry, the function of the left eye
is 0.05, intraocular pressure is normal, with
ophthalmoscopy, the reflex is gray. Diagnosed with
cataract. What additional examination does this patient
need to confirm the diagnosis?

1 Non-contact tonometry
2 Fluorescence angiography
3 Automatic refractometry
4 Optical coherence tomography
5 Ultrasound examination
47. A 39-year-old woman turned to an ophthalmologist at the FMC with complaints of lacrimation, soreness,
photophobia of the left eye. The above complaints have been worsening the last 4 days, the day before something got
into the eye, and she washed it with water. Suffering from chronic dacryocystitis for the last2 years. Objectively: VOS
= 0.05. Biomicroscopy:
precorneal injection, ulceration in the center of the cornea, one edge of which is swollen and raised, the
other is flat with delicate epithelialization. Hypopyon, the pupil is narrow. What should be done before treatment?

1 Lamellar keratoplasty
2 Scraping from the surface of the ulcer
3 Make a keratotopography
4 Wear a medicated contact lens
5 Rinse the conjunctival cavity

48. The patient's examination revealed simple, direct myopic astigmatism in 3.0D. What treatment should be applied to
correct vision?

1 Spheroprismatic concave 3,0d

2 Spherical concave 3.0d
3 Cylindrical convex 3.0d
4 Cylindrical concave3.0d
5 Spherical convex 3.0d

49. A 15-year-old boy complains of visual impairment, noting that he had been wearing glasses since he was 8 years
old. Objectively, retinoscopy revealed myopia at 12.0 D, further ophthalmoscopy revealed myopic crescent in the
fundus, and the absence of a macular reflex. What
treatment is needed to stop the progression of myopia?

1 Keratomileusis
2 Keratotomy
3 Scleroplasty
4 Laser coagulation of the retina
5 Photorefractive keratectomy

50. After suffering a cold, a 7-year-old patient suddenly

developed pain when moving his eyes. Objectively: visual
acuity in both eyes = 1.0. There is small exophthalmos, a
slight limitation of the mobility of the eyeballs. With
extreme abduction of the eyes - diplopia. Slight swelling
of the eyelids and conjunctiva. Minor mixed eyeball
injection. There is no discharge from the conjunctival
sacs. Anterior segments without visible changes. Optical
media are transparent. The fundus of the eye is normal.
Diagnosed with phlegmon of the orbit. What is your
treatment strategy?

1 Dry heat, vitamins, anticoagulants

2 Keratoprotectors, antibiotics
3 Mydriatics, prostaglandins, vitamins
4 Dry heat, corticosteroids, antibiotics
5 Prostaglandins, antibiotics, vitamins

51. A 30-year-old female patient consulted an

ophthalmologist complaining of dryness, burning
sensation and irritation of the conjunctiva, with a
sensation of splashing in the eyes and a decrease in
visual acuity, intensifying during the day. Examination
revealed mucinous “filaments”, redness and local edema
of the conjunctiva of the eyeball, decreased tear
secretion. Anamnesis revealed that the patient wore
lenses. Was diagnosed with xerosis of the cornea.
Which drug do you recommend?

1 0.3% solution of cypromed

2 2.5% amphotericin solution
3 0.1% dexamethasone solution
4 0.5% artificial tear solution
3 1% fusidic acid solution

52. Name the most significant symptom of binocular vision

disorder:

1 Amblyopia
2 Deuteranopia
3 Hemeralopia
4 Tritanopia
5 Protonapia

53. A 49-year-old woman came to the emergency room with

complaints of severe pain and blurred vision of the right eye,
which arose against the background of an increase in blood
pressure to 180- and 90-mm Hg. The patient reported single
vomiting that did not bring relief. On examination, the following
data were obtained: visual acuity of the right eye = 0.09 is not
corrected, visual acuity of the left eye = 0.1 (+) 3.5 D = 1.0;
Biomicroscopy of the right eye revealed a stagnant injection of
the eyeball, corneal edema, small anterior chamber, iris
bombardment, the pupil is dilated, does not react to light. |OP OD
56 mm Hg. What is your preliminary diagnosis?

1 Retrobulbar neuritis
2 Acute attack of glaucoma
3 Lacrimal sac phlegmon
4 Total retinal detachment
5 Fibrinous-plastic iridocyclitis

54. A 45-year-old man came to the eye hospital with complaints of

pain, photophobia, lacrimation of the right eye. From the
anamnesis: the above complaints appeared 3 days ago. Man
suffers from chronic sinusitis. On examination: visual acuity of
the right eye = 0.1. Pericorneal injection, the edges of the ulcer
are gaping on the cornea, the anterior chamber is shallow, the
pupil is narrow. What complication is possible in this case?

1 Keratomalacia
2 Symblepharon
3 Madarosis
4 Endophthalmitis
5 Scleritis

55. Indicate the reason which, from your point of view, cannot lead to
the development of an acute angle close glaucoma:

1 Prolonged staying in well illuminated room

2 Medicated pupil dilation without tonometry
3 Prolonged stay in a dim room
4 Stress
5 Working in head tilt position

56. 64-year-old female patient complains of pain radiating to the

back of the head and a feeling of swelling of the right eye. There
is a thick fog in front of the right eye and the eye sees almost
nothing. On examination: VOD - counting the fingers of the eye.
On the right eye, congestive injection of the anterior vessels, the
cornea is edematous, the anterior chamber is small, the iris is
edematous, the pupil is about 4-5 mm. gray color. What kind of
secondary glaucoma does the patient have?

1 Facotopic
2 Neoplastic
3 Neovascular
4 Facolytic
5 Phacomorphic

57. Indicate the reason which, from your point of view,

cannot lead to the development of an acute angle close glaucoma:

1 Prolonged stay in a dim room

2 Prolonged staying in well illuminated room
3 Medicated pupil dilation without tonometry
4 Working in head tilt position

58. Indicate the reason which, from your point of view,

cannot lead to the development of an acute angle close
glaucoma:

1 Prolonged stay in a dim room

2 Prolonged staying in well illuminated room
3 Medicated pupil dilation without tonometry
4 Working in head tilt position
5 Stress

59. Patient A., 25 years old, complained of swelling,

soreness and redness of the outer part of the upper
eyelid. There is an increase in temperature, general
malaise, headache. From the anamnesis, there is chronic
tonsillitis. Objectively, the palpebral fissure is changed,
hyperemia and edema of the conjunctiva of the eyeball
is in the upper outer region, the mobility of the eye is
limited, the auricular regional lymph nodes are enlarged
and painful. Your diagnosis:

1 Canaliculitis
2 Dacryoadenitis
3 Lymphadenitis
4 Pharyngitis
5 Dacryocystitis

60. The patient, 40 years old, turned to the eye trauma

center with complaints of irritation and pain in the right
eye, lacrimation, photophobia. Anamnesis revealed that
yesterday while working in the garden, he injured his eye
with a branch. On examination: VOD - 0.4, VOS - 1.0.
Pericorneal injection, the cornea in the center when
viewed from the side light - opalescent; loss of smooth
in the optical zone. The doctor instilled fluorescence
solution into the conjunctival cavity. An area of the
cornea with a size of 2.0x1.5 mm turned greenish.
Diagnosed with corneal erosion. What is your treatment
strategy?

1 antibiotic and corneregel

2 Taurine 4% and Riboflavin 0.02%
3 Timolol 0.5% and Solcoseryl Gel
4 Pilocarpine 1% and Riboflavin 0.02%
5 Dexamethasone 0.1% and corneregel

61. A patient was admitted to the neurosurgery department

with complaints of headache and loss of half of the field
of vision in both eyes. Neurosurgeons in the pictures
found a pituitary adenoma, which compresses the
chiasm. What hemianopsia did the ophthalmologist find
in this patient?

1 Heteronymous bitemporal
2 Homonymous upper quadrant
3 Homonymous left-sided
4 Homonymous right-sided
5 Heteronymous binasal

62. 72-year-old woman admitted to emergency room with

complaints of pain in the left eye, radiating to the left
half of the head, lacrimation, photophobia,
blepharospasm, decreased vision. Objective
examination: VOD =1.0, VOS= incorrect light perception.
The eye is bluish injected, the cornea is edematous, the
anterior chamber is deep, tremor of the iris is
determined, the pupil is irregular, small white particles of
lens masses are detected in the anterior chamber. The
fundus of the eye is not good visible. What type of
secondary glaucoma has this patient?

1 Phlebohypertensive
2 Posttraumatic
3 Neoplastic
4 Postuveal
5 Phacolytic

63. A 45-year-old woman turned to an ophthalmologist at

the FMC with complaints of pain, photophobia, watery
eyes in the right eye. From the anamnesis: the above
complaints appeared 3 days ago, suffers from chronic
sinusitis. On examination: visual acuity of the right eye =
0.1. Pericorneal injection, an ulcer on the cornea with a
black vesicle in the center, pus in the anterior chamber, a
narrow pupil. What conditions did you find in this case?

1 Corneal ulcer, descemetocele, hypopyon

2 Corneal ulcer, mydriasis, madarosis
3 Corneal ulcer, keratomalacia, hypopyon
4 Corneal ulcer, Keratoconus, miosis
5 Corneal ulcer, conjunctival chemosis, miosis

64. Select the appropriate characteristic for the posterior corneal

epithelium:

1 Organized fibrillar structure

2 High regeneration capacity
3 One layer of polygonal cells, not regenerate after
damages
4 Structureless fibrous formation
5 Most resistant to chemical attack

65. What type of clinical refraction has 20-year-old patient, with

distance visual acuity in both eyes of 1.0.

1Moderate hyperopia
2High myopia
3 Mixed astigmatism
4 Latent hyperopia
5 Moderate myopia

66. Where the Meibomian glands are located?

1 Tarsal plate of eyelids

2 In the ciliary body
3 in the follicles of eyelashes
4 in the limbus
5 In the conjunctiva
67. Blind spot identifies under campimetry

1 In the upper nasal quadrant of the visual field

2 In the temporal half of the visual field
3 In the upper half of the visual field
4 In the nasal half of the visual field
5 In the upper half of the visual field

68. Name the fibers due to which the sclera performs a supporting Function:

1 Mucous membrane
2 Collagen fibers
3 Elastic fibers
4 Nerve fibers
5 Muscle fibers

69. A 47-year-old patient was admitted to an eye hospital with complaints of breaking pains, Photophobia, lacrimation,
decreased vision in the right eye. The above complaints appeared for 5 days, but over the last 2 days, the pain has
increased significantly. Objectively: visual acuity of the right eye = 0.1. The eyelids are edematous, stagnant injection;
the cornea is edematous, precipitates on the posterior surface. The pupil is narrow, Fibrin in the pupillary zone, the iris
is bombarded, ridge hot green. what additional examination is necessary to make the diagnosis easier?

1 Tonometry
2 Refractometry
3 Gonioscopy
4 Sciascopy
5 Diaphonoscopy

70.A 50-year-old man complains of persistent lacrimation,

purulent discharge from the eye. The above complaints
appeared 3 days ago. When examining the patient,
attention is paid to excess tears along the edge of the
lower eyelid, bean-like soft protrusion of the skin under
the inner ligament of the eyelids. Preliminary diagnosis:

1 Pharyngitis
2 Dacryoadenitis
3 Dacryocystitis
4 Lymphadenitis
5 Canaliculitis
71. In the village where you are, there is no ophthalmologist,
a patient came to you with complaints of pain, redness,
share deterioration of vision in the left eye. He had a
history of chopping Wood about an hour ago.
Objectively: swelling of the eye, diffuse hyperemia,
soreness when trying to close and open the eyes.
Bacterial conjunctivitis was diagnosed. Select the first-
line Intravenous medicine for this patient.

1 Isotonic solution 0.9%

2 Ceftriaxone 1.0
3 Meldonium 5% -10.0
4 Prednisolone 1-2 mg / kg
5 Citicoline 100.0

72. A 35-year-old woman consulted an ophthalmologist with

complaints of low near object vision. Notes that he wears
glasses for distance +1.0 in both eyes. Before this period,
reading at close range was not difficult. Objectively, the
visual acuity of both eyes = 0.35 + 1.0D = 1.0. The
intraocular environment is transparent, the fundus with
no abnormalities. What is your presumptive diagnosis?

1 Mixed astigmatism
2 Presbyopia
3 High-grade hyperopia
4 Spasm of accommodation
5 Simple myopic astigmatism

73. Male 78 years old. Revealed volvulus of the eyelids,

which worries him for amonth. There were no injuries or
diseases of the eyelids. As a result of what this
pathology appeared?

1 Excessive stretching of the eyelids

2 Inflammation of the lacrimal sac
3 Hypertrophy of the circular muscle of the eyelids
4 Damage to the cervical sympathetic nerve
5 Damage to the oculomotor nerve

74. Male 36 years old. After a traumatic brain injury,

complete, unilateral ptosis is revealed. During the
examination, it was revealed that when the patient
opens his mouth, the ptosis disappears. What is the
patient's diagnosis?

1 Marcus-Gunn syndrome
2 Behcet syndrome
3 Voagt-Koyanagi-Harada syndrome
4 Morphan's syndrome
5 Forster-Kennedy syndrome

75. Patient A., 25 years old, complained of swelling, soreness

and redness of the outer part of the upper eyelid. There
iS an increase in temperature, general malaise, headache.
From the anamnesis, there is chronic tonsillitis.
Objectively, the palpebral fissure is changed, hyperemia
and edema of the conjunctiva of the eyeball is in the
ueper outer region, the mobility of the eye is limited, the
auricular regional lymph nodes are enlarged and painful.
Your diagnosis:

1 Dacryocystitis
2 Pharyngitis
3 Canaliculitis
4 Lymphadenitis
5 Dacryoadenitis

76. What are contra-indications for refractive surgery of

myopia:
1 Inflammatory diseases of the layers of eye
2 Intolerance to contact correction.
3 Moderate myopia
4 Greater anisometropia
5 mild myopia
77. Male 78 years old. Revealed volvulus of the eyelids,
which worries him for a month. There were no injuries or
diseases of the eyelids. As a result of what this
pathology appeared?

1 Excessive stretching of the eyelids

2 Inflammation of the lacrimal sac
3 Hypertrophy of the circular muscle of the eyelids
4 Damage to the cervical sympathetic nerve
5 Damage to the oculomotor nerve

78. A 68-year-old man turned to the emergency service of

the eye department with complaints of severe soreness,
redness, and decreased object vision in the right eye.
From the anamnesis, the diagnosis was made of an
immature cataract of the right eye. On examination, the
eyes are injected, the cornea is edematous, the anterior
chamber is smaller than the middle, the pupil is wide, the
lens is cloudy, and swells. The fundus of the eye: not
visible. What type of secondary glaucoma does this?
patient has?

] Neoplastic
2 Fakomorphic
3 Phlebohypertensive
4 Dystrophic
5 Postuveal

79. What are the symptoms of Behcet's syndrome as a triad?

1 Iridocyclitis, glaucoma, acromegaly

2 Iridocyclitis, urethritis, polyarthritis
3 Iridocyclitis, stomatitis, ulcerations on the genitals
4 Uveitis, polyarthritis, myopathy
5 Uveitis, deafness, Hutchinson's teeth

80. A 67-year-old patient came to ophthalmologist with

complaints on the absence of vision of the right eye, a
significant decreased vision of the left eye. A gradual
decreasing vision in both eyes was noted within 2 years.
The VOD= correct light perception; VOS = O.1n/c. To
examine fundus of eye is necessary Use mydriatic drops.
What examination is required before dropping mydriatic
drops to prevent complications?

1 Optical coherence tomography of the eye

2 Fluorescein angiographies of the eye
3 Ultrasound examination of the eye
4 Tonometry of the eye
5 Automatic refractometry of the eye

81. During an ophthalmological examination of recruits it was

revealed that one of the recruits has problems with night
vision. What diagnostic method is necessary to
determine his unfitness for military service?

1 Synoptophore
2 Perimetry
3 Rabkin plates
4 Worth Four Dot Test
5 Belostotsky adaptometer

82. What is the displacement of the lens called?

1 Subluxation
2 Fakotopia
3 Atopy
4 Atony
5 Heterotopia

83. A 49-year-old patient admitted to the emergency room

with complaints of severe pain and blurred vision of the
right eye, nausea, vomiting, haloes around the lights. She
has increased blood pressure -180/90 mm Hg. On
examination: VOD= 0.09 n/c, VOS= 0.1(+) 3.5 D = 1.0:
Biomicroscopically- OD- injection of the eyeball, corneal
edema, shallow anterior chamber, iris bombe, the pupil is
dilated, does not react to light. The intraocular pressure
of the right eye is 56 mm Hg. What is your preliminary
diagnosis?

1 Acute filbrinous iridocyclitis

2 Acute obstruction of the central retinal vein
3 Acute obstruction of the central retinal artery
4 Acute angle close glaucoma
5 Acute bacterial conjunctivitis

84. A 45-year-old man came to the eye hospital with

complaints of pain, photophobia, lacrimation of the right
eye. From the anamnesis: the above complaints
appeared 3 days ago. Man suffers from chronic sinusitis.
On examination: visual acuity of the right eye = 0.1.
Pericorneal injection, the edges of the ulcer are gaping
on the cornea, the anterior chamber is shallow, the eupil
is narrow. What complication is possible in this case?

1. Scleritis
2 Endophthalmitis
3 Symbleepharon
4 Madarosis
5 Heratomalacia
85. A 65-year-old patient has a share decrease in vision in
her right eye. Examination of the right eye revealed: a
sharp spasm of the retinal vessels, in the macula a
rounded focus of dark red color. The above complaints
are disturbed for 15 hours. Diagnosed with occlusion of
the central retinal artery. Which of these drugs is
indicated for this patient?

1 Dexamethasone
2 Cefamizin
3 Euphullin
4 Furosemide
5 Pilocarpine

86. A 45-year-old man was admitted to the emergency

service of the eye department: according to the patient,
he received an injury to his left eye, Fell from a height
while repairing the roof, complaints of redness and
swelling of the eyelids on the left, a share decrease in
object vision, pain When moving the left eye. Objectively;
VOS = O. Left eye: eyelids are swelling, edematous
cornea, extensive subconjunctival hemorrhage, anterior
chamber irregular, complete hyehema, rounded pupil in
the center, fundus is not ophthalmoscopic. On ultrasound,
retinal detachment is determined. What is your
presumptive diagnosis?

1 Severe contusion
2 Moderate contusion
3 Mild contusion
4 Keratopathy
5 Penetrating eye injury

87. Patient , 25 years old, went to the ophthalmologist with coplaints of having a red spot on the right eye with intensive
pain after touching, on examination, a dark red area with purple tint was revealed. The conjunctiva is fused with the
affected area of the sclera, the vessels intersect in different directions. Diagnosed with pingveculitis. What is the
treatment tactics?

1 layered keratoplasty
2 ultre- high frequency therapy
3 Non penetrating scleroplasty
4 hydrocortisone ointment
5 ophthalmoferon ointment

88. A 75 year old woman consulted with an FMC ophthalmologist complaining about lack of object vision in her right
eye. According to the patient, her right eye stopped seeing 3 months ago and her vision gradually decreased. With
visometry, the function of the right eye has a correct color projection, intraocular pressure is normal, with
ophthalmoscopy there is no reflex. What pathology are we talking about?

1 immature cataract
2 Initial cataract
3 mature cataract
4 Hypermature cataract
5 secondtry cataract

89. Absence of vision in left eye was revealed upon examination of visual activity of a 6 year old child. According to
the anamesis that day there was a blow to the head with a heavy metal objct. Everything is normal in the fundus and
pathological process in the brain is excluded. What is your preliminary diagnosis?
1. Damage of optic radition
2. damage of the optic tract
3. Retinal rupture
4. damage of cerebral cortex
5. avulsion of optic nerve

91. A 30-year-old man came to an eye trauma center

with complaints of photophobia, lacrimation of the
left eye. From the anamnesis, it was found out that
the day before he worked in the garden and touched
= eye with a branch. On examination: visual acuity
of the left eye = 0.4 on the cornea in the central!
zone, the epithelium rejection focus is 4 mm, the
‘corneal surface above the focus is dull and rough.
What is your preliminary diagnosis?

1 Corneal ulcer
2 Keratoconus
3 Keratomycosis
4 Corneal erosion
5 Descemetocele

92. A 14-year-old girl was referred to an ophthalmologist

at the place of residence with complaints of
decreased vision, pain in the joints, This condition
ad been bothering her for the last month
Objectively: visual acuity in both eyes = 0.4. On the
cornea within the open palpebral fissure, there is a
Nribbon-like opacity 4 mm wide, on the posterior
surface of the cornea, there are dust-like
precipitates. Destruction of the vitreous body. What is your presumptive diagnosis?

1 Still's disease
2 Behcet's disease
3 Reiter's disease
4 Marfan’ s disease
5 Marchesani disease

93. A 14 year old boy turned to an ophthalmologist with complaints of recurrent redness of both eyes, pain , deterioration
of vision. The boy is being observed by a dentist for stomatitis and a dermatologist for ulceration of the skin of genitals.
An objective examination of both eyes revealed; precorneal injection, hypopyon, powerful posterior synechiae. There
are pronounced opacities in the vitreous body. What diagnosis will you make?
1 sturge – weber disease
2 anklyosing spondylitis
3 Bechet’s disease
4 Still’s disease
5 benier – beck – schuamann disease

94. A 68 year old man turned to the emergency service of the eye department with complaints of severe soreness,
redness, and decreaded object vision in the right eye. From the anamnesis, the diagnosis was made of an immature
cataract of the right eye. On examination, the eyes are injected, the cornea is edematous, the anterior chamber is smaller
than the middle, the pupil is wide, the lens is cloudy, and swells. The fundus of the eye not visible . what type of
secondary glaucoma does this patient have?

Postuveal
2 Fakomorphic
3 Dystrophic
4 Phiebohypertensive
5 Neoplastic

95. Secondary angle close glaucoma with papillary block

is the usual mechanism for glaucoma in each of the following conditions except:

1 ectopia lentis
2 an intumescent lens
3 iris neovascularization
4 uveitis
5 microsherophakia

96. A 37 year old man consulted an ophthalmologist with complaints of decreased visual acuity, redness, lacrimation
and pain in the right eye. In to he anamnesis, 2 years ago, he received an acid burn in his right eye. He was repeatedly
treated in the hospital. Ophthalmological examination of the the right eye revealed the eye is irritated. The lower eyelid
conjunctiva in the middle part is fused with the conjunctiva of the eyeball by scar tissue. The lower and upper eyelids
are partially closed. What diagnostic study is necessary for the patient to improve the prognosis of the disease?

1. Optical coherence tomography

2. Test of the sensitivity of the cornea
3. Deterioration of tear film stability
4. Xray of the paranasal sinuses

97. A 60 year old patient came to the hospital with complaints of acute pain in the right eye, headache, decreased vision,
haloes around the lights. In anamnesis he had hypertension. Ambulance doctor made injection, but no changes. Over
the past year, several times he had the same condition but did not apply to the doctor. On examination the right eye is
red the cornea is cloudy anterior chamber is shallow, the iris is edematous, the pupil is wide, does not react to the light.
The left eye is calm. IPO of OD digitally is increased like stone. Diagnosis is angle close glaucoma. With what pathology
should be performed differential diagnosis?
1. Acute Keratitis
2. Acute iridocyclitis
3. Acute scleritis
4. Acute dacryocystitis
5. Acute conjunctivitis
98. A 63 year old patient complained of blurred vision in the morning, "rainbow" around the light, decreased vision in
both eyes. By 12O' clock in the afternoon, as a rule, the "fog" before the eye passes. VOD = 0.5n/c, VOS = 0.6n/c. The
eyes are calm, anterior part without changes. Intraocular pressure OD - 27mm, OS - 26mm. Which of the methods
should be performed to determine the stage of this pathology?

1. Autorefractometry
2. Gonioscopy
3. Biomicroscopy
4. Perimetry
5. Diaphonoscopy

99. A 45 year old man was referred to the FMC with complaints of aching pains, photophobia, lacrimation, redness of
the right eye. History: this condition has worried him for the last 3 days. Objectively: visual acuity of the right eye =
0.06. The eyelids are edematous, the conjunctiva is precorneal injection, there are precipitates on the posterior surface
of the cornea. The moisture of the anterior chamber is opalescent, the iris is changed in color.
Yellowish pink papules are located along the pupillary edge. What is the likely cause of this condition?
1. Klebsiella
2. Staphylococcus aureus
3. Treponema pallidjm
4. Bacilla leffler
5. Echinococcus

100. A 28 year old young man was admitted to the emergency service of the eye department. According to the patient
he was beaten by unknown persons, complaints of redness and swelling of the eyelids on the right. A sharp decrease in
vision, pain when moving the right eye. Objectively, VOD = 0,1 n/c. Right eye: eyelids are edematous, transparent
cornea. Local subconjunctival hemorrhage, middle anterior chamber, hyphema till the middle of the pupil. Rounded
pupil in the center, transparent lens, fundus is not ophthalmoscopic. What is your presumptive diagnosis?

1. Moderate contusion with hemophthalmos

2. Penetrating eye injury
3. Mild contusion
4. Severe contusion
 8. A recurrent bilateral conjunctivitis
1. Distichiasis is: occurring with the onset of hot weather
a. Misdirected eyelashes in young boys with symptoms of
b. Accessory row of eyelashes burning, itching, and lacrimation with
c. Downward drooping of upper lid large flat topped cobble stone papillae
d. Outward protrusion of lower lid raised areas in the palpebral
conjunctiva is:
2. Band shaped keratopathy is commonly A. Trachoma
caused by deposition of: B. Phlyctenular conjunctivitis
a. Magnesium salt C. Mucopurulent conjunctivitis
b. Calcium salt D. Vernal keratoconjunctivitis
c. Ferrous salt
d. Copper salt 9. Which of the following organism can
penetrate intact corneal epithelium?
3. Irrespective of the etiology of a corneal A. Strept pyogenes
ulcer, the drug always indicated is: B. Staph aureus
a. Corticosteroids C. Pseudomonas pyocyanaea
b. Cycloplegics D. Corynebacterium diphtheriae
c. Antibiotics
d. Antifungals 10. A 12 years old boy receiving long term
treatment for spring catarrh, developed
4. Dense scar of cornea with incarceration defective vision in both eyes. The likely
of iris is known as: cause is;
a. Leucoma adherence a. Posterior subcapsular cataract
b. Dense leucoma b. Retinopathy of prematurity
c. Ciliary staphyloma c. Optic neuritis
d. Iris bombe d. Vitreous hemorrhage

5. The treatment of photophthalmia is: 11. A young child suffering from fever and
a. Atropine sore throat began to complain of
b. Steroids lacrimation. On examination, follicles were
c. Topical antibiotics found in the lower palpebral conjunctiva
d. Patching and reassurance with tender preauricular lymph nodes. The
most probable diagnosis is:
6. Corneal sensations are diminished in: a. Trachoma
a. Herpes simplex b. Staphylococal conjunctivitis
b. Conjunctivitis c. Adenoviral conjunctivitis
c. Fungal infections d. Phlyctenular conjunctivitis
d. Marginal keratitis
12. Bandage of the eye is contraindicated
7. The color of fluorescein staining in in:
corneal ulcer is: a. Corneal abrasion
a. Yellow b. Bacterial corneal ulcer
b. Blue c. Mucopurulent conjunctivitis
c. Green d. After glaucoma surgery
d. Royal blue
13. Ten years old boy complains of itching.
On examination, there are mucoid nodules
with smooth rounded surface on the a. Arlt's line
limbus, and mucous white ropy b. Herbert's pits
mucopurulent conjunctival discharge. He c. Post-trachomatous concretions
most probably suffers from: d. Follicles and papillae in the palpebral
a. Trachoma conjunctiva
b. Mucopurulent conjunctivitis
c. Bulbar spring catarrh 20. A female patient 18 years old, who is
d. Purulent conjunctivitis contact lens wearer since two years, is
complaining of redness, lacrimation and
14. In viral epidemic kerato-conjunctlvitis foreign body sensation of both eyes. On
characteristically there is examination, visual acuity was 6/6 with
usually: negative fluorescein test. The expected
a. Copious purulent discharge diagnosis can be:
b. Copious muco-purulent discharge a. Acute anterior uveitis
c. Excessive watery lacrimation b. Giant papillary conjunctivitis
d. Mucoid ropy white discharge c. Bacterial corneal ulcer
d. Acute congestive glaucoma
15. Corneal Herbert's rosettes are found
in: 21. Fifth nerve palsy could cause:
a. Mucopurulent conjunctivitis a. Ptosis
b. Phlyctenular keratoconjunctivitis b. Proptosis
c. Active trachoma c. Neuropathic keratopathy
d. Spring catarrh d. Lagophthalmos

16. A patient complains of maceration of

skin of the lids and conjunctiva redness at 22. Topical steroids are contraindicated
the inner and outer canthi. Conjunctival in a case of viral corneal ulcer for fear
swab is expected to show: of:
a. Slaphylococcus aureus a. Secondary glaucoma
b. Streptococcus viridans b. Cortical cataract
c. Streptococcus pneumonae c. Corneal perforation
d. Morax- Axenfeld diplobacilli d. Secondary viral infection

17. Tranta's spots are noticed in cases of: 23. The sure diagnostic sign of corneal
a. Active trachoma ulcer is
b. Bulbar spring catarrh a. Ciliary injection
c. Corneal phlycten b. Blepharospasm
d. vitamin A deficiency. c. Miosis
d. Positive fluorescein test
18. A painful, tender, non itchy localized
redness of the conjunctiva can be due to: 24. The effective treatment of dendritic
a. Bulbar spring catarrh ulcer of the cornea is:
b. Episcleritis a. Surface anesthesia
c. Vascular pterygium b. Local corticosteroids
d. Phlyctenular conjunctivitis c. Systemic corticosteroids
d. Acyclovir ointment
19. In trachoma the patient is infectious
when there is:
25. Herpes simplex keratitis is 32. Deep leucoma is best treated by:
characterized by: A. Tattooing
a. Presence of pus in the anterior chamber B. Lamellar keratoplasty
b. No tendency to recurrence C. Keratectomy
c. Corneal hyposthesia D. Penetrating keratoplasty
d. Tendency to perforation
33. Dendritic ulcer causing virus:
26. Bacteria, which can attack normal a. Herpes simplex
corneal epithelium: b. Herpes zoster
a. Neisseria gonorrhea c. Cytomegalovirus
b. Staphylococcal epidermidis d. Adenovirus
c. Moraxella lacunata
d. Staphylococcal aureus 34. Treatment of choice in angular
conjunctivitis is:
27. Advanced keratoconus is least to be a. Penicillin
corrected when treated by: b. Dexamethasone
a. Hard contact Lens c. Sulphacetamide
b. Rigid gas permeable contact Lens d. Zinc oxide
c. Spectacles
d. Keratoplasty 35. Herbert's pits are seen in:
a. Trachoma
28. Tranta nodules are seen in: b. Herpetic conjunctivitis
a. Blepharoconjuctivitis c. Ophthalmia neonatorum
b. Vernal conjunctivitis d. Spring catarrh
c. Phlyctenular conjunctivitis
d. Herpetic keratitis 36. Hordeolum externum is a suppurative
inflammation of:
29. Organisms causing angular a. Zeis' gland
conjunctivitis are: b. Meibomian gland
a. Moraxella Axenfeld bacilli c. Moll's gland
b. Pneumococci d. Gland of Krause
c. Gonococci
d. Adenovirus 37. Intense itching is the most common
symptom of:
30. Chalazion is a chronic inflammatory a. Trachoma
granuloma of b. Blephritis
a. Meibomian gland c. Phlyctenular conjuctivitis
b. Zies’s gland d. Spring catarrh
c. Sweat gland
d. Wolfring’s gland 38. Treatment of phlyctenular
conjunctivitis is:
31. Ophthalmia neonatorum is prevented a. Systemic Anti-TB drugs
by: b. Systemic steroids
a. 1% Silver nitrate c. Topical acyclovir
b. Penicillin drops d. Topical steroids
c. Normal saline drops
d. Frequent eye washes 39. Blood vessels in a trachomatous
pannus lie:
a. Beneath the Descemet's membrane d. Hordeolum internum
b. In the substantia propria
c. Between Bowman's membrane & 46. In which of the following conditions,
substantia propria severe itching of the eye with ropy
d. Between Bowman's membrane & discharge in a 1 0 years old boy with
Epithelium symptoms aggravating in summer season
is most likely present:
40. Dendritic ulcer is due to: a. Trachoma
a. Herpes simplex b. Vernal keratoconjunctivitis
b. Fungal infection c. Acute conjunctivitis
c. Syphilis d. Blepharitis
d. Phlycten
47. Epidemic conjunctivitis is caused by:
41. Ptosis in Horner's syndrome, is due to a. Adenovirus
paralysis of: b. Herpes virus
a. Riolan's muscle c. EB virus
b. Horner's muscle d. Papilloma virus
c. Muller's muscle
d. The levator palpebral muscle 48. Severe congenital ptosis with no
levator function can be treated by:
42. The dendritic corneal ulcer is typical of: a. Levator resection from skin side
a. Varicella-Zoster infection b. Levator resection from conjunctival side
b. Herpes simplex infection c. Fascia lata sling operation
c. Pseudomonas infection d. Fasanella servat operation
d. Aspergillus infection
49. The commonest cause of hypopyon
43. In vernal catarrh, the characteristic corneal ulcer is:
cells are: a. Moraxella
a. Macrophage b. Gonococcus
b. Eosinophils c. Pneumococcus
c. Neutrophils d. Staphylococcus
d. Epitheloid cells
50. Irrespective of the etiology of a corneal
44. Cobblestone appearance of conjunctiva ulcer, the drug always indicated is:
is seen with: a. Corticosteroid
a. Trachoma b. Atropine
b. Spring catarrh c. Antibiotics
c. Purulent conjunctivitis d. Antifungal
d. Angular conjunctivitis
51. Fleischer ring is found in:
45. On removing yellow crusts on the lid a. Keratoconus
margin, small ulcers bleed. What is the b. Chalcosis
most probable diagnosis? c. Argyrosis
a. Squamous blepharitis d. Buphthalmos
b. Ulcerative blepharitis
c. Parasitic blepharitis
52. In case of central dense leucoma 5 mm,
treatment of choice is: 59. Corneal ulceration is caused by injury to
a. Penetrating keratoplasty the —— cranial nerve
b. Glasses a. Third
c. Tattooing b. Fifth
d. Enucleation c. Sixth
d. Fourth
53. Dense scar of cornea with incarceration
of iris known as: 60. Dendritic ulcer is due to:
a. Leucoma adherent a. Herpes simplex
b. Leucoma non adherent b. Fungal infection
c. Ciliary staphyloma c. Syphilis
d. Iris Bombe d. Phlycten
e. Occlusion pupillae
61. Herpetic corneal ulcer is diagnosed by:
54. Adhesion of iris margin anteriorly is a. Geimsa stain
known as: b. EL1SA
a. Intercalary staphyloma c. Cell culture/PCR
b. Anterior synychia d. Rose Bengal stain
c. Posterior staphyloma
d. Iris Bombe 62. Most common viral infection of the
cornea is:
55. Intercalary staphyloma is a type of: a. Herpes simplex
a. Equatorial staphyloma b. Herpes zoster
b. Posterior staphyloma c. Adenovirus
c. Scleral staphyloma d. Molluscum contagiosum
d. Anterior staphyloma
63. A 30 years old male presents with a
56. Cornea is supplied by nerve fibers history of injury to the eye with a leaf 5
derived from: days ago and pain, photophobia and
a. Trochlear nerve redness of the eye for 2 days. What would
b. Optic nerve be the most likely pathology?
c. Trigeminal nerve a. Anterior uveitis
d. Oculomotor nerve b. Conjunctivitis
c. Fungal corneal ulcer
57. The clinical features of symblepharon d. Corneal laceration
include
A. ectropion 64. Lagophthalmos occurs as a result of
B. lagophthalmos paralysis of:
C. chalazion a. 6th cranial nerve
D. Xanthelasma b. 5th cranial nerve
c. Levator palpebrae-superioris
58. Most of the thickness of cornea is d. 7th cranial nerve
formed by:
a. Epithelial layer 65. Hordeolum externum is inflammation
b. Substantia propria of:
c. Descemet's membrane a. Zeis gland
d. Endothelium b. Tarsus
c. Meibomian gland b. Excision of all the inner contents of the
d. Lacrimal gland eyeball including the uveal tissue
c. Photocoagulation of the retina
66. Ptosis and mydriasis are seen in: d. Removal of orbit contents
a. Facial palsy
b. Peripheral neuritis 73. The most important symptom
c. Oculomotor palsy differentiating orbital cellulitis from
d. Sympathetic palsy panophthalmitis is:
a. Vision
67. Commonest cause of posterior b. Pain
staphyloma is: c. Redness
a. Glaucoma d. Swelling
b.Retinal detachment
c. Iridocyclitis 74. A patient complains of severe ocular
d. High myopia pain in the right eye and headache. The
patient is drowsy, feverish with right
68. In DCR, the opening is made at: proptosis, lid and conjunctival edema,
a. Superior meatus mastoid edema and bilateral papilledema.
b. Middle meatus The diagnosis is:
c. Inferior meatus a. Endophthalmitis
d. Orbit b. Panophthalmitis
c. Orbital cellulitis
69. Schirmer’s test is used for diagnosing: d. Cavernous sinus thrombosis
a. Dry eye
b. Infective keratitis 75. The commonest cause of bilateral
c. Watering eyes proptosis is:
d. Horner’s syndrome a. Orbital cellulitis.
b. Dysthyroid ophthalmopathy.
70. 3 months old infant with watering c. Orbital emphysema.
lacrimal sac on pressing causes d. Cavernous sinus thrombosis,
regurgitation of mucopus material.
What is the appropriate treatment? 76. The most common cause of unilateral
a. Dacryocystorhinostomy proptosis in adult is;
b. Probing a. lacrimal gland tumours
c. Probing with syringing b. orbital cellulitis
d. Massage with antibiotics up to age of 6 c. panophthalmitis
months d. thyroid diseases

71. Most common cause of adult unilateral 77. The commonest cause of bilateral
proptosis proptosis is:
a. Thyroid orbitopathy a. Orbital cellulitis
b. Metastasis b. Dysthyroid ophthalmology
c. Lymphoma c. Orbital emphysema
d. Meningioma d. Cavernous sinus thrombosis

72. Evisceration is: 78. The commonest cause of unilateral

a. Excision of the entire eyeball exophthalmos is:
a. Thyroid eye disease
b. Lacrimal gland tumour 85. The most diagnostic sign of anterior
c. Orbital cellulitis uveitis is:
d. Cavernous sinus thrombosis a. Ciliary injection
b. Keratic precipitates
79. One of the earliest features of anterior c. Constriction of pupil
uveitis includes: d. Raised intra-ocular tension
a. Keratic precipitates
b. Hypopyon 86. The earliest feature of anterior uveitis
c. Posterior synechiae includes:
d. Aqueous flare a. Keratic precipitates
b. Hypopyon
80. Cylindrical lenses are used in: c. Posterior synechiae
a. Astigmatism d. Aqueous flare
b. Myopia
c. Hypermetropia 87. Drug of choice for Acute Iridocylitis is
d. Presbyopia a. Acetazolamide
b. Atropine
81. Koeppe’s nodules are found in: c. Antibiotics
a. Cornea d. Aspirin
b. Sclera
c. Iris 88. Atropine sulphate 1% drop or ointment
d. Conjunctiva must be used in:
a. Acute conjunctivitis
82. Aqueous humour is formed by: b. Chronic conjunctivitis
a. Epithelium of ciliary body c. Iritis
b. Posterior surface of iris d. Acute congestive glaucoma
c. Lens
d. Pars plana 89. Which laser is used for capsulotomy?
a. Diode laser
83. Aqueous humor is secreted by: b. Carbon dioxide laser
a. Circulus iridis minor c. Excimer laser
b. Ciliary muscle d. Yag laser
c. Ciliary processes
d. Iris crypts 90. Phakolytic glaucoma is best treated by:
a. Fistulizing operation
84. A middle aged female with recurrent b. Cataract extraction
joint pain gave past history of recurrent c. Cyclo-destructive procedure
attacks of pain, redness and dropped d. Miotics and Beta blockers
vision in one eye.
Recently she complained of similar attack. 91. Lens induced glaucoma least occur in:
The most important diagnostic sign of a. Intumescent cataract.
activity is: b. Anterior lens dislocation,
a. Festooned pupil c. Posterior subcapsular cataract
b. Aqueous flare and cells d. Posterior lens dislocation
c. Pigmented KPs
d. Patches of iris atrophy 92. After 48 hours of a cataract extraction
operation, a patient complained of ocular
pain and visual loss. On examination, this
eye looked red with ciliary injection, corneal b. Yag laser iridotomy
oedema and absent red reflex. The first c. Trabeculotomy
suspicion must be: d. Trabeculectomy
a. Secondary glaucoma.
b. Anterior uveitis. 99. Topical atropine is contraindicated in:
c. Bacterial endophthalmitis. a. Retinoscopy in children
d. Acute conjunctivitis b. Iridocyclitis
c. Corneal ulcer
93. Treatment of choice in Aphakia is: d. Primary angle closure glaucoma
a. Spectacles
b. Contact lens 100. The following type of glaucoma is
c. Anterior chamber intraocular lens improved with mydriatics:
d. Posterior chamber intraocular lens a. Primary open angle glaucoma
b. Infantile glaucoma
94. Best site where intraocular lens is c. Phacolytic glaucoma
fitted: d. Pupillary block glaucoma
a. Capsular ligament 101. A newly born, presented with big hazy
b. Endosulcus cornea and photophobia. His management
c. Ciliary supported begins with:
d. Capsular bag a. Electrophysiological study of the retina,
b. Syringing of naso-lacrimal duct.
95. Earliest visual rehabilitation occurs c. Fluorescein stain to the cornea.
with: d. Measuring his ocular tension.
a. Phacoemulsification
b. Intracapsular cataract extraction plus 102. Total unilateral blindness (no PL) is a
intraocular lens feature of:
c. Extracapsular cataract extraction plus a. Corneal ulcer
intraocular lens b. Mature senile cataract
d. Intracapsualr cataract extraction alone c. Absolute glaucoma
or laser d. Macular degeneration

96. Pneumato-tonometer is a type of: 103. When visual deterioration in a

a. Goniolens glaucomatous patient reaches no PL the
b. Tonometer diagnosis is:
c. Perimeter a. Acute congestive glaucoma
d. Tonography b. Chronic congestive glaucoma
c. Chrome open angle glaucoma
97. When there is intumescene of the lens d. Absolute glaucoma
causing glaucoma?
a. Trephining should be done 104. In acute angle closure glaucoma the
b. Paracentesis is indicated pupil is:
c. Lens should be extracted a. Rounded, irreactive and dilated
d. Glaucoma should be treated medically b. Pin point constricted
only c. Vertically oval dilated
d. Normal sized, reactive
98. The treatment of choice for the other
eye in angle closure glaucoma is: 105. Which of the following conditions need
a. Surgical peripheral iridectomy immediate hospitalization?
a. Central retinal vein occlusion 112. Regarding buphthalmos, which is
b. Open angle glaucoma correct
c. Denderitic ulcer A. shallow anterior chamber
d. Acute angle closure glaucoma B. bilateral
C. trabeculectomy is the treatment of
106. In case of buphthalmos we usually find: choice
a. shallow anterior chamber D. small corneal diameter (less than 10mm)
b. Large Hazy cornea > 13mm.
c. Leukocoria 113. In early glaucomatous cupping, disc is:
d. Occlusio pupille a. Round
b. Oval vertically
107. 100 days glaucoma is seen in: c. Oval horizontally
a. Central retinal artery occlusion d. Pinpoint
b. Central retinal vein occlusion
c. Neovascular glaucoma 114. In a patient with acute glaucoma
d. Steroid induced glaucoma the prophylactic treatment for other
eye is:
108. Neovascular glaucoma follows: a. Peripheral iridotomy
a. Thrombosis of central retinal vein b. Schele's operation
b. Acute congestive glaucoma c. Anterior sclerotomy
c. Staphylococcal infection d. Iridenclesisis
d. Hypertension
115. You have been referred a case of open
109.A one-month old baby is brought with angle glaucoma. Which of the following
complaints of photophobia and watering. would be an important point in diagnosing
Clinical examination shows normal tear the case?
passages and clear but large cornea. The a. Shallow anterior chamber
most likely diagnosis is: b. Optic disc cupping
a. Congenital dacryocystitis c. Narrow angle
b. tial keratitis d. visual acuity and refractive error
c. Keratoconus
d. Buphthalmos 116. Which one of the following drugs is
contraindicated in the treatment of primary
110. Neovascular glaucoma can be best glaucoma?
treated by: a. Pilocarpine
A. trabeculectomy b. Homatropine
B. pilocarpine c. Acetazolamide
C. panphotocoagulation of retina d. Timolol
D. timolol maleate
117. Number of layers in neurosensory
111. Treatment of choice for fellow eye in retina is:
angle closure glaucoma is: a. 9
a. Timolol b. 10
b. Pilocarpine c. 11
c. Yag Laser iridotomy d. 12
d. Surgical iridectomy
118. In retinal detachment, fluid
accumulates between:
a. Outer plexiform layer and inner nuclear a. Color perception
layer. b. Confrontation test
b. Neurosensory retina and layer of retinal c. Light projection
pigment epithelium d, Light perception
c. Nerve fiber layer and rest of retina.
d. Retinal pigment epithelium and Bruch’s 125. Night blindness is caused by:
membrane. a. Central retinal vein occlusion
b. Dystrophies of retinal rods
119. 100 days glaucoma is seen in: c. Dystrophies of the retinal cones
a. Central Retinal Artery Occlusion d. Retinal detachment
b. Branch Retinal Artery Occlusion
c. Central Retinal Vein Occlusion 126. A patient of old standing diabetes
d. Branch Retinal Vein Occlusion mellitus noticed sudden muscae volitanes.
On examination, the red reflex was dim,
120. A young patient with sudden painless with no details of fundus could be seen. He
loss of vision, with systolic murmur and might have:
ocular examination reveals a cherry red a. Non proliferative diabetic retinopathy
spot with clear AC, the likely diagnosis is: b. Cystoid macular edema
a. Central Retinal Artery Occlusion c. Vitreous hemorrhage
b. Central Retinal Vein Occlusion d. Central retinal vein occlusion
c. Diabetes Mellitus
d. Branch Retinal Vein Occlusion 127. Occlusion of the lower nasal branch of
the central retinal artery results in one of
121. Retinitis pigmentosa most commonly the following field defects:
presents as: a. Lower nasal sector field defect
a. Night blindness b. Upper nasal sector field defect
b. Diplopia c. Upper temporal field defect
c. Scotoma d. Lower temporal sector field defect
d. Bitemporal hemianopia
128. Which of the following is true of
122. In Central retinal artery occlusion, a Diabetic retinopathy?
cherry red spot is due to: a. Always associated with hypertension
a. Hemorrhage at macula b. Seen only in uncontrolled diabetes
b. Increased choroidal perfusion c. Incidence increases with duration of
c. Increase in retinal perfusion at macula disease
d. The contrast between pale retina and d. Determines prognosis of the disease
reddish choroids
129. Commotio retinae is seen in:
123. The most common primary intraocular a. Concussion injury
malignancy in adults is: b. Papilloedema
a. Retinoblastoma c. Central retinal vein thrombosis
b. Choroidal melanoma d. Central retinal artery thrombosis
c. Squamous cell carcinoma of conjunctiva
d. Iris nevus 130. Cherry red macula is seen in:
a. Acute Congestive glaucoma
124. Which of the following is ideal for b. Uveitis
evaluating macular functions in a patient c. Central retinal artery occlusion
whose vision is only hand movement (HM)? d. Central retinal vein occlusion
 Fundus examination showed blurred edges
131. Retinal change specific in proliferative of the left optic disc. The most probable
diabetic retinopathy is: diagnosis is:
a. Microaneurysm a. Raised intra cranial pressure
b. Soft cotton wool exudates b. Raised ocular tension
c. A-V shunt c. Central retinal artery occlusion
d. Neovascularization d. Optic neuritis

132. Commonest lesion which hinders vision 138. The type of optic atrophy that
in diabetic retinopathy is: following optic neuritis is:
a. Macular oedema a. Secondary optic atrophy
b. Microaneurysm b. Consecutive optic atrophy
c. Retinal hemorrhage c. Glaucomatous optic atrophy
d. Retinal detachment d. Primary optic atrophy

133. Amaurotic cat's eye reflex is seen in: 139. Injury to optic tract produces:
a. Papilloedema a. Homonymous hemianopia
b. Retinoblastoma b. Bitemporal hemianopia
c. Papillitis c. Binasal hemianopia
d. Retinitis d. Sparing of macular vision

134. Primary optic atrophy results from: 140. Blurring of disc margin is found in:
a. Retinal disease a. Papillitis
b. Chronic glaucoma b. Retrobulbar neuritis
c. Papilledema c. Tobacco amblyopia
d. Neurological disease d. Optic nerve atrophy

135. Retro-bulbar optic neuritis is 141. In optic neuritis the best investigation
characterized by: to be done include:
a. Marked swelling of the optic disc. a. Perimetry
b. Impaired direct light reflex in the b. Keratoscopy
affected eye c. Ophthalmoscopy
c. Impaired consensual light reflex in the d. Ophthalmodynamometry
affected eye
d. Normal visual acuity 142. Elevation of the disc margin is seen in:
a. Optic atrophy
136. The type of optic atrophy that follows b. Retrobulbar neuritis
retro-bulbar neuritis is: c. Papilloedema
a. Secondary optic atrophy d. Tobacco amblyopia
b. Consecutive optic atrophy
c. Glaucomatous optic atrophy 143. Optic disc diameter is:
d. Primary optic atrophy a. 1 mm
b. 1.5 mm
137. A male patient 30 years old with visual c. 2 mm
acuity of 6/6 in both eyes. Twelve hours ago d. 3 mm
he presented with drop of vision of the left
eye. On examination, visual acuity was 6/6 144. Optic nerve function is best studied by:
in the right eye and 6/60 in the left eye. a. Ophthalmoscope
b. Retinoscope d. Outward and down
c. Perimetry
d. Gonioscopy 151. A patient 60 year old, diabetic for 20
years. He suffered acutely of drooping of
145. A 25 years old lady suddenly develops the right eyelid. On manual elevation of the
unilateral loss of vision decreasing from 6/6 lid he sees double vision. What is your
to 4/60 with ill-sustained reaction of the diagnosis?
pupil. She complains of slight headache and
some pain in the orbit when looking a. Diabetic sixth nerve palsy
upward. The most likely diagnosis is: b. Oculomotor nerve palsy
a. Acute frontal sinusitis c. Trochlear nerve palsy
b. Acute iritis d. Abducent nerve palsy
c. Retrobulbar neuritis
d. Acute congestive glaucoma 152. An area of reduced or absent vision
within an intact visual field is
146. Enlargement of blind spot is a sign of: called:
a. Avulsion of Optic nerve a. Scotoma
b. Papillitis b. Homonymous hemianopia
c. Papilledema c. Heteronymous hemianopia
d. Retinal detachment d. Altitudinal hemianopia

147. Homonymous hemianopia is due to 153. Which of the following pupils is

lesion at: dilated?
a. Optic tract a. Pupil in Horner's syndrome
b. Optic nerve b. Datora poisoning
c. Optic chiasma c. Argyl Robertson pupil
d. Retina d. Pupil in open angle glaucoma, with a
C/D of 0.3.
148. Optic nerve axon
emerges from: 154. D-shaped pupil occurs in:
a. Ganglion cells a. Iridocyclitis
b. Rods and cones b. Iridodenesis
c. Amacrine cells c. Cyclodialsis
d. Inner nuclear layer d. Iridodialysis

149. Homonymous hemianopia is the result 155. The action of superior rectus is:
of a lesion in: a. Elevation, intorsion, abduction
a. Optic chiasma b. Elevation, intorsion, adduction
b. Retina c. Elevation, extorsion, adduction
c. optic tract d. Elevation, extorsion, abduction.
d. Optic nerve
156. The action of inferior oblique is:
150. In complete third nerve paralysis the a. Depression, extorsion, abduction
direction of the affected eye in the primary b. Depression, extorsion, adduction
position is: c. Elevation, extorsion, adduction
a. Inward d. Elevation, extorsion, abduction
b. Outward
c. Outward and up 157. The best treatment for amblyopia is:
a. Orthoptic exercises d. Pseudophakia
b. occlusion
c. Surgery 165. Fleischer ring is found in:
d. Best treat after age 10 years a. Keratoconus
b. Chalcosis
158. Chronic use of steroids may lead to: c. Argyrosis
a. Iris atrophy d. Buphthalmos
b. Glaucoma
c. Corneal opacity 166. Intercalary staphyloma occurs at:
d. Retinopathy a. Area extending up to 8 mm from limbus
b. Limbus
159. Sudden loss of unilateral vision and c. Posterior pole of eye
pain on movement is seen in: d. Region of sclera which are perforated by
a. Diabetes mellitus vortex vein
b. Retrobulbar neuritis
c. Hypertension 167. Blow out fracture of orbit commonly
d. IIIrd nerve palsy produces:
a. Deviation of septum
160. The commonest intra-ocular tumour in b. Retinal haemorrhage
children is: c. Fracture of nasal bones
a. Malignant melanoma d. Fracture of floor of orbit
b. Retinoblastoma
c. Teratoid medulloepithelioma 168. A one-month old baby is brought with
d. Diktyoma complaints of photophobia and watering.
Clinical examination shows normal tear
161. Hyphema is blood in the: passages and clear but large cornea. The
a. Ant. Chamber most likely diagnosis is:
b. Post. Chamber a. Congenital dacryocystitis
c. Cornea b. Interstitial keratitis
d. Conjunctiva c. Keratoconus
d. Buphthalmos
162. Herbert’s pits are seen on the:
a. Lid margin 169. Blindness in Vitamin A deficiency is due
b. Palpebral conjunctiva to:
c. Arlt's line a. Corneal involvement
d. Limbus b. Retinopathy
c. Conjunctival scarring
163. Most important complication of d. Uveitis
traumatic hyphema is:
a. Iridocyclitis 170. Flashing of light is an earliest sign of:
b. Iridodialysis a. Cataract
c. Blood staining of cornea b. Glaucoma
d. Siderosis bulb c. Retinal detachment
d. Corneal opacity
164. Shallow anterior chamber is seen in:
a. High myopia 171. In non proliferative diabetic
b. Aphakia retinopathy, most common cause of
c. High hypermetropia blindness:
a. Subretinal hemorrhage a. Staphylococcus
b. Macular edema b. N. Gonorrhea
c. Retinal detachment c. N. Meningitides
d. Vitreous hemorrhage d. Streptococcus

172. Fixed dilated pupil is seen in: 179. In accommodative esotropia:

a. Oculomotor palsy a. Usually associated with amblyopia
b. Trochlear palsy b. High myopia is usually present.
c. Abducent palsy c. Astigmantism is usually present.
d. Facial palsy d. Due to excessive accommodation.

173. Arlt's line is seen in: 180. Dense scar of cornea with incarceration
a. Vernal keratoconjunctivitis of iris is known as:
b.Keratoconus a. Leucoma non adherent
c. Ocular pemphigoid b. Iris bombe
d. Trachoma c. Symbleparon
d. Leucoma adherent
174. A two months old child presents with
epiphora and regurgitation. The most 181. Corneal sensations are lost in:
probable diagnosis: a. Conjunctivitis
a. Mucopurulent conjunctivitis b. Marginal keratitis
b. Buphthalmos c. Herpetic keratitis
c. Congenital dacryocystitis d. Fungal keratitis
d. Encysted mucocele
182. The colour of flourescein staining in
175. Posterior staphyloma is associated corneal ulcer is;
with: a. Yellow
a. Pathological myopia b. Blue
b. Retinoblastoma c. Green
c. Acid injury d. Royal blue
d. Sympathetic ophthalmia
183.Arlt's line is present in:
176. Phlyctenular conjunctivitis is caused a. Upper palpebral conjunctiva
by: b. Lower palpebral conjunctiva
a. Hypersensitivity to exogenous antigen c. Bulbar conjunctiva
b. Mechanical injury d. Limbus
c. Hypersensitivity to endogenous antigen
d. Extended wear contact lenses 184. The most common complication of
lagophthalmos is:
177. Iridodialysis is: a. Purulent conjunctivitis
a. Iris is broken from ciliary body b. Exposure keratitis
b. Hole in iris c. Entropion
c. Tremulousness of iris d. Trichiasis
d. Change of iris colour
185. Main muscle responsible for lid
178. Which of the following pathogens can elevation:
produce corneal infections in the presence a. muller's muscle
of an intact epithelium b. Superior rectus muscle
c. Superior oblique muscle a. Rhegmatogenous retinal detachment
d. Levator palpebrae superioris muscle b. Central retinal artery occlusion
c. Exudative retinal detachment
186. Fundus changes in background diabetic d. Tractional retinal detachment
retinopathy include:
a. Cotton wool spots 192. Consecutive optic atrophy is secondary
b. Intraretinal microvascular abnormalities to
(IRMAs) a. papilloedema
c. Neovessels in the retina b. papillitis
d. Microaneurysms c. diseases of retina and choroid
d. glaucoma

187. Treatment of choice for angular 193. Chronic dacryocystitis increases the
conjunctivitis is: risk of:
a. Vaso constrictors a. Phlyctenular conjunctivitis
b. Zinc preparations b. Vernal conjunctivitis
c. Large doses of Vitamin A c. Pneumococcal corneal ulcer
d. Antiviral drugs d. Dendritic corneal ulcer

188. Patient 60 year old, diabetic for 20 194. Corneal Herbert's rosettes are found
years. He suffered acutely of dropping of in:
the right eyelid. On manual elevation of the a. Mucopurulent conjunctivitis
lid he sees double vision. What is your b. Phlyctenular keratoconjunctivitis
diagnosis? c. Active trachoma
a. Trigeminal nerve neuropathy d. Spring catarrh
b. Trochlear nerve palsy
c. Abducent nerve palsy 195. In acute angle closure glaucoma the
d. Oculomotor nerve palsy pupil is :
a. rounded, irreactive and dilated
189. Pupillary nerve fibers pass through the b. Pin point constricted
optic tract to: c. Vertically oval, dilated, irreactive
a. The optic chiasma d. Normal sized, reactive
b. The optic radiation
c. The lateral genicualte body 196. Patient received a tennis ball hit to his
d. The pretectal nuclei eye which used to have 6/6 vision. External
eye examination showed no abnormalities
190. Systemic hypertension can predispose vision is H.M. and red reflex is normal.
to the following ocular problem: Possible diagnosis is:
a. Rhegmatogenous retinal detachment a. comotio retinae
b. Muscca volitans b. traumatic cataract
c. Retinal vein occlusion c. vitreous hemorrhage
d. Retinal vasculitis d. secondary glaucoma

191. Pregnant lady at 27 week gestation 197. The commonest cause of diminution of
developed marked elevation of her blood vision in a school-aged child is:
pressure and proteinuria then developed a) Soft cataract
marked diminution of vision. It is mostly b) Infantile glaucoma
due to: c) Errors of refraction
d) Corneal dystrophy 204. Simple myopic astigmatism means
a. One meridian is myopic and the other is
198. Cobble stone papillae are emmetropic
pathognomonic of b. Both meridian are myopic
a. trachoma c. One meridian is hypermetropic and the
b. Inclusion conjunctivitis other emmetropic
c. Vernal conjunctivitis d. Both meridian are hypermetropic
d. Adenoviral conjunctivitis
205. Ptosis in Horner's syndrome, is due to
199. A scan biometry is used to calculate paralysis of:
the power of the intraocular lens by a. Riolan's muscle
measuring: b. Horner's muscle
a. Corneal curvature c. Muller's muscle
b. Refractive index d. The levator palpebral muscle
c. Depth of the anterior
chamber 206. Blow out fracture Most commonly
d. Axial length of the eye affect
a. The inferior wall of the orbit
200. The sure diagnostic sign of corneal b. The medial wall of the orbit
ulcer c. The lateral wall of the orbit
a. Ciliary injection d. The roof of the orbit
b.
Blepharo 207. Vossius ring is iris pigments deposited
spasm on
c. Miosis a. Posterior surface of the cornea
d. positive b. Anterior surface of the lens
fluorescein test c. Posterior surface of the lens
d. Anterior surface of the cornea
201. Early stages of papilledema
cause: 208. The sure sign of scleral rupture is
a. arcuate scotoma a. Shallow anterior chamber
b. Enlargement of the b. Decreased visual acuity
blind spot c. Prolapsed intraocular contents
c. ring- shaped scotoma d. Hypotony
d. Siedle scotoma
209. A male patient was complaining of
202. Small pupils are seen in: continuous redness of both eyes, foreign
a. Argyll Robertson pupil body sensation, and frequent loss of lashes.
b. Final stage of Hutchinson’s pupil On examination, the lid margins were
c. IIIrd nerve palsy hyperemic, and the lashes were matted
d. Mydriatic drops instillation with yellow crusts, which left painful ulcers
on trying to remove. The most reliable
203. Temporal crescent is seen typically in diagnosis is :
a. Astigmatism a. Squamous blepharitis
b. Hypermetropia b. Cicatricial entopion
c. Myopia c. Spastic entropion
d. Squint d. Ulcerative blepharitis
210. Ciliary congestion is most marked at a. Binocular movements in the same
the direction.
a. Sclera b. Binocular movements in the opposite
b. Fornix direction
c. Bulbar conjunctiva c. Controlled by shirrington's low
d. Limbus d. Controlled by oculomotor nuclei
e. Iris
217. Contraindication to Cataract surgery:
211. Bandage of the eye is contraindicated a. Corneal nebula
in: b. Herbert's pits
a. Corneal abrasion c. Arcus senilis
b. Bacterial corneal ulcer d. Chronic dacryocystitis
c. Mucopurulent conjunctivitis
d. After glaucoma surgery 218. Rubeosis iridis is seen in:
a. Central retinal artery occlusion
212. Superior oblique muscle is supplied b. Central retinal vein occlusion
by:- c. Acute iridocyclitis
a. Oculomtor nerve d. Corneal ulcer
b. Abducens nerve
c. Trochlear nerve 219. Diminished vision in daylight is seen in:
d. Fascial nerve a. Central cataract
b. Peripheral cataract
213. A patient with recent rhegmatogenous c. Peripheral retinal degenerations
retinal detachment is presented with: d. Retinitis pigmentosa
a. Photophobia
b. Amaurosis fugax 220. One of the following signs disappear
c. Photopsia with medical treatment:
d. Neuralgic pain a. Pannus siccus
b. Tranta's spots
214. The most characteristic in prodromal c. Arlt's line
stage of acute congestive glaucoma: d. Arcus senilis
a. Coloured haloes
b. Marked ciliary injection 221. A 3 year old child presents with a
c. Persistent elevation of intraocular convergent squint dating for one year. The
pressure first step management is:
d. Profuse lacrimation a. Proper refraction
b. Surgical correction
215. Ten years old boy complains of itching. c. Training on the synoptophore
On examination, there are mucoid nodules d. Prism prescription
with smooth rounded surface on the
limbus, and mucous white ropy discharge. 222. The primary treatment of
He most probably suffers from: dacryocystitis in infant, should be:
a. Mucopurulent conjunctivitis a. Syringing
b. Bulbar spring catarrh b. Antibiotics and massage
c. Purulent conjunctivitis c. Dacryocystectomy
d. Viral conjunctivitis d. Dacryocystorhinostomy

216. Version movements are: 223. Fifth nerve palsy could cause:
a. Ptosis C. Spastic entropion.
b. Proptosis D. Ulcerative blepharitis.
c. Neurotrophic Keratitis
d. Lagophthalmos 230. Best position for intraocular lens is:
A. In the anterior chamber
224. The earliest feature of anterior uveitis B. Iris claw lens
includes: C. In the capsular bag
a. Keratic precipitates D. Posterior to the capsule
b. Hypopyon
c. Posterior synechiae 231. Which of the following field defects do
d. Aqueous flare pituitary gland tumours
produce?
225. Accommodation is maximum in A. Unilateral field defect
a. Adulthood B. Bitemporal hemianopia
b. Childhood C. Homonymous hemianopia
c. Middle age D. Altitudinal field defect
d. Old age
232. A patient wearing glasses of +5.00
226. Lens induced glaucoma least occur in: diopters is more prone to have:
a. Intumescent cataract A. Open angle glaucoma
b. Anterior lens dislocation B. Closed angle glaucoma
c. Posterior subcapsular cataract C. Phacolytic glaucoma
d. Posterior lens dislocation D. Neovascular glaucoma

227. IOP as measured by indentation is 233. The most accepted regimen in drug
recorded as: therapy of anterior uveitis can be:
A. mm Hg A. Corticosteroids and antibiotics
B. gm/mm2 B. Corticosteroids and miotics
C. a scale from 0 to 18 C. Corticosteroids and cycloplgics
D. Ib/in2 D. Corticosteroids and nonsteroidal anti-
inflammatory drugs
228. A refractive error of +2.00 +2.00 X 180
would be classified as: 234. A female patient 18-year-old, who is
A. mixed astigmatism contact lens wearer since two years, is
B. compound hyperopic astigmatism complaining of redness, lacrimation and
C. compound myopic astigmatism foreing body sensation of both eyes. On
D. simple hyperopic astigmatism examination, visual acuity was 6/6 with
negative Fluorescein staining, the expected
229. A male patient was complaining of diagnosis can be :
continuous redness of both eyes, foreign A. Acute anterior uveitis
body sensation, and frequent loss of lashes. B. Giant papillary conjunctivitis.
On examination, the lid margins were C. Bacterial corneal ulcer.
hyperemic, and the lashes were matted D Acute congestive glaucoma.
with yellow crusts, which left painful ulcers
on trying to remove. The most reliable 235. Rhegmatogenous retinal detachments
diagnosis is : are more in patients with:
A. squamous blepharitis. A. myopia
B. Cicatricial entopion. B. hyperopia
C. astigmatism C. aphakia
D. presbyopia D. senile immature cataract

236. Slit lamp examination of your patient 242. White pupillary reflex is seen in
reveals bulging, centrally thinned corneas. A. retinoblastoma
Refractometry shows an increase in B. malignant melanoma
astigmatism. The patient probably has: C Vitreous haemorrhage
A. flat cornea D. Open angle glaucoma
B. keratoconjunctivitis
C. keratoconus 243. The most accurate method of
D. exophthalmus measuring IOP is
A. digital
237. During routine IOP mesurements, you B. applanation
discovered a patient with an IOP of 30- C. air-puff non contact tonometer
mmHg & 25 mmHg. The C/D ratio was 0.4 D. gonioscopy
and the field of vision showed paracentral
scotoma. The angle of AC was open. What is 244. Angle of anterior chamber is studied
the first line of treatment? with:
A. Topical beta blockers a. Indirect ophthalmoscopy
B. Laser iridotomy b. Gonioscopy
C. Surgical peripheral iridectomy c. Retinopathy
D. Subscleral trabeculectomy d. Amblyoscope

238. Aqueous humour is secreted by: 245. Unilateral aphakia can be treated by
A. angle of anterior chamber A. glasses
B. choroid B. intraocular lens implant
C. ciliary body C. keratoplasty
D. iris D. radial keratotomy

239. Anterior chamber is shallow in 246. Radial keratotomy is useful in

A. buphthalmos A. myopia
B. open angle glaucoma B. hypermetropia
C. closed angle glaucoma C. presbyopia
D. aphakia D. aphakia

240. A female patient is complaining of 247. Optical condition of the

watering of the right eye and photophobia. eye in which there is a
Examination showed 8 scattered rubbing significant difference in
lashes of the upper lid. The best treatment refraction between the two
is : eyes
A. Snellen's operation A. mixed astigmatism
B. Van Millingen's operation B. irregular astigmatism
C. Electroysis C. anisometropia
D. Diathermy D. compound astigmatism

241. Tremulousness of iris is seen in 248. Chronic use of topical steroids may
A. chronic iridocyclitis lead to
B. closed angle glaucoma A. iris atrophy
B. glaucoma
C. corneal opacity 255. 'D' shaped pupil is seen in
D. retinopathy A. iridocyclitis
B. iridodialysis
249. A young child suffering from fever and C. glaucoma
sore throat began to complain of D. dislocation of lens
lacrimation. On examination, follicles were
found in the lower palpebral conjunctiva 256. Hordeolum externum is an
with tender preauricular lymph nodes. The inflammation of
most probable diagnosis is: A. lid margin
A. Trachoma B. tarsal plate
B. Staphylococcal conjunctivitis C. meibomian gland
C. Adenoviral conjunctivitis D. Zeis gland
D. Phlyctenular conjunctivitis
257. Neovascular glaucoma can be best
250. YAG laser is used in the treatment of treated by:
A. diabetic retinopathy A. trabeculectomy
B. open angle glaucoma B. pilocarpine
C. after cataract C. panphotocoagulation of retina
D. retinal detachment D. timolol maleate

251. Regarding buphthalmos, which is 258. Lagophthalmos is the condition of

correct A. incomplete closure of the palpebral
A. shallow anterior chamber aperture
B. bilateral B. drooping of the upper eyelid below its
C. trabeculectomy is the treatment of normal position
choice C. lid margin rolls outwards
D. small corneal diameter (less than 10mm) D. lid margin rolls inwards

252. Treatment of choice in primary open 259. Paralytic ptosis is due to

angle glaucoma is A. complete or partial 3rd nerve palsy
A. cyclodialysis B. 4th nerve palsy
B. iridectomy C. 6th nerve palsy
C. cyclodiathermy D. 7th nerve palsy
D. medical
260. The clinical features of symblepharon
253. The optic nerve extends up to include
A. optical chiasma A. ectropion
B. optic tract B. lagophthalmos
C. lateral geniculate body C. chalazion
D. optic radiation D. Xanthelasma

254. Consecutive optic atrophy occurs 261. The most important examination in
following cases presenting with congenital ptosis is :
A. papilloedema A. The function of the levator muscle.
B. central retinal artery occlusion B. Examination of the cornea
C. toxic amblyopia C. The examination of the cranial nerves.
D. papillitis D. The examination of the fundus.
 D. Red
262. Bandage of the eyes is contraindicated
in: 269. Following injury to the exiting
A. Corneal abrasion. eye, sympathetic ophthalmitis begins
B. Bacterial corneal ulcer. in:
C. Mucopurulent conjunctivitis. A. In 4-6 days
D. after glaucoma surgery. B. In 4-6 weeks
C. 8-12 months
263. The first line of treatment in acid burns D. After 2 years
of the eye is
A. Patching the eye 270. In intracapsular cataract extraction
B. Instilling a drop of oil in the eye which part of the lens capsule is left
C. Immediate wash with plain water behind?
D. Instilling a drop of surface anesthetic into A. Anterior lens capsule
the eye B. Posterior lens capsule
C. Equatorial rim the lens capsule
264. An 8 year old girl received a tennis ball D. No lens capsule is left behind
trauma to her right eye. On examination on
the same day you would find 271. When there is intumescent cataract
A. Blood staining of the cornea causing glaucoma?
B. Hyphaema A. Trephining should be done
C. Hypopyon B. Paracentesis is indicated
D. Ghost cell glaucoma C. Lens should be extracted after control of
IOP
265. In myopia which one of the following is D. Medical treatment only
most common?
A. Equatorial staphyloma 272. Laser treatment in diabetic retinopathy
B. Posterior staphyloma is indicated in:
C. Ciliary staphyloma A. Dense vitreous haemorrhage
D. Intercalary staphyloma B. Diffuse macular oedema
C. Tractional retinal detachment
266. Arlt's line is present is: D. Macular epiretinal membrane distortion
A. upper palpebral conjunctiva
B. Lower palpebral conjunctiva 273. In retinitis pigmentosa, the
C. Bulbar conjunctiva pigmentation in the retina starts at:
D. Cornea A. Posterior pole
B. Anterior to equator
267. Deep leucoma is best treated by: C. Equator
A. Tattooing D. At the disc
B. Lamellar keratoplasty
C. Keratectomy 274. The incision size in phacoemulsification
D. Penetrating keratoplasty is:
A. 1 mm
268. The color of fluorescein staining in B. 3 mm
corneal ulcer is: C. 5 mm
A. Yellow D. 7 mm
B. Blue
C. Green
275. Severe congenital ptosis with no A. Third never paralysis
levator function can be treated by: B. Trigeminal never paralysis
A. Levator resection from skin side C. Facial never paralysis
B. Levator resection from conjunctival side D. Trochlear never paralysis
C. Fascia lata sling operation
D. Fasanella servat operation 282. Dilator pupillae is supplied by:
a. Postganglionic sympathetic from cervical
276. In Central retinal artery occlusion, a plexus
cherry red spot is due to : b. Preganglionic sympathetic from cervical
A. Heamorrhage at macula plexus
B. Increased choroidal perfusion c. III Nerve
C. Increased in retinal perfusion at macula d. Postganglionic sympathetic fibers form V
D. The contrast between pale retina and nerve.
reddish intact choriocapillaris
283. Vossius ring is seen in:
277. The most common primarily a. Cornea
intraocular malignancy in adults is: b. Retina
A. Retinoblastoma c. Lens
B. Choroidal melanoma d. Anterior chamber
C. Squamous cell carcinoma of conjunctiva
D. Iris naevus 284. Leucokoria is seen in:
a. Glaucoma
278. A patient has an upper lid trichiasis b. Cataract
with history of chronic eye irritation. The c. Retinitis pigmentosa
most common causes are : d. Acute dacryocystitis
A. Stye
B. Trachoma 285. Ultrasonography is helpful in
C. Infected chalazion confirming the diagnosis of:
D. Spring catarrh a. Thyroid ophthalmopathy
b. Retinitis pigmentosa
279. Chalazion is: c. Subluxated clear crystalline lens
A. Acute suppurative inflammation of d. Central retinal vein occlusion
Meibomian glands
B. Chronic granulomatous inflammation of 286. Marcus Gunn Pupil indicates disease
Meibomian glands of:
C. Retention cyst of the Meibomian glands a. Lens
D. Neoplasm of the Meibomian glands b. Sclera
c. Retina
280. A patient complains of maceration of d. Optic nerve
skin of the lids and conjunctival redness at
the inner and outer canthi. Conjunctival 287. ‘D’ shaped pupil is seen in:
swab is expected to show: a. Iridocyclitis
A. Staphylococcus aureus b. Iridodialysis
B. Staphylococcus viridans c. Glaucoma
C. Staphylococcus pneumonae d. Dislocation of lens
D. morax-Axenfield diplobacilli
288. In grades of binocular vision; grade 2 is:
281. Paralytic ectropion occurs in: A. Fusion
B. Stereopsis a- Complete spontaneous resolution with
C. Simultaneous macular vision time
D. Ambliopia b- Conjunctival side of the lesion is reddish
or purplish
289. In paralytic squint, the difference c- Transformation to malignancy
between primary and secondary deviation d- Presentation as nodule in the
in the gaze of direction of the paralytic intermarginal strip
muscle:
a. Increases 296. The anterior and posterior lamellae of
b. Decreases the lid can be separated at the level of the
c. Remains the same lid margin by the :
d. don’t change a- lash line
b- line of meibomian gland orifices
290. In concomitant squint: c- gray line
a. Primary deviation > Secondary deviation d- mucocutaneous junction
b. Primary deviation < Secondary deviation
c. Primary deviation = Secondary deviation 297. Fibrin collarette around the base of the
d. Primary deviation don’t change eyelashes in children is due to :
a- squamous blepharitis
291. The only extraocular muscle which b- meibomian seborrhea
does not arise from the apex of the orbit is: c- ulcerative blepharitis
a. Superior rectus d- meibomianitis
b. Superior oblique
c. Inferior oblique 298. Gold weight is placed pretarsally in the
d. Inferior rectus upper lid in :
a- ankyloblepharon
292. Superior tarsal muscle (Muller's b- involutional ectropion
muscle) is supplied by the : c- lagophthalmos VII nerve palsy (Bell's
a- Third cranial nerve palsy)e
b- Sympathetic nerve fibres d- spastic entropion of upper lid
c- Parasympathetic nerve fibres
d- Seventh cranial nerve 299. Abnormal lid laxity is diagnosed if :
a- lid can be drawn away by more than 10
293. The anterior most structure in the mm from the globe
eyelid margin is the : b- the punctum is visible only when the lid is
a- mucocutaneous junction pulled down
b- gray line c- pulling the lower lid laterally causes medial
c- meibomian gland orifices canthus displacement more than 4 mm
d- lash line d- the lid does not snap back immediately
when drawn away from the globe
294. The anterior lamella of eyelid contains: and released
a- Glands of Wolfring
b- Zeis glands 300. Keratinization of the lid margin can
c- Glands of Krause result from :
d- Meibomian glands a- Blepharospasm
b- Severe ectropion
295. Which of these is a common occurence c- Spastic entropion
with chalazia : d- Lagophthalmos
301. The most common type of congenital
ptosis is :
a- Aponeurotic
b- Neurogenic
c- Traumatic
d- Myogenic

302. Extraocular movement testing in

congenital myogenic ptosis may reveal
limited :
a- adduction
b- abduction
c- supraduction
d- infraduction

303. Regarding Horner's syndrome

a- Ptosis of moderate to severe degree may
be seen
b- The miotic pupil constricts to light
c- Loss of accomodation is seen in the case of
third order neuronal lesions
d- The near reflex is absent in the
miotic pupil

304. Pupil involving third nerve palsy is

caused in case of
a- intracranial aneurysm
b- diabetes mellitus
c- hypertensin
d- all of the above

305. A 4 year old child with severe bilateral

congenital myogenic ptosis with poor
elevator function
a- will have a chin up head position
b- will benefit from bilateral frontalis
suspension procedure
c- is likely to have amblyopia
d- is likely to have diplopia

306. Ectropion of the upper lid most

commonly
a- Spastic ectropion
b- Senile ectropion
c- Paralytic ectropion
d- Cicatricial ectropion
 Ram Tests on Ophthalmology
1. Bowman’s membrane has important role in the prognosis of cornea
inflammation and localize between:
A. Corneal epithelium and stroma
B. Stroma and Descemet's membrane
C. Descemet's membrane and endothelium
D. Endothelium of the cornea and aqueous humor
E. Iris and ciliary body

2. A 30-year-old patient was admitted to the Department of Neurotraumatology

with drooping eyelid of his left eye. According to his words, he got into traffic
accident and received hard blow from temporal side of the orbit. Upon
examination: complete ptosis, vision is preserved, the eyeball is immobilized, the
pupil is dilated, there is no corneal sensitivity. What led to this situation?
A. Fracture of the inferior wall of the orbit
B. Fracture of the suparior wall of the orbit
C. Trauma of the sphenoid bone
D. Rupture of the superior oblique muscle from the block
E. Fracture of the medial wall of the orbit

3. For comfortable movement of the eyeball, the Tenon;s capsule separates:

A. Choroid from the sclera
B. Retina from the vitreous body
C. Eyeball from orbit
D. There is no correct answer
E. Cornea from sclera

4. Innervation of superior oblique muscle?

A. Trochlear nerve
B. Vagus nerve
C. Optic nerve
D. Trigeminal nerve
E. Facial nerve

5. Innervation of medial rectus muscle of the eye:

A. Optic nerve
B. Oculomotor nerve
C. Block nerve
D. Abducens nerve
E. Facial nerve

6. Name the muscles involved in lifting the eyelids.

A. Orbicularis oculi
B. Levator palpebrae
C. Superior rectus muscle
D. Inferior rectus
E. Superior oblique muscle

7. To characterize the functional center of the retina, it is necessary to examine

ophthalmoscopically:
A. Optic nerve disc
B. Fovea centralis
C. Orra serrata zone
D. Vascular bundle
E. Juxtapupillary zone

8. What is the function of the Schlemm's canal in the eye:

A. Outflow of aqueous humor from eye
B. Production of visual purpura
C. Participation in the dynamics of accommodation
D. Participation in a photochemical reaction
E. Participation in the conduction of nerve impulses

9. Hemeralopia was revealed while examination dark adaptation by means of the

Belostotsky apparatus. What drugs should be prescribed to increase dark
adaptation?
A. Vitamin A.
B. Vitamin P
C. Vitamin C
D. Vitamin D
E. Folic acid

10. When examining the patient's visual acuity, it was found that the patient does
not see the upper letter of the Golovin-Sivtsev table with his right eye. To what
distance should the table be brought closer to determine the patient's visual acuity?
A. From which he sees the first line of the table
B. From which he sees the second line of the table
C. From which he sees the third line of the table
D. From which he sees the fourth line of the table
E. From which he sees the fifth line of the table

11. What diagnostic condition characterizes protanomaly?

A. Abnormal perception of red color
B. Abnormal perception of green color
C. Abnormal perception of blue color
D. Abnormal perception of yellow color
E. Abnormal perception of violet color

12. If the first line letters are visible from a distance of 2.5 m, then the visual acuity
is:
A. 0.01
B. 0.05
C. 0.1
D. 0.5
E. 1.0

13. What is the patient's visual acuity, if from a distance of 1m he reads the 5th line
of the Sivtsev’s table?
A. 0.1
B. 0.2
C. 0.5
D. 0.6
E. 1.0

14. Visual acuity is determined by:

A. Angle of vision
B. Visual Field
C. Physiological scotoma
D. Snellen’s chart
E. Perception of colors

15. Which of the following colors is short wavelength?

A. Red
B. Orange
C. Green
D. Yellow
E. Blue

16.A 15-year-old schoolboy turned to an ophthalmologist with complaints about

the blurred images in the distance, in particular, he complains that the images
merge after a long hard work, objectively the visual acuity of both eyes: = 0.5 s -
0.75 D = 1.0 The ophthalmologist prescribed drops for cycloplegia Irifrini 2.5%
for 2 weeks. After 2 weeks, visual acuity in both eyes = 1.0. What is your
presumptive diagnosis?
A. Simple myopic astigmatism
B. Complex myopic astigmatism
C. Spasm of accommodation
D. Mild hyperopia
E. Mixed astigmatism
17.A 60-year-old patient consulted a doctor with complaints of deterioration of
near vision. An objective examination revealed myopia in (-) 2.0 diopters. The
anterior segments of the eye are unchanged. The fundus of the eye is normal.
What glasses should be prescribed for this patient for work?
A. 1.0 diopters
B. (-) (-) 2.0 diopters
C. (+) 1.0 diopters
D. (+) 2.0 diopters
E. (+) 3.0 diopters

18. What is the most common cause of astigmatism?

A. Pathology of the lens
B. Retinal pathology
C. Corneal pathology
D. Pathology of the conjunctiva
E. Pathology of the vitreous body

19. The mother of a 7-year-old boy consulted an ophthalmologist because of

her son's vision loss after school, as before school the child's visual acuity was
100%. Objectively, VOU= 0.3 with a correction of -1.0D =1.0. What diagnostic
measures need to be applied to distinguish true from pseudo myopia?
A. Performe retinoscopy under accommodation paralysis
B. Performe campimetry under accommodation paralysis
C. Performe perimetry under accommodation paralysis
D. Performe tonography under accommodation paralysis
E. Performe gonioscopy under accommodation paralysis

20. A 30-year-old man has a high degree of myopia M 7.0 d. Anterior segment
of the eye without changes. The central corneal thickness is 560 µm. The
fundus of the eye is unchanged. He would like to completely eliminate his
disease. In this situation, the most preferable is:
A. Spectacle lens correction
B. Correction with contact lenses
C. Radial keratotomy
D. Excimer laser correction
E. Scleroplasty

21. A male emmetrope, 40 years old, complains of visual impairment when

reading. What spherical lenses does he need for reading?
A. Concav 2.0d
B. Convex 1.0d
C. Convex 2.0d
D. Concav 3.0d
E. Convex 3.0d
22. A 10-year-old child complains of low vision in the right eye, the left eye
sees well. The optical media of both eyes is transparent. The fundus of the eye
is without pathology. Visual acuity of the right eye = 0.08 uncorrected, the left
eye = 1.0. Emmetropia of both eyes appears during sciascopy. What is the
likely cause of this condition?
A. Myopic disease
B. Amblyopia
C. Hyperopia
D. Complicated cataract
E. Retinal detachment

23. What lenses are used to correct presbyopia in emmetropia?

A. Spheroprismatic
B. Negative
C. Positive
D. Cylindrical
E. Prismatic

24. In a 2-year-old child, an objective examination determines bilateral

convergent strabismus. What diagnostic method should be used for research?
A. Refractometry
B. Tonometry
C. Perimetry
D. Campimetry
E. Topography

25. A girl, 10 years old, was admitted with complaints of low object vision in
her left eye. Objectively: VOD= 1.0. VOS= 0.01 n/c (noncorrected).
Ophthalmoscopy revealed no pathology in the fundus. What additional research
is needed to clarify the diagnosis?
A. Perimetry
B. Refractometry
C. Tonometry
D. Campimetry
E. Topography

26. A 13-year-old schoolchild turned to an ophthalmologist with complaints of

deterioration of distance vision and especially when reading at close range.
During a study it was revealed that he has a spasm of accommodation. What
diagnostic measure is necessary for the patient to improve his prognosis?
A. Visometry
B. Perimetry
C. Biomicroscopy
D. Cycloplegia
E. Ophthalmoscopy
27. The mother of a 7-year-old boy consulted an ophthalmologist because of her
son's vision loss after school, as before school the child's visual acuity was 100%.
Objectively, VOU= 0.3 with a correction of -1.0D =1.0. What diagnostic measures
need to be applied to distinguish true from pseudo myopia?
A. Performe retinoscopy under accommodation paralysis
B. Performe campimetry under accommodation paralysis
C. Performe perimetry under accommodation paralysis
D. Performe tonography under accommodation paralysis
E. Performe gonioscopy under accommodation paralysis

28. The ophthalmologist has been observing a 5-year-old child for 6 months.
Uncorrected visual acuity of both eyes is 0.1, with correction - 4.0D = 0.4,
exotropia of the right eye -200. Deviation disappears after correction. Retinoscopy,
refractometry shows myopia 4.0D. What is recommended to improve visual acuity
in both eyes:
A. Pleopto-orthoptic treatment of both eyes
B. Keratotomy of both eyes
C. LASIC in both eyes
D. Scleroplasty in both eyes
E. Goniopuncture in both eyes

29. When diagnosing a convergent strabismus with an angle of 45º according to

Hirshberg in both eyes, how many mm should the medial rectus muscle of both
eyes be recessed?
A. by 2 mm
B. by 4 mm
C. by 6 mm
D. by 7 mm
E. by 9 mm

30.If the light reflex from ophthalmoscope is localized on the cornea of the
squinting eye along its outer edge, this corresponds to:
A. Convergent strabismus with an angle of 15 degrees
B. Convergent strabismus with an angle of 30 º
C. Divergent strabismus with an angle of 30 º
D. Convergent strabismus with an angle of 45 º
E. Divergent strabismus with an angle of 45

31.During an ophthalmological examination of recruits it was revealed that one of

the recruits has red color anomaly. What method is possible to identify this
congenital anomaly of color perception?
A. Schirmer's test
B. Orlova's chart
C. Golovin-Sivtsev chart
D. Worth Four Dot Test
E. Rabkin table

32. A 32-year-old woman came to you with complaints of severe pain in the left
eye radiating to the temple, eyebrows, jaw, which cannot be stopped by analgesics.
Anamnesis: a woman has type 2 diabetes. Intraocular pressure is normal. What
diagnostic method will you prescribe for an accurate diagnosis in this case?
A. Adaptometry
B. Perimetry
C. Biomicroscopy
D. Visometry
E. Diaphonoscopy

33. A 3% solution of Collargoli was instilled into the patient's conjunctival cavity.
The time of its disappearance from the conjunctival cavity made 15 minutes. What
does this sample indicate?
A. Pathology of the lacrimal duct
B. Violation of tear production
C. Pathology of the conjunctiva
D. Normal function of the lacrimal apparatus
E. Retinal lesions

34. Patient U., 45 years old, complains of constant watery eyes from the right eye,
especially when outside. She has watery eyes for 2 years. Objectively, the position
of the eyelids and lacrimal openings is correct, when pressing on the area of the
lacrimal sac, there is no discharge. Tear lake is observed. Colored lacrimal test is
negative. When the lacrimal passages are flushed, the liquid does not pass into the
nose, it returns through the superior lacrimal opening. Left eye visual acuity = 1.0.
The eye is healthy. The lacrimal test is positive; when rinsing, the liquid passes
freely into the nose. TOS = 21 mm Hg Diagnosed with inflammation of the
lacrimal sac. What operation is indicated for this condition?
A. Dacryocystorhinostomy
B. Collagen crosslinking
C. Penetrating keratoplasty
D. Vitreoectomy
E. Limbosclerectomy

35. Patient 17 years old. Came for consultation with an ophthalmologist

complaining of a feeling of tension and pain in the eyelids, lacrimation, narrowing
of the palpebral fissure, general malaise, and headache. On examination,
hyperemia, an increase in local temperature and pronounced edema of the eyelid
skin were revealed, on palpation, the edematous tissues were dense, sharply
painful. Fluctuation detected. There is an increase and soreness of regional lymph
nodes. What diagnosis will you make?
A. Abscess of eyelids
B. Hemangioma of the eyelids
C. Lymphangioma of the eyelids
D. Urticaria of the eyelids
E. Dystrophy of the eyelids

36. A 30-year-old patient has come to you with complaints of fever up to 37.7
degrees, accompanied by malaise, runny nose, eyelid edema, hyperemia and edema
of the conjunctiva (especially in the region of the lower transitional fold), moderate
mucous-purulent discharge. On palpation of the lymph nodes, swelling and
soreness are noted. What is your preliminary diagnosis?
A. Chlamydial conjunctivitis
B. Bacterial conjunctivitis
C. Adenoviral conjunctivitis
D. Epidemic conjunctivitis
E. Angular conjunctivitis
37. Conjunctivitis, accompanied by the appearance of follicles and hyperplasia of
the papillae, which in the process of decay are always replaced by scar tissue.
What conjunctivitis does this condition refer to?
A. Tuberculous
B. Chlamydial
C. Allergic
D. Diphtheria
E. Herpetic

38. What disease of the eyelids can damage the eye?

A. Cutaneous horn
B. Furuncle of the eyelids
C. Partial ptosis
D. Trichiasis
E. Chaliazion

39. For epidemic follicular keratoconjunctivitis, the incubation period is:

A. 1-2 days
B. 3 - 7 days
C. 8 - 11 days
D. 12 - 20 days
E. 20 - 30 days

40. Patient E., 19 years old, complained of reddening of the mucous membrane of
both eyes, moderate mucous discharge, sticking of eyelashes in the morning,
feeling of sand under the eyelids, lacrimation. Felt sick two days after swimming in
the pond. On examination, the conjunctiva of the eyelids and eyeballs is sharply
hyperemic, moderately edematous, there are single follicles on the conjunctiva of
both eyes, moderate mucous discharge. What complication can there be with this
pathology?
A. Choroiditis
B. Retinitis
C. Panophthalmitis
D. Keratitis
E. Endophthalmitis

41. A patient has come to you with complaints of dryness, burning, itching, pain in
the eyes, photophobia, decreased vision in both eyes, almost complete absence of
tears even during crying, dry skin and dry mouth, swelling and stiffness in the
joint’s arms and legs. Ill for six months. On examination, there is a moderate
mixed injection of the conjunctiva in both eyes, scanty, viscous discharge. In the
lower part of the cornea, there is moderate edema, small-point infiltrates,
superficial opacities. What complication do you expect?
A. Orbital phlegmon
B. Thrombosis of the cavernous sinus
C. Filamentous keratitis
D. Dislocation of the lens
E. Retinal detachment

42. A mother with a 7 year old child came to the children's department. Complaints
of photophobia, lacrimation, pain in the left eye. The above complaints are
worsening the 2nd day, the day before the child had ARVI. Examination revealed a
small number of small bubbles between the eyelashes, an increase in the follicles
of the conjunctiva. On the cornea there are several vesicles and gray-white
punctate foci of opacity. Diagnosed with viral keratitis. What treatment is needed
in this case?
A. Bioquinol, penicillin
B. Ftivazid, streptomycin
C. Acyclovir, ophthalmoferon
D. Nerobol, tetracycline ointment
E. Retinol, korneregel

43. A patient, 18 years old, complains of redness of the left eye and moderate eye
pain, aggravated by pressure on the eyeball (through the eyelids). It is 6 th day with
this eye condition. Eyesight remains good throughout this time. The patient also
reported that in case of exacerbations, the application of hydrocortisone helps her
relatively well. Make a preliminary diagnosis.
A. Scleritis
B. Iridocyclitis
C. Glaucoma
D. Cataract
E. Conjunctivitis

44. A 16-year-old patient is examined by an ophthalmologist with a diagnosis of

scleral melanosis throughout his life, what is the etiology of this disease?
A. Congenital malformation of the eye
B. Acquired malformation of the eye
C. Viral disease in childhood
D. Violation of the integrity of the sclera in early childhood
E. Allergic illness in childhood

45. Patient E., 10 years old, complains of redness of the right eye. He has a
conjunctivitis treated for almost a week with no effect. Slight eyelid swelling on
the right eye. With lateral illumination, redness and thickening of the conjunctiva
are determined. Redness is local in nature. The focus of inflammation 1.5x2.0 cm
in size is bright red, with a purple tint. Its palpation is painful. The rest of the eye is
not changed. What is the patient's diagnosis?
A. Blepharitis
B. Conjunctivitis
C. Tenonitis
D. Scleritis
E. Keratitis

46. A mother with a 7-year-old child turned to the pediatrician. Complaints:

moderate photophobia and lacrimation in both eyes; the mother also notes that the
child has difficulty hearing. On examination, sharply protruding frontal tubercles, a
saddle nose, a lunate notch in the middle of the upper front teeth are noticeable.
Objectively: there is a moderate precorneal injection in the eyeball, in the corneal
stroma near the limbus there is diffuse infiltration of a grayish-white color. What is
your presumptive diagnosis?
A. Tuberculous keratitis
B. Herpetic keratitis
C. Syphilitic keratitis
D. Neuroparalytic keratitis
E. Avitaminous keratitis

47. Child, 1 year 5 months, parents went to the local clinic with concern to find
blue sclera in the child, from the child's history there is congenital deafness and
congenital atrial septal defect, they noticed blue sclera from birth. What
abnormalities in the development of the eye can this disease be combined with?
A. Glaucoma
B. Viral conjunctivitis
C. Keratoconus
D. Cataract
E. Melanosis of the sclera
48. A 14-year-old boy turned to an ophthalmologist with complaints of recurrent
redness of both eyes, pain, deterioration of vision. The boy is being observed by a
dentist for stomatitis and a dermatologist for ulceration of the skin of the genitals.
An objective examination of both eyes revealed: precorneal injection, hypopyon,
powerful posterior synechiae. There are pronounced opacities in the vitreous body.
What diagnosis will you make?
A. Ankylosing spondylitis
B. Behcet's disease
C. Benier-Beck-Schaumann disease
D. Still's disease
C. Sturge-Weber disease

49. A 46-year-old man was referred to an ophthalmologist at the FMC with

complaints of aching pains, photophobia, lacrimation, redness of the right eye.
Anamnesis: this condition has worried him for the last 3 days, he recently had
acute purulent otitis. Objectively: VOD = 0.06. The eyelids are edematous, the
conjunctiva is the precorneal injection, there are precipitates on the posterior
surface of the cornea, pus is 2 mm in the anterior chamber, and the pupil is narrow.
What disease do you think about?
A. Choroiditis
B. Keratitis
C. Acute angle close glaucoma
D. Sympathetic inflammation
E. Iridocyclitis

50. A 70-year-old man, applied to the FMC with complaints of a sharp decrease in
vision, flashing of flies in front of his left eye. From the anamnesis, it was noted
that the day before he had suffered tonsillitis. On examination, the visual acuity of
the left eye = 0.02. The left eye is calm; the anterior segment is not changed. When
examining the fundus, a focus in the central zone of 0.3 pd with indistinct borders,
yellowish-gray in color, the retina around is infiltrated, edematous. Choroiditis was
diagnosed. What is more appropriate to start treatment?
A. Vancomycin
V. Hinin
C. Tetracycline ointment
D. Sol. Albucidi 20%
E. Ceftriaxone

51. A 42-year-old man came to the eye hospital with complaints of severe
headaches, chills, pain in the right eye area. The anamnesis suffers from chronic
sinusitis, does not receive treatment. Objectively: body temperature 39.8 Eyelids
are sharply edematous, hyperemic, conjunctival chemosis, eye mobility is limited.
Was diagnosed with lacrimal sac phlegmon. What are your treatment tactics?
A. Flush the lacrimal duct
B. Dacryocystorhinostomy
C. Kunt-Shimanovsky operation
D. Orbitotomy
E. Blepharorrhaphy

52.A patient came to ophthalmologist. Two days ago the dentist removed the upper
tooth on the right side. The patient is worried about headache, chills, the double
vision of objects when examining them with the right eye, the temperature is
increased to 38.5 С, there is pronounced swelling and redness of the eyelids of the
right eye, protrusion of the eyeball, its mobility is limited, painful. The conjunctiva
of the eyelids and eyeball is sharply edematous, a mixed injection of the vessels of
the right eye. The cornea is swollen. Visual acuity: OD = 0.1 uncorrected, OS
=0.01. What is your presumptive diagnosis?
A. Phlegmon orbits
B. Abscess of the eyelids
C. Acute dacryoadenitis
D. Orbital pseudotumor
E. Fibrinous-plastic iridocyclitis

53. A 45-year-old man was referred to the FMC with complaints of aching pains,
photophobia, lacrimation, redness of the right eye. History: this condition has
worried him for the last 3 days. Objectively: visual acuity of the right eye = 0.06.
The eyelids are edematous, the conjunctiva is precorneal injection, there are
precipitates on the posterior surface of the cornea, the moisture of the anterior
chamber is opalescent, the iris is changed in color, yellowish-pink papules are
located along the pupillary edge. What is the likely cause of this condition?
A. Treponema pallidum
B. Staphylococcus aureus
S. Bacilla Leffler
D. Klebsiella
E. Echinococcus

54. Patient K., 32 years old, complains of visual impairment in the right eye,
complains about the curvature of the objects. Started experiencing deterioration of
vision about two weeks ago. The disease has no association and is not
accompanied by pain. Objectively: Visual acuity of the right eye = 0.2 (has not
been corrected). The adnexa of the eye are not changed. The eye is calm. Anterior
segment of the eye without visible pathology. There is a round shape yellowish-
gray focus para macular on the fundus of the eye, up to one diameter size of the
optic nerve. The boundaries of the focus are indistinct. The retina in the central
sections is edematous. Macular and foveal light reflexes are absent. Left eye.
Visual acuity = 1.0. The eye is healthy. What is your diagnosis?
A. Idiopathic iridocyclitis
B. Central chorioretinitis
C. Central retinal artery occlusion
D. Central retinal vein thrombosis
E. Sympathetic ophthalmia

55. The clinical picture of the superior orbital fissure syndrome is:
A. Ptosis, miosis, enophthalmos
B. Ptosis, miosis, ophthalmoplegia
C. Ptosis, mydriasis, ophthalmoplegia
D. Ptosis, mydriasis, nystagmus
E. Mydriasis, lagophthalmos, ophthalmoplegia

56. A 59-year-old man turned to an optometrist at the place of residence with

complaints of a slight decrease of vision in both eyes, flashing of flies before the
eyes, objectively: the eye is calm, the cornea is transparent, the anterior chamber is
medium, the pupil is rounded, the lens is slightly opaque, the fundus is without
features. What is the preliminary diagnosis in this case?
A. Mature cataract
B. Immature cataract
C. Initial cataract
D. Overripe cataract
E. Incomplete cataract

57. A 78-year-old woman referred to ophthalmologist complaining of a decrease in

object vision in the left eye, lack of object vision in the right eye, according to the
patient, vision has been gradually decreasing for the last 2 years. With visometry,
the function of the right eye is 0.005. Left eye functions at 0.2, intraocular pressure
is normal, with ophthalmoscopy, the reflex is gray. Clinically diagnosed as a
mature cataract of the right eye, immature cataract of the left eye. What method of
treatment is advisable to prescribe for this diagnosis?
A. Sinus trabeculectomy
B. Extraction of the lens
C. Corneal transplantation
D. Discission of the secondary cataract
E. Dacryocystorhinostomy

58. A 72-year-old man has complaints on a slight decreased vision of both eyes.
Objectively: visual acuity of the right eye = 0.1, left eye = 0.2, the eyes are calm,
the cornea is transparent, the anterior chamber is medium, the pupil is round forms,
slightly opacification of the lens, fundus of the eye is not good visible. What is the
preliminary diagnosis?
A. Mature cataract
B. Immature cataract
C. Initial cataract
D. Hypermature cataract
E. Partial cataract

59. A 73-year-old patient has complaints on low vision without spectacle

correction. Both eyes were operated for cataract surgery 10 years ago. Objectively:
VOU = 0.05 +sph 10D = 0.2. The cornea is transparent, the anterior chamber is
deep, the pupil is rounded, in the center, aphakia, the fundus is normal. What kind
of surgery is advisable to offer this patient?
A. Implantation of artificial intraocular lens
B. Discission of secondary cataract
C. Extraction of the lens
D. Corneal transplantation
E. Sinus trabeculectomy

60. Parents brought a two-year-old child to the children's eye department with
complaints on poor orientation in space during for last 6 months. Objectively: OU
– anterior part of eyes without changes, the cornea is transparent, the anterior
chamber is normal, the pupil is rounded in the center, the lens is opaque, there is no
red reflex. A diagnosis: Congenital cataract of both eyes and surgical treatment
was proposed. What type of treatment is indicated for this patient?
A. No surgery till adolescence
B. Extraction of cataracts
C. Spectacle correction
D. Medicamentous treatment
E. Sinustrabeculoectomy

61. A 68-year-old woman with complaints on decreased vision in the operated

right eye. From the anamnesis, the right eye was operated two years ago, vision is
decreased 6 months ago.
On examination, VOD= 0.1, the cornea is transparent, the anterior chamber is
deeper, the pupil is rounded in the center, the intraocular lens is in the posterior
chamber, diffuse opacification of the posterior capsule, the fundus of the eye is not
good visible. Diagnosis is secondary cataract, pseudophakia of the right eye. What
kind of surgery is indicated for this patient?
A. Implantation of artificial lens
B. Discission of secondary cataract
C. Extraction of the lens
D. Corneal transplantation
E. Sinus trabeculectomy

62. At what age does the clouding of the lens begin with a senile cataract?
A. 30-35 years old
B. 38-40 years old
C. 40-50 years
D. 60-70 years old
E. 80-90 years

63. A 46-year-old man consulted an ophthalmologist at his place of residence with

complaints of low vision in both eyes, from a history of diabetes mellitus for the
last 10 years, periodically receiving a course of conservative therapy for diabetes,
objectively: the eye is calm, the cornea is transparent, the anterior chamber is
average, the pupil is round, the lens is cloudy, the fundus is not visible. What is the
preliminary diagnosis in this case?
A. Mature cataract
B. Immature cataract
C. Complicated cataract
D. Overripe cataract
E. Swelling cataract

64. A 49-year-old patient applied to ophthalmologist with complaints of blurred

vision in the morning, seeing "rainbow" around the light, headache, often change
presbyopia glasses during the year. By 12 o'clock in the afternoon, as a rule, the
"fog" passes. Visual acuity of the right eye - 0.8, left eye - 0.6, does not correct.
Biomicroscopically: conjunctival vessels are enlargement, cornea is transparent,
anterior chamber is 3 mm. Ophthalmoscopy shows pale optic disc with excavation
of vessels. What is your preliminary diagnosis?
A. Cataract
B. Keratitis
C. Open angle glaucoma
D. Conjunctivitis
E. Iridocyclitis

65. What is the produced aqueous humor?

A. Pigment epithelium of the retina
B. Choroid layers
C. Epithelium of the iris
D. Ciliary processes
E. Trabecular meshwork

66. A 62-year-old man admitted to the emergency room with complaints of pain in
the left eye radiating to the left side of the head, lacrimation, photophobia,
blepharospasm, redness of the eye. Objective examination: VOD= 1.0, VOS -
incorrect light perception. OS- is injected, the cornea is edematous, the anterior
chamber is shallow, the pupil is dilated, the lens is cloudy, swollen. The fundus is
not ophthalmoscopic. What type of secondary glaucoma does this patient have?
A. Neoplastic
B. Postuveal
C. Facomorphic
D. Phlebohypertensive
E. Postraumatic

67. The mother of a one-year-old child applied to the ophthalmologist. Shortly

after he was born, she noticed that he had "big eyes and one eye is larger than the
other." Notes the child's restless behavior, especially during the day, photophobia,
lacrimation. When examining the child, the doctor drew attention to the large size
of the eyeballs and their different size, pronounced photophobia and lacrimation.
On examination: the corneas of both eyes are moderately edematous, the diameter
of the corneas is large, the deep-lying environments of the eyes could not be
examined because of the child's strong photophobia and restless behavior. What is
your preliminary diagnosis?
A. Congenital cataract
B. Congenital retinoblastoma
C. Congenital glaucoma
D. Congenital dacryocystitis
E. Congenital corneal dystrophy

68. A 65-year-old patient has consulted a doctor with complaints of deterioration

of vision and spatial orientation. The above complaints appeared about six months
ago but did not cause much concern. Has noticed intermittent passing blurred
vision. Objectively: Visual acuity in both eyes = 0.4, sphera - 3.5 diopters = 1.0.
The eyes are calm. The corneas are transparent. The anterior chambers are of
medium depth. The irises are subatrophic. The pupils are slightly dilated. In the
fundus, there is an excavation of the optic nerve discs, their blanching. Intraocular
pressure in both eyes = 38 mm Hg. Art. What research needs to be done to fully
determine the stage of glaucoma?
A. Refractometry
B. Gonioscopy
C. Tonography
D. Perimetry
E. Diaphonoscopy

69. A 55-year-old patient at the initial examination revealed 3 stage open-angle

glaucoma. The level of intraocular pressure was 28 mm Hg. From anamnesis she
suffers with asthma for many years. Which of these drops is contraindicated for
this patient?
A. Brinzolamide 1%
B. Latanaprost 0.005%
C. Travoprost 0.004%
D. Dorzolamide 2%
E. Timolol 0.5%
70. Choose the most probable diagnosis when the aged patient develops decrease
and blurred vision after visiting the sauna, rainbow circles around the light, severe
pain in the eye with irradiation to the back of the head, teeth, ear:
A. Acute iridocyclitis
B. Acute keratitis
C. Acute dacryocystitis
D. Acute conjunctivitis
E. Acute angle close glaucoma

71. Choose the most probable diagnosis when an intraocular pressure of 32 mm Hg

is found in a patient.
A. Iridocyclitis
B. Cataract
C. Dacryostenosis
D. Glaucoma
E. Hyperopia

72. A 33-year-old man, a car’s mechanic, received a blunt trauma to his right eye.
The causes of secondary traumatic glaucoma can be:
A. Dislocation of the lens
B. Traumatic retinal detachment
C. Paralytic strabismus
D. Vitreochorioretinal dystrophies
E. Choroidal rupture

73. The mother of a one-year-old child applied to the children's department. She
noted after his birth "big eyes and one eye is larger than the other," restless
behavior of the child, especially during the day. When examining a child,
photophobia, epiphora are present, size of the eyeballs is large.
On a bifocal examination: the corneas of both eyes are moderately edematous, the
diameter of the corneas is 14mm, the deep-lying media of the eyes could not be
examined due to the child's strong photophobia and restless behavior. What is the
diagnosis?
A. Congenital corneal dystrophy
B. Congenital megalocornea
C. Congenital dacryocystitis
D. Congenital cataract
E. Congenital glaucoma

74. All of the following statements about aqueous humor are true except:
A. aqueous humor is formed at the rate of approximately 2-3 ml/min
B. there is 1% turnover in aqueous volume each minute
C. normal aqueous humor has a high protein content
D. the composition of aqueous humor is altered as it flows from the posterior
chamber through the pupil and into the anterior chamber
E. aqueous humor is produced by ciliary body

75. A 45-year-old woman has complaints of redness and discomfort in her eyes.
From the anamnesis, the above complaints have been troubling for the last 8
months, about which she has not applied somewhere, she works in a sewing
workshop, and she connects her condition with work (dusty and dry conditioner).
Objectively: VOU = 1.0, the eyes are slightly injected, frequent blinking and
xerosis of the cornea are noted during biomicroscope. The ophthalmoscopic picture
is normal. What is your presumptive diagnosis?
A. Viral conjunctivitis
B. Chronic dacryocystitis
C. Blepharitis
D. Keratitis
E. Dry eye syndrome

76. A 65-year-old patient has a sharp decrease in vision in her right eye.
Examination of the right eye revealed: a sharp spasm of the retinal vessels, in the
macula a rounded focus of dark red color. The above complaints are disturbed for
15 hours. Diagnosed with occlusion of the central retinal artery. Which of these
drugs is indicated for this patient?
A. Cefamizin
B. Furosemide
C. Dexamethasone
D. Euphyllin
E. Pilocarpine

77. The patient, 42 y.o., came to the emergency department with complaints of a
gradual decrease in vision in both eyes; she has a history of traumatic brain injury.
An objective examination revealed an increase in the size of the blind spot,
hyperopia of 7.0 D is determined skiascopically above the optic nerve head.
Ophthalmoscopically, the optic nerve head dominates forward, the boundaries are
indistinct. What pathology does this patient have?
A. Descending optic nerve atrophy
B. Ischemia of the optic nerve head
C. Papilledema
D. Post-traumatic optic nerve rupture
E. Pseudo-optic neuritis

78. A 60-year-old patient experienced a high decrease in the left eye after
emotional stress. Examination of the left eye revealed a sharp spasm of the retinal
vessels, in the macula a rounded dark red focus. What is your diagnosis?
A. Central retinal vein thrombosis
B. Hemorrhage in the macular area
C. Age-related macular degeneration of the retina
D. Congestive optic nerve head
E. Occlusion Central retinal artery

79. Examination revealed right-sided hemianopsia in a patient. Where is the lesion

site?
A. In the right optic nerve
B. In the left optic nerve
C. In the right optic tract
D. In the left optic tract

80. Patient 32 years old referred with complaints of poor night vision, narrowing of
the fields of vision in both eyes. The above complaints are noted from childhood.
Ophthalmoscopy showed areas of dystrophic destruction of receptor cells on the
periphery of the retina in the form of "bone bodies", narrowing of the retinal
arteries. What is the most likely diagnosis?
A. Localized retinal detachment
B. Occlusion of the central retinal artery
C. Pigmented retinal degeneration
D. Macular retinal degeneration
E. Thrombosis of the central retinal vein

81. A 46-year-old patient complains of a gradual decrease in vision in both eyes.

An objective examination revealed an increase in the size of the blind spot in both
eyes. Ophthalmoscopically, the optic disc will dominate forward, the boundaries
are indistinct. The veins are sharply dilated; the arteries are medium, hemorrhage
near the optic nerve head. Formulate this patient's condition.
A. Increased intraocular pressure
B. Increased intracranial pressure
C. Increased erythrocyte sedimentation rate
D. Increased blood glucose
E. Increase in leukocytes in the blood

82. A 16-year-old patient complains of low vision in both eyes. Vision is poor
from birth. He doesn't use glasses because they are not suitable. Objectively: visual
acuity in both eyes = 0.2 (not corrected). The accessory apparatus of the eyes is
normal. The eyeballs are calm. Anterior segments without visible pathology.
Optical environments are transparent. On the fundus of the optic nerve, discs are
pale, somewhat reduced in size. No other pathology is visible. What is the
pathology of the optic nerve?
A. Retrobulbar optic neuritis
B. Congestive papilla of the optic nerve
C. Aplasia of the optic nerve disc
D. Ruptured optic nerve
E. Excavation of the optic nerve discs

83. When consulting a 74-year-old patient suffering from hypertension, the

following picture is determined in the fundus of both eyes: retinal veins are dilated,
twisted. The arteries are somewhat narrowed, uneven in size. No changes were
observed on the retinas and optic nerve discs of both eyes. Visual acuity in both
eyes = 1.0. What stage of the hypertensive fundus do these changes correspond to?
A. Hypertensive angiopathy
B. Hypertensive angiosclerosis
C. Hypertensive retinopathy
D. Hypertensive neuroretinopathy
E. Hypertensive scleropathy

84. In the last few years, the patient has been progressively losing vision especially
at night. On examination, visual acuity is 2 to 2, around the eye, the optic nerve
head is pale, the boundaries are clear, deposits of retinal pigment in the form of
bone bodies. What is your presumptive diagnosis?
A. Retinitis pigmentosa
B. Chorioretinal dystrophy
C. Retinal abiotrophy
D. Central chorioretinitis
E. Ischemic opticopathy

85. A 28-year-old patient went to the outpatient clinic to the doctor on duty with
complaints of severe pain, decreased vision of the right eye. A caustic got into his
right eye about thirty minutes ago. On examination, there is edema of the eyelids,
lacrimation, hyperemia of the eyelid conjunctiva, necrotic patch of conjunctiva of
the eyeball, mixed injection of the eyeball. The cornea of the right eye is diffusely
cloudy, porcelain-like. VOD=light perception. What is the degree of the patient's
burn?
A. I
B. II
C. III
D. IV
E. V

86. A 28-year-old patient consulted an ophthalmologist with complaints of severe

burning sensation, a sharp decrease in object vision, edema of the eyelids, profuse
lacrimation, with difficulty opening his eyes. According to the patient, while
working in the laundry, foamy water got into his eyes. Objectively, VOU=0.3, the
eyelids are hyperemic, edematous, the cornea is de-epithelized, cloudy, the
intraocular medium is not visible. The ophthalmologist ascertained colliquation
necrosis, what causes such necrosis?
A. Alkali
B. Acids
C. Increased temperature
D. Infrared rays
E. Ultraviolet rays

87. A 28-year-old young man was admitted to the emergency service of the eye
department, according to the patient he was beaten by unknown persons,
complaints of redness and swelling of the eyelids on the right, a sharp decrease in
vision, pain when moving the right eye. Objectively, VOD=0,1n/c. Right eye:
eyelids are edematous, transparent cornea, local subconjunctival hemorrhage,
middle anterior chamber, hyphema till the middle of the pupil, rounded pupil in the
center, transparent lens, fundus is not ophthalmoscopic. What is your presumptive
diagnosis?
A. Mild contusion
B. Moderate contusion with hemophtalmos
C. Severe contusion
D. Penetrating eye injury
E. Retinal detachment

88. A 36-year-old patient consulted an ophthalmologist with complaints of

decreased object vision in both eyes. According to the patient, 2 years ago he
received an alkali burn. Objectively, the functions of both eyes are 0.01, the
appendages are with no abnormalities, the cornea is cloudy, endothelial-epithelial
dystrophy, the anterior chamber is middle, the pupil is rounded in the center,
posterior segment details are not visible. Was diagnosed with post-burn dystrophy,
total corneal leukoma in both eyes. What kind of surgery is recommended in this
situation?
A. Penetrating keratoplasty
B. Layered keratoplasty
C. Retinal filling
D. Extraction of cataracts
E. Sinustrabeculoectomy

89. A 37-year-old man consulted an ophthalmologist with complaints of decreased

visual acuity, redness, lacrimation and pain in the right eye. In the anamnesis: 2
years ago, he received an acid burn in his right eye, he was repeatedly treated in a
hospital. Ophthalmological examination of the right eye revealed:
the eye is irritated, the lower eyelid conjunctiva in the middle part is fused with the
conjunctiva of the eyeball by scar tissue. The lower and upper eyelids are partially
closed. What diagnostic study is necessary for the patient to improve the prognosis
of the disease?
A. Test of the sensitivity of the cornea
B. X-ray of the paranasal sinuses
C. Determination of tear film stability
D. Optical coherence tomography
E. Bacterial culture of tear
90. A 29-year-old patient went to the local clinic with complaints of pain, redness,
decreased object vision in the right eye, according to the patient, 2 weeks ago he
received an industrial injury while repairing a car, objectively: VOD= 0.05
uncorrected, VOS= 1.0. Right eye: the eye is injected, the cornea is slightly
swollen, the iris has a yellow-green pigment deposition, the pupil is rounded, in the
center, the lens is transparent, the fundus of the eye is unremarkable. What is your
presumptive diagnosis?
A. Chalcozis
B. Siderosis
C. Hypopyon
D. Hyphema
E. Cataract

91. A 33-year-old patient consulted an ophthalmologist with complaints of severe

burning sensation, a sharp decrease in object vision, swelling of the eyelids, with
difficulty opening his eyes. According to the patient working in the laboratory with
reagents, the chemical got into the eyes. Objectively, VOU=0.1, the eyelids are
hyperemic, edematous, the cornea is de-epithelialized, cloudy, the intraocular
medium is not visible. The ophthalmologist stated coagulation necrosis, what
causes such necrosis?
A. Alkali
B. Acid
C. Increased temperature
D. Infrared rays
E. Ultraviolet rays

92. A 27-year-old patient was admitted to an eye clinic with complaints of low
vision in the right eye. Anamnesis: 2 years ago, there was a lime burn in the right
eye, several times he was treated in a hospital. Recently, on the recommendation of
friends, the right eye was treated with diluted honey. On examination: the right eye
is irritated; the visual acuity is equal to the correct light perception. Diagnosed with
vascularized corneal opacity. What operation is advisable to carry out?
A. Diathermocoagulation of vessels
B. Layered keratoplasty
C. Penetrating keratoplasty
D. Keratoprosthetics
E. Scleroplasty

93. A 20-year-old man has been in an ophthalmological hospital for 15 days due to
a fresh chemical burn in both eyes. To improve trophism and regeneration of eye
tissues, which drug is more appropriate to continue the treatment with?
A. Sulfacyl sodium 30%
B. Tetracycline ointment 1%
C. Solcoseryl - gel
D. Levofloxacin 0.5%
E. Tobradex ointment

94. A 14 years old child with photophobia, blepharospasm, lacrimation. The onset
is relatively acute. Objectively, on the right eye, pericorneal injection, phlyctenular
infiltrate on the cornea, superficial vascularization. What is your preliminary
diagnosis?
A. Dendritic keratitis
B. Disciform keratitis
C. Tuberculous keratitis
D. Syphilitic keratitis
E. Acanthamebic keratitis

RAM
 1. When vision is decreased it is necessary to exclude the inflammatory
process in the area of the optic nerve exit from the orbit through
Ans:::: Optic Nerve Canal

2. To characterize the functional center of retina, it is necessary to

examine opthalmoscopically:
Ans::::: Fovea Centralis

3. Innervation of superior oblique muscle:::

Ans::::: Trochlear Nerve

4. Main function of retina:

Ans::::: light perception.

5. 45-year-old man underwent subtotal penetrating keratoplasty. What is

the optimal time to remove stitches?
Ans::::: 6 months

6. Normal color perception.

Ans::::: Trichromasia

7. All of the following are histological changes in glaucoma except.

Ans::::: peripapillary atrophy.

8. What is the displacement of the lens called?

Ans:::::: Subluxation

9. What is the presence of an artificial lens in the eye called?

Ans::::::: Artiphakia

10. The preferred therapy for infantile glaucoma is:

Ans ::::: Trabeculotomy or goniotomy

11. Which of the following symptoms patients with cataracts more

likely to have?
Ans::::::: Gradual decreased vision

12. Eye refraction with spasm of accommodation (if emmetropic eye)

Ans::::: becomes myopic

13. With orthophoria, the angle between the optical and visual axes is
equal to :
Ans:::: 1-2 degree

14. Which of the following colors is a medium wavelength?

Ans:::: Green

15. What diagnostic condition characterizes protanomaly?

Ans ::::: Abnormal perception of red color.

16. Intraocular fluid is produced by?

Ans:::::: Ciliary body.

17. Name the most significant symptom of binocular vision disorder:

Ans. ::::: Amblyopia (doubtful)

18. Sokolov's test is used to diagnose:

Ans ::::: Binocular vision

19. A 70-year-old woman applied to ophthalmologist with complaints

of a sudden decreased Vlslon of her right eye, she noted this after
Increased Her blood pressure. Ophthalmological examination
revealed no changes of anterior part but no red reflex from fundus.
What Is your preliminary diagnosis?
Ans :::: Vitreous hemorrhage

20. A 13-year-old schoolboy complains of visual impairment while

reading. He sees well in the distance. Visual acuity in both eyes =
1.0. Eyes are healthy. What is your presumptive diagnosis?
Ans:::: Hypermetropia
 21. The patient’s examination revealed simple, direct myopic
astigmatism in 3.0. What treatment should be applied to correct
vision?
Ans::::: cylindrical concave 3.0d

22. Patient K.., 47 years old, Consultanted An ophthalmologist at the

place of residence with the complaints of stinging, redness, pain,
decreased vision of the right eye from the anamnesisMarwadi it was
found that he had been suffering from chronic dacryocystitis for 2
years, was treated conservatively. pain and redness of the eye
appeared for the first time examination revealed several precorneal
injections of the eyeball. The cornea is the inner segment is
eccentrically dull it is there is a depression in this area 1 age of the
depression is range crescent-shaped in the anterior chamber-
hypopyon 2.0mm The Pupil is narrow rounded, the iris is hyperemic,
edematous. What is your diagnosis?
Ans:::::::; corneal erosion

23. The patient complains of incomplete closure of the eyelids,

dryness in the eye, redness of eye especially in the morning
lacrimation of the right. which Nerve damage is the cause of this
pathology?
Ans:::::: facial

24. A 12-year-old girl turn to an ophthalmologist with the complaint of

decreased vision while wearing the previously prescribed glasses
(-5.0d) when examined by an ophthalmologist, it was noted that the
patient's myopia had recently increased every six months by 1.0d,
anterior-posterior size of the eye is 25.0 mm the girl's parents have
moderate degree myopia. How do you explain the progression of the
myopia and your recommendations for the treatment?
ANS:::: extension of the eyeball along the axis, LASIK is recommended.
 25. A 2-year-old child showed swelling of the right eye, a violet-blue
swelling of the sclera, and cry when closing the eye. In district clinic a
diagnosis was made adenoviral conjunctivitis treatment was
prescribed according to the diagnosis but no improvement was
observed. Later, the wrong diagnosis was a revealed what diagnosis
must be made to prescribe the correct treatment?
ANS:::: Scleritis.

26. A 47-year-old man came to hospital with complaints of the sudden

loss of vision in his right eye and suffering from the high the risk of
hypertension for 20 years objectively VOD=1/infinity pr.l.c, anterior
part of the eye is not changed. the fundus reflex is absent.
presumptive diagnosis complete hemophthalmos of the right eye.
what additional examination is required?
ANS:::: Ophthalmoscopic examination

27. A Patient consulted a Doctor after contusion of the eyeball with the
complaints of decreased vision when viewed in transmitted light, dark
floating opacities are visible on pink reflex background. what is your
presumptive diagnosis?
ANS:::: Retinal hemorrhage.

28. A 69-year-old man has complaints on severe pain, decreased

vision in the left eye. from the anamnesis: the pain appeared
suddenly, 3 days ago. on examination, the eyes are injected cornea
is edematous, the anterior chamber is swallow, The Pupil is mydriatic,
the lens is opaque. the fundus of the eye is not visible. IOP is
increased. diagnosis: hyper mature cataract phacomorphic glaucoma
of the right eye. what kind of treatment is advisable before the
surgery?
ANS::::: Analgesic therapy.

29. A 35-year-old patient Consultant An ophthalmologist with the

complaints of severe burning sensation, a sharp decrease in the
object vision, swelling of the eyelids of both eyes. according to the
 patient while working on the Hood of the car sulphuric acid got into
the eyes. objectively the functions of both eyes are 0.1, the eyelids
are hyperemic, edematous, the cornea is de-epithelized, the
intraocular media is transparent, the fundus is normal what kind of
necrosis can be in this situation?
ANS::::: Shouldered/soldered.

30. The mother of a one-year-old child referred to an ophthalmologist,

complaining of moderate photophobia and constantly wide pupils of
both eyes. from the anamnesis, the mother suffered the flu during
pregnancy. On examination the cornea is transparent, the iris’s rim of
the root is visible with the lateral illumination, the contours of the lens
and the ciliary griddle are visible. What is your next tactic?
ANS::::: prescribing a corrective contact lens.

31. A 33-year-old patient consulted an ophthalmologist complaining of

a sharp decrease in the vision in the right eye twitching notice 2 days
ago. a week ago he suffered acute right-sided Sinusitis. objectively:
visual acuity of the right eye is equal to 0.2 (not corrected). the right
eye is calm, the optical media is transparent. the fundus of the eye:
the optic nerve head is hyperemic, its borders are blurred,
edematous, slightly protrudes into the vitreous body, the arteries are
dilated. the veins are convoluted, the vascular funnel is filled with
exudate. macular region and retinal periphery without pathology. Left
eye visual acuity = 1.0. The eye is healthy. What is your presumptive
diagnosis?
Ans::::::: Congestive papilla of the optic nerve.

32. A 55-year-old patient suffering from diabetes for 15 years

experiencing sure that is cruising into the vitreous body after the
extensive hemorrhage in the vitreous body in the area of the optic
nerve the appearance of newly formed vessel is noted in the Swat
diagnosed with the total him thalamus. What are the for the tactics of
managing this patient?
Ans:::: Vitrectomy
 33. A 49-year-old patient admitted to the emergency room with the
complaints of severe pain and Blurred vision of the right eye, nausea
vomiting, haloes around the lights. She has increased blood
pressure-180/90 mm HG. on examination VOD= 0.09 n/, VOS=0.1
(+) 3.5 D= 1.0; biomicroscopically- OD- injection of the eyeball,
corneal edema, Shallow anterior chamber Iris bombe, The Pupil is
dilated, does not react to the light. The intraocular pressure of the
right eye is 56 mm HG. What is your preliminary diagnosis?
ANS::::: acute angle close glaucoma.

34. Patient 40 years old, complaints of a gradual decrease in the

vision in the left eye. anamnesis: suffered a head injury a year ago.
ophthalmoscopy revealed pallor of the optic nerve head from the
temporal side, the borders of the disc are clear, the vascular bundle
in the centre, the arteries are narrow. What is the most likely
diagnosis?
Ans::::: atrophy of the optic nerve

35. A 74-year-old man admitted to the emergency room with

complaints on severe pain, decreased vision in the left eye. From the
medical history, the patient's diagnosis was immature cataract of the
right eye. On examination the eye is red, the cornea is edematous,
the anterior chamber is shallow, the pupil is mydriatic, the lens is
opaque and swells. The fundus of the eye is not visible. diagnosis
hyper mature cataract, phacomorphic glaucoma of the right eye.
which of the more appropriate treatment for this diagnosis.
Ans::::::: extraction of the lens.

36. A 16-year-old patient complains of the low vision in the both eyes.
vision is poor from birth.he doesn't use the glasses because they are
not suitable. objectively visual acuity in both eyes=0.2 (not corrected)
the accessory Apparatus of the eye is normal eyeballs are calm.
Anterior segments without the visible Pathology. optical environments
are transparent. On the fundus of the optic nerve, discs are pale,
 somewhat reduced in size. No other pathology is visible. What is the
pathology of the optic nerve?
Ans::: aplasia of the optic nerve disc.

37. An 80-year-old woman consulted with an ophthalmologist of the

FMC with complaints of decreased object vision in her left eye.
According to the patient, her vision has been gradually decreasing for
the last 2 years. With the visometry the function of the left eye is 0.05,
intraocular pressure is normal with the ophthalmoscopy. The reflex is
gray. diagnosed with cataract what additional examination does this
patient need to confirm the diagnosis.
Ans:::: fluorescence angiography.

38. An objective examination of a patient has disclosed a

symblepharon. According to the words, the patient suffered an eye
injury several years ago. This pathology is the complication of what
trauma?
Ans::: eye and adnexa burns.

39. A 25-year-old woman consulted an ophthalmologist, with

complaints of pain in the eye, lacrimation, photophobia,
blepharospasm, redness of the right eye. According to the words, a
few drops of Acetic Acid got into the eye. an objective examination
revealed corneal erosion. which of the following is contraindicated for
the patient?
Ans::::: dexamethasone 0.1%

40. A-45-year-old woman has complaints of redness and discomfort in

her eyes. From the anamnesis, above complaints have been
troubling for the last 8 months, about which she has not applied
somewhere, she works in a sewing workshop, and she connects her
condition with work (dusty and dry conditioner). Objectively, VOU =
1.0, the eyes are slightly injected, frequent blinking and xerosis of the
cornea are noted during biomicroscope. The ophthalmoscopic picture
is normal. What is your presumptive diagnosis?
Ans::::: Dry Eye Syndrome.

41. The right eye of a 9-year-old child is constantly deviate inward, the
left eye is in normal condition. The Optical media of both eye is
transparent. The fundus of the eye is without pathology. Visual acuity
of the right eye is = 0.02 uncorrected, the left eye is = 1.0. What is the
likely cause of this condition?
Ans -- Myopic disease.

42. A 28-year-old patient went to the outpatient clinic to the doctor on

duty with complaints of severe pain, decreased vision of the right eye.
A caustic g into his right eye about 30 minutes ago. On examination
there is edema of the eyelids, lacrimation, hyperemia of the eyelid
conjunctiva, necrotic patch on the conjunctiva of the eyeball, mixed
injection of the eyeball. The cornea of the right eye is diffusely cloudy,
porcelain-like. VOD=light perception. What is the degree of the
patient's burn?
Ans-- IV

43. From birth, a four-year-old child constantly squints his right eye.
On examination visual acuity of right eye = 0.05 is not corrected.
Ophthalmoscopically: The optic disc is pale, the borders are
contoured. The retinal arteries are narrowed. History of hypertensive
syndrome. What pathology of the optic nerve has caused the child's
vision to decrease?
Ans-- Atrophy of the optic nerve.

44. A 46-year-old complains of a gradual decrease in vision in both

eyes. An objective examination revealed an increase in size of the
blind spot in both eyes. Ophthalmoscopically, the optic disc will
dominate forward, the boundaries are indistinct. The veins are
sharply dilated; the arteries are medium, hemorrhage near the optic
nerve head. Formulate this patient's condition?
Ans-- Increase in leukocytes in the blood
 45. Nutrition of what vascular network needs to be strengthened in
case of corneal burns?
Ans-- Central retinal artery

46. A 60-year-old came to the hospital with complaints of acute pain in

right eye, headache, decreased vision, haloes around the lights. In
anamnesis he had hypertension. Ambulance doctor made injection,
but no changes. Over the past year, several times he had the same
condition but did not apply to the doctor. On examination: The right
eye is red, the cornea is cloudy, anterior chamber is shallow, the iris
is edematous, the pupil is wide, does not react to light. The left eye is
calm, IOP of OD digitally is increased like stone. Diagnosis is angle
close glaucoma. With what pathology should be performed differential
diagnosis?
Ans-- Acute iridocyclitis

47. A 20-year-old patient consulted an ophthalmologist with

complaints of low object vision and squint of the left eye. Objectively:
VOD = 1.0. VOS = 0.1 uncorrected. Esothropia of left eye -250
(Hirshberg test). The fundus of the eye is normal. Define treatment
tactic.
Ans-- Recession of medial rectus muscle of the left eye on 5mm.

48. The mother brought the child to the doctor with complaints of poor
vision in both eyes. Notes that the child wore glasses for several
years as a child but for unknown reasons he stopped wearing them.
With an objective examination at the moment, glasses do not help
him. optical media are transparent. The fundus of the eye is normal.
What type of amblyopia does a child have?
Ans-- DisBinocular

49. A 78-year-old women referred to ophthalmologist complaining of a

decrease in object vision in the left eye, Lack of object vision in the
right eye, according to the patient, vision has been gradually
decreasing for the last 2 years with visometry, the function of the right
 eye is 0.005. left eye functions at 0.2 intraocular pressure is normal,
with ophthalmoscopy the reflex is gray. Clinically diagnosed as a
mature cataract of the right eye, immature cataract of the left eye.
What method of treatment is advisable to prescribe for this
diagnosis?
Ans::::: Extraction of the lens.

50. An office worker of 30 years old, came to the doctor with

complaints of fatigue in the eyes, Rapid fatigue, frequent blinking.
Objective research data VOU = 1.0 The eyes are completely calm.
The movement of the eyes is not changed. Anterior segment of the
eyes without visible changes. Optical media is transparent. The
fundus of the eye is normal, Refractometric - emmetropia. She was
diagnosed with accommodation spasm. What drops can be
prescribed to this patient?
Ans:::: Tropicamide 1%.

51. Indicate the reason which, from your point of view, cannot lead to
the development of an acute angle close glaucoma:
Ans:::: Working in head tilt position.

52. A 45-year-old man has referred to the FMC with complaints of a

sharp decrease in vision, flashing of files in front of the left eye. From
the anamnesis, it was noted that the day before he had suffered
tonsillitis. On examination the visual acuity of the left eye = 0.02. The
left eye is calm; the anterior segment is not changed. When
examining the fundus, a focus in the central zone of 0.3 pd with
Indistinct borders, yellowish-gray in color, the retina around is
infiltrated, edematous. What is your presumptive diagnosis?
Ans:::: Central retinal degeneration.

53. A 45-year-old woman turned to an ophthalmologist at the FMC

with complaints of pain, photophobia, watery eyes in the right eye.
From the anamnesis: the above complaints appeared 3 days ago,
 suffers from chronic Sinusitis. On examination visual acuity of the
right eye = 0.1. Pericorneal injection, an ulcer on the cornea with a
black vesicle in the centre, pus in the anterior chamber, a narrow
pupil. What condition did you find in this case?
Ans:::: Corneal ulcer, descemetocele, hypopyon

54. Parents brought a 1.5-year old child to the children's eye

department with complaints of poor orientation in space during for last
6 months. Objectively: OU -- anterior part of eye without changes, the
cornea is transparent, the anterior chamber is normal, the pupil is
rounded in the center, the lens is opaque, there is no red reflex. A
diagnosis: Congenital cataract of both eyes and surgical treatment
was proposed. Why this type of cataract should be operated as soon
as possible?
Ans:::: Prevention of development refractive errors

55. A 45-year-old man was referred to the FMC with complaints of

aching pains, photophobia, lacrimation, redness of the right eye.
History: this condition has worried him for the last 3 days. Objectively:
visual acuity of the right eye = 0.06. The eyelids are edematous, the
conjunctiva is precorneal injection, there are precipitates on the
posterior surface of the cornea, the moisture of the anterior chamber
is opalescent, the Iris is changed in color, yellowish-pink papules are
located along the pupillary edge. What is the likely cause of this
condition?
Ans:::: Treponema pallidum

56. For several days, patient R., 52 years old, has swelling of the
appendages, tenderness on palpation, lacrimation, fever, general
malaise, headache. According to the words, lacrimation worries for 3
years. Objectively, pronounced edema of tissue hyperemia is the
medial adhesion of the eyelids of the left eye is determined. The
swelling extends to the eyelids, cheek, and bridge of the nose.
Palpation of tissues is painful, local temperature is increased. The
 eye slit is closed. visual acuity is not reduced. The eyes are calm.
What is the diagnosis in this patient?
Ans:::: Phlegmon of the lacrimal sac

57. Patient 59 year old. She went to a doctor with soreness in the
upper eyelid, headaches and fever, which bothers her for 4 days. On
examination, A purulent pustule was revealed in the upper eyelid.
The damage is unilateral, painful with conjunctival edema. Anamnesis
revealed that the patient suffers from type 2 Diabetes mellitus , had a
flu a week ago. What is the cause of the disease?
Ans:::: Staphylococcus.

58. In a 2-year-old child, an objective examination determines bilateral

convergent strabismus. What Diagnostic method would be used for
research?
Ans::::: Refractometry.

59. The patient's examination revealed simple, direct myopic

astigmatism in 3.0D. What treatment should be applied to correct
vision?
Ans:::: Cylindrical concave 3.0D

60. A 30-year-old man came to an eye Trauma Centre complaining of

photophobia, watery eyes in the left eye. From the anamnesis it was
found out that the day before he worked in the garden and touched
the eye with a branch. On examination visual acuity of the left eye =
0.3 on the cornea in the central zone of the epithelium rejection lesion
4mm, the corneal surface above the lesion is dull and Rough. What
additional examination is necessary to make a diagnosis?
Ans:::: Staining with fluorescein solution.

61. A 3-year-old child was brought to an ophthalmologist with severe

symptoms of lacrimation, photophobia, blepharospasm. Anamnesis
complaints started 3 days ago, accompanied by periodic fever and
cough for 2 months. When examining the eyes using the eyelid lifter
 the yellowish-grey nodule 4mm in diameter And The vessel going to
in the form of a Ray are visible on the cornea. What's your diagnosis?
Ans::: Herpetic keratitis.

62. A 14-year-old was referred to an ophthalmologist at the place of

Residence with complaints of decreased vision, pain in the joints.
This condition had been bothering her for the last month. Objectively
visual acuity in both eyes = 0.4. On the cornea with the open
palpebral fissure there is the Ribbon-like opacity 4 mm wide on the
posterior surface of the cornea, there are dust-like precipitates.
Destruction of the vitreous body. What is your presumptive
diagnosis?
Ans::: Behcet's disease.

63. A 36-year-old patient was admitted to the clinic of eye disease with
complaints of severe pain in the left eye, decreased vision. According
to the word of patient, crystals of potassium permanganate got into
the eye about 40 minutes ago. What antidote should you use?
Ans-- Unithiol solution.

64. The most thickened area of the sclera where attached:

Ans-- Internal eye muscles.

65. For the study of binocular vision of schoolchildren it is necessary

to use:
Ans::: Apparatus Belostotsky

66. A 50-year-old patient applied for a consultation in the eye office.

Complains that it has become difficult to distinguish details up close,
feels heaviness in the eye and headaches after work. An objective
examination revealed a hyperopia of (+) 1.5 diopters. What work
glasses should this patient be prescribed for work?
Ans::: (+)3.5 diopters
 67. Amblyopia revealed in 4-year-old child with visual acuity of 0.08 in
an uncorrected hyperopic eye at 8.0D. What treatment should be
planned to improve visual acuity in a child?
Ans::: Pleoptics.

68. A 52-year-old male patient admitted to the emergency room with

acute angle close glaucoma. Which of the structure is closed anterior
chamber angle?
Ans-- Neovascularization

69. Absence of vision in the left eye was revealed upon examination of
visual activity of a 6-year-old child. According to the anamnesis that
day there was a blow to the head with a heavy metal object.
Everything is normal in the fundus and pathological process in the
brain is excluded. What is your preliminary diagnosis?
Ans::: Retinal rupture.

70. 32-year-old woman turn to an ophthalmologist with the complaint

of decrease in visual acuity over the past year. from the anamnesis
that the patient has been wearing glasses for myopia since childhood
normal, the optical media were transparent. coarse pigmented less
the likely cause of this condition is?
Ans :::: Retinal Hemorrage.
Bonpoc: Ng1

When examining the patient’s visual acuity, it was found that the patient does not see the upper letter
of the Golovin-Sivtsev table with his right eye. To what distance should the table be brought closer to
determine the patient’s visual acuity?

1 From which he sees the second line of the table

2 From which he sees the third line of the table

3 From which he sees the fourth line of the table

4 From which he sees the first line of the tables

5. From which he sees the fifth line of the table

Bonpoc: NQ2

Due to the special arrangement of the layers of the cornea, it has a high refractive power?

Concentric to the corneal surface

Parallel to the corneal surface

Obliquely directed to the corneal surface

Circularly to the corneal surface

Chaotic to the corneal surface

Bonpoc: Ne3

What diagnostic condition characterizes protanomaly?

Abnormal perception of red color

Abnormal perception of blue color

Abnormal perception of green color

Abnormal perception of yellow color

Bonpoc: NQ4

During eyebrow correction procedure a patient had injured a skin of upper eyelid by using tweezers,
which subsequently led to a development of an abscess and further eyelid phlegmon. What prevents
development of orbital phlegmon?

0TBeTbl(0ftMH OTBeT)

Tarso-orbital fascia

Riolan’s muscle

Accessory glands in the conjunctiva

Upper eyelid muscles

Orbicularis muscle of eyelid

Bonpoc: NQ5

Function of aqueous humor:

0TBeTbl(0ftUH OTBeT)

Nütrition of the optic nerve

Nutrition of the optical media of the eye

Nutrition of the inner layer of the sclera

Nutrition of the external layers of the retina

Nutrition of the internal muscles of the eye

Q6.

A 39-year-old woman turned to an ophthalmologist at the FMC with complaints of lacrimation,

soreness, photophobia of the left eye. The above complaints have been worsening the last 4 days, the
day before something got into the eye, and she washed it with water. Suffering from chronic
dacryocystitis for the last 2 years. Objectively: VOS = 0.05. Biomicroscopy: precorneal injection,
ulceration in the center of the cornea, one edge of which is swollen and raised, the other is flat with
delicate epithelialization. Hypopyon, the pupil is narrow. What should be done before treatment?
Rinse the conjunctival cavity

Make a keratotopography

Lamellar keratoplasty

Scraping from the surface of the ulcer

Bonpoc: N97

Which of the lowlisted values is equal to the minimum angle of vision?

1 minute

5 seconds

1 second

: 3 seconds

5 mminute

Bonpoc: Ng8

For several days, patient R,,52 years old, has swelling of the appendages, tenderness on palpation,
lacrimation, fever, general malaise, headache. According to the words, lacrimation worries for 3 years.
Objectively, pronounced edema of tissue hyperemia in the medial adhesion of the eyelids of the left eye
is determined. The swelling extends to the eyelids, cheek, and bridge of the nose. Palpation of tissues is
painful, local temperature is increased. The eye slit is closed. Visual acuity is not reduced. The eyes are
calm. What is the diagnosis in this patient?

Angular blepharitis

J Phlegmon of the lacrimal sac

3

Acute dacryoadenitis

Y Acute dacryocystitis

Bonpoc: Ng9

In a 2-year-old child, an objective examination determines bilateral convergent strabismus. What

diagnostic method should be used for research?

Bonpoc: N910

For the study of binocular vision of schoolchildren it is necessary to use:

Apparatus Refractometer.

Apparatus Ophthalmometer

Apparatus Golovin-Sivtsev

Goldman apparatus

Apparatus Belostotsky
A 60-year-old man turned to an ophthalmologist at the FMC with complaints of pain, photophobia,
lacrimation in the right eye. From the anamnesis: the above complaints appeared 3 days ago, suffers
from chronic sinusitis. On examination: visual acuity of the right eye = 0.2. Pericorneal injection, an ulcer
on the cornea with a black vesicle in the center, pus in the anterior chamber, a narrow pupil. What
complication is possible in this case?

Bonpoc: N212

Conjunctivitis, accompanied by the appearance of follicles and hyperplasia of the papillae, which in the
process of decay are always replaced by scar tissue. What conjunctivitis does this condition refer to?

0TBeTbl(0AMH OTBeT)

1 Diphtheria

3 Chlamydial

3. O Herpetic

O4. Allergic

Bonpoc: NQ13
A 45-year-old man underwent subtotal penetrating keratoplasty. What is the optimal time to remove
stitches?

1-2 months

3-4 weeks

3-4 months

6 months

4-5 months

Bonpoc: Ng14

The right eye of a 9-year-old child is constantly deviate inward, the left eye is in normal condition. The
optical media of both eyes is transparent. The fundus of the eye is without pathology. Visual acuity of
the right eye = 0.02 uncorrected, the left eye = 1.0. What is the likely cause of this condition?

Hypermetropia

Muscular asthenopia

Complicated cataract

Myopic disease

Retinal detachment

Bonpoc: Ng15

A male emm etrope, 40 years old, complains of visual impairment when reading. What spherical lenses
does he need for reading?

0TBeTbl(0flMH OTBeT)

Convex 3.0d

Concav 2.0d

Cpnvex 1.0d

Convex 2.0d

Concav 3.0d
Bonpoc: NQ16

The human binocular vision apparatus includes:?

1.Nervous apparatus

2.Tactile apparatus

3.Excretory system

4.Hearing aid

Bonpoc: NQ17

The mother of a 7-year-old boy consulted an ophthalmologist because of her son’s vision loss after
school, as before school the child’s visual acuity was 100%. Objectively, V0U= 0.3 with a correction of -
1.0D =1.0. What diagnostic measures need to be applied to distinguish true from pseudo myopia?

1.Performe gonioscopy under accommodation paralysis

2.Performe campimetry under accommodation paralysis

3.Performe retinoscopy under accommodation paralysis

4.Performe perimetry under accommodation paralysis

5.Performe tonography under accommodation paralysis .

Distance, in particular, he complains that the images merge after a long hard work, objectively the visual
acuity of both eyes: = 0.5 s -0.75 D = 1.0 The ophthalmologist prescribed drops for cycloplegia Irifrini
2.5% for 2 weeks. After 2 weeks, visual acuity in both eyes = 1.0. What is your presumptive diagnosis?

1.Mixed astigmatism

2.Spasm of accommodation
3.Complex myopic astigmatism

4.Simple myopic astigmatism

5.Mild hyperopia

Q 18

Conservative treatment with the use of antimycotic agents was carried out, and the sequestration was
removed with a knife, followed by cauterization. But despite the measures taken, there was no
improvement. What is your next tactic?

1.Penetrating keratoplasty

2.Enucleation of the eye

3.Evisceration of the eye

4.Corneal paracentesis

A 47-year-old man came to the hospital with complaints of the sudden loss of vision in his right eye.
Anamnesis: Suffering from high risk of hypertension for 20 years. Objectively: VOD= 1 / ~ pr.I.c, anterior
part of the eye is not changed. The fundus reflex is absent. Presumptive diagnosis: complete
hemophthalmos of the right eye. What additional examination is required?

1.Optical coherence tomography

2.Measure intraocular pressure

3.Gonioscopy

4.Ultrasound examination of the eye

5.Ophthalmoscopic examination

A 2-year-old child showed swelling of the right eye, a violet-blue swelling of the sclera, and cry when
closing the eye. In the district clinic, a diagnosis was made – adenoviral conjunctivitis, treatment was
prescribed according to the diagnosis, but no improvement was observed. Later, the wrong diagnosis
was revealed. What diagnosis must be made to prescribe the correct treatment?.

Bonpoc: N922
What disease of the eyelids can damage the eye?

Patient E.( 19 years old, complained of reddening of the mucous membrane of both eyes, moderate
mucous discharge, sticking of eyelashes in the morning, feeling of sand under the eyelids, lacrimation.
Felt sick two days after swimming in the pond. On examination, the conjunctiva of the eyelids and
eyeballs is sharply hyperemic, moderately edematous, there are single follicles on the conjunctiva of
both eyes, moderate mucous discharge. What complication can there be with this pathology?

I1

‘ Keratitis

1 2.< Panophthalmitis

13. Retinitis

14.Endophthalmitis

Retinoscopy, refractometry shows myopia 4.0D. What is recommended to improve visual acuity in both
eyes:

Scleroplasty in both eyes

‘ Pleopto-orthoptic treatment of both eyes

1 J Goniopuncture in both eyes

Bonpoc: N225

A 37-year-old man came to the eye department with complaints of redness, pain, lacrimation,
photophobia of the right eye. From anamnesis 4 days ago scratched the eye with a branch in the forest,
and thought it would become fine by itself. On examination: visual acuity of the right eye = 1 / <» pr.I.c.
mixed injection, 4mm gray infiltrate on the cornea, pus fills with the chamber in the anterior chamber.
What should be done with this patient?

Evisceration of the eyeball

Layered keratoplasty
Cryoapplication on the cornea

Paracentesis of the anterior chamber

Enucleation of the eyeball

At an appointment with an ophthalmologist, a woman with a 4-month-old baby notes that the child
does not follow toys, does not react to bright colors. From the anamnesis: pregnancy proceeded with
threats, polyhydramnios. The child is registered with a neuropathologist for hydrocephalus. When
examining the fundus, in the macular zone, a large focus corresponds to 1 PD, whitish-brown with a
prominence into the vitreous body. What kind of examination is required to make a diagnosis?

Bonpoc: N-27

Choose the most probable diagnosis when the aged patient develops decrease and blurred vision after
visiting the sauna, rainbow circles around the light, severe pain in the eye with irradiation to the back of
the head, teeth, ear:?

Acute keratitis

Acute conjunctivitis

Acute iridocyclitis

J Acute angle close glaucoma

Acute dacryocysti

Bonpoc: NQ28

A 36-year-old patient was admitted to the clinic of eye diseases with complaints of severe pain in the
left eye, decreased vision. According to the words of patient, a crystals of potassium permanganate got
into the eye about 40 minutes ago. What antidote should you use?

1.Levomycetin solution

2.Ascorbic acid solution

3.Riboflavin solution

4.Unithiol solution

5.Furacilin solution

A 17-year-old man with his son came to the doctor of the polyclinic. The teenager complains of blurred
vision in the evening. According to the patient, the symptoms appeared about a year ago for no reason.
Objectively: visual acuity in both eyes = 0.7. The anterior segments of the eye are unchanged. The
fundus of the eye: the optic disc is pale, the boundaries are clear, on the periphery of the fundus along
the retinal vessels there are multiple dark brown pigment deposits in the form of “bone bodies”. The
fields of view are sharply narrowed. What vitamin deficiency can be the cause of this pathology?

1 Vitamin A
2

At 2 am a 23-year-old patient was brought to the eye clinic with complaints: severe pain and smarting in
both eyes with no ability to open them. The patient was installing a satellite dish in the mountains at an
altitude of 3000 m and it was clear and sunny weather. On examination: blepharospasm, photophobia,
lacrimation, severe hyperemia of eyelids conjunctiva and eyeball of both eyes. After the instillation of
2.0% lidocaine solution, the patient felt relief and he opened his eyes. What is the likely cause of this
condition?

1.Eye damage by ionizing radiation

2 .Eye burns with ultraviolet rays

3.Eye burns with infrared rays

4.Burns of eyes by radioactive waves

5.Electric ophthalmia

An 81-year-old man was examined by the ophthalmologist of the polyclinic with complaints of gradual
and painless decrease in vision in both eyes. According to the patient, the vision in both eyes decreases
for no obvious reason for 8 years. He did not seek medical help and did not receive treatment. Visual
acuity in both eyes = 0.04, not corrected. Intraocular pressure is normal. The anterior segments of the
eyes are unchanged. Ophthalmoscopically: the optic disc is pale pink, with clear boundaries. Arteries are
narrowed, sclerosed, veins are dilated, full-blooded. In the macular area, there are extensive atrophic
foci. What is your presumptive diagnosis?

1.Hemorrhage in the macular area

2.Chorioretinal dystrophy of the retina

3.Age related macular degeneration

4.Cystic macular edema

5.Central retinal vein thrombosis

A 50-year-old patient was consulted by an ophthalmologist about hypertension. Excerpt from the
consultant’s note: on the fundus on both sides of the optic nerve discs are gray-pink, edematous. The
vessels are sharply narrowed, without sclerotic changes. Salus Il-Ill. Numerous flocculent white spots on
the retina. The retina is grayish. The posterior pole has multiple hemorrhages of various shapes and
sizes. In the area of the yellow spot there is a star shape. What retinopathy does this patient have?

1.Diabetic

2.Renal

3.Physiological

4.Atherosclerotic

5.Rheumatic

Bonpoc: NQ33

A 45-year-old man was referred to the FMC with complaints of aching pains, photophobia, lacrimation,
redness of the right eye. History: this condition has worried him for the last 3 days. Objectively: visual
acuity of the right eye = 0.06. The eyelids are edematous, the conjunctiva is precorneal injection, there
are precipitates on the posterior surface of the cornea, the moisture of the anterior chamber is
opalescent, the iris is changed in color, yellowish-pink papules are located along the Pupillary edge.
What is the likely cause of this conditions?

1.Bacilla Leffler

2.Echinococcus

3.Klebsiella

4.Staphylococcus aureus
5.Treponema pallidum

Bonpoc: N934

Management of phacolytlc glaucom

1.Extraction of cataract and antiglaucomatous operation

2.Only antiglaucomatous surgery

3.Extraction of cataract

4.Lensectomy

5.Conservative treatment

Bonpoc: NQ35

A 47-year-old patient was referred to an eye hospital with complaints of breaking pains, photophobia,
lacrimation, decreased vision in the right eye. The above complaints appeared for 5 days, but over the
last 2 days, the pain increased. Objectively: visual acuity of the right eye = 0.1. The eyelids are
edematous, stagnant injection; the cornea is edematous, precipitates on the posterior surface. The pupil
is narrow, there is fibrin in the pupillary zone, and the iris is bombarded, dirty green in color. Which
complication made the pain worse?

1.Facolytic glaucoma

2.Acute panuveitis

3.Superficial keratitis

4.Postuveal. Glaucoma

Bonpoc: N936

The patient is an 8 years old boy, Woa in III” snftjlcnl department with purulent porllonllls. Suddenly
nollcwl “ decrease In vision In the right eyo. The ophlhnlniolocjlnf was called for the consultation,
Objoctlvoly: Kight wy” I” Irritated, mixed Injection, the irla Is greenish, _fae0 Is smooth, there Is
exudate In the vltroous body. Whol Is your diagnosis?

1.Metastatic uveltl：

2.Toxoplasmic uveitis

3.Syphilitic uveitis

4.Rheumatoid uveitis

5.Rheumatic uveitis

Bonpoc: N937

A 29-year-old patient went to the local clinic with complaints of pain, redness, decreased object vision in
the right eye, according to the patient, 2 weeks ago he received an industrial injury while repairing a car,
objectively: VOD= 0.05 uncorrected, VOS= 1.0. Right eye: the eye is injected, the cornea is slightly
swollen, the iris has a yellow-green pigment deposition, the pupil is rounded, in’the center, the lens is
transparent, the fundus of the eye is unremarkable. What is your presumptive diagnosis?

. Siderosis

Chalcozis

Hypopyon

Hyphema

Bonpoc: N°38
A 45-year old man has referred to the f MC with complaints of a sharp decrease in vision, flashing of flies
in front of his left eye. From the anamnesis, it was noted that the day before he had suffered tonsillitis.
On examination, the visual acuity of the left eye = 0,02, The left eye is calm; the anterior segment is not
changed, When examining the fundus, a focus in the central zone of 0.3 pd with indistinct borders,
yellowish-gray in color; the retina around is infiltrated, edematous. What is your presumptive diagnosis?

1.Age-related macular degeneration

2.Papillitis

3.Central choroiditis

4.Peripheral choroiditis

5.Central retinal degeneration

Bonpoc: N-39

A16-year-old patient complains of low vision in both Vision is poor from birth. He doesn’t use glasses
because they are not suitable. Objectively: visual acuity in both eyes = 0.2 (not corrected). The accessory
apparatus of the eyes is normal. The eyeballs are calm. Anterior segments without visible pathology.
Optical environments are transparent. On the fundus of the optic nerve, discs are pale, somewhat
reduced in size. No other pathology is visible. What is the pathology of the optic nerve?

Bonpoc: Ng40

An elderly woman received an eye injury during a fall and noticed a decrease in vision in the left eye. A
few hours later, pains in the eye and headaches appeared. Vision has decreased even more. Objectively:
Visual acuity of the left eye = 0.03 (not corrected). The eye is injected in a mixed manner. The cornea is
swollen, the anterior chamber is deep as if filled with an oil drop. The pupil is round, moderately dilated.
Pink reflex from the fundus. The fundus cannot be examined in detail due to corneal edema. Intraocular
pressure of the left eye = 46 mm Hg. Art. What type of secondary glaucoma did the patient develop?

1.Facotopic

2.Neovascular

3.Phacomorphic

4.Neoplastic
5.J Facolytic

Bonpoc: NQ42

20-year-old man turned to an ophthalmologist with complaints of low object vision in his right eye. From
the anamnesis it was found that last night he received blunt force blow to the right eye. When
examining the eyeball, the following was revealed: the anterior chamber is

Deep, the iris is trembling, in the lumen pupil vitreous. What is the likely reason for this state?

0TBeTb!(OAMH OTBeT)

1.Detachment of the vitreous body

2.Detachment of the iris at the root

3.Scleral rupture

4.Retinal concussion

5.Dislocation of the lens

Bonpoc: NQ44

A 60-year-old patient experienced a high decrease in the left eye after emotional stress. Examination of
the left eye revealed a sharp spasm of the retinal vessels, in the macula a rounded dark red focus. What
is your diagnosis?

1◦ Congestive optic nerve head

2.O Central retinal vein thrombosis

3.Occlusion Central retinal artery

4.Hemorrhage in the macular area

5 Age-related macular degeneration of the retina

Q46.What is the presence of an artificial lens in the eye called?

1.Diphakia
2.Aphakia

3‘ Dysphakia

’4.Artiphakia

5.Monophakia

Bonpoc: N947

A 14 year-old girl was referred to an ophthaimologisl at ihc place of residence z/ith complaints of
decreased vision, pain in the joints. This condition had been bothering her for the last month.
Objective!/: /isuai acuity in both eyes = 0.4. On the cornea “ithin the open palpebral fissure, there is a
ribbon-like opacity 4 mm wide, on the posterior surface of the cornea, there are dust-like precipitates’
Destruction of the /itreous body. What is your presumptive diagnosis?

1.Marchesani disease

2.Marfan’s disease

3.Behcet’s disease

4.Reiter’s disease

5.Still’s disease

Bonpoc: N°48

A 45 year old man wa«s admitted to the emergency aorvlce of the eye department; according to the
patient he received an injury to his left eye, fell from a height while repairing the root complaints of
redness and swelling of the eyelids on the left’ a sharp decrease in object vision, pain when moving the
left eye. Objective}/; VOS = 0, Left eye: eyelids are swelling, edematous cornea, extensive
subconjunctival hemorrhage, anterior chamber irregular, complete hyphema, rounded pupil in the
center, fundus is not ophthalmoscopic. On ultrasound, retinal detachment is determined. What is your
presumptive diagnosis?

1.Penetrating eye injury

2.Severe contusion

3.Keratopathy

4.Moderate contusion

5.Mild contusion
Bonpoc: Ng49

The patient, 42 year, came to the emergency department with complaints of a gradual decrease in
vision in both eyes; she has a history of traumatic brain injury. An objective examination revealed an
increase in the size of the blind spot, hyperopia of 7.0 D is determined skiascopically above the optic
nerve head.

Ophthalmoscopically, the optic nerve head dominates forward, the boundaries are indistinct. What
pathology does this patient have?

1.Post-traumatic optic nerve rupture

2.Descending optic nerve atrophy

3.Ischemia of the optic nerve head

4.Pseudo-optic neuritis

5.Papilledema

Bonpoc: Ng50

A 37-year-old man consulted an ophthalmologist with complaints of decreased visual acuity, redness,
lacrimation and pain in the right eye. In the anamnesis: 2 years ago, he received an acid burn in his right
eye, he was repeatedly treated in a hospital. Ophthalmological examination of the right eye revealed:
the eye is irritated, the lower eyelid conjunctiva in the middle part is fused with the conjunctiva of the
eyeball by scar tissue. The lower and upper eyelids are partially closed. What diagnostic study is
necessary for the patient to improve the prognosis of the disease?

1.Bacterial culture of tear

2.Determination of tear film stability

3.Optical coherence tomography

4.Test of the sensitivity of the cornea

5.X-ray of the paranasal sinuses

 Bonpoc: N230
A 7B-year-old patient complai11s ofdecreaseci vision. When examining the fundus or both eyes, twisted ar,d dilated veins iW
are narrow, obliterated m places. In places \\/here lhe artery crosses the vein, tt,e latter becomes invisible. focal retinal opacities, M
hemorrhages along the vessels. In the area of the macula, yeilow, white foci, and plasmorrhages, forming a star shape D1scoid IIIICUl,t
lhe retina. The optic nerve Is practically ti nchanged. M11ke a preliminary diagnosis.

0TBeTbl(OAHH OTBeT)
1 Hypertensive angiosclerosis

2 1-lypertensive sclero.pathy

3 Hypertensive neuroretinopathy

4 H,perrensive reunopathy

5 HypertenSJ,e ang,opathy

32
• 1 26 27 28 29
,,31 33 50
 Bonpoc: N!!32
A 65-year-old patient has consulted a dottor w,th complaints of doteriorat1on of v1s1on and spahal 011enldt10n. n,., 11xMt
about six months ago but did not cauSl! much concern. Has noticed intermittent passing blurred vision. ObJecllvtly Visu.1 IWllf,
0.4 sphe.ra 3.5 diopters = 1.0. The eyes are caln'I. The corneas are transparent. lhe anter,or chambets are of medium d.,,U, ni. iriillls
aonpoc subarroph1c. The pupils are slightly dilated In the fundus, there is an e)(caval(on of the optic nerve discs. their bl•nch1ng. tnrraocull,
O
both eyes 38 mm Hg. Art. What research needs to be done to fully determine the stage of glaucoma?

1 Tonography

2 Pe.nmeuy

3 0 1aphonosropy

4 Goniosropy

l<efractometry
5
.
• l 28 29 30 35 36 so •
 Bonpoc: N!!31
A &8 -year old woman wrth complaints on decreased v1sron in the operated light eye. From the anamnesls, the right eye WIS
ago, v,s,on is decreased 6 months ago. On examlna11on, VOD= 0.1, lhe cornea Is transparent, the anterfor chamber Is deeper, Ille
m the cer,ter, !he mtraocular lens Is 1n the postenor cha[Tlbcr, diffuse opaciflr.at,on of the posterior capsule, the fundus of t~e eye 15 n
v1s1ble. Diagnosis is secondary cataract, pseudophakla of the ~ ht eye. What kind of surgecy is indicated ror this palfenr?

OreeTbl(0,!1;"1H OTBeT)

, Ettraction of the lens

2 Corneal transplontal1on

3 Sinus lrabeclJlectomy

4 lmi,1anta1,o11 of ort11ic1al lens

s 01scls.s,on a t secondary catar"ct

•
, 27 28 29 30 33 3& 3S ,- so •
 Bonpoc: N!!37
A 49-year ·old woman came to I he emergency room with i;omplaints or severe pain and blurred vision of the righr eylf. whJdj
background of an increase In blood pressure. to 180- and 90-mm Hg, The pa111m1 reported single vom11ing that drd nor bnng Nt1ie£i
examln<1t1on, the followi ng data were obtained: visual acuity of the right eye = 0.09 is not corrected, visual acurty of lhe left eye ~ 0.f
1.0, Biomjcroscopy of the right eye re.veal ed a stagnaht inJection of the eyeball, corneal edema, small anterior chamber, irrs bomba
pupil is dilated. d o es not re_act to J19ht. IOP OD 56 mm Hg. What is , your prellmina,y diagnosis?

:10 l Lacrimal sac phh,gmon

2 Acute auack o f glaucoma

3 Total reUnal detachment

4 F1b nnous-plastic lridocycll11s

5 R..<>trobulbar neurms
.
• 1 33 34 35 36 38 39 40 41 ,o
 Bonpoc: N233
A 14-year-old gut was refeired to an ophthalmologist at the place of residence with complaints of decreased vision. p,,on in U.
condition had been botlienng her for the last month. ObjectNoly; visual acuity In both eyes = 0.4 On tne cornea Wllhrn the open
fissure. there 1s a rrbbon-l1ke opac,ty 4 mm wide, on !he posterior surface of the cornea, there are dust Ilk• precipnates. Oestruclion ill
v1treou, body. What 1s your presumptive diagnosis?

OreeTbl(OAHH OTBeT)
1 Behcer s disease

2 Reiter's disease

3 Stlll's disease

-4 Misrchesam d1se,lse

S MMfan s dJ:seaSce

1 29 30 31 32 . 34 35 36 37 so •
 Bonpoc: N!?43
72 year- old woman ad1n1tted to emergency room with complaints or pain 1n ihe ler1 eye, rndlal!ng 10 the left half of l'1t',
photophobia, blepharospasm, deqeased vision. Objective examination; VOO =1,0, VOS: incorrect light percept,on. The eye ls

-
onp0<
cornea is edematous, the anterior chamber is deep, tremor or the iris Is d1,ierm1ned, the pupil 1s irregular, stnan wh,t" particles of lens
detected 1n the an terior chamber. The fundus of the eye 1s not good visible. Wllat type of secondary glaucoma has this patlenrl

0TBeTbl(OAHH OTBeT)
l
,.. Postuveal

2 Neoplastic

3 Phlebohypertensive

4 Phacolyt1c

s Pomraumauc

• 1 39 40 41 42. ¢' JS 46 47 50
 Bonpoc: N238
lhe mother of a 3-veal-old th1ld was referred to an ophtholmologlst with compla1n1, of •n unus.uaf shaPt of a. pa,ptl
anamne51s, dunng prl'gnoncy 1n the early stoges, there were m1scamage nsk.s. laid on Iha pres~rv•hon of ll'"'JfWICy Olt
,.-, DOl'fpc)( has a teyhole stiape w,th no nis at 6 o'clock. The pupll'.s. response to light is prl'Senled. Wh•I is yourd..,gnos,s"' u... , -
tt .. ~ l!OMDOI..

onpae,
OreeTbl(OAMH OTBeT)
1 Coloboma choro,d

2 Coloboma or the ins

:02
3 Poltcona

4 G>rectopia

5 :i.n1nd.ra

• 1 35 36 37 . J9 40 41 Jl
 Bonpoc: N!!44
A 17 year old man with hi$ son canu• to the doctor of the polychn1c. The teenager cornplains of blurred v,s1on in ~ IWfflllO.
patient, the i.ymptoms appeared about a yedr ago fo1 no reason, Objecclvely- visual acu,ty m both eyes ~ 0.7. The anr.-ior
are unchanged The tundus of the eye: the optic disc 1s pale, the boundalies are clear, on the periphery of the fundos along~
there are multiple dark brown pigment deposits In the form of "bone bodies • The ffelds or view are sharply narrowed Wh.tt Vllar1IIII
can be the cause of th,s pathology?

Oreerb1(0AMH oreer)
1 Vitamin E

2 V1tam1n I(

3 Vitamin A

4 V11am•11 D

5 V·tam, C
•

1 -10 ,16 47 ,18

 Bonpoc: N 2
A 70-year-oled woman appled to ophthalmalogist with
complaints of a sudden decreased vislon cfherright eye, she
moted this after Increased Her blood pressure.
Ophthalmologlcal examinatlon revealed rio changes of
anterlor part but no red refex fromfundus. What is your
prellminary diagnosls?

OTBeTbI(oquH OTBeT)
Central retlnal artery occlusion

2 Complete complicated cataract

Acute angle close glaucoma

Total retinal detachment

5 Vitreous hemorrhage

1 2 5 6 7

50

Or Save password?2

Never Saye

with C
 N94
Bonpoc:
producedby
Intraocular
fluuld is
OTBeT)
OTBeTbI(oqUH

Lens
Chorioid

Cornea

Ciliary body

Iris
5 1
5 6
3 4
2

50

7 B 9 10
1 2 345
14 15 16
6
17 18 19 20
11 12 13 30
24 25 26 27 28 29
21 22 23

O Save password?

Never Save

th C
 Anam Hayuan

Bonpoc: N°3
Main function of retina

OTBeTbi(oAMH OTBeT)

Supportive

2 Protective

3 Light perception

4 Refraction of light

5 Trophic

5 7
50

45 78 9 10
11 12 13 14 15 16 17 18 19
20
21 22 23 24 25 26 27 28 29 30
2UwiUUUUw w.th Co
 Bonpoc: N°5
What diagnostic condition characterizes protanomaly

OTBeTbi(oquH OTBET)
Abnormal perception of green color

2 Abnormal perception of red color

3 Abnormal perception of violet color

Abnormal perception of yellow color

Abnormal perception of blue color

1 2 3 4 5 6 7

9 50

2 345 6 7 89 10
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30

password? X
Save

Never Save

Co
J0wurUvw
th
 Anam Hayuon Ru

Bonpoc: N97
A 13-year-old schoolboy complalns of visual impairnent
while reading. He sees well In the distance. Visual acuity in
both eyes = 1.0. Eyes are healthy. What is your presumptive
diagnosis?

OTBETbi(oqMH OTBeT)

1 Myopia

2 Amaurosis

3 Amblyopia

4 Hypermetropia

5
Call Copy Share Select all

1 3 5 3

10 11 50

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Bonpoc: N°8
Eye refraction with spasm of accommodation (If emmetropic
eye)

OTBeTbi(oqMH OTBeT)
1
Becomes astigmatic

2 Becomes presbyopic

3 Becomes hyperopic

4 Becomes myopic

5 Becomes anisometropic

A 5 6 7 8 9

10 11 12 50

3 4
6
5 7 8 10
11 12 13 14 15 16 17 19 18
9
20

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Bonpoc: N99
A 32-year-old woman turned to an ophthalmologist with complai
decrease in visual acuity over the past year. From the anamnesis i
|that the patient has been wearing glasses for myopia since childhd
ormal, the optical media were transparent. Coarse pigmented le
the likely cause of this condition?

OTBETbi(oAMH OTBeT)

1 Retinal detachment

2 Vitreous hemorrhage

3 Retinal hemorrhage

A
4 Coloboma choroid

5 Detachment of the vitreous body

1 5 6 1 8 9 10

11 12 13 50
 Bonpoc: Ne10
With orthophoria, the angle between the optical and visual
axes is equal to:

OTBeTbI(onuH OTBeeT)

1 5-8

2 9-10

3 5-6

4 3-4

1-2

1 6 7 8 9

13 14 50

1 2 3 4 6 78
5 9 10
11 12 13 14 15 16 17 18 19 20

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 Bonpoc: N°12
wavelength?
lIs a
medium
following colors
Which of the

OTBeTbI(oquH OTBeT)

Orange

Blue
2

3 Green

A Red

12 13
10 11
1
9

16 50
14 15

5 6 8 9 10
7
1
2 3 4
14 15 16 17 18 19 20
1112 13
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40

41 42 43 44 45 46 47 48 49 50

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Bonpoc: N°18
A 45-year-old man underwent subtotal penetrating
keratoplasty. What is the optinal time to remove stitches?

OTBeTbi(opuH OTBeT)
3-4 months

2 4-5 months

3 3-4 weeks

4 1-2 months

5 6 months

1 14 15 16 17 18

19 20 21 22 50

1 2 3 4 5 6 7 89 10
11 12 13 14 15 16 1718 19 20

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 Bonpoc: Ne19
The patient's examinatlon
revealed
simple, direct nyopic
astigmatism in 3.0D. What
treatment should
correct vision? be applled to

OTBeTbI(oAMH OTBET)
1
Spherical concave 3.0d

2 Cylindrical concave3.0d

3 Cylindrical convex 3.0d

4 Spherical convex 3.0d

5 Spheroprismatic concave 3,0Od

* 15 16 17 18

21 22 23 50

12 3 4 5 6 7 B9 10
11 12 13 14 15 16 17 18 10 20

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Bonpoc: N°20
Patient K., 47 years old, consulted an ophthalmologist
at the
place of residence with complaints of stinging,
redness, pain,
decreased vision of the right eye. From the
anamnesis it was
found that he had been suffering from chronic
dacryocystitis
for 2 years, was treated conservatively. Pain
and redness of
the eye appeared for the first time. Examination revealed:
severe precorneal injection of the eyeball. The cornea
is the
inner segment is eccentrically dull, edematous; there a
is
depression in this area. One edge of the depression is raised,
crescent-shaped. In the anterior chamber hypopyon 2.0 mm,
the pupil is narrow, rounded; the iris is hyperemic, edematous.
What is your diagnosis?

OTBETbi(oauH OTBeT)
1 Corneal ulcer

2 Corneal erosion

3 Corneal vascularization

4 Corneal dystrophy

5 Corneal anomaly

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Bonpoc: N 21
The patient complains of incomplete closure of the eyelids,
dryness in the eye, redness of the eye especially in the
morning, lacrimation on the right. Which nerve damage is the
cause of this pathology?

OTBETbI(OauH OTBeT))

Oculomotor

2 Visual

3 Abducent

4 Facial

5 Pathetic

17 18 19 20 21

22 23 24 25 50

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Bonpoc: N°22
Normal color perception

OTBeTbI(oAuH OTBeT)
1 Dichromasia
2 Pentachromasia

3 Monochromasia

4 Achromasia

5 Trichromasia

1 18 19 20 21 22
23 24 25 26 50

1 23 4 5 6
7 8 9 10
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29
30

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 Bonpoc: N°23
A 12-year-old girl turned to an ophthalmologist with a
complaint of decreased vision while wearing previously
ann
prescribed glasses (5 OD) When examined by
ophthalmologist, it was noted that the patient's myopia has
recently increased every six months by 0D, anterior
1

posterior size of eye is 25 0 mm, the ginl's parents have

moderate degree myopia How do you explain the
progression of myopia and your recomnendations
for

treatment?

OTBETbI(opMH OTBeT)

1 Extension of the eyeball along the axis, LASIC is

recommended

2 Extension of the eyeball along the axis, keratotomy

is recommended

presence of axial myopia, scleroplastic surgery

iss
3
Tecommended

Extension of the eyeball along the axis, keratoplasty

S tecommended.

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 Bonpoc: N°24
A 2-year-old child showed swelling of the right eye, a
violet
blue swelling of the sclera, and cry when closing
the eye. In
thedistrict clinic, a diagnosis was made adenoviral
conjunctivitis, treatment was prescribed
according to the
diagnosis, but no improvement was observed.
Later, the
wrong diagnosis was revealed.
What diagnosis must be
to prescribe the correct
treatment?
made

OTBeTbI(opMH OTBeT)

Scleritis

2 Iridocyclitis

3
Choroiditis

Blepharitis

5
Conjunctivitis

20 21
22 23
25 26 24
27 28
50
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Bonpoc: N925
A47-year-old man came to the hospltal with complaints of
the sudden loss of vision in his right eye. Anarmnesis:
Suffering from high risk of hypertension for 20 years
Objectively VOD= 1/o pr.l.c, anterior part of the eye is not
changed. The fundus reflex is absent. Presurmptive diagnosis:
complete hemophthalmos of the right eye. What additional
examination is required?

OTBETbI(oAMH OTBeT

1 Measure intraocular pressure

2 Ultrasound examination of the eye

Ophthalmoscopic examination

4 Optical coherence tomography

5 Gonioscopy

1
21 22 23 24 25
26 27 28 29 50

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 Bonpoc: N°27
A patient consulted a doctor after a contusion of
the eyeball
with complaints of decreased vision. When
viewed in
transmitted light, dark Soating opacities are visible
on pink
reflex background. What Is your presumptive diagnosis?

OTBeTbI(oaMH OTBeT)

Retinal hemorrhage

2 Corneal opacity

3 Partial hemophthalmos

Complicated cataract

5 Subtotal hyphema

1 23 24 25 26 27
28 29 30 31 50

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Bonpoc: N°28
A 69-year-old man has complaints on
severe pain, decreased
vision in the left eye. From the anamnesis
the pain appeared
suddenly, 3 days ago. On examination,
the eyes are injected,
the cornea is edematous, the anterior
chamber is shallow, the
pupil is mydriatic, the lens is opaque.
The fundus of the eye is
ynot visible. lOP is increased. Diagnosls: Hyper
mature
cataract, phacomorphic glaucoma of the right
eye. What kind
of treatment is advisable before surgery?

OTBETbi(ogMH OTBeT)
1 Sedation therapy

2 Analgesic therapy

Anticoagulant therapy

4 Anticonvulsive therapy

5 Hypotension therapy

24 25 26 27 28

29 30 31 32 50

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 Bonpoc: N 30
A 35-year-old
patient consulted
complaints of severe an ophthalmologist
burning sensation, with
object vision, swelling a sharp decrease
of the eyelids in
to the patient, while of both eyes.
According
working on the
acid got into the eyes. Objectively, hood of the car, sulfuric
are 0.1, the eyelids the functions of
are hyperemic, both eyes
de epithelized, edematous, the cornea is
the intraocular media
fundus is normal. is transparent,
What kind of the
situation? necrosis can be in this

OTBeTbI(oauH OTBeT)
1
Soldered

2 Dry

3 Wet

4 Bubble

5 Powdered

1
26 27 28 29 30

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 Bonpoc: N931
The mother of a one-year-old child referred to
an
ophthalmologist, complalning of moderate
photophobla and
constantily wide pupils of both eyes. From the
anamnesis, the
mother suffered the flu during pregnancy On
exanination,
the cornea ls transparent, the iris's rim of the root
Is visible,
with lateral illumination, the contours of the lens and
the
ciliary girdle are visible. Whal is your next
tactic?

OTBeTbI(oAMH OTBeT)
1 Prescribing a hard contact lens

2 Prescribing a cosmetic contact lens

3 Prescribing an orthokeratological lens

Intraocular lens prescription

Prescribing a corrective contact lens

1 27 28 29 30 31

32 33 34 35 50

12 3 4 5 6 7 8 19920
10
11 12 13 14 15 16 17 18
21 22 23 24 25 26 27 28 29 30
32 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 50

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 Anam Hayuap Kg Ru

Bonpoc: N932
All of the following are histological changes in glaucoma
except

OTBeTbI(oauH OTBeT)

loss of the outer nuclear layer of the retina

2 peripapillary atrophy

thinning of the retinal nerve fiber layer

4 posterior bowing of the lamina cribrosa

5 loss of the ganglion cells in the retina

28 29 30 31 32

33 34 35 36

12312 13 144 155 1667 B 9 10

11 178 19 20
21 22 23 24 25 26 27 28 29 30

319 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 50
32
G ll4i

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12:37 TecTMpOBaHMe
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X A
X avn.kgma.kg
Bonpoc: N°33
ophthalmologist
consulted an the right eye,
33-year-old patient vision in
A
sharp decrease in he suffered
complaining of a week ago
ago. A
noticed 2 days visual acuity of the
which he has Objectively:
right-sided sinusitis. right eye is calm, the
acute corrected). The eye: the optic
(not of the
right eye = 0.2 transparent. The fundus edematous.
is blurred,
optical media hyperemic, its borders are arteries are
nerve head is vitreous body, the filleed
into the vascular funnel is
slightly protrudes convoluted, the
The veins are
retinal periphery without
dilated.
exudate. Macular region and The eye is healthy.
with = 1.0.
Left eye visual acuity
pathology.
presumptive diagnosis?
What is your

OTBeTbi(oaMH OTBeT)
nerve head
1
Excavation of the optic

Ruptured optic nerve

2
nerve
Atrophy of the optic
op nerve
Congestive papilla of the

5 Optic neuritis

31 32 33
29 30

36 37 50
34 35

12 3 4 5 6 7 89 10

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X kgma.kg

Anam HayuiaA Ka Ru

Bonpoc: N934
What is the displacement of the lens called?

OTBETbI(oqWH OTBeT)

1 Atopy

2 Heterotopia

3 Subluxation

4 Fakotopla

5 Atony

1 30 31 32 33 34

35 36 37 38 50

1
2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30

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Anam HaywoA

Bonpoc: N°35
15 years
suffering from dlabetes for
A 55-year-old patient
that is protrusing into the vitreous
experiencing a shwart body in the
hemorrhage in the vitreous
body after extensive appearance of newly forrned
optic herve. The
yarea of the Diagnosed with total
vessels is noted in the shwart.
further tactics of managing
hemophthalmos. What are the
this patient?

OTBeTbI(oqMH OTBeT)

1 Dacryocystorhinostomy

2 Evisceration

Vitrectomy

Sinustrabeculoectomy

5 Enucleation

1 31 32 33 34 35

36 37 38 39

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Bonpoc: N°37
A 49-year-old patient admitted to the emergency room with
eye,
complaints of severe pain and blurred vision of the right
nausea, vomiting. haloes aound the licghts. She has increased
pressure 180/90 mm Hg. On examination VOD 0.09
blood
n/c, VOS= 01 (+) 3 5D 1.0, Blomicroscopically- OD
shallow anterior
injection of the eyeball, corneal edema,
to
chamber, iris bombe, the pupil is dilated, does not react
mm Hg
ight The intraocular pressure of the right eye is 56
What is your preliminary diagnosis?

OTBeTbI(oAMH OTBeT)

Acute obstruction of the central retinal vein

2 Acute bacterial conjunctivitis

3 Acute angle close glaucoma

Acute obstruction of the central retinal artery

5 Acute fibrinous iridocyclitis

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Bonpoc: N940
Patient 40 years old, complains of a gradual decrease in
vision in the left eye. Anamnesis suffered a head injury a year
ago Ophthalmoscopy revealed pallor of the optic nerve head
from the temporal side, the borders of the disc are clear, the
vascular bundle in the center, the arteries are narrow. What is
the most likely diagnosis?

OTBeTbi(oquH OTBeT)
Excavation of the optic nerve discs

2 Retrobulbar optic neuritis

3 Congestive papilla of the aptic nerve

Atrophy of the optic nerve

5 Ruptured optic nerve

36 37 38 39 40
41 42 43 44 50

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Bonpoc: N°44
to the emergency room
wlth
A 74-year-old man admitted
severe pain, decreased vision in the lefi eye
complaints on
medical history, patlent's diagnosis was imimature
From the eye is red, the
of the right eye. On examination, the
cataract
chamber is shallow, the
cornea is edematous, the anterior
1he lens opaque, and swells. The fundus
pupil is mydriatic, is

eye is not visible. Diagnosis is Hyper mature cataract,

1of the
eye. Which of the more
phacomorphic glaucoma of the tight
diagnosis?
appropriate treatment for this

OTBeTbI(oAMH OTBeT)

1 Corneal transplantation

2 Dacryocystorhinostomy

3 Sinus trabeculectomy

4 Sclerectomy.

5 Extraction of the lens

1 40 41 42 43 44

45 46 47 48 50

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AnaM Haywap Ru

Bonpoc: N943
A 16-year-old patient complains of low vision in both eyes.
Vision is poor from birth. He doesn't use glasses because
they are not suitable. Objectively visual acuity in both eyes =
02 (not corrected). The accessory apparatus of the eyes is
normal The eyeballs are calm Anterior sejments without
VIsible pathology Optical envitonments are transparent. On
the fundus of the optic nerve, discs are pale, somewhat
reduced in size. No other pathology is visible. What is the
pathology of the optic nerve??

OTBeTbi(oquH OTBET)
1
Congestive papilla of the optic nerve

Aplasia of the optic nerve disc

3 Ruptured optic nerve

Excavation of the optic nerve discs

5 Retrobultbar optic neuritis

39 40 414243
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Kg Ru
Anam Haywag

Bonpoc: N941
An 80 year-old woman consulted with an ophthaimologist of
in her
the FMC with complaints of decreased object vision
left eye, according to the patient, her vision has been
gradually decreasing for the last 2 years. With visometry, the
function of the left eye is 0.05, intraocular pressure is normal
with ophthalmoscopy, the reflex is gray. Diagnosed with
cataract. What additional examination does this patient need
to confirm the dlagnosis?

OTBeTbi(ogMH OTBeT)

1 Fluorescence angiography

2 Ultrasound examination

3 Non-contact tonometry

Optical coherence tomographyy

5 Automatic refractometry

1 37 38 39 40 41

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Bonpoc: N942
What is the presence of an artificial lens in the eye called?

OTBeTbi(onuH OTBeT)
1
Aphakia

2 Artiphakia

Dysphakia

Monophakia

5 Diphakia

1 38 39 40 41 42

43 44 45 46 50

1
2 3 4 5 6 7 89 10
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40

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AnnM Hayunn Ko

Bonpoc: Ne45
An objective examination of a patient has disclosed a
syrmbiepharon. Accordirig to the words, the patient suffered
an eye injury several yeats ago This pathalogy isa
complication of what trauma?

OTBETbI(oAMH OTBET)

1
Crushing injury of tthe eyeball

2 Contusion of the eyeball

3 Penetraling wound

4 Eye and adnexa burns

5 Foretgn body of the conea

41 42 43 44 45

47 48 49 50

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Bonpoc: N°46
A 25-year-old woman consulted an ophthalmologist. with
complaints of pain in the cye, lacrimation, photophobla,
blepharospasm, redness of the right eye. Accordiny to the
words, a few drops of acelic acid got into the eye. An
objective exanination revealed corneal erosion. Which of the
following is contraindicated for a patient?

OTBeTbI(oqMH OTBeT)

Korneregel 5%

2 Dexamethasone 0.1%

3 Riboflavin 0 02%

Solcoseryl 5%

5 Levomycetin 0.25%

42 43 44 45 46

47 49 50

7 23 4 5 67 8 9 10
11 12 13 14 15 16 17 18 19 20
2122 23 24
25 26 27 28 29 30
31 32 34 35 36 38 39 40 37
33

11 42 434 454 47 48 49 50

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AnaM HayuwaA RU

Bonpoc: N947
The preferred therapy for Infantile glaucoma is:

OTBeTbi(opMH OTBer)
1
Topical ß blockers

2 Opical bromonidine

3 Pilocarpine 1%

Trabeculotomy or goniotomy

5 Oral acetazolamide

43 44 45 46 47

48 49 50

1 2 3 4 5 6 7 8 9 10
11 12 13 14 1718 19 20
15 16
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 50

OTBeyeHHbtM Bonpoc
iponyuieHHtiM BOpoc
Tekyum Bonpoc

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D
X
avn.kgma.kg

AnaM Haywap Kg Ru

Bonpoc: N 48
Which of the following symptoms patients with
cataracts
more likely to have?

OTBETb(oguH OTBeT)
Hemianopia

2 Concentric narrowing of visual fields

3 Sudden decrease vision

4 Sudden narrowing of visual fields

5 Gradual decreased vision

1
43 44 45 46 47

48 49 50

1 23 4 5 6 7 89 10
11 12 13 14 15 16 1718 19 20
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 500
oTBeueHHbiM BOfnpoc
iponyu4EHHIM Bonpoc
TeKyumn Boipoc

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 Bonpoc: N!!7
An office w r r of O y Id, camel lhe do Im with c0mplamts o httigu in the y c, , p1d far, ue, frequen DiffllliOfl
VOU = 1.0. Th ey ar completely -aim. The movem nl c t the ·yes is t10 cl nge l. Anteri r segment of he eyes .......~.I'll
media ts ran paren . Th rndus f the e 1e i no , ma I. fracto InPtric - em metrop ·a. She i s d1ag nosed With accommodalliilll
be prescrib d o

0TeeTbl(OAMH OTBeT)
1 Sodru,

4 p

1 1
 Bonpoc: N243
A 78-year-old wo man referi ed to ophthalmologist com plaining of a decrease in object vision in the left eye, lade of object vision in~
according to the patient; vision has been gradually decreasing for the last 2 years. With visometry the function of the right eye is O.OOS.
functions at 0.2. intraocular pressure ls normal, with ophthalmoscopy, the reflex is gray. Clinically diagnosed a~ a mature cataract of the
immature cataract of the left eye. What method of treatment ls advisable to prescribe for~his diagnosis?

0TBeTbl(OA"1H OTBeT)

.J Disci <sion of the secondary cataract

~ Dacr1ocystorhinostomy

Extraction 9f the lens

Sinus uat.e,;ulectorny

Corn eal t1an;11ian1a1ic,r

46 47 so
39 -10 .J 1
I
 Bonpoc: N!!41
Indicate the reason which, from your point of view, cannot lead to the development of an acute angle close glauc:om,ii:

0TeeTbl(OAMH OTBeT)

1 0 Prolonged staying in well illu,ninated room

2 0 Working in head tilt position

3 Medicated pupil dilation without tonometry

4 Prolonged stay in a dim room

5 Stress

• 37 38 39 40 42 43 44 45 ., . so
 Bonpoc: N!!15
The mother bro ug h t the child to the doctor with complaints of poor vision in both eyes. Notes that the child wore glasses t,,
but for unkno wn reasons he stopped wea ring the m. With an objective examination at the moment, glasses do not help him.
transparent. The fund us of the eye is normal. What type of amblyopia does a child have?

1 0 Refractive

2 CJ Disbinocular

3 'J Anisomecropic

4 ~
'
Obscuration

5 Ge nettC

16 17 JS 19 so
1I 12 13
1

- -

=\
 Bonpoc: N!!49
A 60-year-old patient ca1rie to the hospital ,v11h complaints of acute pain in the 119h1 eye. herldache decrea~ vision. haloes
anamnests he had hypertension. Ambulance doctor made injection but no changes Qve, the pa,• the_.,
'f'!ar several limes he hid
did not apply to the doctor On examination: Th e right eye is red, the cornea is cloudy an1e11or ch.1mber IS shallow the iris ised1 au:(i
wide d oes not react to light. The left ~e is calm IOP of OD dig1taoiy is ncreased n.estone DiagllOSIS is anglt: ct= glaucoma. Will
s hould be performed differential diagnosis?

t, J 3.cute k.erautts

2 AcutE da r1ocystit1S

. ·s
3 Acu-e co uncf

4 A e

5 ·-
...,c -
 Bonpoc: N!?25
A 20-year-o ld ~tient consulted ,1n ophtholmologist with complaints of low object v1s1on and squint of the left'¥"· ~
uncorrectecl. Esothropia o f the left eye -250 tHirshberg test) . l he fundu~ of the eye is normal. Oefine treatment Taetic

0TeeTbl(OAHH OTBeT)

1 ~ Recession of lower oblique musde of the left eye by 5 mm.

2 Recession of superior rectus muscle of the left eye by 5 mrn.

3 Recess1011 of superior oblique muscle of the left eye by 5 mm.

4 Recession ot medial rectus muscle of the lett eye on 5 mrn,

5 - Recession o1 lateral recius rnuscle of the left eye by 5 mm.

21 22 23
 Bonpoc; N!!46
A 46-ye;ir~o ld patient complains of a gradual decrease Tn vision fn both eyes. An objective el<amination revealed an iriaC&iC!
in both eyes. Ophth,1lmoscopically, the optic disc will dom,n.,e lorward the boundaries are indistlna. fhe velros are sharply
n1edlum, hemo rrhage nea, the optic nerve head. Formulate this patient's condition.

0TeeTbl ( OA..iH OTBeT)

1 (.J Inc.reased erylhrocyte sedimer,tation I ate

2 () Increased intracranlal pressure

3 Increased blood glucose

4 Increased ,ntraocular pressure

5
lncre.,1se in leuk-0cytes In the blood

1
-13 -15 II 47
.19 -19 50
 Bonpoc: N~2
Nutrit ion of what vascu lar network needs to be strengthened in case of corneal bums?

Oraetbl(OAHH OTBet)

1 0 Posterior short ciliary arteries

2 ("\
- Lim bal capillaries •

3 r Central retina l ve in

4 -
f Central retinal artery

5 Anterior ciliary arteries

1 3 4 5 6 7 ... so ..
 onpoc: N!42

What is e d gree f the patten ·s burn?

1 0 ff

3 U

5 ,v
38
 Bonpoc: N~17
The right eye of a 9 yea1-old child is constantly deviate inward, the le~ eye is in normal condition. The optic,11 media of both
fundus of the eye is without pathology. Visual acuity of U1e right eye= 0.02 uncorrected, the left eye: 1.0, What is the lilcl!ly

0TBeTbl(OA"1H OTBeT)
1 0 Muscular asthenopia

2 ".) Hypermetropia

3 - Retinal detachment

4 •.) Complicated cataract

5 tv1yopic disease

1 13 14 15 16 18 19 20 21 50 •
 Bonpoc: N!!45
I r1,111 birth. .i tour -year alt! , hild cons1a11\ly squints his right eye. On elCatnltMtion: visual ~c;uf!y er the nght eye - o.os "001 r~rre,t~d
Ophthalrnoscopically The optir disc is pale, lhe borders ate contoured. Tltt> retinal arte.11es arl! harrowed H,stnry cit hyP"nens,vr• .,,.,,dram~ w~.,
pcllholoyy of the optic nerve has caused the child's vision to decrease?

Oreerb1(0A111H
, Ruptured optic- nerve
OTBeT)

2 Optic neurilis

3 Ccngestlve papil la ot the optic nerve

4 Excavation .if the optic nerve hea1:I

5 Arroph c,t rhe optic nerve

,I I -1-3
 Bonpoc: N229
A 45- year-old man has referred to the FMC with complaints of a sharp decrease in vision, nashing of Illes in frQnt of his left
was noted that the day befo re he had su ffer ed to nsilli'tis. On examination, the vis1J;il acuity of the left eye = 0.02. The Id! eya111
segment is not changed. When examining the fund us, a focus in the central zone of 03 pd witn Indistinct bor(ie,s, yeU10W1'sn-,,a,
around is infiltrated, edematous. Whal is your presumptive diagnosis?

OreeTbl (OAHH OTBeT)

1 n Papillftis

2 Centt-al choroiditis

3 Cenrral retinal degeneration

4 Age-related macular degeneration

5 Peripheral charoidltls

30 )1 33 50
... 26 27 28
1
 Bonpoc: N!48
A 4 S-year-old \\'on1an has cornpldrnts ol redn,•ss and d1Scomfort in her eyes From tne df1amne!ll!I, the
last 8 months. about whkh sh~ has not applied somewhere, she works ,n a sewing w111ksh11p, .illd slle
conditioner). Object1Vely: VOU .: 1.0, the eyes are slightly Injected, frequen1 blinking Jr,tl xero,;,~ ol the
ophthalmoscopic picture is normal. What is you r presumptive diagnosis?

O r eeTbl (OAMH OTBeT)

..
1 0 Vira l conjunct1v1trs

2 ) Dry eyE syndrome

3 Kerar,us

4 Ct r~ruc dacryocysrrtls

s B1ept1dn1ts

-
A Ac! j .If, I
II ,r,
 Bonpoc: N°30
\\hat 1s tf1,, 1111':~t cle1111111o1nl 'ly111plcH11111 rlry PY<'
S}'4ldill111C?

0TBeTb1( OAt1H OTBeT)

1 Feeling of foreign body sensation in the eyes

2 Feeling of itching in the eyes

3 Feeling of burning in the eyes

4 ' Feeling of heat in the eyes

5 Feeling cold in the eyes

1 26 27 28 29

31 32 33 34 50 »
 (D i:lVll k q 111,1 kq/W1 ltl I [I) 0

A 71~ yc•,11 <1ld p,1t1t•11I 1:0111plt1111•, of dcc,rr·.ited

vl~;1an When l'Xdl1l11 il11CJ the f1111dt1'i of l,r,l~t eyer,,
t,vtsled and d1latetl veu 1s at" v1siblP The arteries.
are 11a1 ,ow, obliterated In places In places nhere
the artery crosses the vein, the latter becomes
invisible. Focal retinal opacities. Multiple
hemorrhages along the vessels. In the area of the
n1acula, yellow-white foci, and plasmorrhages,
forming a star shape. Discoid macular edema of
the retina. The optic nerve is practically
unchanged. Make a p reliminary diagnosis.

OTeeTbl(OAltlH OTBeT)

1 .
() Hypertensive angiopathy

2 C Hypertensive retinopathy

3 1J Hypertensive angiosclerosls

4 Hypertensive scleropathy

5 Hypertensive neuroretlnopathy
 11JlrrtlllJ ' hVI'"' l•'ll IV•' I rl I I""'
It 1111 nt llo.
de'< 1, ,1 , d 111 lcJII nl 1h11 thJIII royn 1111 <It· r I r
1n v1•;1t111 vvn q111c k .111.t p,1l11h 1 , r1111••t 11,111,
,,1,;11,11 ,11 llilV L•I lh1• 11qltl "VI' (I 11'1 {11(,I
l ,,11r>1·1,•d) I 11•• ,•y,·I> ill 1·. 11(11 lftJPr l•·rl l1ntor1c,r
,,,•g111P11I Ill till' ,,y,· w1!1111111 v1·,ll,l1• p.1tll<,ll1~1J c,ri
11,1, tt1nd11:;, ,111 rtlL1111Hh1t1<::, f f'd di'..f t<; 1/l<,tblt', It£
,·on1<'(1f:i <111!' bh111ecl, poorly Vif,lbl{! duf• tr,
nu111erous he11101 tl1ages, recalls tongues of
flan,e Veins are dark, dilated, convoluted, in
places lost in the edematous tissue of the retina.
The arteries are narrow. Numerous streak-like
and large hemorrhages throughout the fundus.
What Is your p resumptive diagnosis?

0TBeTbl(OAlfiH OTBeT)

1 1 Macular retinal degeneration

•
2 1 Central retinal vein occlusion

3 Localized retinal detachment

4 1 Pigmented retinal degenerat1on

5 Occlusion of the central retinal artery

 (D ,l Vll k <j ll 1.t kq /w I 1t I I I OJ 0

B0n1>oc: N1'39

Tht' pal1t•t1t 1~. ,111 II Yl',11•. 11lrl ln,y, Wft', 1n the

su1ylr.1I dl•p.11 1t 11e11l with p111ul!'1JI peo1lton111s
Suddt.'nlv noticed a dee, ease in vision in the right
eye The ophtllalrnologlst was ca lled for the
consultation. Objectively: Righl eye is irritated,
n1ixed Injection, the iris is greenish, the surface is
smooth, there is exudate in t he vit reous body.
What is your diagnos is?

1 CI Rheumatoid uveitis

2 .... Toxoplasmic uveitis

3 Rheumatic uveitis

4 Metastatic uveitis

5 Syphilitic uveltls
 © dVll k(fl l hl ,kq W 11 1/Tt I III 0
tJOtlpoc : N l:.' -ttU

\ ,,l \(',II ,1ld 111,111 ltt111t•d lr, lliP r•111Prq1•111 /

S('IVICl' of till' 1•yp dt•p,11 11 111•111 Willi l:(Jtflplc1ir11·, of

se, ere sor 011ess. , ed11ess, decretiserJ (JIJJc!(,!lve
tile left eve, I rom the anamnesis, go!
1 ,s,on ln

Into an accident, hit his head on the windshield of

a car. \Vhen examined, the eyes were Injected, the
cornea was swollen, the anterior chamber was
irregular, the pupil was wide, and the lens was
cloudy, dislocated into the anterior chamber. The
f undus of the eye is not visible. What is your
presumptive diagnosis?

1 C Mature cataract

2 Partial hyphema

3 Overripe cataract

4 Secondary aniridla

5 Ectopic lens
 Bonpoc:NQ40
The patient, 40 years old, turned to the eye
trauma center with complaints of irritation and
pain in the right eye, lacrimallon, photophobia.
Anamnesis revealed that yesterday while working
1n the garden, he injured his eye with a branc h. On
examination: VOO - 0.4, VOS - 1.0. Pericorneal
1n1ection, the c ornea in the center when viewed
from the side fi g ht - opalescent; loss of smooth
in the optic al zone. The doctor inst il led
nuores cence solution into the conjunct iva I c avity
An area o f the cornea wit h a size of 2.0x1 .5 m m
turned g reenish. Diagnosed with corneal erosion .
What l s your treatment strategy?

O T BeTbl ( OAHH OTBeT)

1 antfb1otic and corneregel

2 Timolol 0.5% and Solcoseryl Gel

3 Pllocarpfne 1 % and Riboflavin 0.02%

4 Taurine 4% and Riboflavin 0.02%

5 Dexamethasone 0.1 % and corneregel

 (D :)Vil kgll l tl kll II I t III 0

B0n1>oc: N!:141
In:) J \ i',ll 1.1ld p.tlil'III I 01,1pl.ilr1<, ,11 ,hi.lip
,,1 v1s1011 i11 lhf' tlqht ryP 11ftt,r
,JCi're.1sl'
p0rf,)rn11ng e,cesslve physical 0.xP.r11or,
,\c·rnrdlng 1o tl1e words, he has been suffering
fron, high 1nyopia for 20 years. The patient
con1pla1ns of a dark "curtain" on top. An
ophthalmologist diagnosed with retinal
detachment . What is the mechanism of retinal
detachment in the patient?

0TBeTbl(OAMH OTBeT)

1 Mixed

2 Rhegmatogenous

3 Exudative

4 Traction

5 rraumat,c.:
 CD dVll kg,11.1,kq/W .. hl( t/1 I [TI 0

Bonpoc: Ng35

1\ yf',11 old p ..11le11t 1.;arne lo ophlht1lrnologit:t

h ·

V1 1tll con1plaints on tl1e absence of vis.ion of the

1

r1ght eye, a significant decreased vision of the

left eye. A gradual decreasing vision 1n both eyes
was noted within 2 years. The VOD= correct light
perception; VOS= 0.1 n/c. To examine fund us of
eye is necessary use mydriatic drops. What
examination is required before dropping
mydriatic drops to prevent complications?

1 Ci Ultrasound examination of the eye

2 Fluorescein angiography of the eye

3 J Tonometry of the eye

4 Automatic refractometry of the eye

5 Optical coherence tomography of the eye

 Bonpoc: N°3 8
A 6~ \l~.J1 11ld p.illl'lll 11,1•:" •.11,up rJ,,, 11•r1r:P 1n
,,s,011111'11'111ql1t t'Yl' I x11111111ulio11 nf the nqht
e) l' 1('\ \'Jled a shnrp ":lpast n of ti 1e ff>lin<il
, essels, ,n the 111acula a rounded focus of rlarJt
red color The above complaints are disturbed for
15 11ours. Diagnosed with occlusion of the
central retinal artery. Which of these drugs is
indicated for this patient?

0TBeTbl(OAMH OTBeT)

1 Pilocarplne

2 Furosemide

3 Dexamethasone

4 Cefamizin

5 Euphyllin
•

- - ---= - -

« ••• 34 35 36 37 38
 Bonpoc: N°45

1 Only antiglaucomatous surgery

2 Lensectomy

3 Extraction of cataract

4 Conservative treatment for decreasing IOP

.
5 Extraction of cataract and antiglaucomatous
operation

I I

1 41 42 43 44 45

46 47 48 49 50 ))
 Bonpoc: N"42

,\ 55 ~,11 -1,ld ,,vo111.111 ~u,11,, ln 1111• doctor an rluty

,v1th ri c~)r,1pl,,111\ ol severe pain in her left eye.
AC'<'(Hdlng to Iler, instead of eye drops containing
\ 1ta1111ns. she accidentally dripped "some kind of
liquid She can,e to the doctor in 15 minutes
after instillation. Diagnosed with chemical burn.
\tvhat drops should you injected to relieve the
patient's condition?

0TBeTbl(OAMH OTBeT)

1 0 lnocaine 0.4%

2 Dexamethasone 0.1 %

3 PHocarpine 1 o/o

4 Tropicamide 1'%

5 Atropine 1°1n
 CMHrx AAHTMI

Bonpoc: N"37
\\h,11 IS lht' pi•'St'lll t• 1111111 Ill IIIICifll 11111•, 111 lhfl C'/t

1,;; ;i II" d ~

0TBeTbl(OA"1H OTBeT)

1 Aphakia

2 Dysphakia

3 Monophakia

4 Diphakia
•

5 Artiphakia

(' 1 33 34 35 36

38 39 40 41 50 ))
 \\Ill.it IS lh~• c',"1:;p 111 hlir1d111••,:, dt1t1111 JHll!itlf/ t1f1r111

;i11ole ql,1ucl11n,1

0TBeTbl(OAHH OTBeT)

1 Total retinal detachment

2 Lens opacity

3 C Clouding of the vitreous body

4 Persistent corneal opacity

5 (, Atrophy of the optic nerve •

(( 1 40 41 42 43

45 46 47 48 so ))
 (D nv11 kgr11a.kg/w l.>t 1/i t IJ] 0

Bonpoc: NC?34

A 75 ye.11 old \>Vonlan consulted with an FMC

ophthaln1olog1st complainlng about laclr of
obJect vision in her right eye; according to the
patient, her right eye stopped seeing 3 months
ago. and her vision gradually decreased. With
visometry, the function of the right eye has a
correct color proj ection, intraocu lar pressure is
normal, With ophthalmoscopy there is no reflex.
What pathology are we talking about?

OTBeTbl(OAHH OTBeT)

1 C Hypermature cataract

2 Initial cataract

3 Immature cataract

4 Secondary cataract

5 Mature cataract
 - ~

Bonpoc:N241
~ 52-year·old male patientadrnitted to the emergency room with acu te angle close glaucoma. Wh1cl1 of the struaure is dosed amerior chamber
1ngle?

OreeTbl(OAHH OTBeT)
1 0 Neovascularizatbn

I, Genia S)'neth1ae

S The root 01:he 111s

Pupillary edg~ c t tt e iris

1 38
50
 Bonpoc: N!!11
Amblyopia revealed in 4-year-old child with visual acuity of 0.08 in an uncorrected hype ropic eye at 8.00. What treatment
improve visual acuity in a child?

1 0 Vitamin therapy

2 0 Pleoptics

3 C Antihista mine
.. 0 Magnetotherapy

5 -·
I_) Anti-inflammatory

« 1 7 8 9 10 12 13 1-1 15 50 ..
 Bonpoc:N~4
Absence of vision in left eye was revealed upon exarnf nation of visual activity of a 6-year-old child. According to the anamnesis that
blow to the head with a heavy metal object. Everything is normal in the fundus and pathological process in the brain is exduded. What,
prelimina ry diagnosis?

OreeTbl (OAHH OTBeT)

1 C Retinal rupture

2 Damage of cerebral cortex

3 _ Avulsion of o ptic nerve

,a Damage o f optic radll1on

S Damag-e of the optic ; ract

1 J 3 5 6 7 50
 Bonpoc: N!! 14
SO·year-old engineer applied for a consultation rn the eye office. Comptains that ft has bec;ome difficult to distinguish
1n the eyes and headaches after work. An objective examina ion r veal d a hyperopia of ( ) 1.5 diopter5. Wha{t wot1c gktslli
prescribed for work?

OmeTbt(oAMH oTe eT)

+) 2.0 diop ers

J ( ) 3.5 diopters

( ) 3.0 diop e~

(•) 2.5 diop rs

17 18 50
12 13 ls
1 .. 10 11
 A 3 -yea, -old child was b,o,ght to an ophthalmologist w,t, """ symptom, of""'-• " ' -
sta"ed 3 day, ago, accompanied by pedodic fe," and co,gh fo, , moo<hs When "'mi..,,,.,..,......,
<nm in dfamete, and the ,,., ,.1, goin• to it in t he fo,m of a "Y , ,. " ' '"• M lh, mm,. What,,... .........

1 OreeTbl(OAHH OTBeT)
0 Flictenular keratitis

2 () Corneal ulcer

3 '::) H erpetic keratitis

4 Leu coma of the cornea

5 Keratomycosis

« 1 16 17 18 19 ' I 22 23 24 so
 Bonpoc: N223
For the study of binocular vision of scho o lchild ren rt is necessary to use;

0TBeTbl(OA'1H OTBeT)

1 C Apparatus Refractometer.

2 -=. Goldman apparatus

3 Apparatus Belostotsky

4 Appa ratus Ophthahnornete r

5 P.ppara tus Golovin-Sivtsev

1 ... 19 20 21 22 ,5 26 27 50
<.
"
 Bonpoc: !29

........um ave di gno

'
s1

S\ U'

ar an n
elte• s d,
3 3
 Bonpoc: N!!1
The most thickened area of the sclera where attached:

0TBeTbl(OAMH oreeT)

1 0 Tenon capsule

2 C Internal eye n,uscles

3 ~ Internal palpebral ligc1ment

, - External pa lpebral ligament

5 £ye muscle tendons

4 5 6 7 so ,.
• 3
 Bonpoc: N~38
A 36-year-ofd patient \Vas admitted to the clinic of eye d iseases with complaints or severe pain in the left eye decreased 111sion.
of patient, a crystals ot potassium permanganate got into the eye about 40 minutes ago. Whal antidote 5hould you use?

1 '- Levomycenn solu tion

2 Ascorbic aad "SOlut ion

3 Furaol,n solution

4 Un1th1ol soluuon

5 pjbcflav,r so uuon

• ]5 3o 17 II 39 -10
 Bonpoc: N!!9
The patient's examinatio n revealed simple, c;lirect myopic astigmatism in 3.0D. What treatment should be

0TeeTbl(OAIIIH OTBeT)
1 0 Cylindrical convex 3.0d

2 O Spherical c0ncave 3.0d

3 c ylindrical concave3.0d

4 Spherical convex 3.0d

5 :) Spheroprismatic concave 3,0d

« 1 ... 5 6 7 8 • 10 I1 12 13 •• 50
 Bonpoc: N27
0-year-old man came to an eye trauma center complaining of photophob1a, watery eyes in the left r?ye. From the anamnesis, itWII
day before he worked in the garden and touched the eye with a bra nch On examination: visuc1I acuity of the left f!'Je - 03 on the
ntral zone of the epithelium rejection lesion 4 mm, the corneal surface above the lesion is dull and rough. What c1ddftional examillllkln'
make a diagnosis'

Staining with luracillin solution

Staining ,·11th a brillia nt green solution

Staining with fluoresce1n solution

Sta1n1ng with nboflavin sol.n-1011

Staining with pota ,s1urn soluuor

1
 Bonpoc: N!!12
Patient 59 years old. She went to a doctor With soreness in the upper eyelid, headaches and fever, which bothers her
purulent pustule was revealed in the upper eyelid. The damage is unilateral, painful with conjunctiva! edema. AnamnesJ,r
suffers from type 2- diabetes mellitus, had a flu a week ago. What is the cause of this disease?

0TBeTbl( OAMH OTBeT)

1 0 Pneumococcus

2 Ci Staphylococcus

3 rJ Mycobacteria

4 1) Gonococcus

5 Lefleu r"-s sticks

.. ... 8 9 10 11 13 1-1 15 16 .. so •
 Bonpoc: N!!8
In a 2-year-old child. an objective examination determihes bilateral convergent strabismlis, What diagnoslic method should be

QyeeTbl( OAHH OTBeT)

1 0 Tonometry

2 C Campimetry

s ') Perimetry

4 r Topography

5 Refractometry

1 ... 4 5 6 7
II 9 10 11 12 "' 50
 Bonpoc: N!!42
A 45-year-old man was referred lo the FMC with complaints of aching pains, photophobia. lacrimation. redness of the right eye. .
has worried him for the last 3 days. Objectively. visual acuity o f the right eye= 0.06. The eyelids are edematous. the conjunctiva is
there are precipitates on the posterior surface o f the con,ea, the. moisture of the anterior chamber is opalescent, the iris is changed
pink papules are located along the pupillary edge. What is the likely cause of this-condition?

OTBeTbl(OAIIIH OTBeT)
1 0 Kiebsie-Ua

2 Baalta Leffle r

3 Echino coccus

5tapl iylocaccus aLJ reus

5 Treponcma p;;llidurn

1 38 39 .JO '41 43 +l -1-5

 Bonpoc: N221
For several days, patient R, 52 years old, has swelling of the appendages, tenderness on palpation. lacrimatic,>n, fever, general malaise,
According to the words, lacrimation war ries for 3 years. Qbjectively, pronounced edema of tissue hyperemia in the medial adhesion
the left eye is determined The swelling extends to the eyelids,,cheek, and bridge of the nose. Palpation of tissues is painful, local t
increased. The eye slit is closed. Visual acuity is not reduced. The eyes are calm. What is the diagnosis In this patient?

1 0 Acute dacryoadenitis

2 : Angular blephi!"ritis

3 C Periorbital absce1u

r8 Phlegmon of the lacr'imal sac

Aeute daayoq•st[ris

1 "'
17 18 19 20 22 23 25 ..
 Bonpoc: N!!28
Pa rents brought a 1.5- yea, -old child tc,>the children's eye department wrth complaints of poor orientc1tlon ,n spaa,,
Objectively: OU - anterior pa11 of eyes without changes, the cornea is transparent, the anterior chamber is normal, t"8
t he lens is opaque, there is no red reflex. A diagnosis: Congenital cataract of both eyes and surgical treatment was
should be operate d as soo n a s possible?

0TBeTbl ( OAHH OTBeT)

1 O Preve ntion of retinal detachment

2 ;:, Preve11tion of retinopathy

3 Prevention of secondary glaucoma

4 Preven•ion of amblyopia

· er rors
PrE-vern,on o t de velopmer)t relract1v!'
5

29 JO 11
1 --
,i;
 Bonpoc: N!!34
S•year-old woman turned to an ophthalmolegist at the FMC with complaints o r pain, photophobia, watery eyes in the right eye.~
· the above complaints appeared 3 days ago, suffers from chronic sinusitis. On examination; visual acuity of the right eye= 0.l.
~ n. an ulcer on lhe cornea with a black vesicle in the center, pus in the anterior chamber, a narrow pupil. What conditions did you
?

0TBeTbl(OAHH OTBeT)

Corneal ulcer. conjunctiva! chemosis, miosis

Corneal ulcer keratoconus. miosls

Corneal ulcer keratomalacia hypopyon

eal ufcer, descemetocele hypopyon

eal ulcer mydriasis. ,nadarosis

1 30 31 32 33 35 315 37
 8 9 10
7 18 19 20 Bonpoc: N!!1
28 29 30
Select the appropriate characteristic for the posterior corneal epithelium:
38 39 40
48 49 SO
npoc
0TBeTbl(OA"1H OTBeT)
aonpoc

1 0 Structureless fibrous forn1ation

OC1aJIOCb: 2 0 One layer of polygonal cells, not regenerate after damages

2 3 0 Organized fibrillar structure

4 0 Most resistant to chemical attack

5 0 High r~genen1tion capacity

" II z 3 4 5 6 7 ... 50
"
 Bonpoc: N!!2
17 18 19 20
27 28 29 30 Function of aqueous humor:
37 38 39 40
47 48 49 50

eonpoc 0TeeTbl(OAIIIH OTBeT)

~ aonpoc

poc 1 0 Nutrition of the internal muscles of the eye

2 0 Nutrition of the optical media of the eye

Tecra OCTanoCb:

3 0 Nutrition of the optic nerve

37
•
4 0 Nutrition of the external layers of the retina

s 0 Nutrition of the inner layer of the sclera

« 1 11 3 4 5 6 7 ... 50 •
S 6 7 8 9 10
15 16 17 18 19 20 Bonpoc: N!4
25 26 27 28 29 30
Blind spot identifies under campimetry
35 36 37 38 39 40
54647484950

"""'" eonpoc 0TB8Tbt(OAMH OTB8T)

eHHbfH sonpoc
iii aonpoc , 0 In the temporal half of the visual field

HMR 1t?C'Ta ocranocb:

2 0 In the upper half of the visual field

0 ln the upper half of the visual field

11:31 3

4 0 In the nasal half of the visual field

s 0 In the upper Qasal quadrant of the visual field

« 1 2 3 II s 6 7 8 50 •
r6 1 8 9 10 Bonpoc: N!!S
fi6 17 18 19 20
26 27 28 29 30 Optic nerve is
36 37 38 39 40
46 47 48 49 50
1~ri1 aonpoc 0TeeTbl(OAMH OTBeT)
·MHbliol aonpoc
sonpoc 1 0 Sensory nerve

2 0 Axons pf ganglion cells

1"1A tecra OCT8JlOQ,:
3 0 Parasympathetic nerve
11:26
• 4 0 Motor nerve
IUl-1Tb 1eCT

5 0 Sympathetic nerve

1 2 411 6 7 8 9 50 •
 8 9 10
17 18 19 20 Bonpoc: N!!6 •
26 27 28 29 30
A 26-year-old patient complains of reddening of both eyes, profuse purulent discharge from them, feeling of a foreign body, stldcingof
36 37 38 39 40
46 47 48 49 50 the morning. The vision has not changed. Ill for 5 days. It began acutely, with redness of the right eye, after 2 days the other eye also hu¢.
preliminary diagnosis?
"eonpo<
ii sonpoc

0TBeTbl(OAHH OTBeT)

1111 recra 1 0 Oacryoadenitis

2 0 lridocyclitis
:47
3 " Blepharitis

4 ...,
~

Conjunctivitis •

5 Keratitis
•

" 1 2 3 4 5
II 7 8 9 10 ... so •
- 8 910 Bonpoc: N!!7
~ 1 8 1 9 20
5 26 27 28 29 30 Patient 59 years old. She went to a doctor with soreness in the upper eyelid, headaches and fever, which bothers her for 4
5 36 37 38 39 40 purulent pustule was revealed in the upper eyelid. The damage is unilateral, painful with conjunctiva! edema. Anamnesis
5 46 47 48 49 SO suffers from type 2 diabetes mellitus, had a flu a week ago. What is the cause of this disease?
1Hbli'i eonpoc
,e HH1>1i! eonpoc
~ sonpoc QyeeTbl(OAMH OTBeT)

pweH~" Tecra 1 0 Lefleur's sticks

:ta.nocb:
2 0 Mycobacteria
tB:40 3 0 Pneumococcus
W"1fb TeCT •
4 0 Gonococcus

5 0 Staphylococcus

C 1 3 4 5 6
II 8 9 10 11 ... 50

re to search
 Bonpoc: N!!S •

Patient U., 45 years old, complains of constant watery eyes from the right eye, especially when outside. She has wate,y eyes for 2 ~
36 37 38 39 40 position of the eyelids and lacrimal openings is correct, when pressing on the area of the lacrimal sac. there is no discharge. Tear lab Ill
46 47 48 49 SO Colored lacrimal test is negative. When the lacrimal passages are flushed, the liquid does not pass into the nose, it returns through the
wH aonpoc opening. left eye visual acuity =· 1.0. The eye is healthy. The lacrimal test is positive; when rinsing. the liquid passes freely into the nose: 1°'
HHbll< eonpoc Hg Diagnosed with inflammation o f the lacrimal sac. What operation is indicated for this condition?
sonpoc

0TBeTbl(OA"1H OTBeT)

1 0 Collagen crosslinking

2 0 Limbosclerectorny

3 0 Vitreoectomy

4 0 Penetrating keratoplasty

5 ) Dacryocystorhinostorny

... so
« 1 ... 4 5 6 7
II 9 10 11 12 •

here to search
 Bonpoc: N!!9 •

The right eye of a 9-year-old child is constantly deviate inward. the left eye is in normal condition. The optical media of both eyes ii
6 37 38 39 40 fundus of the eye is without patholo gy. Visual acuity of the right eye = 0.02 uncorrected, the left eye; 1.0. What is the likely cauRof
647484950

M sonpoc
Hbl~ eonpoc OTeeTbt(oA..,H oTeeT)
npoc
1 0 Complicated cata ract

oa,: 2 0 Hype rmetropia

0 Muscular asthenopia
:27 3

4 0 Myopic d isease
•

5 0 Retinal d etachment

« 1 5 6 7 8 II ,o 11 12 13 50 •

t,ere to search
 Bonpoc: N!!10 •
26 27 28 29 ~ A 16-year-old schoolboy at an ophthalmologist's office complains of itching, redness of eyelid margin, foamy discharge at !he
S 36 37 38 39 4i,) fissure, rapid eye fatigue when reading texts. What o phthalmological examination does he need to establish the cause of this
54647484950

HwH sonpoc
e MHblH eonpoc
ii eonpoc
1 0 Determination of corneal .sensitivity

2 0 Refractometry

3 0 lnigation lachrymal d ucts

4 0 Radiography of the orbit

5 0 Conjunctiva! staining with fluorescein

"
, 6 7 8 91111 12 13 14 50

to search
 Bonpoc: N!11
12 13 14 15 16 17 18 19 20
22 23 . 25 26 27 28 29 30 Whal le nses are used to correct presbyopia in emmetropia?
31 32 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 SO
• 0TeeTbl{OA"1H OTBeT)
· - 01ueqet-1Kbuil sonpoc
a.nponyLJ.leHHbl~ eonpo<: 1 0 Sphe ro p rism atic
• - reKyll.\,1~ eonpoc

2 0 Cylind rical
.no s;ieepwe111U11ecra ocranoo.:
3 0 Positive
1:07:56
' 4 0 Negative
3aeepw.11b recr
5 0 Prismatic

..
1 7 8 9 10
II 12 13 14 1S •• 50
 Bonpoc: N!!12
13 14 15 16 17 18 19 20
21 23.25 26 27 28 29 30 What type of clinical refraction has 20·year-old p;uient. with distance visual acuity in both e,es
31 32 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 SO
a OTBE!4eHHbli:I eonpoc OTeeTbl(OAHH oTeeT)
a nponyuteHHblii eonpoc
• · 1e<yU1>1ii aonpoc 1 0 Moderate hyperopia

/J.o JaeepweH11A 1eaa oCTBJlOQ,:

2 0 Mixed astigmatism

3 0 late nt hyperopia
1:07:50
• 4 0 High myopia
3aa epw111Tb reo
5 0 Moderate myopia

« 1 8 9 10 11
II 13 14 15 16 so •

11ere to search
 14 15 16 17 18 19 20 Bonpoc: N213
25 26 27 28 29 30
What diagnostic methods of research are necessary to determine changes In the visual field?

1 42 43 44 45 46 47 48 49 50

• - oree<1eHHbl11 eonpoc OTeeTbl(OAMH OTBeT)

a .opony~eHH~~eonpoc
· - te<)'Ull'I~ eonpoc 1 0 Biomicroscopy

2 0 Perimetry

3 0 Anomaloscopy
1:07:45
• 4 0 Visometry
3asepwITTb recr
5 0 Gonioscopy

« 1 9 10 11 12
II 14 15 16 17 so •

ype here to search

 Bonpoc: N!!14 •
15 16 17 18 19 20
25 26 27 28 29 30 A 32-year•old woman came to you with complaints of severe pain in the left eye radiating to the temple. eyebrows. i-,
analgesics. Anamnesis: a wo man has iype 2 diabetes. lntraocular pressure is normal. What diagnostic method wiU you
diagnosis in this case?
oroe-..,.eHHb1'1 sonpoc
nponyu;eHHbliii eonpoc
relC)'ll.l"'H eonpoc 0TBeTbl(OAIIIH OTBeT)

o 3aeepweHlllR TeC'fa 1 0 Visometry

Octa.AOCb:
2 0 Perimetry
1:07:39 3 0 Adaptometry

4 0 Diaphonoscopy

5 0 Biomicroscopy

so •
« 1 ... 10 11 12 13
II 15 16 17 18

lPe t;ere to search

 Bonpoc: N!!15
l6 17 18 19 20
26 27 28 29 30 The ophthalmologist revealed protanopia in the patient. Give a definition.

43 44 45 46 47 48 49 50

OT&e4eHH~H aonpoc OTeeTbt(OAIIIH OTBeT)

npony111eHHblH aonpoc
teocyu.iM,; eonpoc 1 0 Lack of perception of violet color

2 0 Lack of perception o f yellow color

3 0 Lack of perception of g reen color

1:07:34
• 4 0 Lack of perception of blue color
3asepwHTb tecr
5 0 Lack of perception of red color

" 1 11 12 13 14 1116 17 18 19 50 •

here to search
 Bonpoc: N!!16 •
17 18 19 20
27 28 29 30 A mother with a 2-year-old child turned to the pediatJician. Complaints: moderate photophobia and laaimation In both~
35 36 37 38 39 40 that the child has difficulty hearing. On examination, sharply protruding frontal tubercles, a saddle nose, a lunat" notch ill the, ..,.,,.,,,
45 46 47 48 49 50 teeth are noticeable. Objectively: there is a moderate precomeal injection in the eyeball, in the corneal stroma near the limbu5 tt.
1.1eHHb1K sonpoc infiltration of a grayish-white color. Diagnosed with syphilitic keratitis. What treatment is advisable in this case?
ny11.1eHHblii aonpoc
11.11<.I eonpoc
OrseTbl(OA"1H OTBeT)
eepweHWt 1eoa
ocra/lOCb~ 1 0 Bioquinol, penicillin

:07:28 2 0 Acyclovir, ophthalmoferon

3 0 Ftivazid, streptomycin

4 0 Nerobol, tetracycline ointment

s C' Retinal, corneregel

" 1 12 13 14 15 11 ,1 18 19 20 so •

ype tiere to search

 Bonpoc: N217 •

The mother brought the child to the doctor with complaints of poor vision in both eyes. Notes that the child wore glasses for
53637 363940
but for unknown reasons he stopped wearing them. With an objective examination at the moment, glasses do not help him. OpliQII.
54647464950
transparent. The fundus of the eye is normal. What type of amblyopia does a child have?
aonpoc
Hbl~
EHHbl~ aonpoc
.; ecnpoc 0TBeTbl (OAHH OTBeT)

1 0 Genetic

2 0 Disbinocular

3 0 Anisometropic

4 J Obscuration •

5 0 Refractive

1 13 14 15 16
II 18 19 20 21 50 •
 Bonpoc: N!!18
What are contra-indications for refractive surgery of myopia:
3 34 35 36 37 38 39 40
3 44 45 4-6 47 48 49 50
ral"leHHbua eonpoc 0TB8Tbl(OAMH OTBeT)
pony114eHHb111 eonpoc
1141<>! aonpoc 1 0 Moderate myopia

2 0 Inflammatory diseases of the layers of eye

eepweHi<A tecra ocra11oa,:

3 0 Intolerance to contact correction .

1:07:04
•
4 0 Greater anisometropia

5 0 Mild m.,YOpia

" 1 14 15 16 17 1119 20 21 22 50 ,.
 Bonpoc: N!!19
A SO-year-old engineer a pplied for a consultation in the eye office. Complains that it has become difficult to distinguish
in the eyes and headaches afte r work. An objective examination revealed a hyperopia of (+) 1.5 diopters. Wha(t work glasses
7484950 prescribed for worl<?
onpoc
· eonpoc
oc 0TB8Tbl(OAHH OTBeT)

1 0 ( +) 2.5 diopters

2 0 (+) 4.0 diopters

3 0 (+) 3.5 diopters

4 0 +) 2.0 diopters

s 0 (+) 3.0 diopters

.. 1 15 16 17 18
II 20 21 22 23 so •
 Bonpoc: N!!20
A 2-year-o ld child showed swelling of the right eye, a violet-blue swelling of the sclera, and cry when closing the eye. Iii
37 38 39 40 was made - adenoviral conjunctivitis, treatment was prescribed according to the diagnosis, but no improvement was
47 48 49 SO
d iagnosis was revealed. What d iagnosis must be made to prescribe the correct treatment?
eonpoc
,- sonpoc
poc 0TBeTbl(OAHH OTBeT)

1 0 Bleph aritis
a.:
2 0 lridocyclitis
52 3 0 Conjunctivitis

4 0 Choroiditis

5 0 Sderitis

" 1 ... 16 17 18 19
II 21 22 23 24 50 •
 Bonpoc: N!21
What diagno:.-tic value has- an irNes-tigation of the blind spot?

43 44 45 46 47 48 49 SO
O'IBe'leHH•n• aonpoc OTeeTbt(OAHH oTBeT)
nponyll(eHH•II< eonpoc
Te,cyt1114,ii aonpoc 1 0 I.Jmited sc:otoma all)"',ne<e in the visual field

2 0 Projecuon into the visual field of thr optic neNe head

3 0 Projection into the macular field of view

1:06:37
• 4 0 Visua field defects from retinal ...essels
3dBepW'1Tb TeCT

s 0 Oefect in the vi:.-ual field tram a d;'Strophic 1ocus

.. l .. ll 18 19 25 •

......... • , . l'0.11n"h
 Bonpoc: N!!22
When examining a woman, 30 years old, with myopia 8.0 d, during ophthalmoscopy on the perlphe,y of the retina. lalge:
37 38 39 40 determined, with small retinal tears in the ora serrata line. What treatment should be applied in this case?
47 48 49 so
eonpoc
blM eonpoc OTeeTbt(OAMH oTeeT)
npoc
1 0 Sinus trab eculectomy
,rn rl!CTa
2 0 Laser coagulation of retina
a,:

0 lridocycloretraction
:31 3

4 0 Cryodiatermocoagulation of retina

s 0 Diathermocoagulation of ciliary body

« 1 18 19 2.0 21 1123 24 26 so
 Bonpoc: N!!23 •

. In the case when light reflex from ophthalmoscope localizes on cornea of the squinting eye. projecting in the middle of the
the pupil to the edge of the cornea in its inner half, this corresponds to:

OTeeTbt(OAMH oTeeT)

1 0 Divergent strabismus with an angle of 45

a
2 0 Convergent strabismus with an angle of 15 degrees

3 0 Divergent strabismus with an angle of 30 °

4 0 Convergent strabismus with an angle of 30 °

5 J Convergent strabismus with an angle of 45 °

« 1 19 20 21 22 II 24 25 26 27 50 "
 Bonpoc: N!!25 •

A 37-year-old man came to the eye department with complaints of redness, pain, lacrimation. photophobia of the right eye. From
ago scratched the eye with a branch in the fotest, and thought it would become fine by itself. On examination: visual acuity of the riglit
47 48 49 SO
pr.l.c. mixed injection, 4mm gray infiltrate on the cornea, pus fills with the chamber in the anterior chamber. What should be done ·
M aonpoc
HW~ aonpoc
npoc 0TBeTbl(OAIIIH OTBeT)

thUITeCTa 1 0 Paracentesis of the anterior chamber

2 0 Enucleation of the eyeball
:34 Evisceration of the eyeball
3 0

4 0 layered ker;noplasty

s ~
Cryoapplication on the cornea

" 1 21 22 23 24 II 26 27 28 29 50 •
 •
Bonpoc: N!!26
A 49·year-old woman came to the emergency room with complaints of severe pain and blurred vision of the right eye, which arose
37 38 39 40 background of an increase in blood pressure to 180- and 90-mm Hg. The patient reported single vomiting that did not bring relief_ On
46 47 48 49 50 following data were obtained: visual acuity of the right eye = 0.09 is not corrected, visual acuity of the left eye = 0.1 (+) 35 D = 1.0; e·
bt"4 eonpoc the right eye revealed a stagnant injection of the eyeball, corneal edema, small anterior chamber, iris bombardment, the pupil ls dilated. doilt
"""'~ eonpoc to light. IOP OD 56 mm Hg. What is your preliminary diagnosis7
eonpoc

,tRTecT8 0TB8Tbl (OAMH OTB8T)

a.noa,:
1 0 Lacrimal sac phleg mon
5:27
2 0 Retrobulbar neuritis

3 0 Fibrinous·plastic lrldocyclitis

4 0 Acute attack of glaucoma

s v Total retinal detachment

« 1 ... 22 23 24 2S
II 27 28 29 30 ... so •
 Bonpoc: N!!27 •

A young man consulted an ophthalmologist complaining of slight photophobia, moderate lacrimation. When testing visual acuity, It ii
each eye. When viewed from the sidelight. a minor precorneal injection is detected. In the stroma of the cornea near the limbus. multlpl!I,:
47 48 49 SO infiltrates are determined; the s urfaces a bo ve the infiltrates are rough; some of the infiltrates are approached by the blood vessels from lhi.
eonpoc Additional examination revealed: Hutchinson·s teeth, saddle nose, sharply protruding frontal tubercles. Diagnosed with keratiris. What
bli< aonp()(: research is needed to clarify the diagnosis?
npcx

HHATecra 0TeeTbl(OAl,1H OTBeT)

1 0 X-ray o f the chest o rgans.

:21
2 0 Rheumato logical tests.
•
3 0 Liver tests.

4 0 Complete blood count.

s Treponema pallidum test.

« 1 23 24 25 26
II 28 29 30 31 .., 50 •

to.search
 Bonpoc: N!!28 •
Ma nagement of phacolytic g laucoma
35 36 37 39 40
45 46 47 4a 49 50
eHHWi! eonpoc 0TeeTbl(OAMH OTBeT)
!lle1<Hblll sonpoc

"" s011poc
1 0 Only antiglaucomatous surgery

eHMA recra oCTaJ1oct.:

2 0 Extraction of cataract

3 0 Lensectomy
:05:15
• Extraction of cataract and antiglaucomatous operation
4 0

s 0 Conse1_vative treatment for decreasing IOP

1 24 25 26 27 II 29 30 31 32 so •
 Bonpoc: N!!29 •
A 14-year-old girl was referred to an ophthalmologist at the place of residence with complaints of decreased vision, pain in the
had been bothering her for the last month. Objectively: visual acuity in both eyes = 0.4. On the cornea within the open palpebral
46 47 48 49 so ribbon-like opacity 4 mm wide, on the posterior surface of the cornea. there are dust-like precipitates. Destruction of the vitreous
1,1.I aonpoc presumptive diagnosis?
aonpoc
HHbli1
BOnpoc
0TB81'.bl(OAHH OTB8T)

1 0 Marchesani disease

2 0 Reiter's disease

3 0 Marfan·s disease
•

4 0 Behcet's disease

5 l...J Still's disease

.. 1 25 26 27 28
II 30 31 32 33 ... 50 •

to search
 Bonpoc: N!30 •

72 year- old woman admitted to emergency room with complaints of pain in the left eye. radiating to the left half of the head;
photophobia, blepharospasm, decreased vision. Objective examination: VOD =1.0, VOS= incorrect light perception. The ¥ is blu1sll
46 47 48 49 50 comea is edematous. the anterior chamber is deep, tremor o f the iris is determined. the pupil is irregular, small white partlcles of !ell&'
wil oonpoc detected in the anterior chamber. The tundus of the eye is not good visible. What type of secondary glaucoma has this patient?
Hblil eonpoc
onpoc
QyeeTbl(OAMH OTBeT)

1 0 Phacolytic

• 2 0 Neoplastic

3 0 Postuvea l

4 0 Posttraum atic

5 0 Phlebohyperte nsive

" 1 26 27 28 29
II 31 32 33 34 50 •

e to search
 Bonpoc:: N!!41
What is the presence of an artificial lens in the eye called?

OTBe4eHHb1H eonpoc-
0TB8Tbl(OAMH OTB8T)
npony111&HHbloi sonpoc
1 0 Artiphakia
rel()'UI"~ BOnpoc

2 0 Diphakia
e.epweH111A recra ocra110~
3 0 Aphakia
1:03:45
4 0 Dysphakia
3;icepW"1Tb TeCT
5 0 Monophakia

1 37 38 39 40 11 42 43 44 45 50 •

· - .. _ ........h
 Bonpoc: N!!42 •

A 49-year-old patient admitted to the emergency room with complaints of severe pain and blurred vision of the right eye.
around the lights. She has increased blood pressure -180/90 mm Hg. On examination: voo~ 0.09 n/c. vos~ 0.1 (+) 3.5 D= 1~
OD- injection of the eyeball, corneal edema, shallow anterior chamber, iris bombe, the pupil is dilated, does not react to llghl. The
onpoc of the right eye is 56 mm Hg. What is your preliminary diagnosis?
"sonpoc
C

1 0 Acute bacterial conjunctivitis

2 O Acute obstruction of the central retinal vein

3 O Acute fibrinous iridocyclitis

4 O Acute obstructio n of the central retinal artery

5 0 Acute angle dose glauco ma

« 1 38 39 40 41 II 43 44 45 46 50 •

re to search
 Bonpoc: N!!43
What is the displacement of the lens called?

HMM aonpoc QyeeTbl(OAMH OTBeT)

eHHbt" sonpoc
;; sonpoc 1 0 Fakotopia

HMR TecTa OCTa/10Cb: 2 0 A to py .

3 0 Heterotopia
•
4 0 Subluxation

s 0 Atony

'
" 1 39 40 41 42 II 44 45 46 47 so
 Bonpoc: N!!44
A 35"year-old patient consulted an ophthalmologist with complaints of severe burning sensation. a sharp decreliie In
eyelids of both eyes. According to the patient, while working on the hood of the car, sulfuric acid got into the eyes.
eyes are 0.1, the eyelids are hyperemic, edematous, the cornea is de-epithelized, the inttaocular media is transparent. 1he
of necrosis can be in this situation?
oc

0TB8Tbl(OAHH OTB8T)

1 0 Soldered

0 Bubble

3 0 Dry
•

4 0 Powdered

s 0 Wet

« 1 ... 40 41 42 43 11 45 46 47 48 50 •
 Bonpoc: N!!45
After suffering a cold, a 7-year-old patient suddenly developed pain when moving his eyes. Objectively: visual aaaty111
exophthalmos, a slight limitation -0f the mobility of the eyeballs. With extreme abduction of the eyes - diplopia. Slight
conjunctiva. Minor mixed eyeball injection. There is no discharge from the conjunctiva! sacs. Anterior segments without~
are transparent. The fundus of the eye is normal. What is your presumptive diagnosis?

OTBeTbl(OAMH OTBeT)

a
1 0 Phlegmon orbits

2 0 Osteo periostitis

3 0 Mucocele
•

4 0 Tenonitis

5 0 Retrobulbar neuritis
so •
« 1 ... 41 42 43 44
II 46 47 48 49
 Bonpoc: N!!46
From birth, a four-year-old child constantly squints his right eye. On examination: visual acuity of the right eye= o.(i!i'
Ophthalmoscopically: The optic disc is pale, the borders are contoured. The retinal arteries are narrowed. Histoiy of
pathology of the optic nerve has caused the child's vision to decrease?
npoc
eonpoc
oc 0TB8Tbl{OAHH OTBeT)

t recra 1 0 Atrophy of the optic nerve

2 0 Optic neuritis
17 3 0 Excavation of the optic nerve head

II 4 0 Congestive papilla of the optic neive

5 0 Ruptured optic nerve •

"
1 42 43 44 45
II 47 48 49 50 •
 Bonpoc: N!!47
Patient 40 years old, complains of a gradual decrease in vision in the left eye. Anamnesis: suffered a head injury a ~
pallor of the optic nerve head from the temporal side, the borders of the disc are clear, the vascular bundle in the cen~
is the most likely diagnosis?

eonpoc
oc

1 0 Excavation of the o ptic nerve discs

recra

2 0 At ro phy of the optic nerve

2 3 0 Retrobulbar optic neuritis

4 0 Ruptured optic nerve

5 0 Congestive papilla of the optic nerve

49 50
4S 4 6 1 1 48
1 .. 43 44
 Bonpoc: N!!48

A 78-year-old man turned to the emergency service of the eye department, complaining of severe soreness, redr,ess, lidt
eye. low vision in the left eye. Anamnesis was used to diagnose overripe cataract of the right ~e. On e)!amination, the eyW
edematous, the anterior chamber is middle, the pupil is wider than the middle, the tens is cloudy. The fundus of the eye is nol
presumptive diagnosis?
npoc

OTeeTbt(oAMH oTeeT)

1 0 Partial cataract

2 0 Init ial cataract

3 0 Mature cataract

4 0 Incomplete cataract

C overripe cataract
5

1 43 44 45 46 47 11 49 so
 Bonpoc: N!!49
A 45-year-old woman turned to an ophthalmologist at the FMC with complaints of pain, photophobia, wateiy eyes l'n
anamnesis: the above complaints appeared 3 days ago, suffers from chronic sinusitis. On examination: visual acuily:O,
injection, an ulcer on the cornea with a black vesicle in the center, pus in the anterior chamber, a narrow pupD. What

case?
bill eonpoc
npoc OTBeTbl(OAHH OTBeT)

1 0 Corneal ulcer, keratoconus, miosis

2 0 Corneal ulcer. keratomalacia, hypopyon

:52
3 O Corneal ulcer, conjunctiva! chemosis, rniosis

4 O Corneal ulcer, mydriasis, madarosis

o corneal u_lcer, descemetocele, hypopyon
5

1 ... 43 44 45 46 47 48 11 so
 Bonpoc: N!SO
A 42-year-old man came to the eye hospital with complaints of severe headaches, chills, pain in the right eye area. ffie
sinusitis, does not receive treatment. Objectively: body temperature 39.8 Eyelids are sharply edematous, hyperemic.
is limited, vision is decreased. What complication is possible in this case?
ii eonpoc
blil eonpoc
npoc

1 0 Endophthalmitis
KR i-ecra
oa,:
2 0 Panophthalmit

:46 3 0 Cavernous sinus thrombosis

4 0 Central chorioretinitis

0 Acute angle close glaucoma

5

" 1 ... 43 44 45 46 47 48 49 11 ,.

• ..... t n search
 Bonpoc: N!!32 •

36 37 38 39 40
46 47 48 49 50
is~-
A 70-year-old man, applied to the FMC with complaints of a sharp decrease in vision. flashing of flies in front of his left¥ Ftoni'
noted that the day before he had suffered tonsillitis. On examination, the visual acuity of the left eye ~ 0.02. The left eye
not changed. When examining the fundus, a focus in the central ,one of 0.3 pd with indistinct borders, yellowish-gray in color. the
infiltrated, edematous. Choroiditis was diagnosed. What is more appropriate to start treatment?
"'" &0npoc
aonpoc
>1Hbli<
sonpoc
0TBe Tbl (OAHH OTB8T}
weHH'A recra
anocb: 1 0 Ceftriaxone

:40 2 0 Sol. Albucidi 20%

3 0 Va neomycin •
•

4 0 Hinin

5 ..,; Tetracycline ointment

so
C 1 28 29 30 31
II 33 34 35 36 •

.IJ!!lle to search
 Bonpoc: N233 •

A 52-year-old man turned to the emergency service of th!! eye department with complaints of severe soreness, redN!ss. deae-d
the left eye. From the anamnesis, got into an accident, hit his head en the windshield of a car. When examined, the f!!fe!l Wlffl! ir,jecl,lid.
48 49 so swollen, the anterior chamber was irregular, the pupil was wide, and the lens was cloudy, dislocated into the anterior chamber. The
npoc not visible. What is your presum'ptive diagnosis?
eonpoc

,ecra
1 0 Secondary aniridia

6 2 0 Mature cataract

3 0 Ectopic lens

4 0 Overripe cataract

5 0 Partial hyphema
... so
•
, ... 29 30 31 32
II 34 35 36 37
 Bonpoc:N!34 •
A 78-year-old woman has complaints o n gradually decreasing vision for the last 2 years.On examination VOD is 0.01, VOS is'O-l,
normal. with ophthalmoscopy fundus of 00 is not visible. Diagnosis: Senile mature cataract of the right eye. immature cataRld« iii
6 47 48 49 50 method is preferable to g ive prognosis after surgery?
;; eonpoc
HblH eonpoc

onpoc 0TBeTbl (OAHH OTBeT)

1 0 Tonometry

2 0 Computer perimetry
:31 3 0 Gonioscopy

Retinal visual acuity •

4 0

5 0 Light and dark adaptation

•
1 30 31 32 33
II 35 36 37 38 50
 Bonpoc: N!!35 •

A 14 -year-old boy turned to an ophthalmologist with a,rnplaints of recurrent redness of both eyes. pan\ det~ol
o bse tved by a dentist for stornatitis and a dermatologist for ulceration of the skin o f the genitals. AA objective~
47 48 49 SO p recomeal injection. hypopyon. powerful posterior synechiae. There are pronounced opaoties in the vitreous body Whal
• 8011poc

"'" eonpoc OTBeTbl(OAMH OTBeT)

npoc

1 0 Benier-Be ck·Schaumann d ise ase

2 0 Ankylosing spondylitis

:22 3 -
'-'
Behcet's disease

4 C Sturge•Weber disease

5 0 Still' s disease

• 1 31 32 33 34 II 36 37 38 39 SC •
 Bonpoc: N!!36
At what age does the clouding of the lens begin with a senile cataract?

47 48 49 so
OTeeTbl(OAMH OTBeT)
eonpoc
;; eonpoc
1 0 80·90years
npoc
2 0 30-35 years old
tecTB octaJ100,:

3 0 38-40 years old

:18
4 0 60-70 years old

s 0 40-50 years

1 32 33 34 35 II 37 38 39 40 50 •
 Bonpoc: N!!37
A 47-year-old patient was referred to an eye hospital with complaints of breaking pains, photophobia. lacrimation.
The above complaints appeared for 5 days, but over the last 2 days. the pain increased. Objectively. visual acuity of tM . .
edematous, stagnant injection; the cornea is ede matous, precipitates on the posterior surface. The pupil is narrow, there ls
i, aonpoc and the iris is bombarded , dirty green in color. Which complication made the pain worse?
eonpoc
Hbtiil

onpoc
0TBeTbt(OAMH OTBeT)
eHMR tecra
JIOCb: 1 0 Acute panuveitis

:13 2 0 Sup e rficial keratitis

3 0 Postuveal glaucoma

4 0 Purulent endophthalmitis

5 C, Facolytic glaucoma
50 •
.. 1 ... 33 34 35 36
II 38 39 40 41
 Bonpoc: N!!38
An 81 -year-old man was examined by the ophthalmologist of the polyclinic with complaints of gradual and painless
According to the patient. the vision in both eyes decreases for no obvious reason for 8 years. He did not seek medicallllllp
treatment. Visual acuity in both eyes = 0.04, not corrected. lntraocular pressure is normal. The anterior segments of the ev11.,.
eonpoc Ophthalmoscopically: the optic clisc is pale pink, with clear boundaries. Arteries are narrowed. sclerosed veins are dilated.
bl>i eonpoc area, there are extensive atrophi1: foci. What is your presumptive diagnosis'
npoc

OTeeTbt(OAVIH OTBeT)
HHII recra
0,:

1 0 Central retinal vein thrombosis

:08 ,
Hemorrhage in the macular area
2 0

0 Age related macular degeneration

3

4 0 Cystic macular edema

(l Chorioretinal dystrophy of the retina

s
•

"
1 34 35 36 37
II 39 40 41 42
 Bonpoc: N!!39
A 56-year-old woman admitted to emergency room with acute pain, irradiated to teeth, ear, forehead in the left eye.
palpation, bluish of conjunctiva, the cornea is edematous, the pupil is wide, fundus of eye is not good visible. What is y,:,.,r

sonpoc
QyeeTbl(OAMH OTBeT)
iii oonpoc
poc
1 0 Acute iridocyclitis
~ATecTa
2 0 Acute o rbital cellulitis
c1,:

0 Acute keratitis
04 •
3

4 0 Acute angle close glaucoma

s 0 Acute scleritis
... so •

" 1 ... 35 36 37 38
II 40 41 42 43
 Bonpoc: N!!40
At what age does keratoconus most often develop?

QyeeTbl(OA"1H OTBeT)
onpoc
I sonpoc
1 0 After 60 years
~c
2 0 2-20 years
ca oc;Ta11oci,;
3 0 Up to a year
59 After 40 years
4 0

• 5 0 3·4 years

36 37 38 39 II 41 42 43 44 50 •
« l
 •
Bonpoc: N!!31
A 55-year-old patient suffering from diabetes for 15 years experiencing a shwart that is protrusing into the vitreous body after
the vitreous body in the area of the optic nerve. The appearance of newly formed vessels is noted in the shwart. Diagnosed Vlllh
What are the further tactics of managing this patient?

0TB8Tbt(OAMH OTBeT)

1 0 Enucleation

2 0 Sinustrabeculoectomy
04:45 3 0 Vitrectomy
cpt11HH, TC-Cl
0 Evisceration •

C Dacryocystorhinostomy

1 27 28 29 30 II 32 33 34 35 •
 Opt
hamol
gy
1. A70y earol
dwomanappl i
edtoopht
halmol
ogistwithcomplainsofsuddendecr
easesvi
sionof
herrighteyeshenotedt
hisaf
teri
ncr
easedherbloodpressureopthal
mologisr
eveal
edno
chs\angeofanteri
orpar
tbutnoredref
luxf
rom funduswhatispreli
minary
diagnosis……………………….

.Vi
tr
eoushemor
rhage

2. I
ntr
aocul
arf
lui
dispr
oducedby…………………

.ci
ll
iar
ybody

3.mai
nfunct
ionofr
eti
na…………

.
li
ghtper
cept
ion

3. Whatdi
agnost
icscondi
ti
onchar
act
eri
zespr
otonomal
y?

Abnor
malper
cept
ionofr
edcol
our

4. A13y earoldschoolboycomplai
ningofvi
suali
mpair
ementwhi
lereadingheseeswelli
nthe
di
stance.thevisual
acuit
ybotheyes=1.0eyesaar
eheal
thywhati
sy ourpresumpt
ivedi
agnosi
s
………

.Hy
per
met
ropi
a

5. Ey
eref
ract
ionwi
thspasm ofaccommodat
ion(i
femmet
ropi
cey
e)…….
.

.Becomesmy
opi
c

6. A32y earoldwomantur
nedtoanophthalmologistwithcomplai
nsdecreaseinvisualacuit
yoer
thepastyearf
rom t
heanamnesi
sthatthepatienthasbeenwear i
ngglassesformy opi
asice
chil
dhoodnormalt
heopti
calmedi
awer etransparentcoarsepi
gmentedlikecauseoft hi
s
condit
ion………..

.
Ret
inalhemor
rhage

7. Wi
thor
thopor
iat
heangl
ebet
weent
heopt
ical
andv
isual
axesi
sequal
to……….
.

.
1-2

8. WHI
CHoft
hef
oll
owi
ngcol
orsi
smedi
um wav
elengt
h?

.Gr
een

9. A45YEAROLDmanunder
wentsubt
otal
penet
rat
ingker
atopl
ast
y.whati
stheopt
imal
timet
o
r
emovest
it
ches?
 .
6mont
h

10.Thepati
ent
sexami
nat
ionrev
ealedsi
mpl
edi
rectmy
opi
cast
igmat
ism i
n3.
0Dwhatt
reat
ment
shoul
dbeappl
iedt
ocorr
ectvi
sion>?

.Cy
li
ndr
icalcov
ex3.
0d

11.Patientk47y earsoldconsultedanopht halmologistattheplaceofresi

dencewi t
hcompl ainsof
sti
ngingr ednesspaindecreasedvisi
onoft her i
ghtey efrom t
heanamnesisitwasf oundthathe
hadbeensuf fer
ingfrom chr
onicdacryocystit
isfor2y earswast r
eat
edconser vat
ivelypai
nand
rednessoft heey eappearedfort
hefirsttimeexami nationreveal
edsevereprecornealinj
ecti
onof
theey eball
………………edemat ouswhatisy ourdiagnosis?

.Cor
nealer
osi
on

12.Thewpatientcompl
ainsincomplet
eclosureoftheey
eli
ddr
ynessi
ntheey
esrednessoft
heeye
especi
all
yinthemorninglacr
imati
onont heri
ghtwhi
chner
vedamageist
hecauseofpat
hol
ogy?

.Faci
al

13.Nor
mal
col
orper
cept
ion.
.?

.
Tichr
omasi
a

14.A12y earol
dgir
ltur
nedt oanopht halmol
ogistwi
thacomplai
ntofdecr
easedvisi
onwhil
e
weari
ngprevi
ousl
yprescribedglasses.5dwhenexaminedbyopthal
mologsti
twasnotedthatt
he
pati
entsmyopi
ahasr ecentl
yincreasedever
ysixmonthsby1.
0D………….recomdati
onsfor
tr
eatment?

.Ext
ensi
onofey
ebal
lal
ongt
heaxi
s.LASI
Cisr
ecommended

15.A2yearol
dchi
ldshowedswelli
ngoftheri
ghteyeav i
oler
tbl
ueswel
l
ingoft
hescl
eraandcr
y
whencl
osi
ngoftheeyeint
hedistr
ictcl
i
nicadiagnosi
swasmade……………whatdiagnosi
smust
bemadetopr
escri
bethecorr
ecttr
eatment?

.Scl
eri
ti
s

16.A47y earol
dmancamet othehospi
talwit
hcompl ai
nsofthesuddenlossofv i
sioni
nhi
sri
ght
eyesanamnesissuf
feri
ngfr
om highri
skofhy per
tensi
onfor20yearsobjecti
vel
yVOD=1/I
NFINI
TE
pr1canteri
orpar
toftheeyeisnotchangedthefundusref
lexi
sabsent……. .r
equire?

.
opt
hal
moscopi
cexami
nat
ion

17.Apati
entconsul
tedadoctoraft
eraconfusi
onoftheeyeball
withcomplai
nsofdecr
easedvi
sion
whenviewedinthet
ransmit
tedli
ght,dar
kfl
oat
ingopacit
iesarevi
sibl
eonpinkr
efl
exbackgr
ound
whasti
sy ourpr
esumpti
vediagnosi
s?

.Ret
inalhemmor
age

18.A69yearoldmanhascomplai
nsonsever
epai
ndecreasedvisi
oni
nlefteyesfr
om the
anamnesi
sthepai
nappear
edsuddenl
y3daysonexaminati
ontheeyesareinj
ected
 …………………adv
isabl
ebef
oresur
ger
y?

.
Anal
gesi
csur
ger
y

19.A35y earpatientconsul
tedaophthalmol
ogi
stwit
hcomplai
nsofseverebur
ningsensat
iona
shar
pdecr eseinobjectvisi
onswell
i
ngofeyel
idsofbot
heyesaccor
dingtopati
ent………….what
ki
ndofnecr osiscanbeint hi
ssi
tuat
ion?

.sol
der
ed

20.Themot herofaoneyearoldchi
l
dreff
eredtoanophthalmologi
stcopl
aingofmoder
ate
photophobi
aandconstantl
ywidepupi
lsofbot
hbothey esfr
om theanamnesist
hemother
suff
eredthefl
uduri
ngpregnancy………whatisyournexttact
ic?

.pr
escr
ibi
ngacor
rect
ingcont
actl
ens

21.Al
loft
hef
oll
owi
ngar
ehi
stol
ogi
cal
changesi
ngl
aucomaexcept?

.per
ipapi
ll
aryat
rophy

22.A33YEAROLDPATI ENTCONSULTEDANPTHALMOLOGI STCOMPLAI

NINGOFASHARP
DECREASEINVISI
ONINTHERI GHTEYESWHI CHHEHASNOTI CED2DAYSAGOaWEEKAGO
HESUFFEREDACUTERIGHTSI DEDSI
NUSITI
S. OBJECTI
VELYVISUALACUI
TYOFRI
GHTEYE
=0.
2THERIGHTEYEI SCALM THEOPTICALMEDI AISTRANSPARENT……………WHATISYOUR
PRESUMPTIVEPROGNOSIS?

.Congest
ivepapi
ll
aoft
her
ightey
e

23.Whati
sthedi
spl
acementoft
hel
enscal
l
ed?

.Subl
uxat
ion

24.A55yearoldpat
ientsuf
feri
ngfrom di
abetesf
or15yearsexper
iencingashwarthemor
rhagei
n
t
hevi
trousboddyintheareaofopti
cnerve………..
tact
icsofmanagi ngthi
spat
ient?

.Vi
tr
ect
omy

25.A49YEAROLDPATI ENTADMI TTEDTOTHEEMERGENCYFROM RPPM CPMPLAI NTSOF

SEVEREPAI NSandblur
redvi
sionofr
ightey
enauseavomit
inghal
oesar
oundstheli
ghtson
examinati
onvod=0.
09n/ cv
os=0. 1……………rightey
eis56mm hgwhatisyourpr
eli
minar
y
diagnosi
s?

.Acut
eangl
ecl
osegl
aucoma

26.Pati
ent40yearsol
dcompl ai
nsofgr
adualdecr
easeinvisi
oninthel
efteyeanamnesissuff
ereda
headinj
uryayearagoopthal
moscopyrev
ealedpal
loroftheopt
icner
v eheadfr
om thetemporal
si
de…………. ,
mostlikedi
agnosi
s?

.ATROPHYOFOPTI
CNERVE

27.A74YEAROLDMANADMI
TTEDTOTHEEMERGENCYROOM WI
TCOMPLAI
NTSONSEVERE
 PAI
NSDECREASEDVISI
ONINTHELEFTEYESFROM THEMEDI
CALHI
STORYPATI
ENT
DI
AGNOSISWASIMMATURECATARACTOFTHERI GHTEYE……….
WHICHOFMORE
APPROPRI
ATETREATMENTFORTHISDI
AGNOSIS?

.Ext
ract
ionoft
hel
ens

28.A16yearoldpati
entcomplainsofl
owvisi
oninbotheyesv
isi
oni
spoorfr
om bi
rt
hhedoesn’
tuse
gl
asssbecausetheyarenotsuit
abl
eobj
ecti
vel
yvisual
acui
tyi
nbothyesi
s
nor
mal…………..pat
hologyofopti
cnerve?

.Apl
asi
aoft
heopt
icner
vedi
scs

29.An80y earol
dwomanconsukt edwit
hanophthalmol
ogistoftheFMC wi thcomplai
ntsof
decr
easedobjectv
isioni
nherlef
teyesaccor
dingtot
hepat i
enthervi
sionhasbeengradual
ly
decr
easingfort
helast2year
swi t
hvisi
ometr
y………patientneedtoconfir
mt hedi
agnosis?

.ul
yrasoundexami
nat
ion

30.Whati
sthepr
esenceofanar
ti
fi
cial
lensi
ntheey
ecal
l
ed?

Ar
ti
phaki
a

31.Anobjecti
veexaminat
ionofapati
enthasdescr
ibedasymblephar
onaccor
dingt
othewordsthe
pat
ientsuff
eredaneyeinj
urysev
eraly
earsagothispat
hol
ogyisacompli
cati
onofwhatt
rauma?

.Ey
eandadnexabur
ns

32.A25YEARSOLDWOMANCONSULTEDANOPTHALMOLOGI
STWI
THCOMPLAI
NTSOFPAI
NIN
THEEYE

Lacri
mati
onphot
ophobi
abl epharospasm r
ednessoft
her
ightey
e………….
.cor
neal
erosi
onwhi
ch
ofthefol
l
owi
ngiscontr
aindicat
edf orapati
ent?

.DEXAMETHASONE0.
02%

33.Thepr
efer
redt
her
apyf
ori
nfant
il
egl
aucomai
s

.Tr
abecul
otomyorgoni
otomy

34.Whi
choft
hef
oll
owi
ngsy
mpt
omswi
thcat
aract
smor
eli
kel
ytohav
e?

.Gr
adualdecr
easev
isi
on

35.TOChar
act
eri
zet
hef
unct
ional
cent
eroft
her
eti
na,
iti
snecessar
ytoexami
neopt
hal
moscopi
cal
l
y
?

.Fov
eacent
ali
s

36.I
fthef
ir
stl
i
nel
ett
ersar
evi
sibl
efr
om adi
stanceof25m t
hent
hev
isual
acui
tyi
s–

.0.
1
37.Mebomi
angl
andi
slocat
ed?

.Tar
salpl
ateofey
eli
ds

38.Opt
icner
vei
s

.Sy
mpat
het
icner
ve

39.Namet
hef
ormat
ionsar
elocat
edi
ntheconj
unct
iva?

.Gobl
etcel
l
s

40.REsor
pti
ont
heor
yforr
eti
nal
vit
reoushemor
rhagei
ndi
abet
icpat
ient
sshoul
dbest
art
ed

.onemont
haf
terhemor
rhage

41.Thechi
l
dt wodaysaft
erbi
rtdevel
opedsev
erhy
peremiaandedemaoftheeyel
idofbotheyesthe
eyel
i
dsaredenseiti
simpossi
bletoopent
hepalpebr
alf
issur
e………….Measurewil
lyouprescr
ibe
?

.I
nst
il
lat
ionof0.
3%t
obr
amy
cinsol
uti
on

42.ATanappoint
mentwit
hanopht hal
mologi
staanwitha4monthol
dbabynotesthatt
hechil
d
doesnotf
oll
owstoy
sdoesnotr eactt
obri
ghtli
ght………….
vi
tr
eosbody.whatki
ndofexaminati
on
i
srequi
redtomakeadiagnosi
s?

.Bl
oodf
ort
oxopl
asmosi
s

43.A48y earoldmanbroughttoaneyehospit
alwi
thtotal
corneal
opaci
tyi
ntwoeyesfrom t
he
anamnesisitwasf
oundt hatt
hepati
enthadcor
nealburn4monthsago………….
.nextt
acti
cto
rest
orevisi
on?

.Ther
apeut
icl
ayerbyl
ayerker
atopl
ast
y

44.A45YEARSOLDMANhasr ef
err
edt otheFMCWi thcomplaintsofashar pdecr easeinvisi
on
fl
ashingoff l
iesinfrontofhislef
teyes.Fr
om theanamnesis,itwasnot edt hatt
hedaybef orehe
hadsufferedt onsil
l
iti
s.Onexami nat
ionthevi
sualacuit
yofthel efteye=0.02.Theleftey
ei scal
m
theanteri
orsegmenti snotchanged.whenexaminingthefundus,af ocussinthecentralzoneof
0.3pdwit
hi ndisti
nctborders,y
ell
owishgrayi
ncolorstheret
inaar oundis
i
nf i
l
trat
ed,edemat ous.whatisyourpresumpti
vediagnosi
s?

.papi
ll
it
is

45.A62YEARSOLDPATIENTRECEI
VINGTREATMENTINTHEENDOCRI
NOLOGYDEPARTMENT
FORTYPE1DIABETESMELLI
TUS…………MULTIPLENEWLYFORMEDVESSELS.
WHATISYOUR
PRELI
MINARYDIAGNOSI
S?

.SECONDRYNEOVASCULARGLAUCOMA

46.Pat
ientk32yeartsol
dcomplai
nsofvisuali
mpairementi
ntheri
ghtey
ecomplai
nsoft
heobject
s
st
artedexper
ienci
ngdet
eri
orat
ionofv
isionabouttwoweeksago……………t
hereti
nai
nthecentr
al
 sect
ionsi
sedematousmacul
arandfov
eal
li
ghtr
efl
exesar
eabsent.
lef
tey
evi
sual
acui
ty=1.
0the
eyei
shealt
rhy
.whatisy
ourdi
agnosi
s?

.i
diopat
hici
ri
docy
cli
ti
s

47.Sokol
ov’
stesti
susedt
odi
agnose?

.
BINOCULAR VI
SION

48.Whenexaminingthepati
entvisualacuit
y.i
twasf
oundt
hatthepatientdoesnotseetheupper
l
ett
ergolovi
nssiv
tsevtabl
ewi thhisri
ghteyet
owhatdi
stanceshouldthetabl
ebebroughtcl
oser
t
odeterminethepati
ent’
svisualacuit
y?

.FROM WHI
CHHESEESTHEFI
RSTLI
NEOFTHETABLE

49.Duet
othespeci
alar
rangementoft
hel
ayer
soft
hecor
neai
thasahi
ghr
efr
act
ivepower?

.PARALLELTOTHECORNEALSURFACE

50.Whatdi
agnost
iccondi
ti
onchar
act
eri
zespr
otonomal
l
y?

.ABNORMALPERCEPTI
ONOFREDCOLOR

51.Funct
ionofaqueoushumour…

.NUTRI
TIONOFTHEOPTI
CALMEDI
AOFTHEMEDI
A

52.Whi
choft
hel
owl
i
stedv
aluesi
sequal
tot
hemi
nimum angl
eofv
isi
on?

.5mi
nut
e

53.Duringeyebr
owscorrect
ionprocedureapat
ienthadinj
uredaski
nofupperey
eli
dbyusinga
tweezerswhi
chsubsequentl
yledtotheadevelopmentofanabscessandf
urt
herey
eli
d
phlegmon……orbi
talphl
egmon?

.ORBI
CULARI
SMUSCLEOFEYELI
D

54.Forsev
eraldayspat
ientR52Yearsoldhasswelli
ngoft
heappendagestender
nessonpalpat
ion
l
acri
mationfev
ergeneralmal
aiseheadacheaccor
dingt
o……………diagnosisint
hispat
ient?

.PHLEGAM OFLACRI
MALSAC

55.I
na2y earol
dchi
ldanobj
ect
iveexaminationdeter
minesbi
l
ater
alconv
ergentst
rabi
smus.
what
di
agnost
icsmet
hodshoul
dbeusedf orresearch?

.REFRACTROMETRY

56.Fort
hest
udyofbi
nocul
arv
isi
onofschool
chi
l
dreni
tisnecessar
ytouse

.APPRATUSGOLOVI
N-SI
VTSEV

57.Conj
uct
ivi
ti
esaccompani
edbyt
heappear
anceoff
oll
i
clesandhy
per
plasi
a………condi
ti
onr
efert
o?
 .CHLAMYDI
AL

58.AAmaleemmetrope40y
earsoldcompl
ainsofv
isual
impai
rementwhenr
eadi
ngwhatspher
ical
l
ensesdoesheneedf
orr
eading?

.CONVEX1.
0D

59.Pati
entE10YEARSOLDCOMPLAI
NSOFREDNESSOFTHERI GHTEYEhehasconj
uct
ivi
ti
es
tr
eatedf
oral
mostaweekwi
thnoef
fect……………whati
sthepati
entdi
agnosi
s

.SCLERI
TIS

60.A20yearoldmanhasbeeninanopht
halmologi
sthospi
tal
for15day
sduetof
reshchemi
cal
bur
ninbotheyes.
toi
mprovetr
ophi
sm andregener
ati
on………t r
eat
mentwi
th?

.SOLCOSERYL

61.Thehumanbi
nocul
arv
isi
onappar
atusi
ncl
udes?

.NERVOUSAPPRATUS

62.Themotherofa7yearsboyconsul
tedinophthal
mol ogi
stbecauseofherson’
svi
sionl
ossaf
ter
school
sthechi
ldsv
isualacui
tywas100%..
..
..
..
..
..
..
.psudomy opi
a?

.per
for
mst
omogr
aphyunderaccommodat
ionpar
aly
sis

63.A50y earol
dengineerappl
iedf
oraconsul
tat
ionint
heeyeoff
icecompl
ainst
hati
thasbecome
di
ff
icul
ttodi
sti
nguishdetai
l
supclose……………prescr
ibedf
orweek?

Mi
xedast
igmat
ism

64.Whatdi
agnost
icv
aluehasani
nvest
igat
ionoft
hebl
i
ndspot?

Def
ecti
nthev
isualf
iel
dfr
om ady
str
ophi
cfocus

65.Whatdi
seaseoft
hey
eli
dcandamaget
heey
e?

.Tr
ichi
asi
s

66. The59yearsoldpati
entsuff
eri
ngfr
om hy
pertensi
ondeter
minedthedi
lat
ionandt
ort
ousi
tyof
t
hevei
nsi
nt hefundusofbotheyes……………..
thesechangescor
respondt
o?

.Hy
per
tensi
veangi
oscl
erosi
s

67.Mei
bomi
angl
andi
slocat
ed

.Tar
salpl
ateofey
eli
d

68.A50 y earoldengi
neerappli
edf
oraconsul
tat
ioni
ntheeyeoff
icecomplainst
hatithasBecome
di
ff
icul
ttodisti
ngui
shdetai
lsupcl
ose,
…………shouldthi
spati
entbeprescr
ibedforwork?

.+3.
5DI
OPTRE
69.Theopht
hal
mol
ogi
sthasbeenobservi
ng5y earol
dchi
l
dfor6mont
hsuncor
rect
edv
isual
acui
ty
……………………………………….i
mprovevisualacui
tyi
nbothey
es?

.LASI
CSi
nbot
hey
es

70.Choosethepr
obabl
ediagnosi
swhentheagedpat
ientdev
elopsdecreaseandbl
urr
edvisi
onaf
ter
vi
sit
ingt
hesaumarainowcir
clesar
oundt
heli
ghtsever
epainintheeyeswithi
rr
adi
ati
ontothe
backoft
heheadteet
hear?

.Acut
eangl
ecl
osegl
aucoma

71.A36y earol
dpat
ientwasadmitt
edtot hecl
i
nicofeyedi
seasewithcomplainsofseverepai
nin
thel
eftey
esdecr
easedvi
sion.Accor
dingtothewordsofpat
ientacryst
alsofpotassi
um
permanganat
egotint
oeyesabout40mi nut
esagowhatantidot
eshouldy ouuse?

.Uni
thl
olsol
uti
on

72.A17y earoldmanwi
thhissoncametot
hedoctorofthepol
ycl
ini
ctheteenagercompl
ainsof
bl
urr
edv i
sionint
hev
itamin…………whatv
itami
ndefi
ciency….
.pathol
ogy?

.VI
TAMI
NA

73.AT2am a23y earoldpati

entwasbroughttotheeyescl
i
nicwi
thcomplai
ntssever
epai nand
smarti
ngi
nbothey eswit
hnoabil
it
yt oopenthem ……………………..
3000m anditwasclearand
sunnywheat
her.onexaminati
onbl
epharospasm …………………………………………causeoft hiscondit
ion?

.El
ect
ri
copt
hal
mia

74.Managementofphacol
yti
cgl
aucoma?

.
Conser
vat
ivet
reat
mentf
ordecr
easi
ngI
OP

75.A29YEARpat i
entwenttothelocal
cli
nicwi
thcompl
aint
sofpai
nrednessdecr
easedobj
ect
vi
sioni
ntheri
ghteyesaccordi
ngtopati
ent……………..
thef
undusofeyeunremar
kabl
ewhatisyour
pr
esumptiv
ediagnosi
s?

.Si
der
osi
s

76.A45YEAROLDMANhasr ef
fer
edt otheFmcwi thcompl
aint
sofasharpdecr
easeinvi
sion
fl
ashi
ngoffl
iesi
nfrontofhisl
efteye……………y el
lowi
shgr
aycolort
hereti
naaroundi
sinf
ilt
ered
edematouswhati
sy ourpr
esumptivediagnosi
s?

.cent
ralchor
oidoi
ti
s

77.Thepat i
entcametothecli
nici
mprov
ethethevi
sualacui
tyoft
hel ef
teyeanobj
ecti
ve
examinati
onr ev
eal
edapostburncor
neall
eucor
rhoeaint
hepatientwhatki
ndofsurger
yis
i
ndicatedforthi
spati
ent?

.Ker
atopr
ost
het
ics

78.Whatar
tesy
mpt
omsofBehcet
’ssy
ndr
omeasat
ri
ad?
 .i
ri
docy
cli
ti
s,
stomat
it
is,
ulcer
ati
onont
hegeni
tal
s

79.A60YEAROLDPATIENTEXPERIENCEDAHIGHDECREASESINTHELEFTEYESAFTER
EMOTI
ONALSTRESS.EXAMINATIONOFLEFTEYEREVEALEDASHARPSPASM
………DIAGNO0SI
S?

.Occl
usi
onofcent
ralr
eti
nalar
ter
y

80.Atwhatageker
atoconusof
tendev
elops

.2-
20y
ear
s

81.A14Yearsoldgir
lwas opht
halmol
ogistatthepl
aceofr
esi
dencewi
thcompl
aint
sofdecr
eased
vi
sion,
pai
ninthej
oit
ns………pr
esumpt
ivediagnosi
s?

.St
il
l’
sdi
sease

1.Whenv isi
onisdecreasedi
tisnecessarytoexcl
udetheinf
lammat
ory
processintheareaoftheopt
icnerveexitfr
om theor
bitt
hrough
Ans::
::Opti
cNerveCanal

2.Tochar
acter
izet
hefunct
ional
cent
erofr
eti
na,
iti
snecessar
yto
exami
neopthal
moscopical
l
y:
Ans:
::
:
:FoveaCentr
ali
s

3.I
nnerv
ati
onofsuperi
orobl
i
quemuscl
e::
:
Ans:
::
:
:Trochl
earNer
ve

4.Mainfunct
ionofreti
na:
Ans:
:
::
: l
i
ghtpercept
ion.

5.45-y
ear-
oldmanunder
wentsubt
otal
penet
rat
ingker
atopl
ast
y.Whati
s
theopti
malti
metoremovest
it
ches?
Ans::
:
::6months

6.Nor
malcolorper
cept
ion.
Ans:
::
:
:Tr
ichr
omasia

7.Al
loft
hefoll
owingarehi
stol
ogi
cal
changesi
ngl
aucomaexcept
.
Ans:
:
::
:per
ipapi
ll
aryat
rophy
.

8.Whatisthedispl
acementoft
hel
enscal
l
ed?
Ans:
:
::
::Subluxat
ion

9.Whati
sthepr esenceofanar
ti
fi
cial
lensi
ntheey
ecal
l
ed?
Ans:
:
::
::
:Art
iphakia

10.Thepr
efer
redther
apyfori
nfant
il
egl
aucomai
s:
Ans::
::
:Tr
abecul
otomyorgoni
otomy

11.Whichofthefol
lowingsymptomspat
ient
swi
thcat
aract
smor
e
l
ikel
ytohave?
Ans:
::
::
:
: Gr
adualdecreasedv
isi
on
12.Eyerefr
act
ionwi
thspasm ofaccommodat
ion(
ifemmet
ropi
cey
e)
Ans::
:
::becomesmyopi
c

13.Withor
thophori
a,t
heangl
ebet
weent
heopt
ical
andv
isual
axesi
s
equalto:
Ans::
:
:1-2degree

14.Whichofthef
oll
owi
ngcol
orsi
samedi
um wav
elengt
h?
Ans:
::
:Green

15.Whatdiagnost
iccondi
tionchar
acteri
zespr
otanomal
y?
Ans::
:
::Abnormalpercept
ionofredcolor
.

16.I
ntr
aocularf
lui
dispr
oducedby
?
Ans:
::
::
:Ci
li
arybody.

17.Namethemostsi
gni
fi
cantsy
mpt
om ofbi
nocul
arv
isi
ondi
sor
der
:
Ans.:
::
:
:Ambly
opi
a(doubt
ful
)

18.Sokol
ov'
stesti
susedt
odi
agnose:
Ans::
::
:Bi
nocularv
isi
on

19.A70-year-
oldwomanappl i
edtoophthalmol ogistwithcomplaint
s
ofasuddendecr easedVl sl
onofherr i
ghteye, shenot edthi
saf t
er
I
ncreasedHerbloodpr essure.Ophthalmological examinati
on
rev
ealednochangesofant eri
orpartbutnor edr eflexfr
om fundus.
WhatIsyourpreli
mi nar
ydi agnosi
s?
Ans::
::Vi
treoushemor rhage

20.A13- year
-ol
dschoolboycomplainsofvi
suali
mpairmentwhi
l
e
reading.Heseeswelli
nt hedi
stance.Vi
sualacui
tyinbot
heyes=
1.0.Eyesarehealt
hy.Whatisyourpresumpti
vediagnosi
s?
Ans:::
:Hypermetr
opia

21.Thepati
ent’
sexaminati
onreveal
edsimpl
e,di
rectmyopi
c
asti
gmati
sm in3.0.Whattr
eatmentshoul
dbeappli
edtocorr
ect
vi
sion?
Ans::
::
:cy
li
ndri
calconcave3.0d

22.PatientK. .
,47y ear sol d,Consul tantedAnopht halmologistatthe
placeofr esi
dencewi tht hecompl aintsofst i
ngi ng, r
edness, pain,
decreasedv isionoft her ightey ef rom theanamnesi sMar wadiitwas
foundthathehadbeensuf fer
ingf rom chr onicdacr yocystit
isfor2
years,wast reatedconser v ati
vel
y .pai nandr ednessoft heey e
appearedf orthef i
rstt i
meexami nat ionr evealedsev eralprecorneal
i
njecti
onsoft heey eball.Thecor neai st heinnersegmenti s
eccentri
callydullitisther ei sadepr essioni nthisar ea1ageoft he
depressionisr angecr escent -
shapedi nt heant eriorchamber hypopyon
2.0mm ThePupi li
snar rowr ounded, theiri
si shy per emic,
edemat ous.Whati sy ourdi agnosi s?
Ans:::
:
::
:;corneal erosion

23.Thepati
entcomplainsofincompl
eteclosureoftheeyel
i
ds,
dry
nessintheeye,r
ednessofey eespeci
all
yinthemor ni
ng
l
acri
mationofther
ight.whichNervedamagei sthecauseofthi
s
pat
hology?
Ans:
::
:
::faci
al

24.A12- year-oldgirlturntoanopht halmologistwitht hecompl aintof

decr easedv i
sionwhi leweari
ngt hepr evi
ouslyprescribedgl asses
(-
5.0d)whenexami nedbyanopht halmologist,i
twasnot edthatthe
patient'smy opiahadr ecentl
yincreasedev erysixmont hsby1. 0d,
anter i
or-posteriorsizeoftheey eis25. 0mm t hegir
l'
spar entshav e
moder atedegr eemy opi
a.Howdoy ouex pl
ainthepr ogr essi
onoft he
my opiaandy ourr ecommendat i
onsf orthetreatment ?

ANS:::
:extensionoftheey eballalongt heaxis,LASI Kisrecommended.
25.A2- year
-oldchil
dshowedswel l
ingoft her i
ghtey e,aviol
et-
blue
swelli
ngoft hescler
a,andcr ywhencl osingt heeye.I ndi
stri
ctcl
ini
ca
di
agnosiswasmadeadenov iralconjunctivi
ti
streatmentwas
prescri
bedaccor di
ngtot hedi agnosisbutnoi mprov ementwas
observed.Later,t
hewr ongdi agnosiswasar eveal
edwhatdi agnosis
mustbemadet oprescri
bet hecor recttreatment ?
ANS:::
:Scleri
ti
s.

26.A47- year-
oldmancamet ohospitalwit
hcompl aintsofthesudden
l
ossofv isioninhisri
ghteyeandsuf fer
ingf r
om thehighther i
skof
hypert
ensionf or20yearsobjecti
vel
yVOD=1/ i
nfi
nit
ypr .
l.
c,anteri
or
partoftheey eisnotchanged.thefundusr efl
exisabsent.
presumpt i
vediagnosi
scompl etehemopht halmosoft herighteye.
whataddi t
ionalexaminati
onisrequir
ed?
ANS:::
:Opht hal
moscopicexami nati
on

27.APat i
entconsul
tedaDoct oraf
tercont
usi
onoftheeyeballwi
ththe
compl aint
sofdecreasedv i
sionwhenv i
ewedintr
ansmit
tedl
ight,dar
k
fl
oatingopaciti
esarev i
sibl
eonpinkrefl
exbackgr
ound.whatisyour
presumpt i
vediagnosis?
ANS::::Reti
nalhemorrhage.

28.A69- year-oldmanhascompl ai
ntsonsev erepai n,decreased
visi
oninthel efteye.from t heanamnesis:thepainappear ed
suddenly,3day sago.onexami nat
ion,
theey esar einjectedcornea
i
sedemat ous, t
heant eriorchamberisswal l
ow, ThePupi li
smy dri
ati
c,
thelensisopaque.t hef undusoftheey eisnotv i
sible.IOPis
i
ncreased.diagnosi s:hy permaturecataractphacomor phicglaucoma
oftherightey e.whatki ndoft r
eatmentisadv i
sablebef orethe
surgery?
ANS: :
:
::Analgesictherapy .

29.A35- year
-oldpat i
entConsul t
antAnopht halmologistwi t
ht he
compl aintsofsev erebur ningsensat i
on,asharpdecr easei nthe
objectv i
sion,swel li
ngoft heey el
idsofbothey es.accordingt othe
patientwhi l
ewor kingont heHoodoft hecarsulphuri
caci dgotinto
theey es.objectivelythef unct i
onsofbot heyesar e0.1,theey eli
ds
arehy peremic, edemat ous, t
hecor neaisde-
epi t
heli
zed, the
i
ntraocul armedi ai stranspar ent,
thefundusisnor mal whatki ndof
necr osi
scanbei nt hi
ssituation?
ANS: ::
::
Shoul dered/ soldered.

30.Themot
herofaone-
year
-ol
dchi
l
dref
err
edt
oanopht
hal
mol
ogi
st,
complaini
ngofmoder atephotophobi aandconst antlywi depupilsof
botheyes.from theanamnesi s,themot hersufferedthef l
uduring
pregnancy.Onexami nationthecor neaistransparent,thei r
is’
srim of
therootisvi
sibl
ewi t
ht helateralil
l
umi nati
on,thecont our softhelens
andthecili
arygriddl
ear evisi
ble.Whati syournextt actic?
ANS:::
::pr
escri
bingacor recti
vecont actlens.

31.A33- year -oldpat i

entconsul t
edanopht halmol ogistcompl ainingof
ashar pdecr easei nthev isi
oni nther ightey etwitchingnot ice2day s
ago.aweekagohesuf feredacut er i
ght -
sidedSi nusitis.objectiv
ely:
visualacuityoft herightey eisequal t
o0. 2( notcor rected).theright
ey ei
scal m, theopt i
calmedi ai stranspar ent.thef undusoft heey e:
theopt i
cner v eheadi shyper emic, i
tsbor der sareblur red,
edemat ous, slightlyprotrudesi ntothev i
treousbody ,thear t
eriesare
dilat
ed.thev ei nsar econv oluted,thev ascul arfunnel i
sf il
l
edwi t
h
exudate.macul arregionandr eti
nal peripher ywithoutpat hology.Left
ey evi
sual acui ty=1. 0.Theey eisheal thy.Whati sy ourpr esumpt ive
diagnosis?
Ans:::
::
::Congest iv
epapi ll
aoft heopt i
cner ve.

32.A55- year
-ol
dpat ientsuff
eringfr
om di
abetesfor15years
experiencingsurethati scrui
singint
othevit
reousbodyafterthe
extensiv ehemorrhagei nthevitr
eousbodyintheareaoftheoptic
nervet heappearanceofnewl yformedvesseli
snotedintheSwat
diagnosedwi ththet otalhi
mt halamus.Whatarethefort
het act
icsof
managi ngthi
spat i
ent?
Ans:::
:Vi tr
ect
omy

33.A49- year-
oldpatientadmi tt
edtot heemer gencyr oom withthe
compl ai
ntsofsev erepai nandBlurredvisionoft her i
ghtey e,
nausea
vomiting,hal
oesar oundt heli
ghts.Shehasi ncreasedbl ood
pressure-
180/90mm HG.onexami nat i
onVOD=0. 09n/ ,VOS=0.1
(+)3.5D=1. 0;bi
omi croscopicall
y-OD-injectionoft heey ebal
l,
cornealedema, Shallowant eri
orchamberI r
isbombe, ThePupi li
s
dil
ated,doesnotr eactt otheli
ght.Theintraocularpr essureofthe
ri
ghtey eis56mm HG.Whati syourpreliminarydiagnosi s?
ANS: :
:
::acuteanglecl oseglaucoma.

34.Patient40y earsold,complai
ntsofagr adualdecreaseinthe
visi
onint heleftey
e.anamnesi s:suffer
edaheadi nj
uryay earago.
ophthalmoscopyr evealedpall
oroft heopti
cnerveheadf rom the
tempor alsi
de,thebordersofthedi scareclear
,thevascularbundle
i
nt hecent r
e,thearter
iesarenarrow.Whati sthemostl i
kely
diagnosis?
Ans:::
:
:at r
ophyoft heopticner
v e

35.A74- y
ear-ol
dmanadmi t
tedt otheemergencyroom wi th
complaintsonsev erepain,decr easedvi
sioninthelefteye.From the
medicalhist
ory,t
hepat ient'sdiagnosiswasimmat urecataractoft he
ri
ghteye.Onexami nat
iont heey eisred,t
hecorneai sedemat ous,
theanteri
orchamberi sshal low, t
hepupili
smy dri
atic,t
helensi s
opaqueandswel ls.Thef undusoft heeyeisnotvi
sible.di
agnosis
hypermat ur
ecatar act
,phacomor phicgl
aucomaoft heri
ghtey e.
whichofthemor eappr opr i
atetreatmentforthi
sdiagnosis.
Ans::
::
:
::extr
acti
onoft hel ens.
36.A16- y ear-ol
dpat i
entcompl ai
nsoft helowv isi
oni nthebot heyes.
visi
oni spoorf r
om birth.hedoesn'tuset heglassesbecauset heyare
notsui t
abl e.object
ivelyv i
sualacuityinbothey es=0. 2(notcorrected)
theaccessor yApparat usoft heeyei snormal ey eball
sar ecalm.
Anteriorsegment swi t
houtt hev i
sibl
ePat hol
ogy .opt i
cal envi
ronments
aretranspar ent.Onthef undusoft heopticnerv e,discsar epale,
somewhatr educedinsi ze.Noot herpathologyi sv i
sible.Whati st
he
pathologyoft heopticner ve?
Ans::
: aplasiaoft heopt i
cner vedisc.

37.An80- year-ol
dwomanconsul tedwi t
hanopht halmologistofthe
FMCwi thcompl ai
ntsofdecr easedobj ectvi
sioninherleftey e.
Accordingt othepati
ent, hervisi
onhasbeengr aduall
ydecr easingfor
thelast2y ears.Wit
ht hev i
somet rythefuncti
onoft helefteyei s0.05,
i
ntraocul arpressureisnor mal wit
htheopht halmoscopy .Ther efl
exis
gray.diagnosedwi t
hcat aractwhataddi ti
onalexaminationdoest his
pati
entneedt oconf i
rmt hedi agnosis.
Ans:::
:fluorescenceangi ography.

38.Anobj ect
iveexaminat
ionofapati
enthasdi
scloseda
symblepharon.Accordi
ngtothewords,t
hepati
entsuffer
edaneye
i
njur
ysev eralyear
sago.Thispat
hologyi
sthecompl i
cati
onofwhat
tr
auma?
Ans::
:eyeandadnexabur ns.

39.A25- y
ear-ol
dwomanconsul tedanopht hal
mologist
,wit
h
compl aintsofpainintheeye,lacri
mati
on,photophobia,
blepharospasm, rednessofther i
ghtey
e.Accor di
ngtothewords,a
fewdr opsofAcet icAcidgotintotheeye.anobjecti
veexaminat
ion
reveal
edcor nealerosion.whi
choft hefoll
owingiscontrai
ndi
cat
edfor
thepat i
ent?
Ans:::
:
: dexamethasone0. 1%

40.A-45-year
-oldwomanhascompl aint
sofr ednessanddi scomforti
n
hereyes.From theanamnesi s,abovecompl aintshavebeen
tr
oublingforthelast8mont hs,aboutwhi chshehasnotappl i
ed
somewher e,shewor ksinasewi ngwor kshop,andsheconnect sher
condit
ionwi t
hwor k(dustyanddr yconditi
oner).Object
ivel
y,VOU=
1.0,t
heey esareslightl
yinj
ected,fr
equentblinkingandxerosisofthe
corneaarenot edduringbiomicroscope.Theopht halmoscopicpi
cture
i
snor mal.Whati syourpresumpt i
vediagnosis?
Ans::
::
: Dr
yEy eSyndrome.

41.Therighteyeofa9- year-
oldchil
disconstantl
ydevi
ateinward,t
he
l
efteyeisinnormal condit
ion.TheOpticalmediaofbot
hey eis
tr
ansparent.Thefundusoft heeyeiswithoutpathol
ogy
.Visualacuit
y
oftheri
ghtey ei
s=0. 02uncor r
ected,t
helefteyeis=1.
0.Whati sthe
l
ikel
ycauseoft hi
scondi ti
on?
Ans--My opicdi
sease.

42.A28-year-
oldpati
entwentt ot
heoutpati
entclinict
othedoctoron
dutywi
thcompl ai
ntsofseverepain,
decreasedv i
sionofther
ighteye.
Acausti
cgi nt
ohisrighteyeabout30mi nutesago.Onexamination
ther
eisedemaoft heey el
i
ds,lacr
imati
on,hyperemiaoftheeyel
id
conjuncti
va,necroti
cpat chontheconjunct
ivaoftheeyebal
l,
mixed
i
njecti
onoft heey eball
.Thecorneaoftheri
ghteyeisdiff
usel
ycloudy
,
porcelai
n-l
ike.VOD=lightpercept
ion.Whati
st hedegr
eeofthe
pati
ent '
sburn?
Ans—I V

43.From bir
th,afour-
year-ol
dchildconstant
lysquintshisri
ghtey e.
Onexami nati
onv i
sualacuityofri
ghtey e=0.05isnotcorrected.
Ophthalmoscopical
ly:Theopt i
cdiscispale,
thebor der
sar e
contour
ed.Ther eti
nalarteri
esarenarrowed.Hist
oryofhy pertensi
ve
syndrome.Whatpat hologyoftheopticnervehascausedt hechi l
d's
vi
siontodecrease?
Ans--Atr
ophyoft heopticnerve.

44.A46- year -ol

dcompl ainsofagr adualdecreaseinvisioninboth
eyes.Anobj ecti
veexami nati
onr ev
ealedani ncreasei
nsi zeofthe
bli
ndspoti nbothey es.Ophthal
moscopi cally
,theopti
cdi scwill
domi natef orward,theboundari
esar eindist
inct.Theveinsare
sharplydilated;thearter
iesaremedi um, hemorrhageneart heopti
c
nervehead.For mulatethispati
ent'
scondi ti
on?
Ans--Increasei nleukocytesintheblood

45.Nutri
ti
onofwhatv ascul
arnet
wor
kneedst
obest
rengt
henedi
n
caseofcornealburns?
Ans--Centr
alr
etinalar
ter
y

46.A60- year-ol
dcamet ot hehospi t
alwi t
hcompl aintsofacut epainin
ri
ghtey e,headache, decreasedv i
sion,haloesar oundt hel i
ght s.I
n
anamnesi shehadhy per
tension.Ambul ancedoct ormadei njecti
on,
butnochanges.Ov erthepasty ear,severalti
meshehadt hesame
conditi
onbutdi dnotappl ytothedoct or.Onexami nation:Ther i
ght
eyeisred, thecorneai scloudy,anteri
orchamberi sshal low, t
hei ri
s
i
sedemat ous, t
hepupi li
swi de,doesnotr eacttolight.Thel efteyeis
calm,IOPofODdi git
all
yisincreasedl i
kest one.Diagnosi sisangl e
cl
osegl aucoma.Wi thwhatpat hologyshoul dbeper formeddi ff
erenti
al
diagnosis?
Ans--Acut eiri
docyclit
is

47.A20- year-oldpati
entconsult
edanophthalmologistwith
complaintsofl owobjectvisi
onandsquintofthelefteye.Object
ivel
y:
VOD=1. 0.VOS=0. 1uncorrect
ed.Esot
hropi
aofl efteye-250
(Hir
shbergt est).Thefundusoftheeyeisnormal.Def i
netreat
ment
tact
ic.
Ans--Recessionofmedi alr
ectusmuscleofthelefteyeon5mm.

48.Themot herbr
oughtt hechi
ldtot hedoctorwi t
hcompl aintsofpoor
vi
sioninbotheyes.Notesthatthechi l
dworegl assesforsev eral
yearsasachildbutforunknownr easonshest oppedwear ingt hem.
Withanobjecti
veexaminationatthemoment ,glassesdonothel p
him.opti
calmediaaretranspar
ent .Thefundusoft heeyeisnor mal.
Whattypeofambl yopi
adoesachi ldhave?
Ans—DisBinocul
ar

49.A78-y
ear-
oldwomenrefer
redtoophthal
mologi
stcomplai
ningofa
decr
easeinobj
ectvi
sioni
nthelef
teye,Lackofobj
ectvi
sioni
nt he
ri
ghteye,accordingt othepatient
, vi
sionhasbeengr aduall
y
decr
easingfort helast2y earswithv isometr
y,thef unct
ionoftheri
ght
eyeis0.005.lefteyefunct i
onsat0. 2intr
aocularpressureisnormal
,
wit
hopht hal
moscopyt her efl
exisgr ay.Cl
ini
call
ydi agnosedasa
maturecataractoft herighteye,i
mmat urecataractoftheleftey
e.
Whatmet hodoft reatmenti sadvisabletoprescribeforthis
di
agnosis?
Ans:
:::
:Extr
actionoft helens.

50.Anof fi
cewor kerof30y earsol d,camet othedoct orwi th
compl aintsoff atigueintheey es,Rapidfatigue,frequentbl i
nki
ng.
Objectiveresear chdat aVOU=1. 0Theey esarecompl etelycal
m.
Themov ementoft heeyesisnotchanged.Ant eri
orsegmentoft he
eyeswi thoutv i
sibl echanges.Opt i
cal mediaist r
anspar ent.The
fundusoft heey ei snormal,Refractometric-emmet ropia.Shewas
diagnosedwi thaccommodat i
onspasm.Whatdr opscanbe
prescribedt othispat i
ent?
Ans:::
:Tr opicamide1%.

51.I
ndicat
ethereasonwhich,
from yourpointofv
iew,
cannotl
eadt
o
thedevel
opmentofanacuteanglecloseglaucoma:
Ans::
:
:Workingi
nheadtil
tposit
ion.

52.A45- year-oldmanhasr eferredtotheFMCwi thcomplaint

sofa
shar pdecr easei nvision,fl
ashingoff i
l
esinfrontofthelef
teye.From
theanamnesi s,i
twasnot edt hatthedaybeforehehadsuf f
ered
tonsill
i
tis.Onexami nati
ont hev i
sualacuit
yofthelefteye=0.02.The
l
ef teyeiscal m; theant er
iorsegmenti snotchanged.When
exami ningt hefundus, afocusi nthecentr
alzoneof0. 3pdwith
Indisti
nctbor ders, yel
lowish-grayincolor,
thereti
naaroundis
i
nf i
ltr
ated, edemat ous.Whati sy ourpr
esumptivediagnosi
s?
Ans: :
::
Cent r
al r
etinaldegener ati
on.

53.A45- year
-oldwomant urnedt oanopht hal
mol ogi
stattheFMC
withcompl ai
ntsofpai n,phot ophobi a,wateryeyesinther i
ghtey e.
From theanamnesi s:t
heabov ecompl ai
nt sappeared3day sago,
suffersfrom chroni cSinusitis.Onexami nati
onvisualacuit
yoft he
ri
ghtey e=0. 1.Per i
corneal injecti
on, anulceronthecor neawitha
blackv esicl
einthecent r
e, pusi ntheant eri
orchamber ,anarrow
pupil.Whatcondi t
iondidy ouf i
ndint hi
scase?
Ans::::
Cor nealulcer,descemet ocele,hypopyon

54.Parentsbr oughta1. 5-yearol dchildtot hechil

dren'
sey e
departmentwi thcompl aintsofpooror ientati
oninspacedur i
ngforlast
6mont hs.Object i
vely:
OU- -anteriorpartofey ewithoutchanges, t
he
corneaistransparent,theant er
iorchamberi snormal,thepupili
s
roundedint hecenter,thel ensisopaque, thereisnoredr efl
ex.A
diagnosi
s: Congenitalcatar actofbothey esandsur gi
cal t
reatment
waspr oposed.Whyt histypeofcat aractshouldbeoper at
edassoon
aspossible?
Ans:::
:Preventionofdev elopmentr ef
ractiveerrors

55.A45-year
-ol
dmanwasr efer
redt
otheFMCwi thcomplai
ntsof
achi
ngpains,phot
ophobi
a,l
acri
mati
on,r
ednessofther
ighteye.
Hist
ory
:thiscondi
ti
onhasworri
edhi
mf ort
helast3days.Obj
ecti
vel
y:
vi
sualacui t
yoftherighteye=0.06.Theey el
idsar eedemat ous,the
conj
unctivaisprecornealinj
ecti
on,t
her
ear epr ecipi
tatesont he
poster
iorsurfaceofthecor nea,
themoist
ur eoft heant er
iorchamber
i
sopalescent ,t
heIri
sischangedi ncol
or,
y ell
owi sh-
pinkpapul esar
e
l
ocatedal ongthepupill
aryedge.Whatisthelikelycauseoft his
condit
ion?
Ans::
::
Tr eponemapal l
idum

56.Forsev eral days,patientR.,52y earsold,hasswel lingoft he

appendages, tender nessonpal pat i
on, l
acrimati
on,fev er,gener al
malaise, headache.Accor di
ngtot hewor ds,l
acri
mat i
onwor ri
esf or3
years.Obj ectively,
pr onouncededemaoft i
ssuehyper emi aist he
medi al adhesionoft heey el
idsoft helefteyeisdetermi ned.The
swellingext endst ot heey el
ids,cheek, andbridgeofthenose.
Palpat i
onoft issuesi spai nful
,l
ocal temper at
ureisincr eased.The
eyesl i
ti scl
osed.v i
sual acuityi
snotr educed.Theey esar ecalm.
Whati sthedi agnosisi nthispatient?
Ans:::
: Phlegmonoft helacrimal sac

57.Patient59y earold.Shewentt oadoct orwithsorenessi

nthe
upperey el
id,headachesandf ever,whichbothersherfor4days.On
examinat i
on,Apur ul
entpustulewasr evealedintheuppereyel
id.
Thedamagei suni l
ateral
,pai
nfulwithconjuncti
valedema.Anamnesis
reveal
edt hatthepatientsuff
ersfrom type2Di abetesmell
it
us, hada
fl
uaweekago.Whati sthecauseoft hedisease?
Ans:::
:Staphylococcus.

58.Ina2- y
ear-
oldchil
d,anobj
ectiv
eexaminati
ondet
ermi
nesbi
lat
eral
convergentstr
abismus.WhatDiagnost
icmethodwoul
dbeusedfor
research?
Ans:::
:
: Ref
ract
omet r
y.

59.Thepati
ent'
sexami nat
ionreveal
edsimpl
e,di
rectmyopi
c
asti
gmati
sm in3.0D.Whatt r
eatmentshoul
dbeappliedt
ocorr
ect
vi
sion?
Ans::
::
Cyl
indr
icalconcave3.0D

60.A30- year -
oldmancamet oaney eTr aumaCent recompl ai
ningof
photophobi a,wat eryey esi nt heleftey e.Fr om theanamnesi sitwas
foundoutt hatt hedaybef or ehewor kedi nt hegardenandt ouched
theeyewi thabr anch.Onexami nationv isual acuit
yoft helefteye=
0.3ont hecor neai nt hecent ralzoneoft heepi thel
ium r ej
ect i
onl esion
4mm, thecor neal surfaceabov ethel esi
oni sdullandRough.What
addit
ional exami nationi snecessar yt omakeadi agnosi s?
Ans::
::St ainingwi thfluor escei nsolution.
61.A3- year-oldchi l
dwasbr oughttoanopht hal
mol ogistwi thsev ere
sympt omsofl acrimat ion, photophobi a,bl epharospasm.Anamnesi s
compl aintsst arted3day sago, accompani edbyper i
odi cfev erand
coughf or2mont hs.Whenexami ni
ngt heey esusingt heey el i
dlift
er
theyellowi sh-greynodul e4mm i ndiamet erAndThev essel goingt o
i
nt hef orm ofaRayar ev isibleont hecor nea.What 'sy ourdiagnosi s?
Ans::
:Her peticker ati
tis.

62.A14-y
ear
-ol
dwasreferr
edtoanophthalmol
ogi
statt
heplaceof
Resi
dencewi
thcompl
aintsofdecr
easedvisi
on,
pai
ninthej
oints.
Thiscondi ti
onhadbeenbot her
ingherfort
helastmont h.Object
ivel
y
vi
sual acuityinbothey es=0.4.Onthecorneawiththeopen
pal
pebr al f
issurethereist
heRibbon-l
ikeopaci
ty4mm wi deonthe
posteriorsurfaceofthecornea,ther
earedust-
li
kepr eci
pitat
es.
Destructionoft hevit
reousbody.Whatisyourpresumpt i
ve
di
agnosi s?
Ans::
: Behcet '
sdisease.

63.A36- y
ear-ol
dpatientwasadmi t
tedtot hecli
nicofeyediseasewit
h
complaintsofsever
epai ninthelef
teye,decreasedvisi
on.Accordi
ng
tothewor dofpati
ent,cryst
alsofpotassium per
manganategoti nt
o
theeyeabout40mi nutesago.Whatant idoteshouldyouuse?
Ans--Unit
hiolsol
uti
on.

64.Themostthi
ckenedareaoft
hescl
erawher
eat
tached:
Ans--I
nter
nal
eyemuscles.

65.Forthestudyofbi
nocularv
isi
onofschool
chi
l
dreni
tisnecessar
y
touse:
Ans::
:ApparatusBel
ost
otsky

66.A50- year-
oldpatientappl
iedforaconsultat
ioni ntheeyeof
fice.
Compl ainsthatithasbecomedi ff
icul
ttodist
inguishdetail
supclose,
feelsheavinessintheey eandheadachesaf t
erwor k.Anobject
ive
exami nati
onrevealedahy per
opiaof(+)1.5diopters.Whatwork
glassesshoul dthi
spat i
entbeprescri
bedforwor k?
Ans:::(+)
3.5diopters

67.Amblyopi
areveal
edi
n4- year-
oldchi
l
dwi t
hv i
sual
acui
tyof0.
08i
n
anuncorr
ectedhyper
opi
cey eat8.0D.Whattreat
mentshoul
dbe
pl
annedtoimprovevi
sualacuityi
nachild?
Ans::
:Pl
eopti
cs.

68.A52-y
ear-
oldmal epati
entadmit
tedtotheemergencyroom wi
th
acut
eanglecloseglaucoma.Whichofthestr
uct
ureisclosedant
eri
or
chamberangl
e?
Ans—Neovascular
izati
on

69.Absenceofv i
sioninthelefteyewasr evealeduponexami nationof
vi
sualacti
vit
yofa6- year-
oldchil
d.Accordingtot heanamnesi sthat
dayther
ewasabl owt otheheadwi thaheav ymet alobject
.
Ever
ythi
ngisnor malinthefundusandpat hol
ogicalprocessinthe
brai
nisexcluded.Whatisy ourprel
iminar
ydi agnosis?
Ans::
:Reti
nalruptur
e.

70.32-year-
oldwomant urntoanopht hal
mol ogi
stwiththecomplai
nt
ofdecreaseinvisualacuit
yoverthepastyear.fr
om theanamnesis
thatt
hepat i
enthasbeenwear i
ngglassesformy opi
asincechil
dhood
normal,theopti
calmedi aweretranspar
ent.coar
sepigment edl
ess
theli
kelycauseofthiscondit
ionis?
Ans:::
:Reti
nalHemor rage.
 Yedhukri
shnan
1.I
fthefi
rstl
inel
ett
ersar
evi
sibl
efr
om adi
stanceof2.
5m,
thent
hev
isual
acui
tyi
s:
1.0.
05

2.0.
1

3.0.
5

4.0.
01
5.1.
0
2.Whenv isi
oni sdecr eased, itisnecessar ytoexcludethe
i
nf l
ammat or ypr ocessi nt hear eaoft heopt icnerveexit
fr
om t heor bi tthrough:
1.Infraorbital canal
2.For amenr ot undum
3.Inferioror bitalfissur e
4.Super i
oror bitalf i
ssur e
5.Opt icnerv ecanal
3.Funct i
onofaqueoushumor :
1.Nut ri
tionoft hei nter nalmuscl esoft heey e
2.Nut ri
tionoft heext ernal lay ersoft her et
ina
3.Nut ri
tionoft heopt icalmedi aoftheey e
4.Nut ri
tionoft heopt icner v e
5.Nut ri
tionoft hei nnerl ay eroft hescler a
4.A70- year-oldwomanappl iedt oopht hal
mologistwith
compl aintsofasuddendecr easedv isionofherr i
ght
eye;shenot edt hisaf terincr easedherbl oodpressure.
Ophthal mol ogi calexami nat ionr evealednochangesof
anteriorpar tbutnor edr ef l
exf rom fundus.Whati sy our
preli
mi narydi agnosi s?
1.Tot alreti
nal detachment
2.Acut eangl ecl osegl aucoma
3.Compl etecompl icat edcat aract
4.Cent ralretinal arteryoccl usi on
5.Vitreoushemor rhage
5.Str
uct uresi nv olvedi naccommodat i
on:
1.Iri
s
2.Ci l
iarymuscl es
3.Chor oid
4.Cor nea
5. Pupi l
6.Whendi agnosi ngaconv ergentst rabismuswi thanangl e
of45°accor dingt oHi rshber gi nbot hey es, howmany
mm shoul dthemedi alrect usmuscl eofbot hey esbe
recessed?
1.by7mm
2.by2mm
3.by4mm
4.by9mm
5.by6mm
7.Pat i
entU. ,45y earsol d,compl ainsofconst antwat ery
eyesf rom t her ightey e,especi all
ywhenout side.She
haswat eryey esf or2y ear s.Obj ectively,theposi t
ionof
theey el i
dsandl acr i
mal openi ngsi scor rect,when
pressingont hear eaoft hel acr i
mal sac, ther eisno
dischar ge.Tearl akei sobser ved.Col oredl acr i
mal t
estis
negat ive.Whent hel acri
mal passagesar ef l
ushed, t
he
l
iquiddoesnotpassi ntothenose, i
tr eturnst hrought he
super iorl acrimal opening.Lef tey evisual acui t
y=1. 0.
Theey ei sheal thy .Thel acr imal testisposi t
ive;when
ri
nsing, thel i
qui dpassesf reelyintot henose.TOS=21
mm HgDi agnosedwi thinflammat i
onoft hel acrimal
sac.Whatoper at ioni sindicat edf orthiscondi t
ion?
1.Vi t
reoect omy
2.Penet rat i
ngker atoplasty
3.Dacr yocy stor hi nostomy
4.Col lagencr ossl inking
5.Limboscl erect omy
8.Ifthel ightr ef l
exf rom opht halmoscopei slocal i
zedon
thecor neaoft hesqui ntingey ealongi t
sout eredge, thi
s
cor r
espondst o:
1.Conv er gentst rabi smuswi thanangl eof45°
2.Di vergentst r
abi smuswi thanangl eof45
3.Di vergentst r
abi smuswi thanangl eof30°
4.Conv er gentst rabi smuswi t
hanangl eof15degr ees
3Conv er gentst rabi smuswi thanangl eof30°
9.A13- year -oldschool boycompl ainsofv isual i
mpai rment
whi ler eadi ng.Heseeswel li
nt hedi stance.Vi sual acui ty
i
nbot hey es=1. 0.Ey esar eheal thy.Whati sy our
presumpt ivedi agnosi s?
1.Amaur osi s
2.Emmet ropi a
3.Ambl yopi a
4.My opi a
5.Hy per met ropi a
10.Whenexami ningawoman, 30y earsol d, withmy opia8.0
d,dur ingopht hal moscopyont heper ipher yoft her et ina,
l
ar gedy strophi cchangeswer edet er mi ned, withsmal l
retinal tear si nt heor aser rat
aline.Whatt reat ment
shoul dbeappl i
edi nt hi scase?
1.Lasercoagul ationofr et i
na
2.Di at her mocoagul ationofci l
i
ar ybody
3.Si nust rabecul ectomy
4.lridocy cl oret ract ion
5.Cr y odi at ermocoagul at i
onofr eti
na
11.Pat ient59y ear sol d.Shewentt oadoct orwi thsor eness
i
nt heupperey elid, headachesandf ev er,whi chbot her s
herf or4day s.Onexami nat i
on, apur ul entpust ulewas
reveal edi nt heupperey el i
d.Thedamagei suni later al,
painf ul wi thconj unct i
v al edema.Anamnesi sr eveal ed
thatt hepat i
entsuf fer sf rom t y
pe2di abet esmel lit
us,
hadaf luaweekago.Whati sthecauseoft hisdi sease?
1.Gonococcus
2.Lef leur 'sst icks
3.My cobact er ia
4.Pneumococcus
5.St aphy lococcus
12.A16- year - oldschool boyatanopht halmol ogist '
sof f
ice
compl ai nsofi tchi ng, rednessofey elidmar gin,foamy
dischar geatt hei nnercor nersofey ef i
ssur e,rapi dey e
fatiguewhenr eadi ngt ext s.Whatopht halmol ogi cal
exami nat iondoesheneedt oest ablisht hecauseoft hi
s
condi tion?
1.Radi ogr aphyoft heor bit
2.Det er mi nat ionofcor neal sensi tivity
3.Conj unct ival st ainingwi thf luorescei n
4.Irri
gat ionl achr y mal duct s
5Ref ractomet ry
13.Sokol ov '
st esti susedt odi agnose:
1.Mobi l
ityoft heey ebal ls
2.Pat hologyofi nt raocul arpr essur e
3.Inv estigat ionofr ef ract i
on
4.Exami nat i
onoft hev i
sual fi
eld
5.Binocul arv ision
14.A30- y ear-ol df emal epat ientconsul tedan
opht hal mol ogi stcompl aini ngofdr yness, burning
sensat i
onandi rritationoft heconj unct iva,witha
sensat i
onofspl ashi ngi nt heey esandadecr easei n
visual acui ty, i
nt ensi f yi
ngdur i
ngt heday .Exami nation
reveal edmuci nous“ fil
ament s”,rednessandl ocal edema
oftheconj unct i
v aoft heey ebal l,decr easedt ear
secret ion.Anamnesi sr ev eal edt hatt hepat ientwor e
l
enses.Wasdi agnosedwi t hxer osi soft hecor nea.
Whi chdr ugdoy our ecommend?
1.0.3%sol ut ionofcy promed
2.2.5%amphot er icinsol ution
3.0.1%dexamet hasonesol ution
4.0.5%ar tifi
ci al tearsol ution
5.1%f usidicaci dsol ution
15.Thepat ientwasdi agnosedwi thPr esby opia.What
compl aint sdoeshepr esentt otheopht halmol ogist?
1.Impai rmentofdi st ancev i
sion
2.Impai rmentoff arandnearv i
sion
3.Appear anceofdi plopi ai nt hedi st ance
4.Impai rmentofnearv ision
5.Det er i
or ationofbi nocul arv isi
on
16.Ther ightey eofa9- year -oldchi ldi sconst ant l
ydev i
ate
i
nwar d, t
hel ef tey ei si nnor mal condi tion.Theopt ical
medi aofbot hey esi st ranspar ent .Thef undusoft heeye
i
swi thoutpat hol ogy .Visual acuityoft her i
ghtey e=0. 02
uncor rect ed, thel eftey e=1. 0.Whati st hel i
kelycauseof
thiscondi tion?
1.Compl icat edcat aract
2.My opi cdi sease
3.Muscul arast henopi a
4.Hy per met ropia
5.Ret i
nal det achment
17.Forsev eralday s, patientR. ,52y ear sol d, hasswel l
ingof
theappendages, t ender nessonpal pat i
on, lacr imat ion,
fever ,gener al mal aise, headache.Accor dingt ot he
wor ds, l
acr imat ionwor riesf or3y ear s.Obj ect iv ely,
pronouncededemaoft i
ssuehy per emi ai nt hemedi al
adhesi onoft heey elidsoft hel eftey eisdet er mi ned.The
swel li
ngex t
endst ot heey eli
ds, cheek, andbr idgeoft he
nose.Pal pat ionoft issuesi spai nful ,local temper atureis
i
ncr eased.Theey esl itiscl osed.Vi sual acui tyi snot
reduced.Theey esar ecal m.Whati st hedi agnosi si nt hi
s
patient ?
1.Acut edacr yocy sti
tis
2.Per i
or bital abscess
3.Acut edacr yoadeni tis
4.Phl egmonoft hel acr i
mal sac
5.Angul arbl ephar it
is
18.A39- year -oldwomant urnedt oanopht hal mol ogi stat
theFMCwi t
hcompl aintsofl acrimat ion, sor eness,
phot ophobi aoft hel eftey e.Theabov ecompl ai ntshav e
beenwor seni ngt hel ast4day s,thedaybef or e
somet hinggoti ntot heey e,andshewashedi twi th
wat er.Suf feringf rom chr onicdacr y ocy stiti
sf ort hel ast
2y ear s.Obj ect i
v ely:VOS=0. 05.Bi omi cr oscopy :
precor neal i
nject ion, ulcer ati
oni nt hecent eroft he
cornea, oneedgeofwhi chi sswol lenandr ai sed, the
otheri sf latwi thdel i
cat eepi thelializat i
on.Hy popy on, the
pupi lisnar row.Whatshoul dbedonebef or et r eat ment ?
1.Lamel larker at opl asty
2.Scr api ngf rom t hesur faceoft heul cer
3.Makeaker atot opogr aphy
4.Wearamedi cat edcont actlens
5.Ri nset heconj unct ival cav i
ty
19.A15- year -oldboycompl ainsofv isual i
mpai rment ,
noting
thathehadbeenwear inggl assessi ncehewas8y ear s
old.Obj ect ively,ret i
noscopyr ev ealedmy opi aat12. 0D,
furtheropht halmoscopyr ev ealedmy opi ccr escenti n
thef undus, andt heabsenceofamacul arr ef lex.What
treatmenti sneededt ost opt hepr ogr essi onofmy opia?
1.Ker atomi l
eusi s
2.Ker atot omy
3.Scl er opl asty
4.Lasercoagul ationoft her etina
5.Phot or ef ractivekerat ect omy
20.Pat i
entA. ,25y earsol d, compl ai
nedofswel l
i
ng,
sorenessandr ednessoft heout erpar toft heupper
eyelid.Ther ei sani ncreasei nt emper ature,gener al
mal aise, headache.Fr om t heanamnesi s,ther ei
schr oni
c
tonsi l
liti
s.Obj ect i
vely,thepal pebr alfissurei schanged,
hyper emi aandedemaoft heconj unct i
vaoft heey eball
i
si nt heupperout erregi on, themobi lit
yoft heeyei s
l
imit ed, theaur i
cularregi onal ly mphnodesar eenlarged
andpai nf ul.Yourdi agnosi s:
1.Canal iculiti
s
2.Dacr y oadeni ti
s
3.Ly mphadeni t
is
4.Phar y ngi ti
s
5.Dacr y ocy stiti
s
21.Thepat ient'sexami nat ionr evealedsi mpl e,dir
ectmy opicast
igmat
ism i
n3.
0D.Whatt
reat
ment
shoul dbeappl i
ed
tocor rectv isi
on?
1.Spher opr ismat icconcav e3, 0d
2.Spher ical concav e3. 0d
3.Cy lindr i
cal conv ex3. 0d
4.Cy lindr i
cal concav e3. 0d
5.Spher ical conv ex3.0d
22.Namet hemostsi gni ficantsy mpt om ofbi nocularv i
sion
disor der :
1.Ambl y opi a
2.Deut er anopi a
3.Hemer alopi a
4.Tr itanopi a
5.Pr ot onapi a
23.Indi cat et her easonwhi ch, from y ourpoi ntofv iew,
cannotl eadt ot hedev elopmentofanacut eangl ecl ose
glaucoma:
1.Pr olongedst ayi nadi mr oom
2.Pr olongedst ayinginwel l i
llumi natedr oom
3.Medi cat edpupi ldi
lationwi thoutt onomet ry
4.Wor ki ngi nheadt iltposi t
ion
5.St ress
24.Thepat ient ,40y ear sol d, turnedt otheey etrauma
centerwi thcompl aint sofi r
ritat i
onandpai ninther i
ght
eye, l
acr i
mat ion, phot ophobi a.Anamnesi sr eveal edthat
yester daywhi lewor ki ngi nt hegar den, hei njuredhi sey e
withabr anch.Onexami nation: VOD-0. 4, VOS-1. 0.
Per i
cor neal inject ion, thecor neai nthecent erwhen
vi
ewedf rom t hesi del ight-opal escent ;lossofsmoot h
i
nt heopt ical zone.Thedoct ori nstil
ledf l
uor escence
solutioni ntot heconj unct i
val cav i
ty.Anar eaoft he
corneawi thasi zeof2. 0x1.5mm t urnedgr eenish.
Diagnosedwi thcor neal erosi on.Whati sy ourtreatment
strategy ?
1.ant ibiot icandcor ner egel
2.Taur ine4%andRi bof lav i
n0. 02%
3.Timol ol 0.5%andSol coser y |Gel
4.Pi l
ocar pi ne1%andRi boflav in0. 02%
5.Dexamet hasone0. 1%andcor neregel
25.Exami nat ionr ev eal edr i
ght -sidedhemi anopsi aina
patient .Wher ei st hel esi onsi te?
1.Int her ightopt i
cner ve
2.Int her ightopt i
ct r act
3.Int hel eftopt i
cner v e
4.Int hel eftopt i
ct ract
26.A20- year -
ol dmanhasbeeni nanopht halmol ogical
hospi tal for15day sduet oaf reshchemi calbur ninbot h
eyes.Toi mpr ov et rophi sm andr egener ationofey e
ti
ssues, whi chdr ugi smor eappr opriatetocont inuet he
tr
eat mentwi th?
1.Sul facy lsodi um 30%
2.Tet racy clineoi ntment1%
3.Tobr adexoi ntment
4.Sol coser yl -gel
5.Lev ofloxaci n0. 5%
27.Al l oft hef ollowi ngst atement saboutaqueoushumorar etr
ueexcept
:
1.aqueoushumori spr oducedbyci li
arybody
2.thecomposi ti
onofaqueoushumori sal t
eredasi tf l
owsf
rom t
hepost
eri
orchambert
hrought
he
pupil andi nt ot heant er i
orchamber
3.aqueoushumori sf or medatt her at eofappr oxi mat el
y2-3ml
/mi
n
4.nor mal aqueoushumorhasahi ghpr ot eincont ent
5.t her ei s1%t ur nov eri naqueousv ol umeeachmi nut e
28. A72- y ear -oldmanconsul t
edanopt omet ri
statt hepl ace
ofr esi dencewi thcompl ai nt sonasl ightdecr easei n
visioni nbot hey es, fogbef or et heey es, object ivel y:
visual acui t
yoft her ightey e=0. 1, l
ef tey e=0. 2, theey e
i
scal m, thecor neai st ranspar ent , theant er iorchamber
i
smedi um, thepupi l isr oundf or ms, lensopaci ty,f undus
i
snotgoodv isibl e.Whati st hepr elimi nar ydi agnosi si n
thiscase?
1.Mat ur ecat aract
2.I niti
al catar act
3.Ov er ri
pecat ar act
4.Par tial cat aract
5.I mmat ur ecat ar act
29.A33- y ear -
ol dpat i
entconsul tedanopht hal mol ogi st
compl aini ngofashar pdecr easei nv isioni nt her ight
ey e, whi chhehasnot i
ced2day sago.Aweekagohe
suf feredacut er ight -
sidedsi nusi tis.Obj ect iv ely : visual
acui tyoft her ightey e=0. 2( notcor rect ed) .Ther i
ghtey e
i
scal m, theopt ical medi ai st ranspar ent .Thef undusof
theey e: t heopt icner veheadi shy per emi c,itsbor der s
arebl ur r
ed, edemat ous, sl ight l
ypr ot rudesi nt ot he
vitreousbody ,thear ter i
esar edi l
at ed.Thev ei nsar e
conv olut ed, thev ascul arf unnel isf ill
edwi t
hexudat e.
Macul arr egi onandr etinal per i
pher ywi thoutpat hol ogy .
Lef tey ev isual acui ty=1. 0.Theey ei sheal t hy .Whati s
yourpr esumpt ivedi agnosi s?
1Rupt ur edopt i
cner v e
2Congest ivepapi l
laoft heopt icner ve
3Opt i
cneur itis
4At rophyoft heopt icner v e
5Excav at i
onoft heopt i
cner vehead
30.A45- y ear -
ol dpat i
entwi thmy opi aofbot hey esof9. 0
diopt er s, mov ingheav yf ur niturei nt heapar tment ,
not icedsev er al weakl i
ghtf lashes( phot opsi es)i nt he
l
ower -
out erpar toft hev isual fieldoft her i
ghtey e, and
thent heappear anceofat r ansl ucentshadow( accor ding
tot hepat ient '
sdef i
nition-" Cur tains’ ), fluct uat ingwi t
h
ey emov ement sandl i
mi t i
ngpar toft hef ieldofv iewof
ther i
ghtey e.I nt hemor ni ngaf tersl eep, theshadow
disappear ed, butdur i
ngt hedayi tr eappear edand
i
ncr easedsl ight ly.Whati sy ourpr esumpt ivedi agnosi s?
1Phl egmonor bit
2At t
ackofgl aucoma
3Ret inal detachment
4Ant er i
oruv eiti
s
3Swel li
ngcat aract s
31.Pat ient40y ear sol d,compl ai nsofagr adual decr easein
visioni nt hel eftey e.Anamnesi s: suffer edaheadi njur ya
yearago.Opht halmoscopyr ev eal ed: pal l
oroftheopt ic
nerv eheadf rom t het empor alsi de, thebor dersoft he
discar ecl ear ,t
hev ascul arbundl ei nt hecent er,
the
arteriesar enar row.Whati sthemostl i
kelydiagnosi s?
1Ret robul baropt icneur i
ti
s
2Rupt uredopt icner ve
3Congest i
v epapi l
laoft heopt icner ve
4Excav ationoft heopt i
cner vedi scs
5At r
ophyoft heopt i
cner ve
32.Apat i
entwasadmi t
tedt otheneur osurgerydepar tment
wi t
hcompl aintsofheadacheandl ossofhal foft hef ield
ofv isioni nbot hey es.Neur osur geonsi nthepictures
foundapi t
uitar yadenoma, whichcompr essesthe
chiasm.Whathemi anopsiadi dt heopht halmologi stfind
i
nt hi spat ient ?
1Het er ony mousbi tempor al
2Homony mousupperquadr ant
3Homony mousl eft-sided
4Homony mousr ight -
sided
5Het er ony mousbi nasal
33.I ndi catewhi choft hefollowi ngmet hodscanbeusedt o
treatcongeni tal glaucoma:
1Manual ther apy
2Funct ional therapy
3Medi cat i
on
4Sur gical treatment
5Lasercoagul ation
34.Whati sthecauseofbl i
ndnessduet opri
mar yopen-
angl egl aucoma:
1Cl oudi ngoft hev itr
eousbody
2Lensopaci t
y
3Persi
stentcornealopaci
ty
4Atr
ophyoft heopti
cner v
e
5Totalr
etinaldet
achment

35.A72- year-
oldwomanadmi ttedtoemer gencyroom with
compl aintsofpai nint heleftey e,radiati
ngt otheleft
halfoft hehead, lacrimat i
on,phot ophobi a,
blephar ospasm, decr easedv ision.Object i
ve
exami nation:VOD=1. 0, VOS=i ncor r
ectlightperception.
Theey eisbluishinjected, t
hecor neaisedemat ous,the
anteriorchamberi sdeep, tremoroft hei r
isis
determi ned,thepupi lisirr
egul ar,smal lwhiteparti
clesof
l
ensmassesar edet ectedint heant eriorchamber .The
fundusoft heey eisnotgoodv i
sibl
e.Whatt ypeof
secondar yglaucomahast hispat i
ent?
1Phl ebohy pertensive
2Post tr
aumat ic
3Neopl asti
c
4Post uveal
5Phacol yti
c

36.A45- year-oldwomant urnedt oanopht hal mologistat

theFMCwi t
hcompl aintsofpai n,photophobi a,wat ery
eyesint her i
ghtey e.Fr om t heanamnesi s:theabov e
compl aintsappear ed3day sago, suffersfrom chr onic
sinusi
tis.Onexami nat ion: visual acuityoft her i
ghtey e=
0.1.Per i
corneal inj
ection, anul ceront hecor neawi tha
blackv esicl
ei nthecent er,pusi nt heant er
iorchamber ,a
narrowpupi l.Whatcondi ti
onsdi dy oufindint hiscase?
1Cor neal ul
cer ,descemet ocel e, hypopy on
2Cor neal ul
cer ,my dri
asi s,madar osis
3Cor neal ul
cer ,keratomal aci a, hypopy on
4Cor neal ul
cer ,Keratoconus, mi osis
5Cor neal ul
cer ,conjunct ival chemosi s, miosi s

37.A37- year-oldmanconsul tedanopht halmologistwi th

compl aintsofdecr easedv isual acuity,redness,
l
acr i
mat ionandpai ni nther i
ghtey e.Intheanamnesi s:2
yearsago, her eceivedanaci dbur ni nhisr i
ghteye, he
wasr epeat edlyt r
eat edinahospi tal.Opht halmological
exami nationoft her ighteyer eveal ed:theey eisirri
tat ed,
thelowerey eli
dconj uncti
vaint hemi ddlepar tisfused
withtheconj unctivaoft heey ebal lbyscart i
ssue.The
l
owerandupperey elidsarepar tial
lyclosed.What
diagnost i
cst udyi snecessar yf orthepat ienttoimpr ov e
theprognosi soft hedi sease?
1Bacteri
alcult
ureoftear
2Testofthesensiti
vit
yofthecornea
3Optical
coherencetomogr aphy
4Determinat
ionoftearfil
m stabi
l
ity
5X-r
ayoft heparanasalsi
nuses

38.A74- year-ol
dmanadmi tt
edt otheemer gencyr oom wi t
h
compl aintsonsev erepai n,decreasedv i
sioninthel ef t
eye.Fr om t hemedi calhistory,pati
ent'sdi
agnosiswas
i
mmat urecat aractoft her i
ghtey e.Onexami nation,t he
eyei sr ed, t
hecor neai sedemat ous,theanteri
or
chamberi sshal l
ow, thepupi li
smy dri
ati
c,thelensi s
opaque, andswel ls.Thef undusoft heey eisnotv isible.
Diagnosi sisHy permat urecataract,phacomor phic
glaucomaoft her ightey e.Whi chofthemor e
appr opr i
atet r
eat mentf orthisdiagnosis?
1Scl erect omy .
2Ext ract i
onoft hel ens
3Cor neal tr
anspl ant ati
on
4Si nust r
abecul ect omy
5Dacr yocy storhinost omy

39.A75- year-oldwomanconsul tedwi t

hanFMC
ophthalmol ogistcompl aini
ngaboutlackofobj ectvisi
on
i
nherr ightey e;accor di
ngtothepat i
ent,herrightey e
stoppedseei ng3mont hsago,andherv isi
ongr aduall
y
decreased.Wi t
hv isometry,t
hefunctionofther i
ghteye
hasacor r
ectcol orpr oj
ecti
on,i
ntraocul
arpr essur ei
s
normal ,
withopht halmoscopythereisnor eflex.What
pathologyar ewet alki
ngabout?
1Mat urecat aract
2Hy permat urecat aract
3Immat urecat aract
4Secondar ycat aract
5Init
ialcataract

40.Af tersuf f
eringacol d,
a7- year-
ol dpatientsuddenl y
developedpai nwhenmov i
nghi sey es.Objectively:
v i
sual
acuit
yi nbot hey es=1. 0.Thereissmal lexopht hal
mos, a
sl
ightl i
mi tat
ionoft hemobi l
ityoftheey eball
s.Wi th
extr
emeabduct i
onoft heeyes-di plopia.Sli
ghtswel l
i
ng
oftheey eli
dsandconj unctiva.Minormi xedey eball
i
njection.Ther ei snodischargef r
om t heconj unctival
sacs.Ant eri
orsegment swi t
houtv isiblechanges.Opt i
cal
mediaar et r
anspar ent
.Thef undusoft heey eisnor mal.
Diagnosedwi thphl egmonoft heor bit.Whati sy our
tr
eatmentst rategy?
1Dryheat,vi
tami ns, anticoagul
ants
2Kerat
oprotectors, antibiot
ics
3My dr
iat
ics,prostagl andins,vi
tamins
4Dryheat,cort
icost eroids,anti
biot
ics
5Prost
aglandins, antibioti
cs,vi
tamins

41.Chooset hemostpr obabl

ediagnosi swhent heaged
pati
entdev elopsdecr easeandbl ur
redv isionaft
er
vi
siti
ngthesauna, rai
nbowci rcl
esar oundt heli
ght,
severepainint heey ewi t
hirr
adiati
ont ot hebackofthe
head,teet
h, ear:
1Acut edacry ocysti
ti
s
2Acut ekeratiti
s
3Acut eanglecl oseglaucoma
4Acut econjunct i
vit
is
5Acut eir
idocy cl
iti
s

42.A42- year -oldmancamet ot heey ehospital

wi th
compl aintsofsev ereheadaches, chil
l
s,paininther i
ght
eyearea.Theanamnesi ssuffer
sf rom chroni
csi nusi
tis,
doesnotr eceivet reat
ment.Object i
vely:
body
temper atur e39. 8Ey eli
dsareshar plyedematous,
hyperemi c, conj unctiv
alchemosi s,eyemobi l
i
tyis
l
imited.Wasdi agnosedwi t
hlacrimal sacphlegmon.
Whatar ey ourt reatmenttacti
cs?
1Flusht hel acrimal duct
2Dacr yocy storhinostomy
3Blephar orrhaphy
4Kunt -Shi manov skyoperati
on
5Orbitot omy

43.A78- year-ol
dwomanr eferredt oopht hal
mol ogi st
compl aini
ngofadecr easei nobj ectvi
sioni nthel efteye,
l
ackofobj ectv isioni ntherightey e,accor di
ngt ot he
pat i
ent ,vi
sionhasbeengr adual lydecreasingf orthelast
2y ear s.Wi thv i
somet ry,t
hef unct i
onoft her i
ghtey ei
s
0.005.Lef tey efunct ionsat0. 2, i
ntr
aocularpr essur eis
nor mal ,withopht halmoscopy ,therefl
exi sgray .
Clinicall
ydi agnosedasamat ur ecataractofther i
ght
eye, immat urecat aractoft hel efteye.Whatmet hodof
tr
eat menti sadv isabl etoprescr ibeforthisdiagnosi s?
1Cor neal transplant ati
on
2Ext r
act i
onoft hel ens
3Si nust r
abecul ectomy
4Dacr yocy storhinost omy
5Di
sci
ssi
onoft
hesecondar
ycat
aract
44.Par ent sbroughtat wo-year-ol
dchi l
dtot hechi
ldr
en'sey
e
depar tmentwi thcompl aintsonpooror ientati
onin
spacedur ingforlast6mont hs.Objecti
vely:OU—
anteriorpar tofeyeswi thoutchanges, t
hecor neais
transpar ent,t
heant er i
orchamberi snormal ,t
hepupil
is
roundedi nthecent er ,
thelensi sopaque, t
hereisnored
refl
ex.Adi agnosis:Congeni t
alcataractofbot hey
esand
surgical tr
eatmentwaspr oposed.Whatt ypeof
treatmenti sindicatedf orthispatient?
1Nosur geryti
lladol escence
2Spect aclecorrection
3Medi cament oust reatment
4Ext ractionofcat aracts
5Si nustrabeculoect omy

45.A27- year-
ol dpatientwasadmi ttedt oaney eclinicwith
compl aintsofl owv isioninther i
ghtey e.Anamnesi s:2
yearsago, t
herewasal imebur ni nt her ightey e,sev eral
ti
meshewast reatedi nahospi tal.Recent ly,ont he
recommendat i
onoff ri
ends,ther ightey ewast reated
withdi l
utedhoney .Onexami nation: ther ightey ei s
i
rrit
ated; t
hev isual acuit
yisequal tot hecor rectlight
percept i
on.Diagnosedwi t
hv ascul arizedcor neal
opaci t
y.Whatoper at i
onisadv isabl et ocar ryout ?
1Di athermocoagul ati
onofv essel s
2Lay eredker atoplasty
3Ker atoprosthet i
cs
4Scl eroplasty
5Penet r
atingker atoplasty

46.An80- year-ol
dwomanconsul tedwi t
han
opht hal mologistoft heFMCwi thcompl ai
ntsof
decr easedobj ectvisioninherl efteye;accordi
ngtot he
patient ,hervisionhasbeengr aduall
ydecr easi
ngfort he
l
ast2y ears.Wi thvisomet ry,thefuncti
onoft helefteye
i
s0. 05, i
ntraocularpr essureisnor mal,with
opht hal moscopy ,ther efl
exisgr ay.Diagnosedwi t
h
catar act.Whataddi tionalexami nati
ondoest hi
spat ient
needt oconf ir
mt hedi agnosis?
1Non- contacttonomet ry
2Fluor escenceangi ography
3Aut omat icrefractomet ry
4Opt icalcoher encet omogr aphy
5Ul trasoundexami nat i
on
47.A39- year -oldwomant urnedt oanopht halmol
ogistattheFMCwi t
hcompl ai
ntsoflacri
mati
on,
soreness, phot ophobi aoft heleftey e.Theabov ecompl ai
ntshav ebeenwor seni
ngthel ast4days,
thedaybef oresomet hinggoti ntot heey e,andshewashedi twithwat er.Suff
eri
ngfrom chroni
c
dacryocyst i
tisf ort helast 2y ears.Obj ecti
vely:VOS=0. 05.Bi
omi croscopy:
precorneal inject i
on,ulcer ati
onint hecent erofthecornea,oneedgeofwhi chisswollenandraised,
the
otherisflatwi thdel i
cat eepi thel
iali
zat i
on.Hy popy
on, t
hepupilisnar r
ow.Whatshoul dbedone
beforetreatment ?
1Lamel larker atoplasty
2Scr api
ngf rom t hesur faceoft heul cer
3Makeaker atot opogr aphy
4Wearamedi cat edcont actlens
5Rinset heconj unctival cav i
ty

48.Thepati
ent'
sexami nati
onreveal
edsi
mpl
e,di
rectmy
opi
cast
igmat
ism i
n3.
0D.Whatt
reat
ment
shoul
dbeappl i
edtocor r
ectvi
sion?
1Spheropr
ismaticconcave3,0d
2Spheri
calconcave3.0d
3Cy l
i
ndri
calconvex3.0d
4Cy l
i
ndri
calconcave3.0d
5Spheri
calconvex3.0d

49.A15- year -
oldboycompl ainsofv isualimpai
rment,noti
ngthathehadbeenwear i
ngglassessi
nce
hewas8y earsold.Objectiv
ely ,
retinoscopyreveal
edmy opi
aat12.0D,fur
theropht
halmoscopy
revealedmy opi
ccrescentint hef undus, andtheabsenceofamacul arr
efl
ex.What
treat
menti sneededt ost opthepr ogressionofmy opi
a?
1Ker atomi leusis
2Ker atotomy
3Scl eroplast y
4Lasercoagul ati
onoft heretina
5Phot oref racti
vekerat
ect omy

50.Af tersuf f eringacol d, a7- year-

ol dpatientsuddenl y
developedpai nwhenmov inghi sey es.Objectively:
v i
sual
acuityinbot hey es=1. 0.Ther eissmal lexopht hal
mos, a
sl
ightl i
mi tationoft hemobi lit
yoft heey eball
s.Wi th
extr
emeabduct i
onoft heey es-di plopia.Sli
ghtswel l
i
ng
oftheey elidsandconj unct iva.Mi normi xedey eball
i
njection.Ther ei snodi schar gef r
om t heconj unctival
sacs.Ant eriorsegment swi thoutv isiblechanges.Opt i
cal
medi aar et ranspar ent.Thef undusoft heey eisnor mal.
Diagnosedwi thphl egmonoft heor bit.Whati sy our
tr
eat mentst rat egy ?
1Dr yheat ,vitami ns, ant i
coagul ants
2Ker atopr ot ector s, ant i
biot ics
3My driati
cs, prost agl andi ns, vitami ns
4Dr yheat ,cor ticost eroi ds, antibiotics
5Pr ostagl andi ns, antibiotics, v
itami ns

51.A30-
year
-ol
dfemal
epat
ientconsul
tedan
opht halmologi stcompl ainingofdr yness, burni
ng
sensat i
onandi r
ritat
ionoft heconj unctiva,witha
sensat i
onofspl ashi ngi ntheey esandadecr easein
visualacuity, i
ntensi fy
ingdur ingt heday .Exami nat
ion
revealedmuci nous“ fi
lament s”,rednessandl ocaledema
oftheconj unct i
vaoft heey ebal
l,decr easedt ear
secretion.Anamnesi sr evealedthatt hepat ientwore
l
enses.Wasdi agnosedwi thxerosisoft hecor nea.
Whi chdr ugdoy our ecommend?
10. 3%sol utionofcy promed
22. 5%amphot ericinsol uti
on
30. 1%dexamet hasonesol ut
ion
40. 5%ar ti
ficialtearsol ution
31%f usidicaci dsol ution

52.Namet hemostsi
gni
fi
cantsy
mpt
om ofbi
nocul
arv
isi
on
di
sorder:
1Ambl yopia
2Deuteranopia
3Hemer alopia
4Trit
anopia
5Protonapia

53.A49- year-oldwomancamet ot heemer gencyr oom wi th

compl aintsofsev er epai nandbl urredv i
sionoft herightey e,
whichar oseagai nstt hebackgr oundofani ncr easeinbl ood
pressuret o180-and90- mm Hg.Thepat i
entr eportedsi ngle
vomi t
ingt hatdi dnotbr ingr el
ief.Onexami nation,thef ol
lowing
datawer eobt ained: visual acuit
yoft her i
ghtey e=0. 09isnot
corrected, vi
sual acui tyoft helef tey e=0. 1(+)3. 5D=1. 0;
Biomicroscopyoft her i
ghtey er eveal edast agnanti njectionof
theey eball,cor neal edema, smal lant eri
orchamber ,iri
s
bombar dment , thepupi lisdi l
ated, doesnotr eacttol ight.|OPOD
56mm Hg.Whati sy ourpr eli
minar ydi agnosis?
1Ret robulbarneur iti
s
2Acut eat tackofgl aucoma
3Lacr imal sacphl egmon
4Tot alretinal det achment
5Fibrinous- pl
ast i
ci r
idocy cli
ti
s

54.A45- year-oldmancamet otheey ehospi talwithcomplaint

sof
pain,photophobi a,l
acrimati
onoft herightey e.From the
anamnesi s: theabov ecompl aintsappear ed3day sago.Man
suffersfrom chr onicsinusit
is.Onexami nation:v i
sualacuit
yof
therightey e=0. 1.Peri
cornealinjecti
on, t
heedgesoft heul
cer
aregapi ngont hecor nea,t
heant eri
orchamberi sshallow,the
pupilisnar r
ow.Whatcompl icationispossi bleint hi
scase?
1Ker atomal acia
2Sy mbl ephar on
3Madar osis
4Endopht
hal
mit
is
5Scl
eri
ti
s

55.I
ndicatethereasonwhich, f
rom y ourpointofv
iew,
cannotl
eadt
o
thedevelopmentofanacut eangl ecloseglaucoma:
1Prolongedstayinginwellil
l
umi natedroom
2Medi catedpupi
l di
lat
ionwithouttonomet ry
3Prolongedstayinadi mroom
4Stress
5Wor kinginheadt i
l
tposit
ion

56.64-y ear -
oldfemal epat i
entcomplai
nsofpai nradi
atingt othe
backoft heheadandaf eeli
ngofswell
ingofther i
ghtey e.There
i
sat hi
ckf ogi nfrontofther i
ghteyeandtheey eseesal most
nothing.Onexami nat
ion:VOD-count i
ngthefingersoftheey e.
Ont her ightey e,congest i
veinj
ecti
onoftheant er
iorvessels,t
he
corneai sedemat ous,theanteri
orchamberissmal l
,thei r
isis
edemat ous, thepupi l
isabout4-5mm.gr aycol or
.Whatki ndof
secondar yglaucomadoest hepati
enthave?
1Facot opi c
2Neopl astic
3Neov ascul ar
4Facol y ti
c
5Phacomor phic

57.Indi
catethereasonwhi ch, f
rom y ourpoi
ntofvi
ew,
cannotleadtothedev elopmentofanacut eangl
eclosegl
aucoma:
1Prolongedstayinadi mr oom
2Prolongedstayinginwel lil
l
umi natedroom
3Medi catedpupi
l di
lat
ionwi thouttonomet r
y
4Wor kinginheadt i
l
tposi t
ion

59.PatientA.
,25yearsold,complainedofswelli
ng,
sorenessandrednessoft heouterpartoftheupper
eyeli
d.Therei
sani ncr
easei nt
emper atur
e,general
mal ai
se, headache.From theanamnesis,
therei
schroni
c
tonsil
li
ti
s.Obj ectiv
ely
, t
hepalpebr
alfi
ssur
eischanged,
hyperemi aandedemaoft heconj
uncti
vaoftheeyebal
l
i
si ntheupperout erregi
on, t
hemobil
it
yoftheeyeis
l
imited,theaur icul
arregionall
ymphnodesareenlar
ged
andpai nful.Yourdiagnosis:
1Canal iculi
ti
s
2Dacr yoadeni t
is
3Ly mphadeni tis
4Phar yngitis
5Dacr yocy sti
ti
s

60.Thepat i
ent ,
40y ear sol d, tur
nedt otheey etrauma
centerwi thcompl aintsofi rritati
onandpai nintheright
eye,lacrimat ion,phot ophobi a.Anamnesi srevealedthat
yesterdaywhi lewor kingi nt hegar den, heinjuredhisey e
withabr anch.Onexami nation: VOD-0. 4,VOS-1. 0.
Per i
corneal injecti
on, thecor neaint hecent erwhen
vi
ewedf r
om t hesidel i
ght-opal escent ;l
ossofsmoot h
i
nt heopt i
cal zone.Thedoct orinstil
ledfluorescence
solutionintot heconj unct ival cavit
y .Anar eaoft he
corneawi t
hasi zeof2. 0x1.5mm t urnedgr eenish.
Diagnosedwi thcorneal erosi on.Whati sy ourtreatment
strategy?
1ant ibi
ot i
candcor ner egel
2Taur i
ne4%andRi bof l
avin0. 02%
3Ti mol ol0.5%andSol coser ylGel
4Pi l
ocar pine1%andRi bof l
av in0.02%
5Dexamet hasone0. 1%andcor neregel

61.Apat ientwasadmi ttedtotheneurosurgerydepar tment

withcompl ai
ntsofheadacheandl ossofhalfoft hefield
ofv i
sioninbot heyes.Neur osurgeonsinthepictures
foundapi tuit
aryadenoma, whichcompr essesthe
chiasm.Whathemi anopsi adidtheophthalmologi stf
ind
i
nt hispatient?
1Het eronymousbi tempor al
2Homony mousupperquadr ant
3Homony mousleft-si
ded
4Homony mousr i
ght -
sided
5Het eronymousbi nasal

62.72-year-
oldwomanadmi t
tedt oemer gencyr oom wit
h
compl ai
ntsofpai nintheleftey e,r
adiat
ingt othel ef
t
halfofthehead, l
acrimation,photophobia,
blepharospasm, decreasedv i
sion.Objective
examination:VOD=1. 0,VOS=i ncorr
ectlightperception.
Theey eisbluishinj
ected, t
hecor neaisedemat ous,the
anteri
orchamberi sdeep, tremoroft heirisis
determined,thepupi
lisir
regular,smallwhit
epart
iclesof
l
ensmassesar edetectedintheant er
iorchamber.The
fundusoft heeyeisnotgoodv i
sibl
e.Whattypeof
secondaryglaucomahast hispat i
ent?
1Phlebohy pert
ensi
ve
2Post tr
aumat i
c
3Neopl asti
c
4Post uveal
5Phacol yt
ic

63.A45- year-ol
dwomant ur nedt oanopht hal mologi stat
theFMCwi thcompl aintsofpai n,photophobi a,wat ery
eyesint her ighteye.Fr om t heanamnesi s:theabov e
compl aintsappear ed3day sago, suffersfrom chr onic
sinusi
tis.Onexami nat ion: visual acuityoft her i
ghtey e=
0.1.Per i
corneal inj
ection, anul ceront hecor neawi tha
blackv esicl
ei nthecent er,pusi nt heant er
iorchamber ,
a
narrowpupi l
.Whatcondi ti
onsdi dy oufindint hiscase?
1Cor neal ulcer,descemet ocel e, hypopy on
2Cor neal ulcer,my dri
asi s,madar osis
3Cor neal ulcer,keratomal aci a, hypopy on
4Cor neal ulcer,Keratoconus, mi osis
5Cor neal ulcer,conjunct ival chemosi s, miosi s

64.Selectt heappr opr

iat
echar acteri
sti
cforthepost
eri
orcor
neal
epi
theli
um:
1Organi zedf i
bri
ll
arstructure
2Highr egener at
ioncapaci ty
3Onel ay erofpolygonal cell
s,notregener
ateaft
er
damages
4Structur el
essfibrousformat i
on
5Mostr esi st
antt ochemi calatt
ack

65.Whatt ypeofcl i
nical
ref
ract
ionhas20-
year
-ol
dpat
ient
,wi
th
di
stancev i
sualacuityinbotheyesof1.
0.
1Moder atehy peropia
2Highmy opia
3Mi xedast igmatism
4Lat enthyperopia
5Moder atemy opia

66.WheretheMeibomi angl
andsar
elocat
ed?
1Tarsalpl
ateofeyeli
ds
2Inthecil
i
arybody
3inthefol
li
clesofeyel
ashes
4inthel
imbus
5Intheconjunct
iva
67.Bli
ndspotidenti
fi
esundercampi metry
1Intheuppernasalquadrantoft hevisualf
iel
d
2Inthetemporalhalfoft
hev isualfi
eld
3Intheupperhalfofthevisualfi
eld
4Inthenasalhalfofthevi
sual fi
eld
5Intheupperhalfofthevisualfi
eld

68.Namet hef i
bersduet
owhi
cht
hescl
eraper
for
msasuppor
ti
ngFunct
ion:
1Mucousmembr ane
2Collagenfiber
s
3Elasti
cfibers
4Nerv efi
bers
5Muscl efi
bers

69.A47- year-ol
dpat i
entwasadmi t
tedtoaney ehospit
alwithcompl aint
sofbr eakingpai ns,
Photophobia, l
acri
mat ion,decr
easedv i
sioni ntherighteye.Theabov ecompl ai
nt sappear edfor5
days,butov erthelast2day s,t
hepai nhasi ncreasedsignif
icantl
y.Objecti
vel
y :
v isualacuityofthe
ri
ghtey e=0. 1.Theey eli
dsareedemat ous,st agnantinj
ecti
on;thecor neaisedemat ous,precipi
tat
es
onthepost eriorsurf
ace.Thepupi li
snar row, Fibr
ininthepupill
aryzone,theiri
si sbombar ded,r
idge
hotgreen.whataddi ti
onal examinati
onisnecessar ytomaket hediagnosiseasi er?
1Tonomet r
y
2Refractomet ry
3Goni oscopy
4Sciascopy
5Diaphonoscopy

70.A50- year-ol
dmancompl ainsofper sistentl
acr
imat i
on,
purulentdi schargefrom t
heey e.Theabov ecomplaint
s
appear ed3day sago.Whenexami ningthepat i
ent
,
att
ent i
oni spaidtoexcesst earsalongt heedgeoft he
l
owerey eli
d,bean-li
kesoftprotrusi
onoft heski
nunder
theinnerl igamentoft heeyelids.Preli
mi narydi
agnosis:
1Phar y ngitis
2Dacr y oadeni t
is
3Dacr y ocy st
iti
s
4Ly mphadeni t
is
5Canal icul i
ti
s
71.I nt hev i
llagewher ey ouar e,thereisnoopht hal
mol ogi
st,
apat ientcamet oy ouwi thcompl ai
ntsofpai n,
redness,
shar edet eriorati
onofv isioni nthelefteye.Hehada
histor yofchoppi ngWoodaboutanhourago.
Obj ect i
v ely:swellingoft heey e,diff
usehy peremia,
sor enesswhent ryingt ocl oseandopent heey es.
Bact er i
al conj unctivi
ti
swasdi agnosed.Sel ectthefi
rst
-
l
ineI ntrav enousmedi cinef orthi
spat i
ent.
1I sot oni csol ut
ion0. 9%
2Cef tri
axone1. 0
3Mel doni um 5%- 10.0
4Pr edni solone1- 2mg/kg
5Ci t
icol i
ne100. 0

72.A35- year-
oldwomanconsul tedanopht hal
mol ogistwith
compl aintsoflownearobj ectvi
sion.Not esthathewear s
glassesf ordistance+1. 0inbot hey es.Beforethisperiod,
readingatcl oser angewasnotdi ffi
cult.Objecti
vely,
the
visualacui t
yofbot heyes=0. 35+1. 0D=1. 0.The
i
nt r
aocul arenvironmenti st r
ansparent,thefunduswi th
noabnor malit
ies.Whati sy ourpresumpt ivediagnosis?
1Mi xedast igmat ism
2Pr esby opia
3Hi gh-gradehy per opi
a
4Spasm ofaccommodat ion
5Si mplemy opicast i
gmat ism

73.Male78y earsol d.Rev eal

edv olvul
usoftheey el
ids,
whichwor r
ieshi mf oramont h.Therewer enoinj
ur i
esor
di
seasesoft heey eli
ds.Asar esultofwhatthi
s
pathol
ogyappear ed?
1Excessivest ret
chi ngoft heey el
ids
2Infl
ammat i
onoft helacrimal sac
3Hy per
trophyoft hecircularmuscl eoftheeyeli
ds
4Damaget ot hecer vi
cal sympat heti
cnerve
5Damaget ot heocul omot orner ve

74.Male36y ear sold.Af terat r

aumat i
cbraini
njury
,
complete,unilateralpt osi sisrev eal
ed.Duri
ngthe
examinati
on, i
twasr ev ealedt hatwhent hepat
ient
openshismout h,thept osisdisappears.Whatisthe
pati
ent'
sdiagnosi s?
1Mar cus-
Gunnsy ndr ome
2Behcetsy ndr ome
3Voagt -
Koy anagi -Haradasy ndrome
4Mor phan'ssy ndr ome
5Forster-
Kennedysy ndr ome

75.Pat
ientA.
,25y
ear
sol
d,compl
ainedofswel
l
ing,
sor
eness
andrednessoft heout erpartoftheupperey eli
d.Ther e
i
Sani ncreasei ntemper at
ure,general
mal aise,headache.
From t
heanamnesi s,thereischronictonsil
li
tis.
Object
ively,t
hepal pebr alf
issureischanged, hyper emia
andedemaoft heconj uncti
vaoft heeyeballisint he
ueperout erregion,themobi li
tyoftheey eislimited,the
auri
cularregional l
ymphnodesar eenlargedandpai nful
.
Yourdiagnosi s:
1Dacry ocystit
is
2Phary ngit
is
3Canal i
culit
is
4Ly mphadeni ti
s
5Dacry oadeniti
s

76.Whatar econtra-
indicat
ionsforref
ract
ivesur
ger
yof
myopia:
1Inf
lammat orydiseasesoft helayer
sofeye
2Int
olerancetocont actcorrect
ion.
3Moder atemy opi
a
4Greateranisomet r
opia
5mildmy opia
77.Male78y earsol d.Rev eal
edv olvul
usoftheey el
i
ds,
whichwor r
ieshi mf oramont h.Ther ewerenoinjuri
esor
di
seasesoft heey eli
ds.Asar esultofwhatthi
s
pathol
ogyappear ed?
1Excessivest ret
chi ngoft heey el
ids
2Infl
ammat i
onoft helacrimal sac
3Hy per
trophyoft hecircularmuscl eoftheeyel
ids
4Damaget ot hecer vi
cal sympat heti
cnerve
5Damaget ot heocul omot orner ve

78.A68- year-oldmant urnedt otheemer gencyser v i

ceof
theey edepar tmentwi thcompl ai
ntsofsev er
esor eness,
redness, anddecr easedobj ectvi
sionint
her ightey e.
From t heanamnesi s,thedi agnosiswasmadeofan
i
mmat urecat ar actoft her ighteye.Onexami nat i
on, t
he
ey esar einjected, thecor neai sedematous, t
heant er
ior
chamberi ssmal l
ert hant hemi ddl
e,thepupiliswi de,the
l
ensi scloudy , andswel ls.Thef undusoft heey e:not
visible.Whatt ypeofsecondar yglaucomadoest his?
pat i
enthas?
]Neopl astic
2Fakomor phic
3Phl ebohy pertensiv e
4Dy strophi c
5Post uveal

79.Whatar ethesy mptomsofBehcet '

ssyndr
omeasat
ri
ad?
1Iri
docycli
ti
s,glaucoma, acromegal
y
2Iri
docycli
ti
s,urethri
ti
s,polyar
thr
it
is
3Iri
docycli
ti
s,stomat i
ti
s,ulcer
ati
onsonthegeni
tal
s
4Uv ei
ti
s,poly
arthrit
is,myopathy
5Uv ei
ti
s,deafness,Hutchinson'
steeth

80.A67- year-oldpatientcamet oopht halmol ogistwi th

compl aintsont heabsenceofv isi
onoft herightey e, a
si
gnificantdecr easedv i
sionoft heleftey e.Agr adual
decreasingv i
sioni nbothey eswasnot edwi t
hin2y ears.
TheVOD=cor rectli
ghtper cepti
on;VOS=O. 1n/ c.To
exami nefundusofey eisnecessar yUsemy dr i
aticdr ops.
Whatexami nationisrequiredbef or
edr oppingmy driati
c
dropst opr eventcompl i
cations?
1Opt i
cal coher encet omogr aphyoft heey e
2Fluor esceinangi ographiesoft heey e
3Ultrasoundexami nationoft heeye
4Tonomet ryoft heey e
5Aut
omat
icr
efr
act
omet
ryoft
heey
e
81.Dur inganopht hal
mologi
calexaminati
onofrecrui
tsi
twas
revealedt hatoneoftherecr
uit
shaspr obl
emswi t
hnight
visi
on.Whatdi agnost
icmethodisnecessaryt
o
determi nehisunfit
nessformil
it
aryservi
ce?
1Sy nopt ophore
2Per imet ry
3Rabki npl ates
4Wor thFourDotTest
5Bel ostotskyadaptometer

82.Whatisthedi
spl
acementoft
hel
enscal
l
ed?
1Subluxati
on
2Fakotopia
3Atopy
4Atony
5Heterotopi
a

83.A49- year-oldpat ientadmi ttedt

ot heemer gencyr oom
withcompl aintsofsev erepainandbl ur r
edv isi
onoft he
ri
ghtey e,nausea, vomi ti
ng,haloesaroundt hel i
ght s.She
hasincreasedbl oodpr essure-180/90mm Hg.On
examinat i
on: VOD=0. 09n/ c,VOS=0. 1(+)3.5D=1. 0:
Biomicroscopi cally-OD-i nj
ectionoftheey eball,cor neal
edema, shall
owant eriorchamber ,i
risbombe, thepupi l
is
dil
ated,doesnotr eactt oli
ght.Theint raocularpr essur e
oftherightey ei s56mm Hg.Whati sy ourprelimi nary
diagnosis?
1Acut efil
bri
nousi r
idocy cl
it
is
2Acut eobst ruct i
onoft hecentralr
etinal vei
n
3Acut eobst ruct i
onoft hecentralr
etinal art
er y
4Acut eanglecl osegl aucoma
5Acut ebacter ialconjunct i
vit
is

84.A45- year-
ol dmancamet otheey ehospitalwith
compl aintsofpai n,photophobi
a,lacri
mationoft heright
eye.From t heanamnesi s:t
heabov ecompl ai
nts
appear ed3day sago.Mansuf f
ersfrom chronicsinusit
is.
Onexami nation: v
isualacuit
yofther i
ghteye=0. 1.
Peri
cor neal i
njecti
on,theedgesoft heulceraregapi ng
onthecor nea,theant eri
orchamberisshal l
ow, t
heeupi l
i
snar row.Whatcompl i
cati
onispossiblei
nt hiscase?
1.Scleriti
s
2Endopht halmi t
is
3Sy mbl eephar on
4Madar osis
5Her atomal acia
85.A65- year -
oldpati
enthasashar edecreaseinv isionin
herrighteye.Exami nat
ionoft herighteyer ev
ealed: a
sharpspasm oft heret
inalvessels,inthemaculaa
roundedf ocusofdar kredcol or
.Theabov ecompl aints
aredisturbedf or15hours.Diagnosedwi t
hocclusionof
thecent r
al ret
inalar
ter
y.Whi choft hesedrugsis
i
ndicatedf orthispati
ent?
1Dexamet hasone
2Cef amizin
3Euphul l
in
4Fur osemi de
5Pilocarpine

86.A45- year-oldmanwasadmi tt
edt otheemer gency
serviceoft heey edepar t
ment : accordi
ngt ot hepat ient,
her ecei vedani njurytohisl ef
tey e,Fell
f r
om ahei ght
whiler epai ri
ngt her oof,compl aintsofrednessand
swel l
ingoft heey eli
dsont heleft,asharedecr easei n
objectv i
sion, painWhenmov i
ngt heleftey e.Object i
vely;
VOS=O.Lef tey e:eyeli
dsar eswel li
ng,edemat ous
cornea, extensiv esubconj unctivalhemor rhage,ant eri
or
chamberi rr
egul ar,compl etehy ehema, roundedpupi lin
thecent er,fundusi snotopht halmoscopi c.Onul trasound,
reti
nal det achmenti sdet ermined.Whati sy our
presumpt i
vedi agnosi s?
1Sev erecont usion
2Moder atecont usion
3Mi ldcont usion
4Ker at opat hy
5Penet ratingey einjury

87.Pat ient,25y earsold,wentt ot

heophthalmologi
stwithcopl
aintsofhavi
ngar edspotonthe
ri
ghtey ewithintensiv
epai naftert
ouchi
ng,onexami nat
ion,adarkredareawithpurpl
eti
ntwas
revealed.Theconj unctivaisfusedwiththeaff
ectedareaofthesclera,
thevessel
sinter
secti
n
dif
ferentdi r
ections.Diagnosedwi t
hpingvecul
it
is.Whatisthetr
eatmenttacti
cs?
1layer edkeratoplasty
2ultre-highf r
equencyt herapy
3Nonpenet r
atingscleroplast
y
4hy drocorti
soneoi ntment
5opht halmof eronointment

88.A75y earoldwomanconsul t
edwi thanFMCopht hal
mologistcomplaini
ngaboutlackofobject
vi
sioninherrighteye.Accordi
ngtot hepati
ent,
herrighteyestoppedseeing3mont hsagoandher
vi
siongraduall
ydecr eased.Wi
thvisometry,
thefunctionoftherighteyehasacorrectcol
or
proj
ecti
on,intr
aocularpressur
eisnor mal
,withophthalmoscopyt her
eisnorefl
ex.Whatpathology
arewet al
kingabout?
1immat urecataract
2Init
ial
cataract
3maturecataract
4Hypermaturecatar
act
5secondt
rycat ar
act

89.Absenceofv i
sioninlefteyewasr evealeduponexaminat
ionofvi
sualact
ivi
tyofa6y earol
d
chil
d.Accordi
ngtot heanamesi sthatdayt herewasablowtotheheadwithaheavymetal obj
ct.
Everyt
hingisnor
mal i
nthef undusandpat hologi
calpr
ocessi
nthebrai
nisexcluded.Whatisyour
prel
iminar
ydiagnosis?
1.Damageofopt icradit
ion
2.damageoft heopt i
ctract
3.Reti
nalrupt
ure
4.damageofcer ebralcortex
5.avul
sionofopticnerve

91.A30- y ear-oldmancamet oaney etraumacent er

withcompl aintsofphot ophobia,l
acri
mat ionofthe
l
eftey e.From t heanamnesi s,itwasf oundoutt hat
thedaybef orehewor kedinthegar denandt ouched
=ey ewi t
habr anch.Onexami nati
on: vi
sualacuity
ofthel ef
tey e=0. 4ont hecorneaint hecentral!
zone, t
heepi t
hel i
um rej
ecti
onf ocusis4mm, the
‘
corneal surfaceabov ethefocusisdul landrough.
Whati sy ourpr eli
minarydiagnosis?
1Cor neal ulcer
2Ker atoconus
3Ker atomy cosi s
4Cor neal erosi on
5Descemet ocel e

92.A14- year-oldgi r
lwasr ef
erredtoanopht halmologi
st
atthepl aceofr esidencewi t
hcompl ai
ntsof
decreasedv ision,paininthejoints,Thiscondit
ion
adbeenbot her i
ngherf orthelastmont h
Object i
v el
y :visualacuityinbothey es=0. 4.Ont he
corneawi thint heopenpal pebr alfi
ssure,t
hereisa
Nribbon- li
keopaci ty4mm wi de,ont heposteri
or
surfaceoft hecor nea,therearedust -l
i
ke
precipitates.Dest r
uct i
onofthev itr
eousbody .Whatisyourpr
esumpt
ivedi
agnosi
s?
1St i
ll
'sdi sease
2Behcet '
sdi sease
3Rei ter'
sdi sease
4Mar fan’ sdi sease
5Mar chesani disease

93.A14y earoldboyturnedtoanopht halmol

ogistwit
hcomplaint
sofrecurrentr
ednessofboth
eyes,pain,deteri
orat
ionofv i
sion.Theboyisbeingobserv
edbyadent i
stforstomati
ti
sanda
dermat ol
ogistforul
cerati
onoft heski
nofgenital
s.Anobject
iveexami
nationofbotheyesreveal
ed;
precornealinj
ecti
on,hypopyon,powerfulpost
eri
orsynechi
ae.Therear
epronouncedopaciti
esinthe
vi
treousbody .Whatdiagnosiswi l
lyoumake?
1sturge–weberdi sease
2anklyosi
ngspondy l
it
is
3Bechet’sdisease
4Stil
l
’sdisease
5benier–beck–schuamanndi
sease

94.A68y earoldmant ur
nedt otheemer gencyserviceoftheeyedepartmentwithcompl ai
ntsof
sever esor eness, redness,anddecr eadedobjectvisionintheri
ghteye.From t
heanamnesi s,t
he
diagnosi swasmadeofani mmat ur
ecataractofther i
ghteye.Onexaminati
on,theey esarei
njected,
thecor neai sedemat ous,theanteri
orchamberissmal l
erthanthemiddle,t
hepupi l
iswide,t
hel ens
i
scl oudy ,andswel l
s.Thef undusoft heeyenotvisible.whattypeofsecondaryglaucomadoest hi
s
patienthav e?
Post uv eal
2Fakomor phic
3Dy strophi c
4Phi ebohy pertensive
5Neopl astic

95.Secondaryanglecloseglaucomawit
hpapi
ll
arybl
ock
i
stheusual mechanism forglaucomai
neachofthef
oll
owi
ngcondi
ti
onsexcept
:
1ectopi al
enti
s
2ani ntumescentl
ens
3iri
sneov ascul
ari
zat
ion
4uveitis
5mi crosher
ophaki
a

96.A37y earol dmanconsul tedanopht halmologistwithcompl ai

ntsofdecreasedv i
sual acui
ty,
redness, l
acrimat i
onandpai nintherighteye.I
nt oheanamnesi s,
2y ear
sago, hereceivedanaci d
burninhi srightey e.Hewasr epeatedlytr
eatedinthehospi t
al.Ophthal
mologicalexaminat i
onofthe
therightey er ev
ealedt heeyei si
rri
tated.Thelowerey eli
dconjuncti
vainthemi ddl
epar tisfusedwith
theconj unct ivaoft heeyeballbyscart i
ssue.Thelowerandupperey eli
dsarepar t
ial
lyclosed.What
diagnost icst udyisnecessar yforthepat i
enttoimprov etheprognosisofthedisease?
1.Opt icalcoher encet omogr aphy
2.Testoft hesensi ti
vi
tyofthecor nea
3.Det eriorationoft earfi
lm stabi
li
ty
4.Xrayoft hepar anasal si
nuses

97.A60y earol dpatientcamet ot hehospit

alwi t
hcompl aintsofacut epai nint
herighteye,
headache, decr easedvisi
on, hal
oesar oundthelights.I
nanamnesi shehadhy pert
ension.
Ambul ancedoct ormadei njecti
on,butnochanges.Ov ert
hepasty ear,severalt
imeshehadt he
samecondi ti
onbutdi dnotappl ytot hedoctor.Onexami nati
ont herightey eisredthecorneais
cloudyanter i
orchamberi sshallow,their
isisedemat ous,thepupi li
swi de,doesnotreacttothe
l
ight.Thelef tey eiscalm.IPOofODdi git
all
yisincreasedlikestone.Diagnosi si
sangleclose
glaucoma.Wi thwhatpat hologyshoul dbeperformeddi ff
erenti
al di
agnosi s?
1.AcuteKer at i
tis
2.Acuteiridocy cli
ti
s
3.Acutescl eriti
s
4.Acutedacr yocysti
ti
s
5.Acuteconj uncti
vit
is
98.A63y earol dpati
entcomplai
nedofbl ur
redvi
sioninthemor ni
ng,"r
ainbow"aroundtheli
ght,
decreasedv i
sioninbotheyes.By12O' cl
ockint
heafternoon,asarule,
the"fog"befor
etheey e
passes.VOD=0. 5n/c,VOS=0.6n/c.Theeyesarecalm, ant
eri
orpartwit
houtchanges.Intr
aocular
pressureOD-27mm, OS-26mm.Whi chofthemethodsshouldbeper f
ormedt odeterminethe
stageofthispathology?
1.Autoref
ractomet r
y
2.Gonioscopy
3.Biomicroscopy
4.Perimetry
5.Diaphonoscopy

99.A45y earol dmanwasr efer

redtot heFMCwi thcomplaint
sofachingpains,photophobi
a,
l
acrimat ion, r
ednessoft her
ighteye.History:t
hiscondit
ionhaswor r
iedhimforthelast3day s.
Objecti
v ely :vi
sualacuityoftheri
ghtey e=0. 06.Theeyeli
dsareedemat ous,
theconjuncti
vais
precorneal i
njecti
on,therearepreci
pitatesont heposteri
orsurf
aceofthecornea.Themoi stureof
theanter iorchamberi sopalescent,theiri
sischangedi ncolor
.
Yell
owi shpi nkpapul esar el
ocatedalongt hepupill
aryedge.Whatistheli
kel
ycauseoft hiscondit
ion?
1.Klebsiel la
2.Staphy lococcusaur eus
3.Treponemapal li
djm
4.Bacillal eff
ler
5.Echinococcus

100.A28y earoldy oungmanwasadmi t

tedtotheemer gencyser vi
ceoft heey edepartment .
Accor di
ngt othepat ienthewasbeat enbyunknownper sons, complai
nt sofrednessandswel lingof
theey el
idsont her i
ght .Asharpdecreaseinvi
sion,painwhenmov ingt herightey e.Object
ivel
y ,VOD
=0, 1n/c.Rightey e:eyeli
dsareedemat ous,t
ransparentcornea.Local subconj unctiv
alhemor rhage,
mi ddl
eant eri
orchamber ,hyphematill
themiddleofthepupi l.Roundedpupi l
int hecenter,
transparentlens,fundusi snotophthalmoscopic.Whatisy ourpresumpt ivediagnosi s?
1.Moder atecontusi onwi t
hhemopht halmos
2.Penet rat
ingeyei njury
3.Mi l
dcont usion
4.Sev er
econt usion

1. Whenexami
ningt
hepat
ient
’sv
isual
acui
ty,
itwasf
oundt
hatt
hepat
ientdoesnotsee
theupperl
ett
eroftheGolov
in-
Siv
tsevtabl
ewithhisri
ghteye.Towhatdi
stanceshoul
d
thetabl
ebebroughtcl
osertodet
erminethepati
ent’
svisualacui
ty?
1Fr
om whi
chheseesthesecondli
neofthetable

2From whi
chheseesthet
hir
dlineoft
het abl
e
3From whi
chheseesthef
ourthli
neofthetable
4From whi
chheseesthef
ir
stli
neofthetables
5.Fr
om whichheseest
hefi
ft
hl i
neofthetable

2. Duet
othespeci
alar
rangementoft
hel
ayer
soft
hecor
nea,
ithasahi
ghr
efr
act
ive
power?
Concentr
ictothecorneal
surf
ace
Paral
l
eltothecornealsur
face
Obli
quelydirectedtothecornealsur
face
Ci
rcularl
ytot hecornealsurf
ace
Chaotictothecor nealsur
face

Bonpoc:
Ne3
Whatdi
agnost
iccondi
ti
onchar
act
eri
zespr
otanomal
y?
Abnor
mal
per
cept
ionofredcolor
Abnor
mal
per
cept
ionofbluecolor
Abnor
mal
per
cept
ionofyell
owcolor

1.Forcomfort
ablemov
ementofey
ebal
lthet
enon’
scapsul
esepar
ates
.Eyeball
from or
bit

3.
APatient50yearol
dcomplai
nsoflacri
mati
onfrom t
heinnercorneroftheeyefor1week
i
nfl
ammat orypr
ocessint
heconjunct
ivaandl
acr
imalglandareabsentthelacr
imalpoi
ntcan
har
dlybefoundwithbi
nocul
arl
oupe.whatareyouracti
on?
.COLOUREDNASOLACRI MALTEST

4.A50yearoldmancompl ai
nsofpersi
stentl
acr
imati
onpurul
entdischargefrom t
heey e.
the
abovecomplaint
sappeared3daysagowhenexami ni
ngthepatientatt
entionispaidtoex
cess
tear
salongtheedgeoflowerey
eli
dbeanl i
kesoftpr
otr
usi
onofskinundert heinnerli
gamentof
theeyel
ids.
prel
iminar
ydi
agnosi
s?
.
Dacryocyst
iti
s

5.
Amblyopi
arev
ealedi
n4y earol
dchi
l
dwi thvi
sualacui
tyof0.
08inanuncor
rect
edhy
per
opi
c
eyeat8.
0Dwhattr
eatmentshoul
dbeplannedtoimprovevi
sualacui
tyi
nachi
ld?
.
Vitami
nther
apy

6.A35y earol
dwomanconsul t
edanopht hal
mologi
stwi
thcomplainsofl
ownearobj
ectv
isi
on
.notesthathewear
sglassesfordist
ance+1.0DINbotheyesbeforet
hisper
iodr
eadi
ngat
cl
oser angewasnotdi
ffi
cult……….whatisyourpr
esumpt
ivedi
agnosis?
Presbyopia

7.
Mostcommoncauseofast
igmat
ism
.
Corneal
pat
hol
ogy

8.
Awomanwi t
hababyv i
sit
edFMCthemot
hercomplai
nsofabundantmucopur
ulentdi
schar
ge
fr
om t
hechi
ldri
ghteyef
or5days……………….
dacr
yocysti
ti
sar
ewet aki
ngabout?
.
Caver
noussi
nusthrombosi
s

9.A16yearol
dpati
enti
sexaminedbyanophthal
mologi
stwi
thadi
agnosi
sofscl
eramel
anosi
s
thr
oughouthi
sli
fewhatist
heeti
ologyoft
hisdi
sease?
.
Congenit
almalf
ormati
onofeye

10.Apharmaci st45yearol
dhascompl ainedoffat
igueey
epaineyerednessintheeveni
ng
especi
all
yafterlongworkwithprescr
ipt
ionsatthi
stimehenotestheimpossi
bil
it
yofworking
withsmallobjectsatcl
oserange……………………t hefundusoftheeyeisnor
mal whatisy
our
presumpti
vedi agnosi
s?
.
Presby
opi
a

11.Apati
enthascometoy ouwit
hcomplai
ntsofdr
ynessbur
ningit
chi
ngpaini
ntheeyes
photophobiadcr
easedvi
sioni
nbothey
esalmostcomplet
eabsenceoftear
sevendur
ingcr
ying
dryskinanddrymouth……………………………. .
compli
cat
iondoyouexcept?
.
Filamentousker
ati
ti
s

12.Whatcompli
cat
ionscannothy
per
opi
ainchi
l
drenl
eadt
o?
.chroni
cconj
uncti
vi
ti
s

13.A2oy earoldpati
entadmitt
edtothehospit
alwi t
hcompl aintofdecr
easedvisi
onofthe
eyefr
om theanamnesishewasi njur
edduri
ngar ockfal
l i
nthemount ai
nsheturnedtothe
hospi
tal
ont hesameday…………………………………………i ntervent
ionisnecessar
ytoclari
fythe
di
agnosi
s?
.Magneti
cr esonancetomographyoftheor
bit

14.Chil
d1year5monthsparent
swentt olocalcl
ini
cwit
hconcerntof
indbluescl
erainthechi
l
d
fr
om thechi
l
dshist
oryther
eiscongenit
aldeafnessandcongeni
tal
art
eri
alsept
aldefect
…………………………………………………combi nedwith?
Kerat
oconus

15.Pati
ent80yearol
daf
tersuf
fer
ingARVI
………………v
ISUSos=1.
0WHATI
SYOURPRESUMPTI
VE
DIAGNOSIS?
Vir
alkerat
it
is

16.A33YEAROLDFEMALEPATI ENT,
I
NTHEMORNI NGDI
SCOVEREDTHATTHEEYELI
DSOF
BOTHEYESWERESWOLLEN, STUCKTOGETHER,THEEYESWERESHARPLYREDDENED
………………. .
TREATMENTSTRATEGYFOR THEPATIENT?
.Ant
ibi
oti
cther
aphy

17.parentsbr
oughtachil
dT, 9year
soldtotheophthal
mologi
statt
herequestofthe
pediat
rici
an.t
hechil
dcompl ai
nsofheadachesespeci
all
yint
heeveni
ngafterschool
……………………pr esumpti
vediagnosi
s?
Latenthyper
metropi
a

18.Mostdomi
nantsymptom ofdsr
yey
esy
ndr
ome?
.Feel
i
ngofbur
ningintheey
es

19.Whenconsulti
nga74y earol
dpati
entsuff
eringf
rom hyper
tensionthef
oll
owingpict
urei
s
det
erminedi
nthef undusofbotheyesret
inal
veinsaredi
lat
edtwistedtheart
eri
esare
somewhatnarr
owedunev eni nsi
zenochanges………………………………. .
changescorr
espondto?
.Hyper
tensi
veret
inopathy

20.Pati
ent62y earsoldref
err
edtotheFMCwithcomplai
nsfloati
ngf
li
esbef
oret
heey
es
…………. hypert
ensionfor25years,
2weekssago……..
yourdiagnosi
s?
Destr
uctionofvitr
eousbody

21.A55Yearol
dcamet
othedoct
orondut
ywi
thacompl
aintofsev
erepai
ninherl
eftey
e
.accor
dingt
otheheri
nst
eadofey
edr
opscont
aini
ngv
itami
ns…………………pat
ient
scondi
ti
ons?
.i
nocaine0.
4%

22.
Howi sgl
aucomadet
ect
ed
.Alloft
heabove

23.Whi
choft
hefoll
owi
ngsympt
omspat
ient
swi
thcat
aract
smor
eli
kel
ytohav
e
GRADUALDECREASEVISI
ON

24.A67y earoldpati
entcametotheey edepart
mentdi
agnosedwit
hani
mmatur
ecat
aracti
n
botheyesonther i
ghteyebiomi
croscopical
ly……………………………befor
esur
ger
y?
.opti
calcoherencetomographyoftheey e

25.A45y earsoldmancamet oaneyehospi

talwit
hcompl
aint
sofheadachechi
l
lsdoubl
e
visi
onofobj ectswhenexaminingt
hem wi
thhisri
ghtey
es……………………………………………necessar
y
fordiagnosis?
.Xrayofor bitandmaxil
lar
ysinus

26.64yearoldf
emal epat
ientcompl ai
nsofpainr eadi
ngt
othebackoft
heheadandf
ell
i
ngof
swell
i
ngoftherighteye?.
...
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
..
.gl
aucomadoest
hepati
enthav
e?
.Neovascul
ar

27.A49y earol
dwomancametotheemer
gencyr
oom wi
thcomplai
ntsofseverepai
nand
bl
urr
edvision………………………………………56mmhgwhatisy
ourpr
eli
minar
ydiagnosis?
.Acuteattackofgl
aucoma

28.indicat
ethereasonf
rom y
ourpointofvi
ewcannotl
eadt
othedev
elopmentofanacut
e
anglecloseglaucoma
.prolongedstayi
nginwel
li
ll
uminat
edr oom

29.A45y earol
dmancametotheeyehospi
tal
wit
hcomplai
ntsofpai
nphot
ophobi
alacr
imat
ion
ofther
ighteyefr
om t
heanamnesi
stheabov
ecomplai
ntsappear
ed3days
………………………………case?
.

30.A32y earoldol
dpatientconsul
tedanopht
hal
mologi
stwi
thcompl
aint
sofdecr
easeobject
vi
sionl acr
imationf
eeli
ngofaf orei
gnbodyi
nbothey
es………………………….recommendedinthis
si
tuation?
.surgeryont heeyeli
ds

31.Aftersuff
eringcol
da7y earol
dpat
ientsuddenl
ydevelopedpai
nwhenmovinhi
seyes
………………………………………. opt
icalmediat
ransparentt
hefundusoftheey
eisnor
malwhatisyour
presumptivediagnosi
s?
.phlegmonor bit
s
 naa

Bonpoc: Ne26
A 28 yeat odl
patirnt ultrif opthttualolni:t with eompl.ants ot srvrte nat ting sr-stim a sh"p
an

rylu p1.ta lacnatuorn witth d*rea in

dit lty openinv is ryet Accdin to thr pacnt wule wohing in the lntey h ebjnt
v s m : n a et the

any watrr t rito r

Obyetn, Vou o3 th ryrits atr b,ptrmie. etemator t r cemeade rpotelitrd chut; tle iritr.rul.n n:faumh nat rvs
l. I
ptalotg»l a'cetauned collutuaton wtiat cPs t h oroi,"

OTBeTbi(oAuH OTBer)
Ats

4:11
AlL

Irtratrd,

5 Ineaseu lenpeautr

2223 24 32 29 30
 Brd Teenmponanwe
1 avrnkgmakgwettest/lesting

Nanacasa Cppaasmmetaipraa

3 A
Bonpoc: N943
39-year-old man was admitted to the hospital with severe
night betare. The patient had flu. pain, photopthobia. lacrination of the left ee Anamness
49 50 Objectively: the the abrve
precipitates the posterior surtare ot curnra.cemplvinte
lett eye preconeal injection, 2atu tte
consticted, the iris is edematous, distolored, un
the the
posterior synechie. Diagnosed with Iridocyclitis of the let pqd is
eye. What the lirt aid in tit eratidiin?
s

OTBeTbI(oAMH OTBeT)
Ta 1 1% solution of atropine

2.5 Trusopt soluticn

0.5timc!ol soluticn

% tautine olation

2 sclutior. of piiccaipine

29 40 411 2 4 445
 rb Tecupotame +
vn.kgma.kg/webtest/testing

NananncaM Cppanzepnvc

Bonpoc: N939
A
39-year-old bus driver complained of a sharp decrease in vision in his tight eye, tistortion of the
shape ard size ut oljeet. 1hes ecmya
appeared ? days ago but he didn't see the doctor.
Objectively: viual acuity 003 (not corrected). Iattaocular
pressure = 23 mrn 1g Art The right er
is calm. The cornea is transparent and
spherical. The anterior segments of the cye are not changed The fundus of the cye the opti dier is rale pini,
the boundaries are clear, the excavation is
physiological, the ateries are slightly dilated. In the macular zone, a rourid y-llomzh gray le:en i tite
with indistint borders and with a reddisth tim
around
The retina around the lesian is edemateus. Wihut is your
stighty prrmpivedagnosi
OTBeTbI(oAuH OTBeT)
1 Retinal abictropthy

2 Central chorioretinitis

3 Ischeni: opticopathy

Chorioretinal dstrophy

Pigmented degeneratian
5

3 4 41 42
35 3

e
 poraiwe
secure | avn.kgma.kg/webtest/testing

Manamca

Bonpoc: N944
Patient 62 years old, relerred to the
FMC with
for 25 yea1s, 2 weeks complaints of floating flies before the eyes. From the anamnesis he has
4 50 ago had a crisis. Objectively: visual been uteriny roum
opacities in the vitreous body. What is your diagnosis? acuity
of the right eye 09, the anterior
= bropetnema
sngment of the eyr u t ctuaryrd thers
oc
r
ti
*T:nC

OTBeTbI(oAMH OTBeT)
CTa 1 Complete hyphema

2 Partial hemophthalmos

CComplete hemophthalmos
Partial hyphema

5 Destruction of the vitreous hod

40 41 42 47 48

Scanned with CamScanner

cs
CS Scanned with CamScanner
Hes Teamosame
kgma.kg/webtesty/testiny

Tanansc

Bonpoc: Ne49
When consulting a 74-year-old patient suffering from hypertension, the following pictute is deternined in the tundrs ot bath e r retinsd vein: are
dilated, twisted. The arteries are somewhat narrowed. in size. No changes were obsesved on the retinas anvl optie
uneven nerve derz ct toth r
Visual acuity in both eyes = 1.0. What stage of the hypettensive furndus do these changes correspond to'

OTBeTbi(oAMH OTBeT)
1 Hypertensive neuroretinopathy

2 Hypertensive angiopathy

3 Hypertensive scleropatk
4 Hypertensive angiosclercsis

5 Hypertensie retincpathy

46 47 49 50
43 45
1

e
 po6anve

secure | an.kgma.kg/webtest/testng

Tananncaaw Cpmpaman

Bonpoc:N930
and constarit; : vupil: tth ees
The mother of a one-yeat-od child referred ophthalmologist, complaining of moderate photophcbia
to an
is the iris's ut t t - root is viutie, wtn
. 3 49
From the anamnesis, the mother suffered the flu during pregnancy. On exarnination, the cornea transparent,
next tact1c?
4 9 50
lateral illumination the contourIs of the lens and the ciliary girdle are visibile. What is your

OTBeTbi(oAUH OTBeT)

Prescriting a cosmetic contact len

Intraocular lens prescriptian

lens
Prescriling a :orre:tio contact

a 3rd contect iens

Presibing

an orthckera:olojel lens
5 Frecnbing

31 32 33
26 27 28 2
avnyma ky/wrt'tet

nlananaeau CpeasAutt

sBat004689433ssiiviiisituses
A 4'
yra ll Bonpoc: N946
man
ranm to the
ey hunprit.ol witthnl.nl
mlat a days
ol fuain, oteotgilhoba larvimatun od the
ija
Mansull ron ehtn sintis (hm e.annatn vusd ity f
ght
ryr Ion th a t a n : te atre
tr ht ey 01 meneal t i t n thm
-itigm

1 iat1n.aa
OTHeTbi(oAUH OTueT)
2 Sclenti
3
t.'.1.1.
tnd t1almt

49

e
 Be6 TecTmpoasnne
kgma.kg/webtest/testing
Tanawica Cpupa annpnmaaan

Bonpoc: N938
child in case of
What is tlhe most corect version of the recommendations that a general practitioner should give to the mother of one-year-old
a

suspect congenital glaucoma:

OTBeTbi(oAMH OTBeT)

1 B e under regular supervision of a pediatrician

2 OBe under the control of endocrinologist

3 Give Immediate refemal to ophthalmologist

4 Do nothing until the chlld is 3 years old

child every 6 months

5 Regularexamination of the
40 41 42 50
1 34 35 36 37 39 **
 i ene
np*'*t /tr.tv;

anamc Cpnps

Bonpoc:N931
w. tr tiat t day t»»fe r ld ufferedtontltis On r the
n
valaiy of 1 1»try 9 Th irltyenialn *at

TneTbi{oAMH OTHeT)

13 2

ect

Atelt1autr drg

30 4
 Beb Tecrwponawm *

avn kgma kg/webtes/testung

flamanncan Cpepsa

A
Bonpoc: N947
29-year old patient went to the local clinic with
eceivecd an industrnal injury vhile ecomplaints pain. rednrss. decteased oljrct vision in the right erye,
weeks ago of
he
is slightly swollen, the iris repairing a car, objectively: vOD 005 unconected. VOS: 10 arrording to t r patet ?
has a Rigty: the eye iyected te
unremarkable. What is
yellow-green pigment deposition, the pupil ir rounded, in the is
ttm
your presumptive diagnosis? center.
the
en s
transparent,
te t.atniu» ct thr ee

OTBeTbi(oAnH OTBer)
1 Sicderosis

2 Chalcazis

3 Hyphema
4 Hypopyon

5 Cataract

43 44 4 9

e
 Bonpoc: NQ
.
47
The preferred therapy for Inf onUle glaucomn Is:

0TB eTb l(O AM H OTB eT)

l
' ..•
1 Topical p blockers
-J I

rabeculotomy or gonl otom y

5 Oral acetazolamlde

• , 43 44 45 46 [ ~'r7 ]
48 49 50

Prl with 1
 •

Hen,1 ,anopla
'- •

2 C o n c e n tr ic narrowing o f
visual fields

3 Sudden decrease vision

4 den narrowing of visual fie

lds

radual decreased. vision

S ca nn ed w ith CamScanne
r
S <ll11 1C'd v, th Com Sc. anf 'le'
 AnG IM HD yW eA

Bo np oc : N2 35
bct es for 15 yen r!:
A 55 -\•~ &tr- old 11n Uen l suf fer ing fton 1 dtn
lnlo the vltrr .ou? .
~,,- ,rrl ~nc ang a sh\ vn, I lhn t Is r,ro t,u! .lng
vllr, ~ou s bod y in the
bo d)· -1t ,~, c, ten s•v c hcm orrh ag< ? In the
of nev ,ly fou n~d
a•~ a ,,t lh<. ' op ltc 11e rv~. The npp car onc r
wU h tota l _
, ·cs scl s Is not ed In the sh, var t . oaa gno sl?d
t1cs of ma nag ing
hcn ,op hlh alm os. Wh at are the furt her 1ac
1hl s pat ien t?

Qy ae Tb l(O AM H OT Be T)

hln ost om y

v•t rec tom y

s1n us1 rab ccu loe cto my ,

5
En ucl eau on

32 33 34 [~ J
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 AnaMHl,WIA

Bonpoc:N237
A •1c;l•yt'ar -olct 11.1t1rnl ndn1lll(!cl lo lhl' r.111~rrr11nr.y roorn v,llh
r.ornpl,11nts of ~rvt,IP pntn .,net L,Jurretl vl!itnn nf th'! rtghT e•/P..
nilusc.1. \•orn111ng. halocr. n1nurul lh(' ll~1hlr. Stu~ hn!i tncreasP.d
blood prl'S~u,~ · 180/90 nun I to On rJxanunauou VOD :; O 09
ntc. \'OS= O 1 ( •) :4 5 U = 1.0; n1u1nu:ro!icoptce1lly- 00•
tnJecuon of the eyeball. corn~al edcn1il. shallov, nnler1or
chamber. uts hor11bl'. the pupH Is dilated. dor.s not react lo
hghl The intr.iocular pressure of the right eye Is 56 mm Hg.
\Vhat ts your prehn1inary diagnosis?

OTBeTbl(OAMH OTBeT)

1 Acute o tructlon of the central retinal vein

b:1cterial conJunctlvlUs

Acute angle close glaucoma

Acute obstruction of the central retinal artery

5 ,~cute fibrlnous lrtdocycUtls

 Bonpoc: N943
A 16·)·ear•nld patient con,platns of low vision lr1 both eyes.
Vtsion ts poor from bulh l~e doesn't use glilsses because
they are not suitable Objectively visual acu11y 1n both eyes=
~ O ~ (not corrected). The acc~sory aJ>paratus of 1he eye~ is
normi11 The C)·elJalls nre calm Anterior seqn1ents without
\·1stble pathology Optical envuonm~nts art! lran~parent. On ' · -..
the tundus of the opuc nerve, discs are pale. somewhat
reduced In size"" No other pathology Is vlslble. What Is the
pathology of the optic nerve?

TBeTbl(OAMH OTBeT)
1 ongesuve papilla or the optic nerve

Aplasta of the optic nerve disc

3
· Ruptured opllc nerve

4
Excovauon of lhe up11c nerve discs
 Bonpoc: N244
A 74•)'t'ar-old n1an admlllcd lo the cn1ergency room with
compl~ints on severe patn. decretJsed vlGlon In the lefl eyf!
rrom the medical history. paUenl's dingnosls was lm1nalure
cataract of the right eye. On examination, the eye Is red, the
cornea Is edematous. the anlertor chamber es shallow. the
pupil ts mydrlatlc, the lens ts opaque. and swells. The f undus
, of the eye is not vlstble. Diagnosis is Hyper mature cataract,
phacon1orphtc glaucoma of the right eye. Which of the marl\ ...
appropriate treatment for this d1agnos1s1 l.....,,

0TBeTbl(OAMH OTBeT)

1 Corneal transplantatlon

2 Oacryocyslorhlnostomy

3 culectomy

Exlroctlon of the lens

Scanned with C
• • • •- • • IV J I IIP \Cl )r Ul aQ flQ SIS 7

0T B eT bl (O A M H O TB eT )
, Exca\•atlon of th e op tic 11erve tJlscs

2 Re tro bu lba r op tic ne ur itl~

I
 B o n p o c : NP37
t'a r -olcf Jl ilt lrn t ndn,111~,1 lo 1h r. f:!111~ ,,,~nr:y roorr1 v, lfh
A .t9•)'
con1pf,11nts nf ~rvc•rp ''" '" ,,rul 1.Jlturt•rl vlr .fn n th- ,,r
:.- rig ht eyP..
,,, d lh t- h~ fhl!i Sf If? lu,~ ,,, c, ~a s,a d
nausl',1. ,,,,,,1,1tng. hi llo ~r . nr ,,.
) bl oo d prr-s~u,~ · 18 U/ 9U n1 n1 I,,, On •
,. JC an un ,,u ou VOD = o 09

n l c. \'OS= 0 1 ( •) :f 5 (J : 1.0 ; n,u ,,1,r. ,o! iC Of llC illly - OD• ' -

lh l' ey eb al l. co rn ci lf ed ~n 1.1 . sh illl O' I/ nn te rto r
,n ,~ ct lo n of
be r. Iri s ho n1 b( '. th e pu pl l ls d1 li1 ted . do l!s no t react lo
cham
cu la r pr t:! ss ur e of th e rig ht ey e Is 56 m m Hg
lig ht The ln tri Jo
s?
\V ha t Is your prelan1lnary di ag no si

O T a e T b l(0 A H H O T B e T )

Ac ut e obstruction of lh e central re
lln al vein
1

2 erlal conJuncUvltls

A cure an gl e eros e gl au co m a
,
l f P-l ln al artery
 Bonpoc: N245
An obJccll\'l' cxnm1nauon or o pollenl hao d•~clo~C?d a
symblr.phnron. According lo lhc words. lhC? p111IC?nl :.urfcrcd
an t'\''-' 1111ury !i~V(!Utl )'ttntt; n!JO I tus pnlhology ,~ a
~ comphcatlon of whet trauma?

\
0TBeTbl(OA MH OTBeT) '

, Crushing lntury or the eyeball

2 Contusion of the eyeball

3 trnllng wound

Eye and adnera burns

5 Foreign hotly of the cornea

Scanned with CamScanner

~ Scanned ,,.th Cams anner
 Bonpoc: N946
:. ~5-)'e iu- otd wo ma n co n~ult
ed an 011hl11.,tmolo9tst. wnh
c,, n,;,la tnt s of pain in th r •~Yt". l,
1c:rama llnn. photophohlu,
blP ph Jro sp asm, rrctness of
lh~ 11ght l'Yt!. AccordlntJ to the
) \\'Ords , ..-. lt•w urop!; ut acetic .tc
icl gut min the eye? An
ol.l1cc t,..,·e er nm 1nJt1on ,~vea led
c!o rne al e•o~lo n. Whl~h of th~
...
f otl ow ln~ Is contr'11ndicatt?d for II
pt1l1ent 7
, ·.i
•

ee Tb l(O AM H O TB eT )
,
Oexamf!thason e 0.1•.

3 R1boflt1 •1ln O 02~a

5olcos~ ryl S~e

.J Levornyc~ tln o.2!j•,

,

Scanned with
 Bonpoc:N924
A 2-,•cn,-old chlld shnwml swclllng
of lho right eye, n vlolet-
hlur. ~w~lllng of Um ~elem, nnd c1y wh
en closlng the eye. In
1hr dl! :tllc l cllnlc, n tlln9nnslr, wnr. mnde
· ndenov1r11I
r.l"n1unct1\·llls. lle illm en l wn!i lltm
;crlhcd nccordlng to the
' din9n~s1s. hu l no lmprov~nmnl wn
s oh!icrvcd
. Later, the
,,·rl"n9 ct1agnosls \\'ils ,cvcnlcd. Whnl dlogn
osls must 'be made·
to prescribe lh<! con eel treatment?

eTbl(OAMH OT Be T)

2 lrldocyclltls

3 Choroldllls

BlepharlUs

5
ConJunctlvltls
,
,
•

77
20

28
21 22

50
23 . 16
0. ~Eive Pli6t,word7

X
 Bonpoc: NQ25
A 47·\'elu-old n,an cnn,e to the hosr>llnl with complaints of
1hr !.Ucldrn lo~s of vision In his right eye. Anamnesls:
Suffettn9 horn high risk of hyper tension for ?.rJ yP.ars.
, Objec1t\'t'I)' voo~ 1 / ro pr.l.c, nnlcrlor port of 1hr. eye Is not
· changed. The fundus re?ncx f!; obscnt. Presumptive diagnosis:
. '-
complete hemophthalrnos of the right eye. What addlllonal
examination ts re?qulred?

0TBeTbl(OAM H OTBeT)
, IJeasure lntraocular pressure

2 d examination of the eye

Ophthalmoscoplc examination

Optlcal coherence tomography

17/:
5 Gonloscopy ,

• 1 71 22 23 24 0
1b 17 28 29 50 .,

111
--
G ~tf-11q ·crtrtlll fit,1fi1i t. ••tr~R11lrr 11 '1fr-°tllrnt ~ 1-·
-- -
.... .......... .
·-o
-C',-. ...., nn W
 Bonpoc:NQ27
A pa tie nt co ns ult ed e do ct or of
te r a co nt us ion of th e eyeball
wi th co m pla int s of decreased
vision. When viewed In
tra ns mi tte d light, dark Vo nll ng
op ac itie s are vls lbl e on pi nk
1
~enex background. Wh our pr es um pt ive diagnosis?
\ .
.
ee Tb l( O A M H O TB eT )

Retinal he mo rrh ag e

2. Corneal op ac ity

3 Partial he mo ph th alm os

4 _ Co mp lic at ed ca ta ra ct

5 _ Subtotal hyphema

, 23 24 25
r l 18 /3 :
26 ~
28 29 30 31 ... 50

0 . Save pa ss wo rd ?
X

Neve r Save
- - - ·- . . - - -- ---- -
■ ,,
◄.
 X A Be6 TecrMpoeeHMe
avn.kgma.kg ••
•
Bonpoc: NQ28
A 69•ycar•old n, on hn
s co m pl ai nt s on seve
vi si on In th e le ft eye. re poln, decreased
Fr om th e on om nc sl s
the po in appeared
suddenly, 3 days ago.
On exomlnntlon, th e ey
th e co rn ea Is edemat es ore lnJccted,
ous, th e onterior cham
pu pl l Is n,ychla\lc, th e ber Is shallow, the
le ns Is opnque?. Th e fu
,no t vi si bl e. IOP Is incr ndus of the eye Is
eased. Dlngnosls: Hyp
ca ta ra ct , ph ac om or ph er mature
lc glnucoma of the rig
ht eye. What kind
of tre at m en t Is advisa
ble be fo re surgery? .
,·-
-,.,
- (
.
O T B e T b l( O A M H O T
BeT)
, on therapy

Analgesic therapy

3 An tic oa gu la nt therap
y

4 Antlconvulslve therap
y

5 . H yp ot en sl on therapy
19
,
, 24 25 26

29 30 31 32 ... 50 •
- - - - - - - ------ -
o . save password? X

N ev er Save

- -- - -
.. -- - -- - . . - -

L • ◄ j
 Bonpoc: N23
0
A 35•year-o\d
patient consu
comp\aln\s o lted en oph\ha
f severe burn \mo\oglst with
ob}ec\ vision in g scnso\lon, o
, swc\llng of \h shorp decreas
e c yc\lds of bolh e In
to the patien eyes. Accordin
t. wh\\e workin g
acid g o \ \n\o g o n \h e hood of lhc
1are the ey~s. Ob}e car, sulfuric
o.,.
the eye\\ds are
c\\vcly. \he fun
hypcren1lc, ed
ctions of both
eyes
de-ep\\he\\ze ematous, \he
d, the ln\raoc cornea Is
f undus \s norm u\ar media Is
transparent, th
al. What kind
o f n ec ro
e ' ~~
situation? sis can be In \his
\

OTBeTbl(O
AMH OTBe
T)
Soldered

2 Ory

3 · Wet

4 Bubble

s Powdered

• , ... 26 27 28 29 \ fili> )
-- - -- - . 20/
0 9 save password?

Never Save

... -- - -- -- -- ·- - - - --
• ◄
 o u n p o c : N~31
The mother of e on~ym
n-old chlld tl!fcrred to an
ophthnln,ologlsl. con,11
lnlnlng of modcrntc phot
constantly wlde puplls ophobla and
of both eyes From the
n,other suffered the nnnmncsls. the
nu
durlny prcgnnncy. On e,
mmlnntlon.
1hr co,nen Is tf anspnren
t. the Iris's
1wlth liltcrnl lllun,lnatlon. th~ co rim or the root ts vt~lhl<?.
ntours of the lens and
ciliasy girdle ore vlslble. W the
hnt ls your next toctlc?
,•
' t

0 T B e T b l( O A M H O T
BeT)
1 Prescribing a hard cont
oct lens

2 Prescribing a cosmetic
contact lens

3 _ Prescribing an orthoker
atologlcal lens

4 ar lens prescription

Prescribing a correctiv
e contact lens
,
• , ... 27 28 29 30 0
32 33 34 35 ... so •

11
22
32 33 34 35 36 37 38
i 41 42 43 44 45 4f> 4~
39 ,10
8 49 5~
I
• @ ◄
 Bonpoc: N232
All ol lhl ' lollowln~1 nr~ ht!;\o1oglc
nl ch nng~!; In glnucoma
C~ CC fl\.

0T Be Tb l(O AM H O TB eT )
-
, -1e outer nuclear loyer of the ret
\

)
ina

pc rlp ap llla ry atrophy

3 thl nn lng of the retinal nerve fib

er layer
4 po ste rio r bo wi ng of the lamlna
crlbrosa

s los s of the ganglion cells In the

retina

• , 28 ·-29 30 31
33 34
.
35 36

3•1 :Hi .i6 :11 :ut :t'J 4ll

'J :,
A I 4'/ 4:t 44 4'!1 .1f, 47 4ft •l'J
~1U

37
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Bonpoc: ND34
What Is the displacement or the lens called?

OTaeTbl(OAMH OTBeT) .-
·•

. II
1 Atopy

4 - Fakotopla

5 . Atony

• , 30 31 32 33
II
35 36 37 38 50 •

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Newr Sttvt•

■ ◄
 Bonpoc: NQ12
Is n m ed iu m wavelength?
Which or the rouowlng co lo rs

' O T ee T b l( O .q M H O T B eT )

1 orange

2 Blue 9/ 3!

4 Red

11 13
• 1 ... 8 9 10

14 15 16 ... 50

M a a
13 14 1 16 17 18 19 20
5
30
i·j

21 22 23 24 25 26 27 28 29
40
31 32 33 34 JS 36 37 30 39
41 42 43 44 45 46 47 40 49
50

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No vu ,

■ ◄
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Novo, Sa ve

-
■
 Bonpoc: N219
The patient's examination revenled
simple, direct myopic
asti gma tism In 3.0D. What treatme
nt should be applied lo
corr ect vision?

OT Be Tbl (OA MH OT BeT ) '-

i
1

Cylindrical concave3.0d

.. cylln drlc al convex 3.0d

4 Spherical convex 3.0d

5 Spheroprlsmatlc concave 3,0d

1 15 16 17 11 /
21 22 23 50 •

J
o,., save password? X

Nov er

- - - -- -
- avn.kgrno.kg .•
Bonpoc: N220
Patient K. 47 years old, consulted an ophl
halmologlst at the ,
place of rC?Sldence with complaints of
stinging, redness, pain,
decreased vision of the right eye. From
the 11n11mnesls II was
found that he had been suffering from
chronic dacryocystltls
for 2 ye111s; was treated conservatively
. Pain and redness of
1the eye appeared for the f11s1 time. Examination reve aled:
severe precornenl ln)ectlon of lhP eyeb
all. The cornea Is the
Inner segment Is eccenltlcally dull, edem . ,~
depression In this area . One t-dge of the
atous; there Is a j
·
depression Is raised, .
crescent-shaped. In the anterior cham
ber • hypopyon 2.0 mm. 1
the pupll Is narrow, rounded; the Iris Is
hyperemic, edematous.
Whal Is your diagnosis?

0TR IIIT lo,lfnno •u --- -sc an ne d with CamScanner

~ 1e 1, ar anner
I ·· - avn.kgmo.kg •
••

Bonpoc:NQ20
P11Uent K.• 47 yeors old. consulted on ophlhahnologlst ot the
place or residence with complolnts of stinging, redness, pain,
decreased vision of the right eye. From the onnmnesls It was
found that he had been suffering from chronic docryocystllls
for 2 years; was trcnted conservotlvely. Pnln ond redness of
~the eye appeared for the first time. Exomlnallon revealed:
•
severe precornenl Injection of lhP eyeball. The corne~ Is the,
_
Inner segment Is ccccntrlcnlly dull. edematous; there Is a
·
depression In this area. One edge of the depression Is raise
d, '
crescent-shaped. In the anterior chamber· hypopyon 2.0 mm.
the pupil ls narrow, rounded; the Iris Is hyperemic, edematous
.
What Is your diagnosis?

Qye eTb l(O A~H OTBeT)

Corneal erosion

3 _ Corneal vascularlzallon 1
4 _ Corneal dystrophy

5 _ corneal anomaly

- ---
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 Bonpoc:NR21
The patl<?nt cornplolns or lncomplct<? closure of the eyellds,
dryn<?ss In the eye, redness of lhc eye especlnlly In the
morning. lacrlmotlon on the right. Which nerve damage Is the
,•~ause of this pathology?
I
,-
·-
0TBeTbl(O AHH OTBeT)

1 :__ ' Oculomotor

2 \..... Visual

3 I I

· Facial
13/
5 · Pathetic

•
22
1

24
17 18 19 20 .
23 25 50 •

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 Bonpoc:N222
Normal colot perc<!11Uon

t OTBeTbl(OAMH OTBe
T)
1 Olchromasla

2 Pentachromasla

3 Monochromasla

4 sia

Trichromasla

, 18 19 20 l.
21 1 4 /3
23 24 25 26 ••• 50 •
,

• I I
14 11 1
23 1.4 15 'lb 11 2H 29
30

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- -- - - - --

Scanned w ith Cam:

Jrne,r
 A avn.k9ma.k9/w ebtest/testin9 m ••
•

Bonpoc: NQ3
When vision is decreased, it is necessary to exclude the
inflammatory process In the area of the optic nerve exit from the
orbit through:

0TBeTbl(OAM H OTBeT)
-
1 ( __) lnfraorbital canal

2 u- Superior orbital fissure

3 u Foramen rotundum

4 u Inferior orbital fissure

5 () Optic nerve canal

■
i4 5 6 50
(( 1 2

))

4 5 6 7 8 9 10
w11 12 13 14 15 16 17 18 19 20

3
G three
- -- -
 Bonpoc:NQ2
For comfortable movement of the eyeball, the Tenon;s capsule
separates:

0TBeTbl(OAMH OTBeT)

1 ( 1
There Is no correct answer
-
2 1. ' Cornea from sci era
-
3 ( 1
Choroid from the sclera

4 ( ' Eyeball from orbit

1
5 ' Retina from the vitreous body

4 5 6 7 50

))

3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 50

[7_oree4eHHbl'1 eonpoc
 MoxaMM8A Cacl>MK

Bonpoc: NQ1
A 70-year-old woman applied to ophthalmologist with complaints
of a sudden decreased vision of her right eye; she noted this after
increased her blood pressure. Ophthalmological examination
revealed no changes of anterior part but no red reflex from
fundus. What is your preliminary diagnosis?

0TBeTbl(OAMH OTBeT)

1
1 • Acute angle close glaucoma
-.
2 t_
1
Central retinal artery occlusion

1 1
3 - Vitreous hemorrhage
-
1
~
1
4 Complete complicated cataract

-
5 t • Total retinal detachment

(( 2 3 4 5 6 7 50

2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
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 MoxaMMBA Cacl>MK

Bonpoc:NQ15
A pharmacist, 45 years old, has com pla ine d of fati
gue , eye pai n,
eye redness in the evening, especially afte r lon g
wo rk wit h
prescriptions. At this time, he not es the imp oss
ibil ity of wo rkin g
with small objects at clo se range. Objectively: vis
ual acu ity in
both eyes = 1.0. Eyes are calm. The ant erio r par
t of the eye s is
not changed. Optical media are tran spa ren t. The
fun dus of the
eye is normal. What Is you r pre sum ptiv e dia gno
sis ?

0T Be Tb l(O AM H OT Be T)
1 ~) Myopia

2 u-
Emmetropia /
3 u-
Hypermetropia ~
4 (j Ambly
opla
-
5 u Presbyopia

1 ... 11 12 13 14
17 16
18 19 ... 50
 - .1 ~ -

Bonpoc:NQ4
Blind spot identifies under campimetry

0TBeTbl(OAMH OTBeT)
-
1 (
-
I
In the temporal half of the visual field

2 \ _ __..I
In the upper half of the visual field

3 ' I In the nasal half of the visual field

-
4 (
-
I
In the upper half of the visual field

5
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Bonpoc:NQS
Mai n func tion of retina:

0T Be Tb l(O AM H OT Be T)
-
1 (
__.
I
Refr actio n of ligh t

2 ~
,_.., I Trop hic
/
3 l,
- I
Sup port ive

-
4 (
-
I
Prot ecti ve

5 (_ J Ligh t perc epti on

((
1 2 3 4 CiJ 6 7 8 9

••• 50
 Bonpoc: NQ6
A patient, 50 years old, complains of lacrimation from the inner
corner of the eye for 1 week. Inflammatory processes in the
conjunctiva and lacrimal gland are absent. The lacrimal point can
hardly be found with a binocular loupe. What are your actions?

0TBeTbl(OAMH OTBeT)
-
1 \ _J
l
Pump sample

-·
2 {
- I
Colored nasolacrimal tes
-.
3 (
-
I
Conical zonding

-
4 (
- ,I
Biopsy
.
5 l
-~ l
Flushing

1 2 3 4 5 7 8 9

10 50
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.A-7 0~,r~ld~~omen·rapRtl.mfto'op~"itnolbgl~_t.v1l lh. ~ 1

:complal~~s of ·a~~d~~n·.d e~r~ .Vll~C?n ·~.lus~·!tglit e~ -~ e

:~o.ted this ~rier lnc·f!!Ssed ·Nif~loQ.d,pnis~.r~.: · ·
\Qp~~h.alm~.l~gl~rii'exiiir1(r,.a.t1ori':'~~~led rio c~~ngetfof
an~ert~rpart ~'4\ l1irtea ·~n.~.:in1·mrtµ~~~s~ wtta1 Ja y~r..
prellminary-dleg·ri~sls?-'·
·,. II

1 0 central. retinal artery. ·occlusion

- - --

3 ~' Acute an le close glaucoma

cJeiachm~t
--- -- · -· -
Vitreous heinorrheg~
I

I
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-50. •.

- • .. • a.
.
• • •
o..·Save ·palSWOrd?.:
11

r - -
 What Is the presence of nn nrllf1clol lcns In the eyt? called,

~ 1
0TBeTbl(OAMH OTBeT)

Artlphakla
"" .
'
3 Dysphakla

4 Monophakla

5 Dlphakia

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 Bonpoc: NQ43
A 16·)·ear•old patient complains or low vision tn both cyr?s.
Vtsion ts poor from buth l~e doesn't use glL1sses because
they are not suitable Object,vely visual acuity ,n both eyes=
t O~ (not corrected) The acr.t'ssory apparatus nf the eye~ 1s
nnrm;,I The C)·elJalls are caln1 Anll'f tor seq men ts without
'-
\'IStble pathology Opl~cal envuonments ar~ tran~pilrenl. On ·.
the fundus of the opttc nttrve. discs are pale, somewhat i
reduced In stze. No other pathology Is vlslble. What Is the
pathology of the optic nerve?

TBeTbl(OAMH OTBeT)

1 ongestive papilla or the opttc nerve

thl' oot1c nerve disc

- --- ~ " '" " '
__.!
.,-, II V " "
' '

Bonpoc:N210
With orthopho
rla, the angle
between the
axe s Is equa\ to op\lcal and visual
:

OTaeTbi(0A
MH O T B e T )
, \, I 5•8 e

2. . 9-10 •

3
\
I 5•6•
8/3
'\

, 6 7 8 9
13 14
50 '
•

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6
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\
a 19 20
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-- - - -
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--
amscanne
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r
:1.uttlliU, me opucai meClla ,verc: rransparcrn. \.-,OID5c p1gnn:1ncu 1
1

,the bkely cause of this condition? \.

7135
-
-
0TBeTbl{ OAMH OTBeT)

1 Retinal detachment

2 ous hemorrhage

Retinal hemorrhage

4 · Coloboma choroid

s · Detachment of the vitreous body

1 ••• 5 6 7 8 0 10

11 12 13 ••• 50
 Bonpoc:N28 6/
Eye refraction with spasm or accommodation (If ommetroplc ·
eye):

,
0TBeTbl(OAMH OTBeT) , ..

1 Becomes astigmatic

2 Becomes presbyoplc

hyperoplc

5 Becomes anlsometroplc

• , ... 4 5 6

10 11 12 ... 50 •

D D a 9
! ~112 13 14 15 16 17 18 19 ~:
- --- - --
o, Save password? X

Nover Save

-- - - - -

•
 Bonpoc: N27
A 13-year-old Rchoolboy cornplnlns of vlsunl Impal rme
nt
ity In
,vhlle rending. He sees well In the dlclnnce. Vlsuel acu
both eyes = 1.0. Eyes ore henllhy. Whet Is your presum
ptive
l diagnosis?
I •
-
\

OT ae Tb l(0AMH OTBeT)

1 . Myopia

2 _ Amaurosfs

3 la

Hypermetropfa

5 ••
Call Copy Share Select all •

, ••• 3
.
6 8

t
~o 11 ••• 50
9
 --- - - - -
Bonpoc: NOS
Nha l rilnpno~llr. condition chnrnclr.rl1.~~ prntnnnmnly?
4/3 5

0TB eTb l(O AM H OT BeT ) 1 I

rn,al perception of green colo r

Abnormal perception of red colo r

Abnormal perception of vlolet colo r

Abnormal perc epti on of yellow colo r

Abnormal perc epti on of blue colo r

1 2 3 7 8

9 50

6 7 8 9 10
11 , 2 , 3 14 , 5 1fJ 1 7 1e 19 20
n 22 23 24 25 ~,, 21 iu 2CJ JO

0.. Save password? X

Nt! Vl?f

- - - ...
~ ~ " " I II I 11~\ N JW I

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 --- - - - -
Bonpoc: NQS
\\'ha l rfln9no~tlr. r.onr tltlon chnrnclr.rl1.r~ prnt11nnmnly?
4/3 5

0TB eTb l(O AM H OT BeT ) l

Abn orn, al perc eptio n of green colo r

it ~b:n:ormal perc eptio n of red colo r

• 11111111-~A

3 Abn orm al perc eptio n of vlole t colo r

Abn orm al perc epti on of yello w colo r

; Abn orm al perc epti on of blue colo r

, 2 3 7 8

9 50

6 7 B 9 10

11 12 13 14 1 5 16 1 7 18 19 20
?1 22 23 24 25 'lf, 27 :?H 2'J 30

Ow Save pas swo rd? X

Nt!v~r

. -- - .-.
.., " " " " I I I I 11~\ N ' " I

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 MIMH-,11

Bonpoc: N23
f\~r11n fu nc tio n nf , e11nn.
3 /3 5

0 T B e T b l( O A M H OTBeT)

1 S up po rt iv e

2 e

Li gh t pe rc ep tio n

R ef ra ct io n of light

5 Tr op hi c

• 1 2 4 5 6 7

50
!~ ·. • : . . -
l ' --
. Save P..asaworat.

2/35

eonpoc: Nf14

1 Lens

2 chor told

5 Iris 8
6 7

•
, 2

50 •

oc-■- ~

l °'
{1 1 ff 9 I 0

11 11 I :I J 4 I !> J 6 11 J ff J •J :!U

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74 :15 ?6 21 20 1 •, ~"
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 Bonpoc:NQ23
l!:I with n
A 17-ymu-old glrl lurnr.d to nn 0J1hlhnlmolot1
I Jtrr.vlour.ly
com,,I11In1 of cfr.c,~nr.r.tl vision whll~ wr.nrlrt(
Jlff'~r.flhrc1 oln~sr~ ( ·5 00) \Vlum r.xnmlnrtl hy
nn
'r. mynpln hns
c,phlhi1lmlllo~1I~1, ti wn!, null'rl lhnl llu J>nllrml
1 1

rrcrntl~• tnr.rrnsl'cf f'\ cry sh muulhr. hy 1 rm.

1 nn,,.,10, '.
r1 0!-tt'ric,r ~1;.r llf ~)'C! Is 15 n mm .'"" olrl'r. r,numrn hnYP.
lhP.
metdf'riltr degrl'c lll)'OJ>ln How tin you r.xr,lntn
progression of myoJ>ln and your recomrnc
ndntlons for
trl'almr?nt?

TBeTbl(OAMH OTBeT)
Is
Extension or the eyeball along the axis, LASIC
recommended

tomy
2 Extensl on of the eyeball along the axis, kerato
,s recommended

presence of axfal myopia, scleroplasuc surger

y Is
3
r(:Commended

pfar••·
a1 E1tens1on or the eyeball along the axis, kerato
t!. rtr.urrm,~ndt:d . 15
X
o.. Save r>assword?

Ut!V t!I
 Bonpoc:NQ22
Normal color percc11Uon

~ O T e e T b l( O A M H OTB
eT)
1 Dlchromasla

2 Pentachromasla

3 Monochromasla

4 asla

_ Trlchromasla

• , ... 18 19 20 l.
21 1 4 /3
23 24 25 26 ... 50
,

,. ,. ,
• I 6

2J 24 i5 1b 11 18 29 30

0 .. Save password?
X

N ever Sc1ve
- - - -- - - -

Scanned w ith Cam:

H n •f
 Bonpoc:N222
Normal colot perc<!11Uon

t OTBeTbl(OAMH OTBe
T)
1 Olchromasla

2 Pentachromasla

3 Monochromasla

4 sia

Trichromasla

, 18 19 20 l.
21 1 4 /3
23 24 25 26 ••• 50 •
,

• I I
14 11 1
23 1.4 15 'lb 11 2H 29
30

0 .. Save password?
X

N ov cr Sc1ve
- -- - - - --

Scanned w ith Cam:

Jrne,r
 Bonpoc:NR21
The patl<?nt cornplolns or lncomplct<? closure of the eyellds,
dryn<?ss In the eye, redness of lhc eye especlnlly In the
morning. lacrlmotlon on the right. Which nerve damage Is the
,•~ause of this pathology?
I
,-
·-
0TBeTbl(O AHH OTBeT)

1 :__ ' Oculomotor

2 \..... Visual

3 I I

· Facial
13/
5 · Pathetic

•
22
1

24
17 18 19 20 .
23 25 50 •

O. Save password? X

Never Save

-- --- ------
■ ◄
 MoxaMMa Cadn« Kg Ru

Bonpoc: N 24
A 33-year-old female patient, in the morning, discovered that the
eyelids of both eyes were swollen, stuck together, the eyes were
sharply reddened. On examination, the eyelids of both eyes are
edematous, in the conjunctival sac there is abundant purulent
discharge. The conjunctival injection of the eyeball is sharply
expressed, the conjunctiva of the eyelids is edematous,
hyperemic. Diagnosed with bacterial conjunctivitis. What is the
primary treatment strategy for the patient?

OTBETbi(OAMH OTBeT)
1 Antibiotic therapy

2 Antiviral therapy

3 Ultra-high frequency therapy

4 Antifungaltherapy

5 Steroid therapy

20 21 22 23 24 25
1

26 27 28 50
 MoxaMMag Cadn« Kg Ru

Bonpoc: Ne25
Parents brought a child T., 9 years old, to the ophthalmologist, at
the request of the pediatrician. The child complains of
headaches, especially in the evening after school. He has no
complaints about eyesight. Visual acuity in both eyes = 1.0; but
when corrected with weak spherical positive lenses, vision does
not deteriorate. What is your presumptive diagnosis?

OTBeTbI(oAMH OTBET)
1 Latent myopia

2 Latent astigmatism

3 Latent amblyopia

4 Latent hypermetropia

5 Latent squint

1 21 22 23 24 25 26

27 28 29 50

G 25
 MoxaMMag Cadn« Kg Ru

Bonpoc: N°26

What is the most dominant symptom in dry eye syndrome?

OTBeTbI(oAMH OTBeT)
1 Feeling offoreign body sensation in the eyes

2 Feeling of itching in the eyes

3 Feeling cold in the eyes

4 Feeling of heat in the eyes

5 Feeling of burning in the eyes

1 22 23 24 25 26 27

28 29 30 50

1 2 3 4 5 67 8 9 1
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 50

OTBeveHHbIM Bonpoc
 MoxaMMa Cahnk Kg Ru

Bonpoc: Ne27
When consulting a 74-year-old patient suffering from
hypertension, the following picture is determined in the fundus of
both eyes: retinal veins are dilated, twisted. The arteries are
somewhat narrowed, uneven in size. No changes were observed
on the retinas and optic nerve discs of both eyes. Visual acuity in
both eyes 1.0. What stage ofthe hypertensive fundus do these
changes correspond to?

OTBeTbI(oAMH OTBeT)
1 Hypertensive neuroretinopathy

2 Hypertensive angiopathy

3 Hypertensive retinopathy

4 Hypertensive angiosclerosis

5 Hypertensive scleropathy

1 23 24 25 26 27 28

29 30 31 50

G 27
 MoxaMMa Cadu« Kg Ru

Bonpoc: N 28
What is the presence of an artificial lens in the eye called?

OTBETbI(ogMH OTBeT)
1 Diphakia

2 Aphakia

3 Monophakia

4 Dysphakia

5 Artiphakia

25 26 27 28 29
24

30 31 32 50

1 2 3 45 6 7 89 10
19 20
11 12 13 14 15 16 17 18
27 28 29 30
21 22 23 24 25 26
37 38 39 40
31 32 33 34 35 36
47 48 49 50
41 42 43 44 45 46

-OTBeyeHHbIM BOnpoc
 MoxaMMag Cacdwk Kg Ru

Bonpoc: N 29
Patient 62 years old, referred to the FMC with complaints of
floating flies before the eyes. From the anamnesis he has been
suffering from hypertension for 25 years, 2 weeks ago had a
crisis. Objectively: visual acuity of the right eye = 0.9, the anterior
segment of the eye is not changed, there are floating opacities in
the vitreous body. What is your diagnosis?

OTBeTbI(oAMH OTBeT)
1 Partial hyphema

2 Complete hyphema

3 Destruction of the vitreous body

4 Partial hemophthalmos

5 Complete hemophthalmos

1 25 26 27 28 29 30

31 32 33 50

12 3 4 5 6 7 89 10
 MoxaMMag Cachuk Kg Ru

Bonpoc: N°16
A patient has come to you with complaints of dryness, burning,
itching, pain in the eyes, photophobia, decreased vision in both
eyes, almost complete absence of tears even during crying, dry
skin and dry mouth, swelling and stiffness in the joint's arms and

legs. Ill for six months. On examination, there is a moderate

mixed injection of the conjunctiva in both eyes, scanty, viscous
is moderate
discharge. In the lower part of the cornea, there
What
edema, small-point infiltrates, superficial opacities.
complication do you expect?

OTBETbi(oAMH OTBET)
1 Orbital phlegmon

2 Retinal detachment

3 Dislocation ofthe lens

4 Filamentous keratitis
sinus
5 Thrombosis of the cavernous

16 17
13 14 15
1 12

20 50
18 19

2 3 4 5 6 7 8910
1
 Kypewn Moxa KxanwA Kg Ru

Bonpoc: N917
When examining a woman, 30 years old, with myopia 8.0 d,
during ophthalmoscopy on the periphery of the retina, large
dystrophic changes were determined, with small retinal tears in
the ora serrata line. What treatment should be applied in this
case?

OTBETbl(oAWH OTBeT)
1 Sinus trabeculectomy

2 Laser coagulation ofretina

3 Diathermocoagulation ofciliary body

4 Iridocycloretraction

5 Cryodiatermocoagulation of retina

13 14 15 16 17 18
1

19 20 21 50
 MoxaMMa Cadu« Kg Ru

Bonpoc: Ne18
What complications can not hyperopia in children lead to?

OTBeTbI(oAMH OTBeT)
1 Accommodative asthenopia

2 Chronic blepharitis

3 Converging squint

4 Horizontal nystagmus

5 Chronic conjunctivitis

1 14 15 16 17 18 19

20 21 22 50

1 2 3 4 56 7 8 9 10
11 12 13 14 15 16 17 18 19 20

21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 50

- OTBeueHHbIM BonpocC

nponyueHHblM Bonpoc
TeKyuw Bonpoc

nScanner
 MoxaMMag CaduK Kg Ruu

Bonpoc: Ne19
. In the
village where you are, there is no ophthalmologist, a
patient came to you with complaints of pain, redness, sharp
deterioration of vision in the left eye. He hada
history of
chopping wood about an hour ago. Objectively: swelling of the
eye, diffuse hyperemia, soreness when
trying to close and open
the eyes. Bacterial
conjunctivitis was diagnosed. Select the first
line Intravenous medicine for this
patient.

OTBeTbI(oAMH OTBeT)
1 O Citicoline 100.0

2 Meldonium 5%-10.0

3 Ceftriaxone 1.0
L
4
Prednisolone 1-2 mg/kg
5
Isotonic solution 0.9%

15 16 17 18 19
21 20
22 23
50
 Kg Ru
MoxaMMa Cadn«

Bonpoc: N920
A 20-year-old patient admitted to the hospital with complaint of
decreased vision of left eye. From the anamnesis, he was injured
during a rockfall in the mountains. He turned to the hospital on
the same day. On examination, VoS= 0, optical media and fundus
of eye are not changed. What diagnostic intervention is
necessary to clarify the diagnosis?

OTBeTbi(oAMH OTBeT)
1 Automatic refractometry

2 Gonioscopy

3 Magnetic resonance tomography of the orbit

4 Ultrasound examination of the eyeball.

5 Orbital radiography

1 16 17 18 19 20 21

22 23 24 50
 MoxaMMa CadnxK Kg Ru

Bonpoc: N921
Child, 1 year 5 months, parents went to the local clinic with
concern to find blue sclera in the child, from the child's history
there is congenital deafness and congenital atrial septal defect,
they noticed blue sclera from birth. What abnormalities in the
development of the eye can this disease be combined with?

OTBeTbI(oAMH OTBeT)
1 Melanosis of the sclera
2 Glaucoma

3 Viral conjunctivitis

4 Keratoconus

5 Cataract

1 17 18 19 20 21 22

23 24 25 50
 MoxaMMag CacpnKx Kg Ru

Bonpoc: N 22
Patient 38 years old, after suffering ARVI, complains of
photophobia, decreased vision, feeling of a foreign body.
Objectively, there is infiltration in the center of the cornea (test
with fluorescence- vague opacity in the form of a tree branch
with a rough surface). Corneal sensitivity is reduced. Visus OD =

0.6 n/c. Visus OS = 1.0. What is your presumptive diagnosis?

OTBeTbi(oAMH OTBeeT)
1 Viral keratitis.

2 Tuberculous keratitis.

3 Syphilitic keratitis.

4 Bacterial keratitis.

5
Copy Share Select all Web search

.. 18 19 20 21 22 23

24 25 26 50

G 10171819202122232425.50
 Bonpoc: N97
A 32-year-old woman turned to an ophthalmologist with complaint
decrease in visual acuity over thee past year. From the anamnesis it
that the patient has been wearing glasses for myopia since chldhoo
normal, the optical media were transparent. Coarse pigmented lesic
the ikely cause of this condition?

OTBeTbI(oqMH OTBET)
1 Retinal hemorrhage

2 Vitreous hemorrhage

3 Detachment ofthe vitreous body

4 Retinal detachment

5 Coloboma choroid

3 A 5 67 8 9

10 11 50

1 2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
 MoxaMMag Cadu« Kg Ru

Bonpoc: N°8
A 50-year-old man complains of persistent lacrimation, purulent
discharge from the eye. The above complaints appeared 3 days
ago. When examining the patient, attention is paid to excess
tears along the edge of the lower eyelid, bean-like soft protrusion
of the skin under the inner ligament of the eyelids. Preliminary
diagnosis:

OTBeTbi(oAMH OTBeT)
1 Dacryoadenitis

2 Dacryocystitis

3 Pharyngitis
4 Canaliculitis
5 Lymphadenitis

1 4 5 6 7 8 9 10

11 12 50

1 2 3 45 6 7 8 9 10
11 1 1 2 1A 1 5 1 6 1 7 1 0 1 0 n
 MoxaMMa Cadn« Kg Ru

Bonpoc: Ne9
Amblyopia revealed in 4-year-old child with visual acuity of 0.08 in
an uncorrected hyperopic eye at 8.0D. What treatment should be
planned to improve visual acuity in a child?

OTBETbI(oAMH OTBeT)
1 Vitamin therapy

2 Magnetotherapy

3 Anti-inflammatory

4 Antihistamine

5 Pleoptics

1 5 6 7 8 9 10

11 12 13 50
 MoxaMMa CadHK Kg Ru

Bonpoc: Ne10
A 35-year-old woman consulted an ophthalmologist with
complaints of low near object vision. Notes that he wears
glasses for distance +1.0 in both eyes. Before this period, reading
at close range was not difficult. Objectively, the visual acuity of
both eyes 0.3 s+ 1.0D 1.0. The intraocular environment is
transparent, the fundus with no abnormalities. What is your
presumptive diagnosis?

OTBETbl(oAWH OTBeT)
1 Simple myopic astigmatism

2 Presbyopia
3 Spasm of accommodation
4 Mixed astigmatism

5 High-grade hyperopia

1 6 7 8 9 10 11

12 13 14 50
 MoxaMMaa CadnK Kg R u

Bonpoc: N912
A woman with a baby visited FMC. The mother complains of
abundant mucopurulent discharge from the child's right eye for 5
days. Two days ago, the child began to behave restlessly, the
body temperature rose to 37.9°C. The color test is positive. No
improvement was observed when using disinfectant drops. What
complication of neonatal dacryocystitis are we talking about?

OTBETbI(oqMH OTBET)
1 Phlegmonous inflammation

2 Sclerite

3 Conjunctivitis

4 Retinal detachment

5 Cavernous sinus thrombosis

K
8 9 10 11 12 13

14 15 16 50

1 23 4 56 78910
 MoxaMMag Cadnk Kg Ru

Bonpoc: N913
A 16-year-old patient is examined by an ophthalmologist witha
diagnosis of scleral melanosis throughout his life, what is the
etiology of this disease?

OTBETbI(oquH OTBeT)
1 Violation of the integrity of the sclera in early childhood

2 Congenital malformation of the eye

3 Acquired malformation of the eye

4 Allergic illness in childhood

5 Viral disease in childhood

1 9 10 11 12 13 14
15 16 17 50
 MoxaMMaA Cadn« Kg Ru

Bonpoc: N°14

A 47-year-old man came to the hospital with complaints of the

sudden loss of vision in his right eye. Anamnesis: Suffering from
high risk of hypertension for 20 years. Objectively: VOD= 1/c
pr.l.c, anterior part of the eye is not changed. The fundus reflex is
absent. Presumptive diagnosis: complete hemophthalmos of the
right eye. What additional examination is required?

OTBeTbI(oAuH OTBeT)
1 Ultrasound examination oftheeye

2 Ophthalmoscopic examination

3 Gonioscopy

4 Optical coherencetomography

5 Measure intraocular pressure

1 10 11 12 13 14 15

16 17 18 50
 Bonpoc:N217
Name the most likely cause or concentric narro\vlng of the visual field In yaung patients'?

OraeTbl(OAMH OTBeT)
1 0 Occlusion of the central retinal artery
2 0 Retinitis plgmentosa
0
I

3 Wet retinal macular degeneration

4 0 Central retinal vein thrombosis

5 0 Age related Dry macular degeneration of the retina

1 t "l t .A 1 C: • ft
 Bonpoc: Nq3
ln wh\ch of the area greatest thickness of the sderae:

OraeTbl(OAMH OTBeT)

1 0 L\mbus

2 O Under the tendon of the rectus muscles

3 O Under the tendon of the obllque muscles

4 O Equator of eye

s O Optic disc area

 Bonpoc: N22
Function of aqueous humor:

OraeTbl ( OAM H OTBeT)

1 0 Nutrition of the optical media of the eye

2 Q Nutrition of the optic nerve
3 0 Nutrition of the Internal muscles of the eye
4 0 Nutrition of the external layers of the retina
5 0 Nutrition of the Inner layer of the sclera
 I • •e • A
!I ! = e'
Bonpoc: N25
Nut rit ion of wha t vas cula r netw ork needs to be strengthened
In case of corneal bums.,

OT ae Tb l(O AM H OT Be T)
1 G Central retin al arte ry

2 0 Posterior sho rt dlla ry arteries

3 0 Central retin al vein
4 0 Ant erio r cllla ry arteries
s 0 Um bal cap illar ies

, ., A IK.J
 Bonpoc: N 21 5
W ha t di ag no st ic m et ho ds of rese
arch are necessary to de ter m in e ch
an ge s ln the vlsua5 rtekP

OTaeTbl ( O A M H O TB eT
1 0 Biomlcroscopy
2 0 Vi so m et ry

3 O Anomaloscopy

4 O Go nl os co py

s O Pe rlm et ry
Ct A avn.kgma.kg/webtest/testini ••
0 •

Bonpoc:NQ49
Management of phacolytic glaucoma

0TBeTbl(OAMH OTBeT)
1 \_)
Extraction of cataract
-
2 u Lensectomy
-
3 u Only antiglaucomatous surgery

4 (_) Conservative treatment for decreasing IOP

-
5 ( _)
_
Extraction of cataract and antiglaucomatous operation

1 43 44 45 46 47 48

■ 50 »
 Bonpoc:NQSO
Aft er suffering a cold, a 7-year-old pa
tie nt su dd en ly de ve lop ed
pain when mo vin g his eyes. Objectively
: vis ua l ac uit y In bo th ey es
= 1.0. There is a sm all ex op hth alm os ,
a sli gh t lim ita tio n of the
mo bil ity of the eyeballs. Wi th ex tre me
ab du cti on of the ey es -
diplopia. Slight sw ell ing of the ey eli ds
an d co nju nc tiv a. Mi no r
mixed eyeball inj ec tio n. Th ere is no dis
ch arg e fro m the
conjunctival sacs. An ter ior se gm en ts
wi tho ut vis ibl e ch an ge s.
Optical media are tra ns pa ren t. Th e fun
du s of the ey e ls no rm al.
What is your pre su mp tiv e dia gn os is?

0T Be Tb l(O AM H O TB eT )
-
1 \
- I

Mu co ce le
-
2 (
- I

Tenonitis
-
3 \
- I
Retrobulbar ne uri tis
-
4 '- I

Phlegmon orb its

5 \
- I
Os teo pe rio sti tis

« 1 ... 43
49 G , 44 45 46 47 48
 A av no ki rn ao ki /w eb te st /t es ti
ni (!) ••
•

Bonpoc:NQ40
A pa tie nt consulted a do ct
or af te r a contusion of th e
co m pl ai nt s of decreased eyeball wi th
vision. When viewed in tra
light, da rk flo at in g opaciti nsmitted
es are visible on pi nk refle
x background.
What is your presumptive
diagnosis?

0 T B e T b l( O A M H O T B eT
)
1 l) Partial he m op ht ha lm os
-
2 u Subtotal hyphema

-
3 '- ) Retinal hemorrhage

4 \.. ) Co m pl ic at ed ca ta ra ct

5 u- Corneal op ac ity

•
((
36 37 38 39 41
42 43 44 50 ))

\41 42 43 44 45 46 47 48 49
50
0 A ••
avn.k9ma.k9/webtest/testin9 CD •

Bonpoc: NQ41
. A 45-year-old man came to an eye hospital with complaints of
headache, chills, double vision of objects when examining them
with his right eye. From the anamnesis: 2 days ago, the dentist
removed the upper incisor on the right side. Objectively: Right eye
- there is pronounced edema and redness of the eyelid skin,
protrusion of the eyeball, its mobility is limited, painful. The
conjunctiva of the eyelids and eyeball is sharply edematous,
mixed Injection. The cornea Is swollen. Visual acuity: right eye =
0.1 uncorrected, left eye = 1.0. Diagnosed with phlegmon of the
orbit. What methods is necessary for diagnosis?

0TBeTbl(OAMH OTBeT)
'

1 (-~' Optical coherence tomography

-
2 1
_
1
Ophthalmoscopic examination

-
3 1 ' Ultrasound examination of the eye

4 ( ' X-ray of the orbits and maxillary sinuses

-
5 ( ' Measure intraocular pressure

1 ... 37 38 39 40 0 42
 Bonpoc:NQ42
64-year-old female patient complains of pain radiating to the
back of the head and a feeling of swelling of the right eye. There
is a thick fog in front of the right eye and the eye sees almost
nothing. On examination: VOD - counting the fingers of the eye.
On the right eye, congestive Injection of the anterior vessels, the
cornea is edematous, the anterior chamber is small, the iris is
edematous, the pupil is about 4-5 mm. gray color. What kind of
secondary glaucoma does the patient have?

0TBeTbl(OAMH OTBeT)
-
1 (
- I
Facotopic

2 \
-
I

Neoplastic

3 (
- I

Neovascular
-
4 (
~
I
Facolytic
-
5 ( I
Phacomorphic

1 38 39 40 41 ~ 43

44 45 46 50
0 A ••
avnok9maok9/webtest/testing 0 •

Bonpoc: NQ43
A 49-year-old woman came to the emergency room with
complaints of severe pain and blurred vision of the right eye,
which arose against the background of an Increase in blood
pressure to 180- and 90-mm Hg. The patient reported single
vomiting that did not bring relief. On examination, the following
data were obtained: visual acuity of the right eye = 0.09 is not
corrected, visual acuity of the left eye= 0.1 (+) 3.5 D = 1 .O;
Biomicroscopy of the right eye revealed a stagnant injection of
the eyeball, corneal edema, small anterior chamber, iris
bombardment, the pupil is dilated, does not react to light. IOP OD
56 mm Hg. What is your preliminary diagnosis?

0TBeTbl(OAM H OTBeT)

1 (
- I
Retrobulbar neuritis

2 (
-
I
Acute attack of glaucoma

3 (
--
I
Lacrimal sac phlegmon

4 \
--
I
Total retinal detachment

-
5 (
-
I
Fibrinous-plastic iridocyclitis

, 39 40 41 42 • 44

45 46 47 50
 0 A avnokirnaoki/w eb te st /t es ti ••
ni CD •

Bonpoc:NQ44
Indicate th e reason which
, fro m your po in t of view,
th e development of an ac cannot lead to
ute angle close glauco ma:

0T B eT b l( O A M H OTBeT
)
1 u- Prolonged staying in we
ll illuminated room

2 (___,) M ed ic at ed pu pi l di la tio n

l
wi th ou t to no m et ry
.
3 \_ ) Prolonged stay in a di m
ro om
-
4 ~_) Stress

5 \.._,,) Working in head til t po si

tio n

, 40 41 42 43 . 45
46 47 48 50

\ ED- orse4eHHbl~ sonpoc

~ II- nponyll.\eHHbl~ sonpoc

S J' 11e,
 0 A avn.kgma.kg/webtest/testing 0 •
••

Bonpoc:NQ46
Choose the most probable diagnosis when the aged patien t
develops decrease and blurred vision after visitin g the sauna,
rainbow circles around the light, severe pain in the eye with
Irradiation to the back of the head, teeth, ear:

0TB eTbl (OA MH OTB eT)

1 L) Acute lrldocyclitis
-
2 u Acute conju nctivit is

-
3 (..__, )
Acute dacryocystitis

4 LJ Acute angle close glauc oma

-
5 \J Acute keratitis

1 42 43 44 45 . 47
48 49 50
M tJL-y cc,-u ,u t,JCLIC IIL \JUll_ ,UILC U 011 Ut-JII LIIOII IIUIU~ l~L YYILII

complaints of decreased obje ct vision, lacri mati on, feeli ng of a

foreign body in both eyes. Acco rding to the patie nt, 2 year s ago
he received an acid burn. Objectively, VOU= 0.8, the eyel ids are
hyperemic with entropion, the cornea is trans pare nt, the ante rior
chamber is middle, the pupil is roun ded in the center, the lens is
transparent, the fundus: no peculiarities. The opht halm olog ist
diagnosed post-burn entropion of both eyelids, whic h surg ical
operation is recommended in this situa tion?

0TB 8Tb l(O AM H OT BeT )

-
1 (
~
I

Surgery on the eyelids

-.
2 (
- I

Evisceration of the eye

-
3 {
- I

Elimination of eversion of the eyelids

-
4 <,._ I

Extraction of cata racts

5 (
- I

Sinustrabeculectomy

1 ... 43

0
44 45 46
49 so 48
10:4 7 ~ (9 •
~I .,II !~ .,ti &5¼ 11

A avn .k9m a.k9 /we btes t/tes tin9 0 •••

Bonpoc: NQ37
A 55-year-old wom an cam e to the doct or on duty with a
com plain t of severe pain in her left eye. According to her, inste ad
of eye drops containing vitamins, she accidentally dripped "some
kind of liquid". She cam e to the doct or In 15 minu tes after
instillation. Diagnosed with chemical burn. What drop s shou ld
you injected to relieve the patient's condition?

0TB eTb l(O AM H OTB eT)

-
1 t
-
I
Pilocarpine 1%

2 - Dexamethasone 0. 1%
( I

-
(
3 -
I
lnocaine 0.4%

,-
4 -
I
Atropine 1%
.
(
5 -
I
Troplcamide 1%

1 33 34 35 36 38

39 40 41 50 ))
 MoxaMM8A Cacl>MK

Bonpoc: NQ30
The patient came to the clinic to impro ve the visual acuity of the
left eye. An objective examination revealed a post-b urn corne al
leucorrhoea in the patient. What kind of surgery is indica ted for
this patient?

0TB 8Tbl (OAM H OTB eT)

1 u Keratoprosthetics
-
2 u Sinustrabeculectomy

3 u~ Circling

4 (__.) Amniolastics

5 u- Phacoemulsification

1 26 27 28 29 31
32 33 34 50

30
thirty
 ~I .,II !~ .,ti &5% 11

A avn .k9m a.k9 /we btes t/tes tin9 0 •••

Bonpoc: NQ37
A 55-year-old wom an cam e to the doct or on duty with a
com plain t of severe pain in her left eye. According to her, inste ad
of eye drops containing vitamins, she accidentally dripped "some
kind of liquid". She cam e to the doct or In 15 minu tes after
instillation. Diagnosed with chemical burn. What drop s shou ld
you injected to relieve the patient's condition?

0TB eTb l(O AM H OTB eT)

1 l
-
I
Pilocarpine 1%

2 f,
- Dexamethasone 0. 1%
I

-
(
3 -
I
lnocaine 0.4%
-
4 (

-
I
Atropine 1%
.
(
5 -
I
Troplcamide 1%

1 33 34 35 36 38

39 40 41 50 ))
0 A ••
avnokgmaokg/webtest/testins 0 •

Bonpoc: NQ32
A 38-year-old woman consulted with complaints of burning
sensation, dry eyes, slight blurred vision. From the anamnesis,
the above complaints have not bothered for the last 2 years,
about which she turned to different ophthalmologists and used
different drops, works as an office worker, notes the dustiness of
the workplace. Objectively: VOU = 1.0, the eyes are slightly
injected, the cornea is transparent, there is a deficiency of the
tear film on the cornea viewed with a slit lamp. The
ophthalmoscopic picture is normal. She was diagnosed with dry
eye syndrome. What recommendations will be given for her?

0TBeTbl(OAMH OTBeT)

1 (_ ' Obturation of the lacrimal puncta

-
2 '_' Massage of the lacrimal sac

3 ( ' Soft contact lenses

4 1 • Use drops with more low viscosity

-
5 ( ' Massage of the lacrimal sac

1 28 29 30 31 0 33
 A av n. kj m a. kj /w eb te st /t es ti
ni m ••
•

Bonpoc: NQ35
Which of the following sym
ptoms patients with catara
llkely to have? cts more

0T B eT b l( O A M H O T B eT
)
-
1 u Sudden decrease vision

2 u Hemianopia

3 u- Concentric narrowing of vis

ual fields
-
4 \._) Sudden narrowing of visua
l flelds

5 ,-
___)
Gradual decreased vision

, 31 32 33 34 . 36
37 38 39 50

36 37 38 39 40
41 42 43 44 45 46 47 48 49
50
II- orse4eHHbl'1 sonpoc
II - nponyl.l.\eHHbl~ sonpoc
Jnr r
 A a v n o k 9 m a o k 9 /w e b te st /t
e st in j m ••
•
Bonpoc:NQ36
H o w is g la u co m a dete
cted?

O T B e T b 1 (0 A M H O T
BeT)
1 \_--) All o f th e above
-
2 (.._; Pachymetry te st

3
-
(._' T o n o m e tr y te st

4 U Visual fie ld te st
-
5 "-J Dilated eye e xa m

1 32 33 34 35 37
38 39 40 50
10:4 7 ~ (9 •
~I .,II !~ .,ti &5¼ 11

A avn .k9m a.k9 /we btes t/tes tin9 0 •••

Bonpoc: NQ37
A 55-year-old wom an cam e to the doct or on duty with a
com plain t of severe pain in her left eye. According to her, inste ad
of eye drops containing vitamins, she accidentally dripped "some
kind of liquid". She cam e to the doct or In 15 minu tes after
instillation. Diagnosed with chemical burn. What drop s shou ld
you injected to relieve the patient's condition?

0TB eTb l(O AM H OTB eT)

-
1 t
-
I
Pilocarpine 1%

2 - Dexamethasone 0. 1%
( I

-
(
3 -
I
lnocaine 0.4%
-
4 (

-
I
Atropine 1%
.
(
5 -
I
Troplcamide 1%

1 33 34 35 36 38

39 40 41 50 ))
 0 A. avnok 9maok 9/web test/te stin9 m •••

Bonpoc: NQ38
A 67-year-old patient came to the eye department, diagnosed
with an immatu re catarac t in both eyes. On the right eye,
biomic roscop ically revealed a pronounced hydration of the lens.
What examin ation method will help to exclude the compli cations
before surgery?

0TBe Tbl(O AMH OTBe T)

-
1 u Fluorescein angiography of the eye

2 u- Eye tonom etry

.....
3 u Autom atic refract ometry of the eye

-
4 u Optical coherence tomogr aphy of the eye

-
5 u Ultrasound examin ation of the eye

1 34 35 36 37 . 39

40 41 42 ... 50
 A avnok9maok9/webtest/testini CD ••
•

Bonpoc: NQ39
Indicate which of the following methods can be used
to treat
congenital glaucoma:

0TB eTb l(O AM H OT Be T)

-
1 u Manual therapy

2 ( _) Functional therapy

-
3 \__) Surgical trea tme nt
-
4 u Medication

5 ,-
__)
Laser coagulation

1 35 36 37 38 . 40

41 42 43 50

41 42 43 44 45 46 47 48 49 50
---
11- orse4eHHbt~ sonpoc
II- nponyll.\eHHbt~ sonpoc
115 d[)I r
 MOX 8MM 8A Cacl,MK

Bonpoc:NQ23
Nam e the mos t signi fican t symp tom of bino cular vision disor der:

OTB eTb 1(0AM H OTB eT)

1 u Amb lyopi a
-
2 u Trita nopi a

-
3 LJ Hemeralopia

--
4 l..J Deuteranopia

5
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 MoxaMM8A Cacl>MK

Bonpoc:N223
Name the most signif icant symp tom of binoc ular vision disorder:

OTB eTb l(0AM H OTB eT)

1 u Ambl yopia
-
2 u Tritanopia
--.

3 u Hemeralopia

-·
4 C) Deuteranopia

5 ••
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, 19 20 21 22 • 24

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 Bonpoc: N230
A 7B-year-old patient complai11s ofdecreaseci vision. When examining the fundus or both eyes, twisted ar,d dilated veins iW
are narrow, obliterated m places. In places \\/here lhe artery crosses the vein, tt,e latter becomes invisible. focal retinal opacities, M
hemorrhages along the vessels. In the area of the macula, yeilow, white foci, and plasmorrhages, forming a star shape D1scoid IIIICUl,t
lhe retina. The optic nerve Is practically ti nchanged. M11ke a preliminary diagnosis.

0TBeTbl(OAHH OTBeT)
1 Hypertensive angiosclerosis

2 1-lypertensive sclero.pathy

3 Hypertensive neuroretinopathy

4 H,perrensive reunopathy

5 HypertenSJ,e ang,opathy

32
• 1 26 27 28 29
,,31 33 50
 Bonpoc: N!!32
A 65-year-old patient has consulted a dottor w,th complaints of doteriorat1on of v1s1on and spahal 011enldt10n. n,., 11xMt
about six months ago but did not cauSl! much concern. Has noticed intermittent passing blurred vision. ObJecllvtly Visu.1 IWllf,
0.4 sphe.ra 3.5 diopters = 1.0. The eyes are caln'I. The corneas are transparent. lhe anter,or chambets are of medium d.,,U, ni. iriillls
aonpoc subarroph1c. The pupils are slightly dilated In the fundus, there is an e)(caval(on of the optic nerve discs. their bl•nch1ng. tnrraocull,
O
both eyes 38 mm Hg. Art. What research needs to be done to fully determine the stage of glaucoma?

1 Tonography

2 Pe.nmeuy

3 0 1aphonosropy

4 Goniosropy

l<efractometry
5
.
• l 28 29 30 35 36 so •
 Bonpoc: N!!31
A &8 -year old woman wrth complaints on decreased v1sron in the operated light eye. From the anamnesls, the right eye WIS
ago, v,s,on is decreased 6 months ago. On examlna11on, VOD= 0.1, lhe cornea Is transparent, the anterfor chamber Is deeper, Ille
m the cer,ter, !he mtraocular lens Is 1n the postenor cha[Tlbcr, diffuse opaciflr.at,on of the posterior capsule, the fundus of t~e eye 15 n
v1s1ble. Diagnosis is secondary cataract, pseudophakla of the ~ ht eye. What kind of surgecy is indicated ror this palfenr?

OreeTbl(0,!1;"1H OTBeT)

, Ettraction of the lens

2 Corneal transplontal1on

3 Sinus lrabeclJlectomy

4 lmi,1anta1,o11 of ort11ic1al lens

s 01scls.s,on a t secondary catar"ct

•
, 27 28 29 30 33 3& 3S ,- so •
 Bonpoc: N!!37
A 49-year ·old woman came to I he emergency room with i;omplaints or severe pain and blurred vision of the righr eylf. whJdj
background of an increase In blood pressure. to 180- and 90-mm Hg, The pa111m1 reported single vom11ing that drd nor bnng Nt1ie£i
examln<1t1on, the followi ng data were obtained: visual acuity of the right eye = 0.09 is not corrected, visual acurty of lhe left eye ~ 0.f
1.0, Biomjcroscopy of the right eye re.veal ed a stagnaht inJection of the eyeball, corneal edema, small anterior chamber, irrs bomba
pupil is dilated. d o es not re_act to J19ht. IOP OD 56 mm Hg. What is , your prellmina,y diagnosis?

:10 l Lacrimal sac phh,gmon

2 Acute auack o f glaucoma

3 Total reUnal detachment

4 F1b nnous-plastic lridocycll11s

5 R..<>trobulbar neurms
.
• 1 33 34 35 36 38 39 40 41 ,o
 Bonpoc: N233
A 14-year-old gut was refeired to an ophthalmologist at the place of residence with complaints of decreased vision. p,,on in U.
condition had been botlienng her for the last month. ObjectNoly; visual acuity In both eyes = 0.4 On tne cornea Wllhrn the open
fissure. there 1s a rrbbon-l1ke opac,ty 4 mm wide, on !he posterior surface of the cornea, there are dust Ilk• precipnates. Oestruclion ill
v1treou, body. What 1s your presumptive diagnosis?

OreeTbl(OAHH OTBeT)
1 Behcer s disease

2 Reiter's disease

3 Stlll's disease

-4 Misrchesam d1se,lse

S MMfan s dJ:seaSce

1 29 30 31 32 . 34 35 36 37 so •
 Bonpoc: N!?43
72 year- old woman ad1n1tted to emergency room with complaints or pain 1n ihe ler1 eye, rndlal!ng 10 the left half of l'1t',
photophobia, blepharospasm, deqeased vision. Objective examination; VOO =1,0, VOS: incorrect light percept,on. The eye ls

-
onp0<
cornea is edematous, the anterior chamber is deep, tremor or the iris Is d1,ierm1ned, the pupil 1s irregular, stnan wh,t" particles of lens
detected 1n the an terior chamber. The fundus of the eye 1s not good visible. Wllat type of secondary glaucoma has this patlenrl

0TBeTbl(OAHH OTBeT)
l
,.. Postuveal

2 Neoplastic

3 Phlebohypertensive

4 Phacolyt1c

s Pomraumauc

• 1 39 40 41 42. ¢' JS 46 47 50
 Bonpoc: N238
lhe mother of a 3-veal-old th1ld was referred to an ophtholmologlst with compla1n1, of •n unus.uaf shaPt of a. pa,ptl
anamne51s, dunng prl'gnoncy 1n the early stoges, there were m1scamage nsk.s. laid on Iha pres~rv•hon of ll'"'JfWICy Olt
,.-, DOl'fpc)( has a teyhole stiape w,th no nis at 6 o'clock. The pupll'.s. response to light is prl'Senled. Wh•I is yourd..,gnos,s"' u... , -
tt .. ~ l!OMDOI..

onpae,
OreeTbl(OAMH OTBeT)
1 Coloboma choro,d

2 Coloboma or the ins

:02
3 Poltcona

4 G>rectopia

5 :i.n1nd.ra

• 1 35 36 37 . J9 40 41 Jl
 Bonpoc: N!!44
A 17 year old man with hi$ son canu• to the doctor of the polychn1c. The teenager cornplains of blurred v,s1on in ~ IWfflllO.
patient, the i.ymptoms appeared about a yedr ago fo1 no reason, Objecclvely- visual acu,ty m both eyes ~ 0.7. The anr.-ior
are unchanged The tundus of the eye: the optic disc 1s pale, the boundalies are clear, on the periphery of the fundos along~
there are multiple dark brown pigment deposits In the form of "bone bodies • The ffelds or view are sharply narrowed Wh.tt Vllar1IIII
can be the cause of th,s pathology?

Oreerb1(0AMH oreer)
1 Vitamin E

2 V1tam1n I(

3 Vitamin A

4 V11am•11 D

5 V·tam, C
•

1 -10 ,16 47 ,18

 Bonpoc: N 2
A 70-year-oled woman appled to ophthalmalogist with
complaints of a sudden decreased vislon cfherright eye, she
moted this after Increased Her blood pressure.
Ophthalmologlcal examinatlon revealed rio changes of
anterlor part but no red refex fromfundus. What is your
prellminary diagnosls?

OTBeTbI(oquH OTBeT)
Central retlnal artery occlusion

2 Complete complicated cataract

Acute angle close glaucoma

Total retinal detachment

5 Vitreous hemorrhage

1 2 5 6 7

50

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 N94
Bonpoc:
producedby
Intraocular
fluuld is
OTBeT)
OTBeTbI(oqUH

Lens
Chorioid

Cornea

Ciliary body

Iris
5 1
5 6
3 4
2

50

7 B 9 10
1 2 345
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6
17 18 19 20
11 12 13 30
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21 22 23

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 Anam Hayuan

Bonpoc: N°3
Main function of retina

OTBeTbi(oAMH OTBeT)

Supportive

2 Protective

3 Light perception

4 Refraction of light

5 Trophic

5 7
50

45 78 9 10
11 12 13 14 15 16 17 18 19
20
21 22 23 24 25 26 27 28 29 30
2UwiUUUUw w.th Co
 Bonpoc: N°5
What diagnostic condition characterizes protanomaly

OTBeTbi(oquH OTBET)
Abnormal perception of green color

2 Abnormal perception of red color

3 Abnormal perception of violet color

Abnormal perception of yellow color

Abnormal perception of blue color

1 2 3 4 5 6 7

9 50

2 345 6 7 89 10
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30

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 Anam Hayuon Ru

Bonpoc: N97
A 13-year-old schoolboy complalns of visual impairnent
while reading. He sees well In the distance. Visual acuity in
both eyes = 1.0. Eyes are healthy. What is your presumptive
diagnosis?

OTBETbi(oqMH OTBeT)

1 Myopia

2 Amaurosis

3 Amblyopia

4 Hypermetropia

5
Call Copy Share Select all

1 3 5 3

10 11 50

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Bonpoc: N°8
Eye refraction with spasm of accommodation (If emmetropic
eye)

OTBeTbi(oqMH OTBeT)
1
Becomes astigmatic

2 Becomes presbyopic

3 Becomes hyperopic

4 Becomes myopic

5 Becomes anisometropic

A 5 6 7 8 9

10 11 12 50

3 4
6
5 7 8 10
11 12 13 14 15 16 17 19 18
9
20

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 AnaM Hayua Kg Ru

Bonpoc: N99
A 32-year-old woman turned to an ophthalmologist with complai
decrease in visual acuity over the past year. From the anamnesis i
|that the patient has been wearing glasses for myopia since childhd
ormal, the optical media were transparent. Coarse pigmented le
the likely cause of this condition?

OTBETbi(oAMH OTBeT)

1 Retinal detachment

2 Vitreous hemorrhage

3 Retinal hemorrhage

A
4 Coloboma choroid

5 Detachment of the vitreous body

1 5 6 1 8 9 10

11 12 13 50
 Bonpoc: Ne10
With orthophoria, the angle between the optical and visual
axes is equal to:

OTBeTbI(onuH OTBeeT)

1 5-8

2 9-10

3 5-6

4 3-4

1-2

1 6 7 8 9

13 14 50

1 2 3 4 6 78
5 9 10
11 12 13 14 15 16 17 18 19 20

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 Bonpoc: N°12
wavelength?
lIs a
medium
following colors
Which of the

OTBeTbI(oquH OTBeT)

Orange

Blue
2

3 Green

A Red

12 13
10 11
1
9

16 50
14 15

5 6 8 9 10
7
1
2 3 4
14 15 16 17 18 19 20
1112 13
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40

41 42 43 44 45 46 47 48 49 50

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 AnaM Hayuan Kg Ru

Bonpoc: N°18
A 45-year-old man underwent subtotal penetrating
keratoplasty. What is the optinal time to remove stitches?

OTBeTbi(opuH OTBeT)
3-4 months

2 4-5 months

3 3-4 weeks

4 1-2 months

5 6 months

1 14 15 16 17 18

19 20 21 22 50

1 2 3 4 5 6 7 89 10
11 12 13 14 15 16 1718 19 20

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 Bonpoc: Ne19
The patient's examinatlon
revealed
simple, direct nyopic
astigmatism in 3.0D. What
treatment should
correct vision? be applled to

OTBeTbI(oAMH OTBET)
1
Spherical concave 3.0d

2 Cylindrical concave3.0d

3 Cylindrical convex 3.0d

4 Spherical convex 3.0d

5 Spheroprismatic concave 3,0Od

* 15 16 17 18

21 22 23 50

12 3 4 5 6 7 B9 10
11 12 13 14 15 16 17 18 10 20

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Bonpoc: N°20
Patient K., 47 years old, consulted an ophthalmologist
at the
place of residence with complaints of stinging,
redness, pain,
decreased vision of the right eye. From the
anamnesis it was
found that he had been suffering from chronic
dacryocystitis
for 2 years, was treated conservatively. Pain
and redness of
the eye appeared for the first time. Examination revealed:
severe precorneal injection of the eyeball. The cornea
is the
inner segment is eccentrically dull, edematous; there a
is
depression in this area. One edge of the depression is raised,
crescent-shaped. In the anterior chamber hypopyon 2.0 mm,
the pupil is narrow, rounded; the iris is hyperemic, edematous.
What is your diagnosis?

OTBETbi(oauH OTBeT)
1 Corneal ulcer

2 Corneal erosion

3 Corneal vascularization

4 Corneal dystrophy

5 Corneal anomaly

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 Anam Hayuwag Kg Ru

Bonpoc: N 21
The patient complains of incomplete closure of the eyelids,
dryness in the eye, redness of the eye especially in the
morning, lacrimation on the right. Which nerve damage is the
cause of this pathology?

OTBETbI(OauH OTBeT))

Oculomotor

2 Visual

3 Abducent

4 Facial

5 Pathetic

17 18 19 20 21

22 23 24 25 50

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Bonpoc: N°22
Normal color perception

OTBeTbI(oAuH OTBeT)
1 Dichromasia
2 Pentachromasia

3 Monochromasia

4 Achromasia

5 Trichromasia

1 18 19 20 21 22
23 24 25 26 50

1 23 4 5 6
7 8 9 10
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29
30

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 Bonpoc: N°23
A 12-year-old girl turned to an ophthalmologist with a
complaint of decreased vision while wearing previously
ann
prescribed glasses (5 OD) When examined by
ophthalmologist, it was noted that the patient's myopia has
recently increased every six months by 0D, anterior
1

posterior size of eye is 25 0 mm, the ginl's parents have

moderate degree myopia How do you explain the
progression of myopia and your recomnendations
for

treatment?

OTBETbI(opMH OTBeT)

1 Extension of the eyeball along the axis, LASIC is

recommended

2 Extension of the eyeball along the axis, keratotomy

is recommended

presence of axial myopia, scleroplastic surgery

iss
3
Tecommended

Extension of the eyeball along the axis, keratoplasty

S tecommended.

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 Bonpoc: N°24
A 2-year-old child showed swelling of the right eye, a
violet
blue swelling of the sclera, and cry when closing
the eye. In
thedistrict clinic, a diagnosis was made adenoviral
conjunctivitis, treatment was prescribed
according to the
diagnosis, but no improvement was observed.
Later, the
wrong diagnosis was revealed.
What diagnosis must be
to prescribe the correct
treatment?
made

OTBeTbI(opMH OTBeT)

Scleritis

2 Iridocyclitis

3
Choroiditis

Blepharitis

5
Conjunctivitis

20 21
22 23
25 26 24
27 28
50
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 AnaM FayilajA

Bonpoc: N925
A47-year-old man came to the hospltal with complaints of
the sudden loss of vision in his right eye. Anarmnesis:
Suffering from high risk of hypertension for 20 years
Objectively VOD= 1/o pr.l.c, anterior part of the eye is not
changed. The fundus reflex is absent. Presurmptive diagnosis:
complete hemophthalmos of the right eye. What additional
examination is required?

OTBETbI(oAMH OTBeT

1 Measure intraocular pressure

2 Ultrasound examination of the eye

Ophthalmoscopic examination

4 Optical coherence tomography

5 Gonioscopy

1
21 22 23 24 25
26 27 28 29 50

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 Bonpoc: N°27
A patient consulted a doctor after a contusion of
the eyeball
with complaints of decreased vision. When
viewed in
transmitted light, dark Soating opacities are visible
on pink
reflex background. What Is your presumptive diagnosis?

OTBeTbI(oaMH OTBeT)

Retinal hemorrhage

2 Corneal opacity

3 Partial hemophthalmos

Complicated cataract

5 Subtotal hyphema

1 23 24 25 26 27
28 29 30 31 50

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Bonpoc: N°28
A 69-year-old man has complaints on
severe pain, decreased
vision in the left eye. From the anamnesis
the pain appeared
suddenly, 3 days ago. On examination,
the eyes are injected,
the cornea is edematous, the anterior
chamber is shallow, the
pupil is mydriatic, the lens is opaque.
The fundus of the eye is
ynot visible. lOP is increased. Diagnosls: Hyper
mature
cataract, phacomorphic glaucoma of the right
eye. What kind
of treatment is advisable before surgery?

OTBETbi(ogMH OTBeT)
1 Sedation therapy

2 Analgesic therapy

Anticoagulant therapy

4 Anticonvulsive therapy

5 Hypotension therapy

24 25 26 27 28

29 30 31 32 50

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 Bonpoc: N 30
A 35-year-old
patient consulted
complaints of severe an ophthalmologist
burning sensation, with
object vision, swelling a sharp decrease
of the eyelids in
to the patient, while of both eyes.
According
working on the
acid got into the eyes. Objectively, hood of the car, sulfuric
are 0.1, the eyelids the functions of
are hyperemic, both eyes
de epithelized, edematous, the cornea is
the intraocular media
fundus is normal. is transparent,
What kind of the
situation? necrosis can be in this

OTBeTbI(oauH OTBeT)
1
Soldered

2 Dry

3 Wet

4 Bubble

5 Powdered

1
26 27 28 29 30

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 Bonpoc: N931
The mother of a one-year-old child referred to
an
ophthalmologist, complalning of moderate
photophobla and
constantily wide pupils of both eyes. From the
anamnesis, the
mother suffered the flu during pregnancy On
exanination,
the cornea ls transparent, the iris's rim of the root
Is visible,
with lateral illumination, the contours of the lens and
the
ciliary girdle are visible. Whal is your next
tactic?

OTBeTbI(oAMH OTBeT)
1 Prescribing a hard contact lens

2 Prescribing a cosmetic contact lens

3 Prescribing an orthokeratological lens

Intraocular lens prescription

Prescribing a corrective contact lens

1 27 28 29 30 31

32 33 34 35 50

12 3 4 5 6 7 8 19920
10
11 12 13 14 15 16 17 18
21 22 23 24 25 26 27 28 29 30
32 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 50

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 Anam Hayuap Kg Ru

Bonpoc: N932
All of the following are histological changes in glaucoma
except

OTBeTbI(oauH OTBeT)

loss of the outer nuclear layer of the retina

2 peripapillary atrophy

thinning of the retinal nerve fiber layer

4 posterior bowing of the lamina cribrosa

5 loss of the ganglion cells in the retina

28 29 30 31 32

33 34 35 36

12312 13 144 155 1667 B 9 10

11 178 19 20
21 22 23 24 25 26 27 28 29 30

319 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 50
32
G ll4i

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12:37 TecTMpOBaHMe
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X A
X avn.kgma.kg
Bonpoc: N°33
ophthalmologist
consulted an the right eye,
33-year-old patient vision in
A
sharp decrease in he suffered
complaining of a week ago
ago. A
noticed 2 days visual acuity of the
which he has Objectively:
right-sided sinusitis. right eye is calm, the
acute corrected). The eye: the optic
(not of the
right eye = 0.2 transparent. The fundus edematous.
is blurred,
optical media hyperemic, its borders are arteries are
nerve head is vitreous body, the filleed
into the vascular funnel is
slightly protrudes convoluted, the
The veins are
retinal periphery without
dilated.
exudate. Macular region and The eye is healthy.
with = 1.0.
Left eye visual acuity
pathology.
presumptive diagnosis?
What is your

OTBeTbi(oaMH OTBeT)
nerve head
1
Excavation of the optic

Ruptured optic nerve

2
nerve
Atrophy of the optic
op nerve
Congestive papilla of the

5 Optic neuritis

31 32 33
29 30

36 37 50
34 35

12 3 4 5 6 7 89 10

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A avn
X kgma.kg

Anam HayuiaA Ka Ru

Bonpoc: N934
What is the displacement of the lens called?

OTBETbI(oqWH OTBeT)

1 Atopy

2 Heterotopia

3 Subluxation

4 Fakotopla

5 Atony

1 30 31 32 33 34

35 36 37 38 50

1
2 3 4 5 6 7 8 9 10
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30

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Anam HaywoA

Bonpoc: N°35
15 years
suffering from dlabetes for
A 55-year-old patient
that is protrusing into the vitreous
experiencing a shwart body in the
hemorrhage in the vitreous
body after extensive appearance of newly forrned
optic herve. The
yarea of the Diagnosed with total
vessels is noted in the shwart.
further tactics of managing
hemophthalmos. What are the
this patient?

OTBeTbI(oqMH OTBeT)

1 Dacryocystorhinostomy

2 Evisceration

Vitrectomy

Sinustrabeculoectomy

5 Enucleation

1 31 32 33 34 35

36 37 38 39

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Bonpoc: N°37
A 49-year-old patient admitted to the emergency room with
eye,
complaints of severe pain and blurred vision of the right
nausea, vomiting. haloes aound the licghts. She has increased
pressure 180/90 mm Hg. On examination VOD 0.09
blood
n/c, VOS= 01 (+) 3 5D 1.0, Blomicroscopically- OD
shallow anterior
injection of the eyeball, corneal edema,
to
chamber, iris bombe, the pupil is dilated, does not react
mm Hg
ight The intraocular pressure of the right eye is 56
What is your preliminary diagnosis?

OTBeTbI(oAMH OTBeT)

Acute obstruction of the central retinal vein

2 Acute bacterial conjunctivitis

3 Acute angle close glaucoma

Acute obstruction of the central retinal artery

5 Acute fibrinous iridocyclitis

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Bonpoc: N940
Patient 40 years old, complains of a gradual decrease in
vision in the left eye. Anamnesis suffered a head injury a year
ago Ophthalmoscopy revealed pallor of the optic nerve head
from the temporal side, the borders of the disc are clear, the
vascular bundle in the center, the arteries are narrow. What is
the most likely diagnosis?

OTBeTbi(oquH OTBeT)
Excavation of the optic nerve discs

2 Retrobulbar optic neuritis

3 Congestive papilla of the aptic nerve

Atrophy of the optic nerve

5 Ruptured optic nerve

36 37 38 39 40
41 42 43 44 50

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Bonpoc: N°44
to the emergency room
wlth
A 74-year-old man admitted
severe pain, decreased vision in the lefi eye
complaints on
medical history, patlent's diagnosis was imimature
From the eye is red, the
of the right eye. On examination, the
cataract
chamber is shallow, the
cornea is edematous, the anterior
1he lens opaque, and swells. The fundus
pupil is mydriatic, is

eye is not visible. Diagnosis is Hyper mature cataract,

1of the
eye. Which of the more
phacomorphic glaucoma of the tight
diagnosis?
appropriate treatment for this

OTBeTbI(oAMH OTBeT)

1 Corneal transplantation

2 Dacryocystorhinostomy

3 Sinus trabeculectomy

4 Sclerectomy.

5 Extraction of the lens

1 40 41 42 43 44

45 46 47 48 50

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AnaM Haywap Ru

Bonpoc: N943
A 16-year-old patient complains of low vision in both eyes.
Vision is poor from birth. He doesn't use glasses because
they are not suitable. Objectively visual acuity in both eyes =
02 (not corrected). The accessory apparatus of the eyes is
normal The eyeballs are calm Anterior sejments without
VIsible pathology Optical envitonments are transparent. On
the fundus of the optic nerve, discs are pale, somewhat
reduced in size. No other pathology is visible. What is the
pathology of the optic nerve??

OTBeTbi(oquH OTBET)
1
Congestive papilla of the optic nerve

Aplasia of the optic nerve disc

3 Ruptured optic nerve

Excavation of the optic nerve discs

5 Retrobultbar optic neuritis

39 40 414243
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Kg Ru
Anam Haywag

Bonpoc: N941
An 80 year-old woman consulted with an ophthaimologist of
in her
the FMC with complaints of decreased object vision
left eye, according to the patient, her vision has been
gradually decreasing for the last 2 years. With visometry, the
function of the left eye is 0.05, intraocular pressure is normal
with ophthalmoscopy, the reflex is gray. Diagnosed with
cataract. What additional examination does this patient need
to confirm the dlagnosis?

OTBeTbi(ogMH OTBeT)

1 Fluorescence angiography

2 Ultrasound examination

3 Non-contact tonometry

Optical coherence tomographyy

5 Automatic refractometry

1 37 38 39 40 41

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Bonpoc: N942
What is the presence of an artificial lens in the eye called?

OTBeTbi(onuH OTBeT)
1
Aphakia

2 Artiphakia

Dysphakia

Monophakia

5 Diphakia

1 38 39 40 41 42

43 44 45 46 50

1
2 3 4 5 6 7 89 10
11 12 13 14 15 16 17 18 19 20
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40

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AnnM Hayunn Ko

Bonpoc: Ne45
An objective examination of a patient has disclosed a
syrmbiepharon. Accordirig to the words, the patient suffered
an eye injury several yeats ago This pathalogy isa
complication of what trauma?

OTBETbI(oAMH OTBET)

1
Crushing injury of tthe eyeball

2 Contusion of the eyeball

3 Penetraling wound

4 Eye and adnexa burns

5 Foretgn body of the conea

41 42 43 44 45

47 48 49 50

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Bonpoc: N°46
A 25-year-old woman consulted an ophthalmologist. with
complaints of pain in the cye, lacrimation, photophobla,
blepharospasm, redness of the right eye. Accordiny to the
words, a few drops of acelic acid got into the eye. An
objective exanination revealed corneal erosion. Which of the
following is contraindicated for a patient?

OTBeTbI(oqMH OTBeT)

Korneregel 5%

2 Dexamethasone 0.1%

3 Riboflavin 0 02%

Solcoseryl 5%

5 Levomycetin 0.25%

42 43 44 45 46

47 49 50

7 23 4 5 67 8 9 10
11 12 13 14 15 16 17 18 19 20
2122 23 24
25 26 27 28 29 30
31 32 34 35 36 38 39 40 37
33

11 42 434 454 47 48 49 50

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AnaM HayuwaA RU

Bonpoc: N947
The preferred therapy for Infantile glaucoma is:

OTBeTbi(opMH OTBer)
1
Topical ß blockers

2 Opical bromonidine

3 Pilocarpine 1%

Trabeculotomy or goniotomy

5 Oral acetazolamide

43 44 45 46 47

48 49 50

1 2 3 4 5 6 7 8 9 10
11 12 13 14 1718 19 20
15 16
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 50

OTBeyeHHbtM Bonpoc
iponyuieHHtiM BOpoc
Tekyum Bonpoc

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D
X
avn.kgma.kg

AnaM Haywap Kg Ru

Bonpoc: N 48
Which of the following symptoms patients with
cataracts
more likely to have?

OTBETb(oguH OTBeT)
Hemianopia

2 Concentric narrowing of visual fields

3 Sudden decrease vision

4 Sudden narrowing of visual fields

5 Gradual decreased vision

1
43 44 45 46 47

48 49 50

1 23 4 5 6 7 89 10
11 12 13 14 15 16 1718 19 20
21 22 23 24 25 26 27 28 29 30
31 32 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 500
oTBeueHHbiM BOfnpoc
iponyu4EHHIM Bonpoc
TeKyumn Boipoc

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 Bonpoc: N!!7
An office w r r of O y Id, camel lhe do Im with c0mplamts o httigu in the y c, , p1d far, ue, frequen DiffllliOfl
VOU = 1.0. Th ey ar completely -aim. The movem nl c t the ·yes is t10 cl nge l. Anteri r segment of he eyes .......~.I'll
media ts ran paren . Th rndus f the e 1e i no , ma I. fracto InPtric - em metrop ·a. She i s d1ag nosed With accommodalliilll
be prescrib d o

0TeeTbl(OAMH OTBeT)
1 Sodru,

4 p

1 1
 Bonpoc: N243
A 78-year-old wo man referi ed to ophthalmologist com plaining of a decrease in object vision in the left eye, lade of object vision in~
according to the patient; vision has been gradually decreasing for the last 2 years. With visometry the function of the right eye is O.OOS.
functions at 0.2. intraocular pressure ls normal, with ophthalmoscopy, the reflex is gray. Clinically diagnosed a~ a mature cataract of the
immature cataract of the left eye. What method of treatment ls advisable to prescribe for~his diagnosis?

0TBeTbl(OA"1H OTBeT)

.J Disci <sion of the secondary cataract

~ Dacr1ocystorhinostomy

Extraction 9f the lens

Sinus uat.e,;ulectorny

Corn eal t1an;11ian1a1ic,r

46 47 so
39 -10 .J 1
I
 Bonpoc: N!!41
Indicate the reason which, from your point of view, cannot lead to the development of an acute angle close glauc:om,ii:

0TeeTbl(OAMH OTBeT)

1 0 Prolonged staying in well illu,ninated room

2 0 Working in head tilt position

3 Medicated pupil dilation without tonometry

4 Prolonged stay in a dim room

5 Stress

• 37 38 39 40 42 43 44 45 ., . so
 Bonpoc: N!!15
The mother bro ug h t the child to the doctor with complaints of poor vision in both eyes. Notes that the child wore glasses t,,
but for unkno wn reasons he stopped wea ring the m. With an objective examination at the moment, glasses do not help him.
transparent. The fund us of the eye is normal. What type of amblyopia does a child have?

1 0 Refractive

2 CJ Disbinocular

3 'J Anisomecropic

4 ~
'
Obscuration

5 Ge nettC

16 17 JS 19 so
1I 12 13
1

- -

=\
 Bonpoc: N!!49
A 60-year-old patient ca1rie to the hospital ,v11h complaints of acute pain in the 119h1 eye. herldache decrea~ vision. haloes
anamnests he had hypertension. Ambulance doctor made injection but no changes Qve, the pa,• the_.,
'f'!ar several limes he hid
did not apply to the doctor On examination: Th e right eye is red, the cornea is cloudy an1e11or ch.1mber IS shallow the iris ised1 au:(i
wide d oes not react to light. The left ~e is calm IOP of OD dig1taoiy is ncreased n.estone DiagllOSIS is anglt: ct= glaucoma. Will
s hould be performed differential diagnosis?

t, J 3.cute k.erautts

2 AcutE da r1ocystit1S

. ·s
3 Acu-e co uncf

4 A e

5 ·-
...,c -
 Bonpoc: N!?25
A 20-year-o ld ~tient consulted ,1n ophtholmologist with complaints of low object v1s1on and squint of the left'¥"· ~
uncorrectecl. Esothropia o f the left eye -250 tHirshberg test) . l he fundu~ of the eye is normal. Oefine treatment Taetic

0TeeTbl(OAHH OTBeT)

1 ~ Recession of lower oblique musde of the left eye by 5 mm.

2 Recession of superior rectus muscle of the left eye by 5 mrn.

3 Recess1011 of superior oblique muscle of the left eye by 5 mm.

4 Recession ot medial rectus muscle of the lett eye on 5 mrn,

5 - Recession o1 lateral recius rnuscle of the left eye by 5 mm.

21 22 23
 Bonpoc; N!!46
A 46-ye;ir~o ld patient complains of a gradual decrease Tn vision fn both eyes. An objective el<amination revealed an iriaC&iC!
in both eyes. Ophth,1lmoscopically, the optic disc will dom,n.,e lorward the boundaries are indistlna. fhe velros are sharply
n1edlum, hemo rrhage nea, the optic nerve head. Formulate this patient's condition.

0TeeTbl ( OA..iH OTBeT)

1 (.J Inc.reased erylhrocyte sedimer,tation I ate

2 () Increased intracranlal pressure

3 Increased blood glucose

4 Increased ,ntraocular pressure

5
lncre.,1se in leuk-0cytes In the blood

1
-13 -15 II 47
.19 -19 50
 Bonpoc: N~2
Nutrit ion of what vascu lar network needs to be strengthened in case of corneal bums?

Oraetbl(OAHH OTBet)

1 0 Posterior short ciliary arteries

2 ("\
- Lim bal capillaries •

3 r Central retina l ve in

4 -
f Central retinal artery

5 Anterior ciliary arteries

1 3 4 5 6 7 ... so ..
 onpoc: N!42

What is e d gree f the patten ·s burn?

1 0 ff

3 U

5 ,v
38
 Bonpoc: N~17
The right eye of a 9 yea1-old child is constantly deviate inward, the le~ eye is in normal condition. The optic,11 media of both
fundus of the eye is without pathology. Visual acuity of U1e right eye= 0.02 uncorrected, the left eye: 1.0, What is the lilcl!ly

0TBeTbl(OA"1H OTBeT)
1 0 Muscular asthenopia

2 ".) Hypermetropia

3 - Retinal detachment

4 •.) Complicated cataract

5 tv1yopic disease

1 13 14 15 16 18 19 20 21 50 •
 Bonpoc: N!!45
I r1,111 birth. .i tour -year alt! , hild cons1a11\ly squints his right eye. On elCatnltMtion: visual ~c;uf!y er the nght eye - o.os "001 r~rre,t~d
Ophthalrnoscopically The optir disc is pale, lhe borders ate contoured. Tltt> retinal arte.11es arl! harrowed H,stnry cit hyP"nens,vr• .,,.,,dram~ w~.,
pcllholoyy of the optic nerve has caused the child's vision to decrease?

Oreerb1(0A111H
, Ruptured optic- nerve
OTBeT)

2 Optic neurilis

3 Ccngestlve papil la ot the optic nerve

4 Excavation .if the optic nerve hea1:I

5 Arroph c,t rhe optic nerve

,I I -1-3
 Bonpoc: N229
A 45- year-old man has referred to the FMC with complaints of a sharp decrease in vision, nashing of Illes in frQnt of his left
was noted that the day befo re he had su ffer ed to nsilli'tis. On examination, the vis1J;il acuity of the left eye = 0.02. The Id! eya111
segment is not changed. When examining the fund us, a focus in the central zone of 03 pd witn Indistinct bor(ie,s, yeU10W1'sn-,,a,
around is infiltrated, edematous. Whal is your presumptive diagnosis?

OreeTbl (OAHH OTBeT)

1 n Papillftis

2 Centt-al choroiditis

3 Cenrral retinal degeneration

4 Age-related macular degeneration

5 Peripheral charoidltls

30 )1 33 50
... 26 27 28
1
 Bonpoc: N!48
A 4 S-year-old \\'on1an has cornpldrnts ol redn,•ss and d1Scomfort in her eyes From tne df1amne!ll!I, the
last 8 months. about whkh sh~ has not applied somewhere, she works ,n a sewing w111ksh11p, .illd slle
conditioner). Object1Vely: VOU .: 1.0, the eyes are slightly Injected, frequen1 blinking Jr,tl xero,;,~ ol the
ophthalmoscopic picture is normal. What is you r presumptive diagnosis?

O r eeTbl (OAMH OTBeT)

..
1 0 Vira l conjunct1v1trs

2 ) Dry eyE syndrome

3 Kerar,us

4 Ct r~ruc dacryocysrrtls

s B1ept1dn1ts

-
A Ac! j .If, I
II ,r,
 Bonpoc: N°30
\\hat 1s tf1,, 1111':~t cle1111111o1nl 'ly111plcH11111 rlry PY<'
S}'4ldill111C?

0TBeTb1( OAt1H OTBeT)

1 Feeling of foreign body sensation in the eyes

2 Feeling of itching in the eyes

3 Feeling of burning in the eyes

4 ' Feeling of heat in the eyes

5 Feeling cold in the eyes

1 26 27 28 29

31 32 33 34 50 »
 (D i:lVll k q 111,1 kq/W1 ltl I [I) 0

A 71~ yc•,11 <1ld p,1t1t•11I 1:0111plt1111•, of dcc,rr·.ited

vl~;1an When l'Xdl1l11 il11CJ the f1111dt1'i of l,r,l~t eyer,,
t,vtsled and d1latetl veu 1s at" v1siblP The arteries.
are 11a1 ,ow, obliterated In places In places nhere
the artery crosses the vein, the latter becomes
invisible. Focal retinal opacities. Multiple
hemorrhages along the vessels. In the area of the
n1acula, yellow-white foci, and plasmorrhages,
forming a star shape. Discoid macular edema of
the retina. The optic nerve is practically
unchanged. Make a p reliminary diagnosis.

OTeeTbl(OAltlH OTBeT)

1 .
() Hypertensive angiopathy

2 C Hypertensive retinopathy

3 1J Hypertensive angiosclerosls

4 Hypertensive scleropathy

5 Hypertensive neuroretlnopathy
 11JlrrtlllJ ' hVI'"' l•'ll IV•' I rl I I""'
It 1111 nt llo.
de'< 1, ,1 , d 111 lcJII nl 1h11 thJIII royn 1111 <It· r I r
1n v1•;1t111 vvn q111c k .111.t p,1l11h 1 , r1111••t 11,111,
,,1,;11,11 ,11 llilV L•I lh1• 11qltl "VI' (I 11'1 {11(,I
l ,,11r>1·1,•d) I 11•• ,•y,·I> ill 1·. 11(11 lftJPr l•·rl l1ntor1c,r
,,,•g111P11I Ill till' ,,y,· w1!1111111 v1·,ll,l1• p.1tll<,ll1~1J c,ri
11,1, tt1nd11:;, ,111 rtlL1111Hh1t1<::, f f'd di'..f t<; 1/l<,tblt', It£
,·on1<'(1f:i <111!' bh111ecl, poorly Vif,lbl{! duf• tr,
nu111erous he11101 tl1ages, recalls tongues of
flan,e Veins are dark, dilated, convoluted, in
places lost in the edematous tissue of the retina.
The arteries are narrow. Numerous streak-like
and large hemorrhages throughout the fundus.
What Is your p resumptive diagnosis?

0TBeTbl(OAlfiH OTBeT)

1 1 Macular retinal degeneration

•
2 1 Central retinal vein occlusion

3 Localized retinal detachment

4 1 Pigmented retinal degenerat1on

5 Occlusion of the central retinal artery

 (D ,l Vll k <j ll 1.t kq /w I 1t I I I OJ 0

B0n1>oc: N1'39

Tht' pal1t•t1t 1~. ,111 II Yl',11•. 11lrl ln,y, Wft', 1n the

su1ylr.1I dl•p.11 1t 11e11l with p111ul!'1JI peo1lton111s
Suddt.'nlv noticed a dee, ease in vision in the right
eye The ophtllalrnologlst was ca lled for the
consultation. Objectively: Righl eye is irritated,
n1ixed Injection, the iris is greenish, the surface is
smooth, there is exudate in t he vit reous body.
What is your diagnos is?

1 CI Rheumatoid uveitis

2 .... Toxoplasmic uveitis

3 Rheumatic uveitis

4 Metastatic uveitis

5 Syphilitic uveltls
 © dVll k(fl l hl ,kq W 11 1/Tt I III 0
tJOtlpoc : N l:.' -ttU

\ ,,l \(',II ,1ld 111,111 ltt111t•d lr, lliP r•111Prq1•111 /

S('IVICl' of till' 1•yp dt•p,11 11 111•111 Willi l:(Jtflplc1ir11·, of

se, ere sor 011ess. , ed11ess, decretiserJ (JIJJc!(,!lve
tile left eve, I rom the anamnesis, go!
1 ,s,on ln

Into an accident, hit his head on the windshield of

a car. \Vhen examined, the eyes were Injected, the
cornea was swollen, the anterior chamber was
irregular, the pupil was wide, and the lens was
cloudy, dislocated into the anterior chamber. The
f undus of the eye is not visible. What is your
presumptive diagnosis?

1 C Mature cataract

2 Partial hyphema

3 Overripe cataract

4 Secondary aniridla

5 Ectopic lens
 Bonpoc:NQ40
The patient, 40 years old, turned to the eye
trauma center with complaints of irritation and
pain in the right eye, lacrimallon, photophobia.
Anamnesis revealed that yesterday while working
1n the garden, he injured his eye with a branc h. On
examination: VOO - 0.4, VOS - 1.0. Pericorneal
1n1ection, the c ornea in the center when viewed
from the side fi g ht - opalescent; loss of smooth
in the optic al zone. The doctor inst il led
nuores cence solution into the conjunct iva I c avity
An area o f the cornea wit h a size of 2.0x1 .5 m m
turned g reenish. Diagnosed with corneal erosion .
What l s your treatment strategy?

O T BeTbl ( OAHH OTBeT)

1 antfb1otic and corneregel

2 Timolol 0.5% and Solcoseryl Gel

3 Pllocarpfne 1 % and Riboflavin 0.02%

4 Taurine 4% and Riboflavin 0.02%

5 Dexamethasone 0.1 % and corneregel

 (D :)Vil kgll l tl kll II I t III 0

B0n1>oc: N!:141
In:) J \ i',ll 1.1ld p.tlil'III I 01,1pl.ilr1<, ,11 ,hi.lip
,,1 v1s1011 i11 lhf' tlqht ryP 11ftt,r
,JCi're.1sl'
p0rf,)rn11ng e,cesslve physical 0.xP.r11or,
,\c·rnrdlng 1o tl1e words, he has been suffering
fron, high 1nyopia for 20 years. The patient
con1pla1ns of a dark "curtain" on top. An
ophthalmologist diagnosed with retinal
detachment . What is the mechanism of retinal
detachment in the patient?

0TBeTbl(OAMH OTBeT)

1 Mixed

2 Rhegmatogenous

3 Exudative

4 Traction

5 rraumat,c.:
 CD dVll kg,11.1,kq/W .. hl( t/1 I [TI 0

Bonpoc: Ng35

1\ yf',11 old p ..11le11t 1.;arne lo ophlht1lrnologit:t

h ·

V1 1tll con1plaints on tl1e absence of vis.ion of the

1

r1ght eye, a significant decreased vision of the

left eye. A gradual decreasing vision 1n both eyes
was noted within 2 years. The VOD= correct light
perception; VOS= 0.1 n/c. To examine fund us of
eye is necessary use mydriatic drops. What
examination is required before dropping
mydriatic drops to prevent complications?

1 Ci Ultrasound examination of the eye

2 Fluorescein angiography of the eye

3 J Tonometry of the eye

4 Automatic refractometry of the eye

5 Optical coherence tomography of the eye

 Bonpoc: N°3 8
A 6~ \l~.J1 11ld p.illl'lll 11,1•:" •.11,up rJ,,, 11•r1r:P 1n
,,s,011111'11'111ql1t t'Yl' I x11111111ulio11 nf the nqht
e) l' 1('\ \'Jled a shnrp ":lpast n of ti 1e ff>lin<il
, essels, ,n the 111acula a rounded focus of rlarJt
red color The above complaints are disturbed for
15 11ours. Diagnosed with occlusion of the
central retinal artery. Which of these drugs is
indicated for this patient?

0TBeTbl(OAMH OTBeT)

1 Pilocarplne

2 Furosemide

3 Dexamethasone

4 Cefamizin

5 Euphyllin
•

- - ---= - -

« ••• 34 35 36 37 38
 Bonpoc: N°45

1 Only antiglaucomatous surgery

2 Lensectomy

3 Extraction of cataract

4 Conservative treatment for decreasing IOP

.
5 Extraction of cataract and antiglaucomatous
operation

I I

1 41 42 43 44 45

46 47 48 49 50 ))
 Bonpoc: N"42

,\ 55 ~,11 -1,ld ,,vo111.111 ~u,11,, ln 1111• doctor an rluty

,v1th ri c~)r,1pl,,111\ ol severe pain in her left eye.
AC'<'(Hdlng to Iler, instead of eye drops containing
\ 1ta1111ns. she accidentally dripped "some kind of
liquid She can,e to the doctor in 15 minutes
after instillation. Diagnosed with chemical burn.
\tvhat drops should you injected to relieve the
patient's condition?

0TBeTbl(OAMH OTBeT)

1 0 lnocaine 0.4%

2 Dexamethasone 0.1 %

3 PHocarpine 1 o/o

4 Tropicamide 1'%

5 Atropine 1°1n
 CMHrx AAHTMI

Bonpoc: N"37
\\h,11 IS lht' pi•'St'lll t• 1111111 Ill IIIICifll 11111•, 111 lhfl C'/t

1,;; ;i II" d ~

0TBeTbl(OA"1H OTBeT)

1 Aphakia

2 Dysphakia

3 Monophakia

4 Diphakia
•

5 Artiphakia

(' 1 33 34 35 36

38 39 40 41 50 ))
 \\Ill.it IS lh~• c',"1:;p 111 hlir1d111••,:, dt1t1111 JHll!itlf/ t1f1r111

;i11ole ql,1ucl11n,1

0TBeTbl(OAHH OTBeT)

1 Total retinal detachment

2 Lens opacity

3 C Clouding of the vitreous body

4 Persistent corneal opacity

5 (, Atrophy of the optic nerve •

(( 1 40 41 42 43

45 46 47 48 so ))
 (D nv11 kgr11a.kg/w l.>t 1/i t IJ] 0

Bonpoc: NC?34

A 75 ye.11 old \>Vonlan consulted with an FMC

ophthaln1olog1st complainlng about laclr of
obJect vision in her right eye; according to the
patient, her right eye stopped seeing 3 months
ago. and her vision gradually decreased. With
visometry, the function of the right eye has a
correct color proj ection, intraocu lar pressure is
normal, With ophthalmoscopy there is no reflex.
What pathology are we talking about?

OTBeTbl(OAHH OTBeT)

1 C Hypermature cataract

2 Initial cataract

3 Immature cataract

4 Secondary cataract

5 Mature cataract
 - ~

Bonpoc:N241
~ 52-year·old male patientadrnitted to the emergency room with acu te angle close glaucoma. Wh1cl1 of the struaure is dosed amerior chamber
1ngle?

OreeTbl(OAHH OTBeT)
1 0 Neovascularizatbn

I, Genia S)'neth1ae

S The root 01:he 111s

Pupillary edg~ c t tt e iris

1 38
50
 Bonpoc: N!!11
Amblyopia revealed in 4-year-old child with visual acuity of 0.08 in an uncorrected hype ropic eye at 8.00. What treatment
improve visual acuity in a child?

1 0 Vitamin therapy

2 0 Pleoptics

3 C Antihista mine
.. 0 Magnetotherapy

5 -·
I_) Anti-inflammatory

« 1 7 8 9 10 12 13 1-1 15 50 ..
 Bonpoc:N~4
Absence of vision in left eye was revealed upon exarnf nation of visual activity of a 6-year-old child. According to the anamnesis that
blow to the head with a heavy metal object. Everything is normal in the fundus and pathological process in the brain is exduded. What,
prelimina ry diagnosis?

OreeTbl (OAHH OTBeT)

1 C Retinal rupture

2 Damage of cerebral cortex

3 _ Avulsion of o ptic nerve

,a Damage o f optic radll1on

S Damag-e of the optic ; ract

1 J 3 5 6 7 50
 Bonpoc: N!! 14
SO·year-old engineer applied for a consultation rn the eye office. Comptains that ft has bec;ome difficult to distinguish
1n the eyes and headaches after work. An objective examina ion r veal d a hyperopia of ( ) 1.5 diopter5. Wha{t wot1c gktslli
prescribed for work?

OmeTbt(oAMH oTe eT)

+) 2.0 diop ers

J ( ) 3.5 diopters

( ) 3.0 diop e~

(•) 2.5 diop rs

17 18 50
12 13 ls
1 .. 10 11
 A 3 -yea, -old child was b,o,ght to an ophthalmologist w,t, """ symptom, of""'-• " ' -
sta"ed 3 day, ago, accompanied by pedodic fe," and co,gh fo, , moo<hs When "'mi..,,,.,..,......,
<nm in dfamete, and the ,,., ,.1, goin• to it in t he fo,m of a "Y , ,. " ' '"• M lh, mm,. What,,... .........

1 OreeTbl(OAHH OTBeT)
0 Flictenular keratitis

2 () Corneal ulcer

3 '::) H erpetic keratitis

4 Leu coma of the cornea

5 Keratomycosis

« 1 16 17 18 19 ' I 22 23 24 so
 Bonpoc: N223
For the study of binocular vision of scho o lchild ren rt is necessary to use;

0TBeTbl(OA'1H OTBeT)

1 C Apparatus Refractometer.

2 -=. Goldman apparatus

3 Apparatus Belostotsky

4 Appa ratus Ophthahnornete r

5 P.ppara tus Golovin-Sivtsev

1 ... 19 20 21 22 ,5 26 27 50
<.
"
 Bonpoc: !29

........um ave di gno

'
s1

S\ U'

ar an n
elte• s d,
3 3
 Bonpoc: N!!1
The most thickened area of the sclera where attached:

0TBeTbl(OAMH oreeT)

1 0 Tenon capsule

2 C Internal eye n,uscles

3 ~ Internal palpebral ligc1ment

, - External pa lpebral ligament

5 £ye muscle tendons

4 5 6 7 so ,.
• 3
 Bonpoc: N~38
A 36-year-ofd patient \Vas admitted to the clinic of eye d iseases with complaints or severe pain in the left eye decreased 111sion.
of patient, a crystals ot potassium permanganate got into the eye about 40 minutes ago. Whal antidote 5hould you use?

1 '- Levomycenn solu tion

2 Ascorbic aad "SOlut ion

3 Furaol,n solution

4 Un1th1ol soluuon

5 pjbcflav,r so uuon

• ]5 3o 17 II 39 -10
 Bonpoc: N!!9
The patient's examinatio n revealed simple, c;lirect myopic astigmatism in 3.0D. What treatment should be

0TeeTbl(OAIIIH OTBeT)
1 0 Cylindrical convex 3.0d

2 O Spherical c0ncave 3.0d

3 c ylindrical concave3.0d

4 Spherical convex 3.0d

5 :) Spheroprismatic concave 3,0d

« 1 ... 5 6 7 8 • 10 I1 12 13 •• 50
 Bonpoc: N27
0-year-old man came to an eye trauma center complaining of photophob1a, watery eyes in the left r?ye. From the anamnesis, itWII
day before he worked in the garden and touched the eye with a bra nch On examination: visuc1I acuity of the left f!'Je - 03 on the
ntral zone of the epithelium rejection lesion 4 mm, the corneal surface above the lesion is dull and rough. What c1ddftional examillllkln'
make a diagnosis'

Staining with luracillin solution

Staining ,·11th a brillia nt green solution

Staining with fluoresce1n solution

Sta1n1ng with nboflavin sol.n-1011

Staining with pota ,s1urn soluuor

1
 Bonpoc: N!!12
Patient 59 years old. She went to a doctor With soreness in the upper eyelid, headaches and fever, which bothers her
purulent pustule was revealed in the upper eyelid. The damage is unilateral, painful with conjunctiva! edema. AnamnesJ,r
suffers from type 2- diabetes mellitus, had a flu a week ago. What is the cause of this disease?

0TBeTbl( OAMH OTBeT)

1 0 Pneumococcus

2 Ci Staphylococcus

3 rJ Mycobacteria

4 1) Gonococcus

5 Lefleu r"-s sticks

.. ... 8 9 10 11 13 1-1 15 16 .. so •
 Bonpoc: N!!8
In a 2-year-old child. an objective examination determihes bilateral convergent strabismlis, What diagnoslic method should be

QyeeTbl( OAHH OTBeT)

1 0 Tonometry

2 C Campimetry

s ') Perimetry

4 r Topography

5 Refractometry

1 ... 4 5 6 7
II 9 10 11 12 "' 50
 Bonpoc: N!!42
A 45-year-old man was referred lo the FMC with complaints of aching pains, photophobia. lacrimation. redness of the right eye. .
has worried him for the last 3 days. Objectively. visual acuity o f the right eye= 0.06. The eyelids are edematous. the conjunctiva is
there are precipitates on the posterior surface o f the con,ea, the. moisture of the anterior chamber is opalescent, the iris is changed
pink papules are located along the pupillary edge. What is the likely cause of this-condition?

OTBeTbl(OAIIIH OTBeT)
1 0 Kiebsie-Ua

2 Baalta Leffle r

3 Echino coccus

5tapl iylocaccus aLJ reus

5 Treponcma p;;llidurn

1 38 39 .JO '41 43 +l -1-5

 Bonpoc: N221
For several days, patient R, 52 years old, has swelling of the appendages, tenderness on palpation. lacrimatic,>n, fever, general malaise,
According to the words, lacrimation war ries for 3 years. Qbjectively, pronounced edema of tissue hyperemia in the medial adhesion
the left eye is determined The swelling extends to the eyelids,,cheek, and bridge of the nose. Palpation of tissues is painful, local t
increased. The eye slit is closed. Visual acuity is not reduced. The eyes are calm. What is the diagnosis In this patient?

1 0 Acute dacryoadenitis

2 : Angular blephi!"ritis

3 C Periorbital absce1u

r8 Phlegmon of the lacr'imal sac

Aeute daayoq•st[ris

1 "'
17 18 19 20 22 23 25 ..
 Bonpoc: N!!28
Pa rents brought a 1.5- yea, -old child tc,>the children's eye department wrth complaints of poor orientc1tlon ,n spaa,,
Objectively: OU - anterior pa11 of eyes without changes, the cornea is transparent, the anterior chamber is normal, t"8
t he lens is opaque, there is no red reflex. A diagnosis: Congenital cataract of both eyes and surgical treatment was
should be operate d as soo n a s possible?

0TBeTbl ( OAHH OTBeT)

1 O Preve ntion of retinal detachment

2 ;:, Preve11tion of retinopathy

3 Prevention of secondary glaucoma

4 Preven•ion of amblyopia

· er rors
PrE-vern,on o t de velopmer)t relract1v!'
5

29 JO 11
1 --
,i;
 Bonpoc: N!!34
S•year-old woman turned to an ophthalmolegist at the FMC with complaints o r pain, photophobia, watery eyes in the right eye.~
· the above complaints appeared 3 days ago, suffers from chronic sinusitis. On examination; visual acuity of the right eye= 0.l.
~ n. an ulcer on lhe cornea with a black vesicle in the center, pus in the anterior chamber, a narrow pupil. What conditions did you
?

0TBeTbl(OAHH OTBeT)

Corneal ulcer. conjunctiva! chemosis, miosis

Corneal ulcer keratoconus. miosls

Corneal ulcer keratomalacia hypopyon

eal ufcer, descemetocele hypopyon

eal ulcer mydriasis. ,nadarosis

1 30 31 32 33 35 315 37
 8 9 10
7 18 19 20 Bonpoc: N!!1
28 29 30
Select the appropriate characteristic for the posterior corneal epithelium:
38 39 40
48 49 SO
npoc
0TBeTbl(OA"1H OTBeT)
aonpoc

1 0 Structureless fibrous forn1ation

OC1aJIOCb: 2 0 One layer of polygonal cells, not regenerate after damages

2 3 0 Organized fibrillar structure

4 0 Most resistant to chemical attack

5 0 High r~genen1tion capacity

" II z 3 4 5 6 7 ... 50
"
 Bonpoc: N!!2
17 18 19 20
27 28 29 30 Function of aqueous humor:
37 38 39 40
47 48 49 50

eonpoc 0TeeTbl(OAIIIH OTBeT)

~ aonpoc

poc 1 0 Nutrition of the internal muscles of the eye

2 0 Nutrition of the optical media of the eye

Tecra OCTanoCb:

3 0 Nutrition of the optic nerve

37
•
4 0 Nutrition of the external layers of the retina

s 0 Nutrition of the inner layer of the sclera

« 1 11 3 4 5 6 7 ... 50 •
S 6 7 8 9 10
15 16 17 18 19 20 Bonpoc: N!4
25 26 27 28 29 30
Blind spot identifies under campimetry
35 36 37 38 39 40
54647484950

"""'" eonpoc 0TB8Tbt(OAMH OTB8T)

eHHbfH sonpoc
iii aonpoc , 0 In the temporal half of the visual field

HMR 1t?C'Ta ocranocb:

2 0 In the upper half of the visual field

0 ln the upper half of the visual field

11:31 3

4 0 In the nasal half of the visual field

s 0 In the upper Qasal quadrant of the visual field

« 1 2 3 II s 6 7 8 50 •
r6 1 8 9 10 Bonpoc: N!!S
fi6 17 18 19 20
26 27 28 29 30 Optic nerve is
36 37 38 39 40
46 47 48 49 50
1~ri1 aonpoc 0TeeTbl(OAMH OTBeT)
·MHbliol aonpoc
sonpoc 1 0 Sensory nerve

2 0 Axons pf ganglion cells

1"1A tecra OCT8JlOQ,:
3 0 Parasympathetic nerve
11:26
• 4 0 Motor nerve
IUl-1Tb 1eCT

5 0 Sympathetic nerve

1 2 411 6 7 8 9 50 •
 8 9 10
17 18 19 20 Bonpoc: N!!6 •
26 27 28 29 30
A 26-year-old patient complains of reddening of both eyes, profuse purulent discharge from them, feeling of a foreign body, stldcingof
36 37 38 39 40
46 47 48 49 50 the morning. The vision has not changed. Ill for 5 days. It began acutely, with redness of the right eye, after 2 days the other eye also hu¢.
preliminary diagnosis?
"eonpo<
ii sonpoc

0TBeTbl(OAHH OTBeT)

1111 recra 1 0 Oacryoadenitis

2 0 lridocyclitis
:47
3 " Blepharitis

4 ...,
~

Conjunctivitis •

5 Keratitis
•

" 1 2 3 4 5
II 7 8 9 10 ... so •
- 8 910 Bonpoc: N!!7
~ 1 8 1 9 20
5 26 27 28 29 30 Patient 59 years old. She went to a doctor with soreness in the upper eyelid, headaches and fever, which bothers her for 4
5 36 37 38 39 40 purulent pustule was revealed in the upper eyelid. The damage is unilateral, painful with conjunctiva! edema. Anamnesis
5 46 47 48 49 SO suffers from type 2 diabetes mellitus, had a flu a week ago. What is the cause of this disease?
1Hbli'i eonpoc
,e HH1>1i! eonpoc
~ sonpoc QyeeTbl(OAMH OTBeT)

pweH~" Tecra 1 0 Lefleur's sticks

:ta.nocb:
2 0 Mycobacteria
tB:40 3 0 Pneumococcus
W"1fb TeCT •
4 0 Gonococcus

5 0 Staphylococcus

C 1 3 4 5 6
II 8 9 10 11 ... 50

re to search
 Bonpoc: N!!S •

Patient U., 45 years old, complains of constant watery eyes from the right eye, especially when outside. She has wate,y eyes for 2 ~
36 37 38 39 40 position of the eyelids and lacrimal openings is correct, when pressing on the area of the lacrimal sac. there is no discharge. Tear lab Ill
46 47 48 49 SO Colored lacrimal test is negative. When the lacrimal passages are flushed, the liquid does not pass into the nose, it returns through the
wH aonpoc opening. left eye visual acuity =· 1.0. The eye is healthy. The lacrimal test is positive; when rinsing. the liquid passes freely into the nose: 1°'
HHbll< eonpoc Hg Diagnosed with inflammation o f the lacrimal sac. What operation is indicated for this condition?
sonpoc

0TBeTbl(OA"1H OTBeT)

1 0 Collagen crosslinking

2 0 Limbosclerectorny

3 0 Vitreoectomy

4 0 Penetrating keratoplasty

5 ) Dacryocystorhinostorny

... so
« 1 ... 4 5 6 7
II 9 10 11 12 •

here to search
 Bonpoc: N!!9 •

The right eye of a 9-year-old child is constantly deviate inward. the left eye is in normal condition. The optical media of both eyes ii
6 37 38 39 40 fundus of the eye is without patholo gy. Visual acuity of the right eye = 0.02 uncorrected, the left eye; 1.0. What is the likely cauRof
647484950

M sonpoc
Hbl~ eonpoc OTeeTbt(oA..,H oTeeT)
npoc
1 0 Complicated cata ract

oa,: 2 0 Hype rmetropia

0 Muscular asthenopia
:27 3

4 0 Myopic d isease
•

5 0 Retinal d etachment

« 1 5 6 7 8 II ,o 11 12 13 50 •

t,ere to search
 Bonpoc: N!!10 •
26 27 28 29 ~ A 16-year-old schoolboy at an ophthalmologist's office complains of itching, redness of eyelid margin, foamy discharge at !he
S 36 37 38 39 4i,) fissure, rapid eye fatigue when reading texts. What o phthalmological examination does he need to establish the cause of this
54647484950

HwH sonpoc
e MHblH eonpoc
ii eonpoc
1 0 Determination of corneal .sensitivity

2 0 Refractometry

3 0 lnigation lachrymal d ucts

4 0 Radiography of the orbit

5 0 Conjunctiva! staining with fluorescein

"
, 6 7 8 91111 12 13 14 50

to search
 Bonpoc: N!11
12 13 14 15 16 17 18 19 20
22 23 . 25 26 27 28 29 30 Whal le nses are used to correct presbyopia in emmetropia?
31 32 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 SO
• 0TeeTbl{OA"1H OTBeT)
· - 01ueqet-1Kbuil sonpoc
a.nponyLJ.leHHbl~ eonpo<: 1 0 Sphe ro p rism atic
• - reKyll.\,1~ eonpoc

2 0 Cylind rical
.no s;ieepwe111U11ecra ocranoo.:
3 0 Positive
1:07:56
' 4 0 Negative
3aeepw.11b recr
5 0 Prismatic

..
1 7 8 9 10
II 12 13 14 1S •• 50
 Bonpoc: N!!12
13 14 15 16 17 18 19 20
21 23.25 26 27 28 29 30 What type of clinical refraction has 20·year-old p;uient. with distance visual acuity in both e,es
31 32 33 34 35 36 37 38 39 40
41 42 43 44 45 46 47 48 49 SO
a OTBE!4eHHbli:I eonpoc OTeeTbl(OAHH oTeeT)
a nponyuteHHblii eonpoc
• · 1e<yU1>1ii aonpoc 1 0 Moderate hyperopia

/J.o JaeepweH11A 1eaa oCTBJlOQ,:

2 0 Mixed astigmatism

3 0 late nt hyperopia
1:07:50
• 4 0 High myopia
3aa epw111Tb reo
5 0 Moderate myopia

« 1 8 9 10 11
II 13 14 15 16 so •

11ere to search
 14 15 16 17 18 19 20 Bonpoc: N213
25 26 27 28 29 30
What diagnostic methods of research are necessary to determine changes In the visual field?

1 42 43 44 45 46 47 48 49 50

• - oree<1eHHbl11 eonpoc OTeeTbl(OAMH OTBeT)

a .opony~eHH~~eonpoc
· - te<)'Ull'I~ eonpoc 1 0 Biomicroscopy

2 0 Perimetry

3 0 Anomaloscopy
1:07:45
• 4 0 Visometry
3asepwITTb recr
5 0 Gonioscopy

« 1 9 10 11 12
II 14 15 16 17 so •

ype here to search

 Bonpoc: N!!14 •
15 16 17 18 19 20
25 26 27 28 29 30 A 32-year•old woman came to you with complaints of severe pain in the left eye radiating to the temple. eyebrows. i-,
analgesics. Anamnesis: a wo man has iype 2 diabetes. lntraocular pressure is normal. What diagnostic method wiU you
diagnosis in this case?
oroe-..,.eHHb1'1 sonpoc
nponyu;eHHbliii eonpoc
relC)'ll.l"'H eonpoc 0TBeTbl(OAIIIH OTBeT)

o 3aeepweHlllR TeC'fa 1 0 Visometry

Octa.AOCb:
2 0 Perimetry
1:07:39 3 0 Adaptometry

4 0 Diaphonoscopy

5 0 Biomicroscopy

so •
« 1 ... 10 11 12 13
II 15 16 17 18

lPe t;ere to search

 Bonpoc: N!!15
l6 17 18 19 20
26 27 28 29 30 The ophthalmologist revealed protanopia in the patient. Give a definition.

43 44 45 46 47 48 49 50

OT&e4eHH~H aonpoc OTeeTbt(OAIIIH OTBeT)

npony111eHHblH aonpoc
teocyu.iM,; eonpoc 1 0 Lack of perception of violet color

2 0 Lack of perception o f yellow color

3 0 Lack of perception of g reen color

1:07:34
• 4 0 Lack of perception of blue color
3asepwHTb tecr
5 0 Lack of perception of red color

" 1 11 12 13 14 1116 17 18 19 50 •

here to search
 Bonpoc: N!!16 •
17 18 19 20
27 28 29 30 A mother with a 2-year-old child turned to the pediatJician. Complaints: moderate photophobia and laaimation In both~
35 36 37 38 39 40 that the child has difficulty hearing. On examination, sharply protruding frontal tubercles, a saddle nose, a lunat" notch ill the, ..,.,,.,,,
45 46 47 48 49 50 teeth are noticeable. Objectively: there is a moderate precomeal injection in the eyeball, in the corneal stroma near the limbu5 tt.
1.1eHHb1K sonpoc infiltration of a grayish-white color. Diagnosed with syphilitic keratitis. What treatment is advisable in this case?
ny11.1eHHblii aonpoc
11.11<.I eonpoc
OrseTbl(OA"1H OTBeT)
eepweHWt 1eoa
ocra/lOCb~ 1 0 Bioquinol, penicillin

:07:28 2 0 Acyclovir, ophthalmoferon

3 0 Ftivazid, streptomycin

4 0 Nerobol, tetracycline ointment

s C' Retinal, corneregel

" 1 12 13 14 15 11 ,1 18 19 20 so •

ype tiere to search

 Bonpoc: N217 •

The mother brought the child to the doctor with complaints of poor vision in both eyes. Notes that the child wore glasses for
53637 363940
but for unknown reasons he stopped wearing them. With an objective examination at the moment, glasses do not help him. OpliQII.
54647464950
transparent. The fundus of the eye is normal. What type of amblyopia does a child have?
aonpoc
Hbl~
EHHbl~ aonpoc
.; ecnpoc 0TBeTbl (OAHH OTBeT)

1 0 Genetic

2 0 Disbinocular

3 0 Anisometropic

4 J Obscuration •

5 0 Refractive

1 13 14 15 16
II 18 19 20 21 50 •
 Bonpoc: N!!18
What are contra-indications for refractive surgery of myopia:
3 34 35 36 37 38 39 40
3 44 45 4-6 47 48 49 50
ral"leHHbua eonpoc 0TB8Tbl(OAMH OTBeT)
pony114eHHb111 eonpoc
1141<>! aonpoc 1 0 Moderate myopia

2 0 Inflammatory diseases of the layers of eye

eepweHi<A tecra ocra11oa,:

3 0 Intolerance to contact correction .

1:07:04
•
4 0 Greater anisometropia

5 0 Mild m.,YOpia

" 1 14 15 16 17 1119 20 21 22 50 ,.
 Bonpoc: N!!19
A SO-year-old engineer a pplied for a consultation in the eye office. Complains that it has become difficult to distinguish
in the eyes and headaches afte r work. An objective examination revealed a hyperopia of (+) 1.5 diopters. Wha(t work glasses
7484950 prescribed for worl<?
onpoc
· eonpoc
oc 0TB8Tbl(OAHH OTBeT)

1 0 ( +) 2.5 diopters

2 0 (+) 4.0 diopters

3 0 (+) 3.5 diopters

4 0 +) 2.0 diopters

s 0 (+) 3.0 diopters

.. 1 15 16 17 18
II 20 21 22 23 so •
 Bonpoc: N!!20
A 2-year-o ld child showed swelling of the right eye, a violet-blue swelling of the sclera, and cry when closing the eye. Iii
37 38 39 40 was made - adenoviral conjunctivitis, treatment was prescribed according to the diagnosis, but no improvement was
47 48 49 SO
d iagnosis was revealed. What d iagnosis must be made to prescribe the correct treatment?
eonpoc
,- sonpoc
poc 0TBeTbl(OAHH OTBeT)

1 0 Bleph aritis
a.:
2 0 lridocyclitis
52 3 0 Conjunctivitis

4 0 Choroiditis

5 0 Sderitis

" 1 ... 16 17 18 19
II 21 22 23 24 50 •
 Bonpoc: N!21
What diagno:.-tic value has- an irNes-tigation of the blind spot?

43 44 45 46 47 48 49 SO
O'IBe'leHH•n• aonpoc OTeeTbt(OAHH oTBeT)
nponyll(eHH•II< eonpoc
Te,cyt1114,ii aonpoc 1 0 I.Jmited sc:otoma all)"',ne<e in the visual field

2 0 Projecuon into the visual field of thr optic neNe head

3 0 Projection into the macular field of view

1:06:37
• 4 0 Visua field defects from retinal ...essels
3dBepW'1Tb TeCT

s 0 Oefect in the vi:.-ual field tram a d;'Strophic 1ocus

.. l .. ll 18 19 25 •

......... • , . l'0.11n"h
 Bonpoc: N!!22
When examining a woman, 30 years old, with myopia 8.0 d, during ophthalmoscopy on the perlphe,y of the retina. lalge:
37 38 39 40 determined, with small retinal tears in the ora serrata line. What treatment should be applied in this case?
47 48 49 so
eonpoc
blM eonpoc OTeeTbt(OAMH oTeeT)
npoc
1 0 Sinus trab eculectomy
,rn rl!CTa
2 0 Laser coagulation of retina
a,:

0 lridocycloretraction
:31 3

4 0 Cryodiatermocoagulation of retina

s 0 Diathermocoagulation of ciliary body

« 1 18 19 2.0 21 1123 24 26 so
 Bonpoc: N!!23 •

. In the case when light reflex from ophthalmoscope localizes on cornea of the squinting eye. projecting in the middle of the
the pupil to the edge of the cornea in its inner half, this corresponds to:

OTeeTbt(OAMH oTeeT)

1 0 Divergent strabismus with an angle of 45

a
2 0 Convergent strabismus with an angle of 15 degrees

3 0 Divergent strabismus with an angle of 30 °

4 0 Convergent strabismus with an angle of 30 °

5 J Convergent strabismus with an angle of 45 °

« 1 19 20 21 22 II 24 25 26 27 50 "
 Bonpoc: N!!25 •

A 37-year-old man came to the eye department with complaints of redness, pain, lacrimation. photophobia of the right eye. From
ago scratched the eye with a branch in the fotest, and thought it would become fine by itself. On examination: visual acuity of the riglit
47 48 49 SO
pr.l.c. mixed injection, 4mm gray infiltrate on the cornea, pus fills with the chamber in the anterior chamber. What should be done ·
M aonpoc
HW~ aonpoc
npoc 0TBeTbl(OAIIIH OTBeT)

thUITeCTa 1 0 Paracentesis of the anterior chamber

2 0 Enucleation of the eyeball
:34 Evisceration of the eyeball
3 0

4 0 layered ker;noplasty

s ~
Cryoapplication on the cornea

" 1 21 22 23 24 II 26 27 28 29 50 •
 •
Bonpoc: N!!26
A 49·year-old woman came to the emergency room with complaints of severe pain and blurred vision of the right eye, which arose
37 38 39 40 background of an increase in blood pressure to 180- and 90-mm Hg. The patient reported single vomiting that did not bring relief_ On
46 47 48 49 50 following data were obtained: visual acuity of the right eye = 0.09 is not corrected, visual acuity of the left eye = 0.1 (+) 35 D = 1.0; e·
bt"4 eonpoc the right eye revealed a stagnant injection of the eyeball, corneal edema, small anterior chamber, iris bombardment, the pupil ls dilated. doilt
"""'~ eonpoc to light. IOP OD 56 mm Hg. What is your preliminary diagnosis7
eonpoc

,tRTecT8 0TB8Tbl (OAMH OTB8T)

a.noa,:
1 0 Lacrimal sac phleg mon
5:27
2 0 Retrobulbar neuritis

3 0 Fibrinous·plastic lrldocyclitis

4 0 Acute attack of glaucoma

s v Total retinal detachment

« 1 ... 22 23 24 2S
II 27 28 29 30 ... so •
 Bonpoc: N!!27 •

A young man consulted an ophthalmologist complaining of slight photophobia, moderate lacrimation. When testing visual acuity, It ii
each eye. When viewed from the sidelight. a minor precorneal injection is detected. In the stroma of the cornea near the limbus. multlpl!I,:
47 48 49 SO infiltrates are determined; the s urfaces a bo ve the infiltrates are rough; some of the infiltrates are approached by the blood vessels from lhi.
eonpoc Additional examination revealed: Hutchinson·s teeth, saddle nose, sharply protruding frontal tubercles. Diagnosed with keratiris. What
bli< aonp()(: research is needed to clarify the diagnosis?
npcx

HHATecra 0TeeTbl(OAl,1H OTBeT)

1 0 X-ray o f the chest o rgans.

:21
2 0 Rheumato logical tests.
•
3 0 Liver tests.

4 0 Complete blood count.

s Treponema pallidum test.

« 1 23 24 25 26
II 28 29 30 31 .., 50 •

to.search
 Bonpoc: N!!28 •
Ma nagement of phacolytic g laucoma
35 36 37 39 40
45 46 47 4a 49 50
eHHWi! eonpoc 0TeeTbl(OAMH OTBeT)
!lle1<Hblll sonpoc

"" s011poc
1 0 Only antiglaucomatous surgery

eHMA recra oCTaJ1oct.:

2 0 Extraction of cataract

3 0 Lensectomy
:05:15
• Extraction of cataract and antiglaucomatous operation
4 0

s 0 Conse1_vative treatment for decreasing IOP

1 24 25 26 27 II 29 30 31 32 so •
 Bonpoc: N!!29 •
A 14-year-old girl was referred to an ophthalmologist at the place of residence with complaints of decreased vision, pain in the
had been bothering her for the last month. Objectively: visual acuity in both eyes = 0.4. On the cornea within the open palpebral
46 47 48 49 so ribbon-like opacity 4 mm wide, on the posterior surface of the cornea. there are dust-like precipitates. Destruction of the vitreous
1,1.I aonpoc presumptive diagnosis?
aonpoc
HHbli1
BOnpoc
0TB81'.bl(OAHH OTB8T)

1 0 Marchesani disease

2 0 Reiter's disease

3 0 Marfan·s disease
•

4 0 Behcet's disease

5 l...J Still's disease

.. 1 25 26 27 28
II 30 31 32 33 ... 50 •

to search
 Bonpoc: N!30 •

72 year- old woman admitted to emergency room with complaints of pain in the left eye. radiating to the left half of the head;
photophobia, blepharospasm, decreased vision. Objective examination: VOD =1.0, VOS= incorrect light perception. The ¥ is blu1sll
46 47 48 49 50 comea is edematous. the anterior chamber is deep, tremor o f the iris is determined. the pupil is irregular, small white partlcles of !ell&'
wil oonpoc detected in the anterior chamber. The tundus of the eye is not good visible. What type of secondary glaucoma has this patient?
Hblil eonpoc
onpoc
QyeeTbl(OAMH OTBeT)

1 0 Phacolytic

• 2 0 Neoplastic

3 0 Postuvea l

4 0 Posttraum atic

5 0 Phlebohyperte nsive

" 1 26 27 28 29
II 31 32 33 34 50 •

e to search
 Bonpoc:: N!!41
What is the presence of an artificial lens in the eye called?

OTBe4eHHb1H eonpoc-
0TB8Tbl(OAMH OTB8T)
npony111&HHbloi sonpoc
1 0 Artiphakia
rel()'UI"~ BOnpoc

2 0 Diphakia
e.epweH111A recra ocra110~
3 0 Aphakia
1:03:45
4 0 Dysphakia
3;icepW"1Tb TeCT
5 0 Monophakia

1 37 38 39 40 11 42 43 44 45 50 •

· - .. _ ........h
 Bonpoc: N!!42 •

A 49-year-old patient admitted to the emergency room with complaints of severe pain and blurred vision of the right eye.
around the lights. She has increased blood pressure -180/90 mm Hg. On examination: voo~ 0.09 n/c. vos~ 0.1 (+) 3.5 D= 1~
OD- injection of the eyeball, corneal edema, shallow anterior chamber, iris bombe, the pupil is dilated, does not react to llghl. The
onpoc of the right eye is 56 mm Hg. What is your preliminary diagnosis?
"sonpoc
C

1 0 Acute bacterial conjunctivitis

2 O Acute obstruction of the central retinal vein

3 O Acute fibrinous iridocyclitis

4 O Acute obstructio n of the central retinal artery

5 0 Acute angle dose glauco ma

« 1 38 39 40 41 II 43 44 45 46 50 •

re to search
 Bonpoc: N!!43
What is the displacement of the lens called?

HMM aonpoc QyeeTbl(OAMH OTBeT)

eHHbt" sonpoc
;; sonpoc 1 0 Fakotopia

HMR TecTa OCTa/10Cb: 2 0 A to py .

3 0 Heterotopia
•
4 0 Subluxation

s 0 Atony

'
" 1 39 40 41 42 II 44 45 46 47 so
 Bonpoc: N!!44
A 35"year-old patient consulted an ophthalmologist with complaints of severe burning sensation. a sharp decreliie In
eyelids of both eyes. According to the patient, while working on the hood of the car, sulfuric acid got into the eyes.
eyes are 0.1, the eyelids are hyperemic, edematous, the cornea is de-epithelized, the inttaocular media is transparent. 1he
of necrosis can be in this situation?
oc

0TB8Tbl(OAHH OTB8T)

1 0 Soldered

0 Bubble

3 0 Dry
•

4 0 Powdered

s 0 Wet

« 1 ... 40 41 42 43 11 45 46 47 48 50 •
 Bonpoc: N!!45
After suffering a cold, a 7-year-old patient suddenly developed pain when moving his eyes. Objectively: visual aaaty111
exophthalmos, a slight limitation -0f the mobility of the eyeballs. With extreme abduction of the eyes - diplopia. Slight
conjunctiva. Minor mixed eyeball injection. There is no discharge from the conjunctiva! sacs. Anterior segments without~
are transparent. The fundus of the eye is normal. What is your presumptive diagnosis?

OTBeTbl(OAMH OTBeT)

a
1 0 Phlegmon orbits

2 0 Osteo periostitis

3 0 Mucocele
•

4 0 Tenonitis

5 0 Retrobulbar neuritis
so •
« 1 ... 41 42 43 44
II 46 47 48 49
 Bonpoc: N!!46
From birth, a four-year-old child constantly squints his right eye. On examination: visual acuity of the right eye= o.(i!i'
Ophthalmoscopically: The optic disc is pale, the borders are contoured. The retinal arteries are narrowed. Histoiy of
pathology of the optic nerve has caused the child's vision to decrease?
npoc
eonpoc
oc 0TB8Tbl{OAHH OTBeT)

t recra 1 0 Atrophy of the optic nerve

2 0 Optic neuritis
17 3 0 Excavation of the optic nerve head

II 4 0 Congestive papilla of the optic neive

5 0 Ruptured optic nerve •

"
1 42 43 44 45
II 47 48 49 50 •
 Bonpoc: N!!47
Patient 40 years old, complains of a gradual decrease in vision in the left eye. Anamnesis: suffered a head injury a ~
pallor of the optic nerve head from the temporal side, the borders of the disc are clear, the vascular bundle in the cen~
is the most likely diagnosis?

eonpoc
oc

1 0 Excavation of the o ptic nerve discs

recra

2 0 At ro phy of the optic nerve

2 3 0 Retrobulbar optic neuritis

4 0 Ruptured optic nerve

5 0 Congestive papilla of the optic nerve

49 50
4S 4 6 1 1 48
1 .. 43 44
 Bonpoc: N!!48

A 78-year-old man turned to the emergency service of the eye department, complaining of severe soreness, redr,ess, lidt
eye. low vision in the left eye. Anamnesis was used to diagnose overripe cataract of the right ~e. On e)!amination, the eyW
edematous, the anterior chamber is middle, the pupil is wider than the middle, the tens is cloudy. The fundus of the eye is nol
presumptive diagnosis?
npoc

OTeeTbt(oAMH oTeeT)

1 0 Partial cataract

2 0 Init ial cataract

3 0 Mature cataract

4 0 Incomplete cataract

C overripe cataract
5

1 43 44 45 46 47 11 49 so
 Bonpoc: N!!49
A 45-year-old woman turned to an ophthalmologist at the FMC with complaints of pain, photophobia, wateiy eyes l'n
anamnesis: the above complaints appeared 3 days ago, suffers from chronic sinusitis. On examination: visual acuily:O,
injection, an ulcer on the cornea with a black vesicle in the center, pus in the anterior chamber, a narrow pupD. What

case?
bill eonpoc
npoc OTBeTbl(OAHH OTBeT)

1 0 Corneal ulcer, keratoconus, miosis

2 0 Corneal ulcer. keratomalacia, hypopyon

:52
3 O Corneal ulcer, conjunctiva! chemosis, rniosis

4 O Corneal ulcer, mydriasis, madarosis

o corneal u_lcer, descemetocele, hypopyon
5

1 ... 43 44 45 46 47 48 11 so
 Bonpoc: N!SO
A 42-year-old man came to the eye hospital with complaints of severe headaches, chills, pain in the right eye area. ffie
sinusitis, does not receive treatment. Objectively: body temperature 39.8 Eyelids are sharply edematous, hyperemic.
is limited, vision is decreased. What complication is possible in this case?
ii eonpoc
blil eonpoc
npoc

1 0 Endophthalmitis
KR i-ecra
oa,:
2 0 Panophthalmit

:46 3 0 Cavernous sinus thrombosis

4 0 Central chorioretinitis

0 Acute angle close glaucoma

5

" 1 ... 43 44 45 46 47 48 49 11 ,.

• ..... t n search
 Bonpoc: N!!32 •

36 37 38 39 40
46 47 48 49 50
is~-
A 70-year-old man, applied to the FMC with complaints of a sharp decrease in vision. flashing of flies in front of his left¥ Ftoni'
noted that the day before he had suffered tonsillitis. On examination, the visual acuity of the left eye ~ 0.02. The left eye
not changed. When examining the fundus, a focus in the central ,one of 0.3 pd with indistinct borders, yellowish-gray in color. the
infiltrated, edematous. Choroiditis was diagnosed. What is more appropriate to start treatment?
"'" &0npoc
aonpoc
>1Hbli<
sonpoc
0TBe Tbl (OAHH OTB8T}
weHH'A recra
anocb: 1 0 Ceftriaxone

:40 2 0 Sol. Albucidi 20%

3 0 Va neomycin •
•

4 0 Hinin

5 ..,; Tetracycline ointment

so
C 1 28 29 30 31
II 33 34 35 36 •

.IJ!!lle to search
 Bonpoc: N233 •

A 52-year-old man turned to the emergency service of th!! eye department with complaints of severe soreness, redN!ss. deae-d
the left eye. From the anamnesis, got into an accident, hit his head en the windshield of a car. When examined, the f!!fe!l Wlffl! ir,jecl,lid.
48 49 so swollen, the anterior chamber was irregular, the pupil was wide, and the lens was cloudy, dislocated into the anterior chamber. The
npoc not visible. What is your presum'ptive diagnosis?
eonpoc

,ecra
1 0 Secondary aniridia

6 2 0 Mature cataract

3 0 Ectopic lens

4 0 Overripe cataract

5 0 Partial hyphema
... so
•
, ... 29 30 31 32
II 34 35 36 37
 Bonpoc:N!34 •
A 78-year-old woman has complaints o n gradually decreasing vision for the last 2 years.On examination VOD is 0.01, VOS is'O-l,
normal. with ophthalmoscopy fundus of 00 is not visible. Diagnosis: Senile mature cataract of the right eye. immature cataRld« iii
6 47 48 49 50 method is preferable to g ive prognosis after surgery?
;; eonpoc
HblH eonpoc

onpoc 0TBeTbl (OAHH OTBeT)

1 0 Tonometry

2 0 Computer perimetry
:31 3 0 Gonioscopy

Retinal visual acuity •

4 0

5 0 Light and dark adaptation

•
1 30 31 32 33
II 35 36 37 38 50
 Bonpoc: N!!35 •

A 14 -year-old boy turned to an ophthalmologist with a,rnplaints of recurrent redness of both eyes. pan\ det~ol
o bse tved by a dentist for stornatitis and a dermatologist for ulceration of the skin o f the genitals. AA objective~
47 48 49 SO p recomeal injection. hypopyon. powerful posterior synechiae. There are pronounced opaoties in the vitreous body Whal
• 8011poc

"'" eonpoc OTBeTbl(OAMH OTBeT)

npoc

1 0 Benier-Be ck·Schaumann d ise ase

2 0 Ankylosing spondylitis

:22 3 -
'-'
Behcet's disease

4 C Sturge•Weber disease

5 0 Still' s disease

• 1 31 32 33 34 II 36 37 38 39 SC •
 Bonpoc: N!!36
At what age does the clouding of the lens begin with a senile cataract?

47 48 49 so
OTeeTbl(OAMH OTBeT)
eonpoc
;; eonpoc
1 0 80·90years
npoc
2 0 30-35 years old
tecTB octaJ100,:

3 0 38-40 years old

:18
4 0 60-70 years old

s 0 40-50 years

1 32 33 34 35 II 37 38 39 40 50 •
 Bonpoc: N!!37
A 47-year-old patient was referred to an eye hospital with complaints of breaking pains, photophobia. lacrimation.
The above complaints appeared for 5 days, but over the last 2 days. the pain increased. Objectively. visual acuity of tM . .
edematous, stagnant injection; the cornea is ede matous, precipitates on the posterior surface. The pupil is narrow, there ls
i, aonpoc and the iris is bombarded , dirty green in color. Which complication made the pain worse?
eonpoc
Hbtiil

onpoc
0TBeTbt(OAMH OTBeT)
eHMR tecra
JIOCb: 1 0 Acute panuveitis

:13 2 0 Sup e rficial keratitis

3 0 Postuveal glaucoma

4 0 Purulent endophthalmitis

5 C, Facolytic glaucoma
50 •
.. 1 ... 33 34 35 36
II 38 39 40 41
 Bonpoc: N!!38
An 81 -year-old man was examined by the ophthalmologist of the polyclinic with complaints of gradual and painless
According to the patient. the vision in both eyes decreases for no obvious reason for 8 years. He did not seek medicallllllp
treatment. Visual acuity in both eyes = 0.04, not corrected. lntraocular pressure is normal. The anterior segments of the ev11.,.
eonpoc Ophthalmoscopically: the optic clisc is pale pink, with clear boundaries. Arteries are narrowed. sclerosed veins are dilated.
bl>i eonpoc area, there are extensive atrophi1: foci. What is your presumptive diagnosis'
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1 34 35 36 37
II 39 40 41 42
 Bonpoc: N!!39
A 56-year-old woman admitted to emergency room with acute pain, irradiated to teeth, ear, forehead in the left eye.
palpation, bluish of conjunctiva, the cornea is edematous, the pupil is wide, fundus of eye is not good visible. What is y,:,.,r

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4 0 Acute angle close glaucoma

s 0 Acute scleritis
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At what age does keratoconus most often develop?

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36 37 38 39 II 41 42 43 44 50 •
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A 55-year-old patient suffering from diabetes for 15 years experiencing a shwart that is protrusing into the vitreous body after
the vitreous body in the area of the optic nerve. The appearance of newly formed vessels is noted in the shwart. Diagnosed Vlllh
What are the further tactics of managing this patient?

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2 0 Sinustrabeculoectomy
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1 27 28 29 30 II 32 33 34 35 •
1.Which of the following symptoms patients with cataracts more likely to have?
1. Hemianopia
2.Concentric narrowing of visual field
3.Sudden decrease vision
4.Sudden narrowing of visual fields
5. Gradual decreased vision

2.The preferred therapy for Infantile glaucoma is:

1.Topical B blockers
2 .Optical brimonidine
3. Pilocarpine 1%
4.Trabeculotomy or goniotomy
5.Oral acetazolamide

3.A 25-year-old woman consulted an ophthalmologist. with complaints of pain in the eye,
lacrimation, photophobia, blepharospasm, redness of the right eye According to the words, a
few drops of acetic acid got into the eye An of objective examination revealed corneal erosion.
Which following is contraindicated for a patient?
1 Korneregel 5%
2 Dexamethasone 0.1%
3 Riboflavin 0 02%
4 Solcoseryl 5%
5 Levomycetin 0.25%

4.An objective examination of a patient has disclosed a symblepharon. According to the words,
the patient suffered an eye injury several years ago This pathology is a complication of what
trauma?
1. Crushing injury of the eyeball
2.Contusion of the eyeball
3.Penetrating wound
4. Eye and adnexa burns
5.Foreign body of the cornea

5.A 74-year-old man admitted to the emergency room with complaints on severe pain,
decreased vision in the left eye From the medical history, patient's diagnosis was immature
cataract of the right eye. On examination, the eye is red, the cornea is edematous, the anterior
chamber is shallow, the pupil is mydriatic, the lens is opaque, and swells The fundus of the eye
is not visible. Diagnosis is Hyper mature cataract, phacomorphic glaucoma of the right eye.
Which of the more appropriate treatment for this diagnosis?
1 Corneal transplantation
2 Dacryocystorhinostomy
3 Sinus trabeculectomy
4.Sclerectomy.
5. Extraction of the lens

6.Patient 40 years old, complains of a gradual decrease in vision in the left eye. Anamnesis
suffered a head injury a year ago Ophthalmoscopy revealed pallor of the optic nerve head from
the tempotal side, the borders of the disc are clear, the vascular bundle in the center, the
arteries are narrow. What is the most likely diagnosis?
1 Excavation of the optic nerve discs
2 Retrobulbar optic neuritis
3 Congestive papilla of the optic nerve
4 Atrophy of the optic nerve
5Ruptured optic nerve

7.A 49 year-old patient admitted to the emergency room with complaints of sevete pain and
blurred vision of the right eye, nausea, vomiting, haloes around the lights She has increased
blood pressure -180/90 mm Hg. On examination VOD= 0.09 n/c, VOS= 01 (+) 3.5 D = 1.0;
Biomicroscopically- OD- injection of the eyeball, corneal edema, shallow anterior chamber, iris
bombe, the pupil is dilated, does not react to light The intraocular pressure of the right eye is 56
mm Hg What is your preliminary diagnosis?

1 Acute obstruction of the central retinal vein 2.Acute bacterial conjunctivitis

3 Acute angle close glaucoma
4 Acute obstruction of the central retinal artery
5 Acute fibrinous iridocyclitis

8.A 55-year-old patient suffering from diabetes for 15 years experiencing a shwart that is
protrusing into the vitreous body after extensive hemorrhage in the vitreous body in the yarea of
the optic nerve. The appearance of newly forned vessels is noted in the shwart. Diagnosed with
total hemophthalmos. What are the further tactics of managing this patient?
1.Dacryocystorhinostomy
2.Evisceration
3.Vitrectomy
4. Sinustrabeculoectomy
5. Enucleation

9.What is the displacement of the lens called?

1 Atopy
2 Heterotopia
3 Subluxation
4 Fakotopla
5Atony

10.A 33-year-old patient consulted an ophthalmologist complaining of a sharp decrease in vision

in the right eye, which he has noticed 2 days ago. A week ago he suffered acute right-sided
sinusitis. Objectively: visual acuity of the right eye = 0.2 (not corrected). The right eye is calm,
the optical media is transparent. The fundus of the eye: the optic nerve head is hyperemic, its
borders are blurred, edematous, slightly protrudes into the vitreous body, the arteries are
dilated. The veins are convoluted, the vascular funnel is filled with exudate. Macular region and
retinal periphery without pathology. Left eye visual acuity = 1.0. The eye is healthy. What is your
presumptive diagnosis?
1 Excavation of the optic nerve head
2 Ruptured optic nerve
3 Atrophy of the optic nerve
4 Congestive papilla of the op nerve
5 Optic neuritis

11.All of the following are histological changes in glaucoma except

1 loss of the outer nuclear layer of the retina
2 peripapillary atrophy
3 thinning of the retinal nerve fiber layer
4 posterior bowing of the lamina cribrosa
5 loss of the ganglion cells in the retina

12.A 35-year-old patient consulted an ophthalmologist with complaints of severe burning

sensation, a sharp decrease in object vision, swelling of the eyelids of both eyes. According to
the patient, while working on the hood of the car, sulfuric acid got into the eyes. Objectively, the
functions of both eyes are 0.1. the eyelids are hyperemic, edematous, the cornea is de
epithelized, the intraocular media is transparent, the fundus is normal. What kind of necrosis
can be in this situation?
1 Soldered
2 Dry
3 Wet
4 Bubble
5 Powdered

13.A 69-year-old man has complalnts on severe pain, decreased vision in the left eye. From the
anamnesis the pain appeared suddenly, 3 days ago. On examination, the eyes are injected, the
cornea is edematous, the anterior chamber is shallow, the pupil is mydriatic, the lens is opaque.
The fundus of the eye is ynot visible. IOP is increased. Diagnosis: Hyper mature cataract,
phacomorphic glaucoma of the right eye. What kind of treatment is advisable before surgery?
1 Sedation therapy
2 Analgesic therapy
3 Anticoagulant therapy
4 Anticonvulsant therapy
5 Hypotension therapy

14.A patient consulted a doctor after a contusion of the eyeball with complaints of decreased
vision. When viewed in transmitted light, dark foating opacities are visible on pink reflex
background. What Is your presumptive diagnosis?
1 Retinal hemorrhage
2Corneal opacity
3 Partial hemophthalmos
4 Complicated cataract
5 Subtotal hyphema

15.A 47-year-old man came to the hospital with cormplaints of the sudden loss of vision in his
right eye. Anamnesis: Suffering from high risk of hypertension for 20 years. Objectively VOD= 1/
0o pr.l.c, anterior part of the eye is not changed. The fundus reflex is absent, Presumptive
diagnosis: complete hemophthalmos of the right eye. What additional examination is required?
1 Measure intraocular pressure
2 Ultrasound examination of the eye
3 Ophthalmoscopic examination
4Optical coherence tomography
5 Gonioscopy

16.A 2-year-old child showed swelling of the right eye, a violet- blue swelling of the sclera, and
cry when closing the eye. In the district clinic, a diagnosis was made - adenoviral conjunctivitis,
treatment was presctibed according to the diagnosis, but no improvement was observed, Later,
the wrong diagnosis was revealed. What diagnosis must be made to prescribe the correct
treatment?
1.Scleritis
2 Iridocyclitis
3 Choroiditis
4 Blepharitis
5Conjunctivitis

17.A 12-year-old girl turned to an ophthalmologist with a complaint of decreased vision while
wearing previously prescribed glasses (5 OD) When examined by an ophthalmologist, it was
noted that the patient's myopia has recently increased every six months by 1 0D, anterior
posterior size of eye is 25 0 mm, the girl's parents have moderate degree myopia How do you
explain the progression of myopia and your recommendations for treatment?
1 Extension of the eyeball along the axis, LASIC is recommended
2 Extension of the eyeball along the axis, keratotomy is recommended
3 presence of axial myopia, scleroplastic surgery is recommended
4 Extension of the eyeball along the axis, keratoplasty Is recommended.

18.Normal color perception

1Dichromatic
2 Pentachromasia
3 Monochromatic
4 Achromasia
5 Trichromatic
19.The patient complains of Incomplete closure of the eyelids, dryness in the eye, redness of
the eye especially in the morning, lacrimation on the right. Which nerve damage is the cause of
this pathology?
1 oculomotor
2 Visual
3Abducent
4 Facial
5 Pathetic

20.Patient K., 47 years old, consulted an ophthalmologist at the place of residence with
complaints of stinging, redness, pain, decreased vision of the right eye. From the anamnesis it
was found that he had been suffering from chronic dacryocystitis for 2 years, was treated
conservatively. Pain and redness of the eye appeared for the first time. Examination revealed:
severe precorneal injection of the eyeball. The cornea is the inner segment is eccentrically dull,
edematous; there is a depression in this area. One edge of the depression is raised,
crescent-shaped. In the anterior chamber - hypopyon 2.0 mm, the pupil is narrow, rounded; the
Iris is hyperemic, edematous. What is your diagnosis?
1 Corneal ulcer
2 Corneal erosion
3 Corneal vascularization
4 Corneal dystrophy
5 Corneal anomaly

21.The patient's examination revealed simple, direct myopic astigmatism in 3.0D. What
treatment should be applled to correct vision? 1 Spherical concave 3.0d
2 Cylindrical concave3.0d
3 Cylindrical convex 3.0d
4 Spherical convex 3.0d
5 Spheroprismatic concave 3,0d

22.A 45-year-old man underwent subtotal penetrating keratoplasty. What is the optimal time to
remove stitches?
1 .3-4 months
2. 4-5 months
3. 3-4 weeks
4.1-2 months
5.6 months

23.With orthophoria, the angle between the optical and visual axes is equal to:
1. 5-8°
2.9-10°
3.5-6°
4.3-4°
5. 1-2°
24.Eye refraction with spasm of accommodation (if emmetropic eye):
1 Becomes astigmatic
2 Becomes presbyopic
3 Becomes hyperopic
4 Becomes myopic
5 Becomes anisometropic

25.A 13-year-old schoolboy complains of visual impairment while reading. He sees well in the
distance. Visual acuity in both eyes 1.0. Eyes are healthy. What is your presumptive diagnosis?
1 Myopia
2Amaurosis
3 Amblyopia
4Hypermetropia

26.What diagnostic condition characterizes protanomaly?

1 Abnormal perception of green color
2 Abnormal perception of red color
3 Abnormal perception of violet color 4Abnormal perception of yellow color
5 Abnormal perception of blue color

27.Main function of retina:

1 Supportive
2 Protective
3 Light perception
4 Refraction of light
5 Trophic

28.A 70-year-old woman appled to ophthalmologist with complaints of a sudden decreased

vision of her right eye, she noted this after Increased her blood pressure. Ophthalmological
examination revealed no changes of anterlor part but no red reflex from fundus. What Is your
prelminary dlagnosis? 1Central retinal artery occlusion
2 Complete complcated cataract
3 Acute angle close glaucoma
4 Total retinal detachment
5 Vitreous hemorrhage

29.A 50-year-old engineer applied for a consultation in the eye office. Complains that it has
become difficult to distinguish details up close, feels heaviness in the eyes and headaches after
work. An objective examination revealed a hyperopia of ( patient be prescribed for work?+ 1.5
diopters. What work glasses should this patient be prescribed for work?
1.(+)2.0 diopters
2.(+) 2.5 diopters
3 (+)3.0 diopters
4.(+) 4.0 diopters
5.(+)3.5 diopters

30.A 48 year old woman has complaints on discomfort, tearing, foreign body sensation of both
eyes From the anamnesis, the abovementioned complaints have been disturbing for the last 6 ,
months. She didn't apply somewhere. She works as an office worker Objectively VOU- 10.
biomicroscopically the eyes are slightly injected, comeal xerosis is noted, slightly ederma of
conjunctiva. The ophthalmoscopic picture is normal She was diagnosed with dry eye syndrome
What method is needed to clarify a diagnosis?
1 Calfa test
2Perimetry test
3Sokolov test
4 Amsler test
5 Schirmer test

31 A 50 year old patient is in an eye hospital with a diagnosis of keratomycosis of the right eye.
Conservative treatment with the use of antimycotic agents was carried out, and the
sequestration was removed with a knife, followed by cauterization But despite the measures
taken, there was no improvement. What is your next tactic?
1 Enucleation of the eye
2 Evisceration of the eye
3 Comeal paracentesis
4 Lamellar keratoplasty
5 Penetrating keratoplasty

32.A patent complains of a partial loss of the visual field. From the anamnesis: recently received
a head injury. Examination revealed left sided hemianopsia Where is the lesion site?
1 In the right optic nerve
2 In the right optic tract
3 In the chiasm zone
4 In the left optic tract
5 In the leff optic nerve

33.Epicanthus is a congenital anomaly of the eyelids characterized by:

1.Inversion of the lower eyelid
2.Complete absence of eyelids
3. Semilunary fold of eyelid skin
4.Complete fusion of eyelid margins
5.Descent of the upper eyelid

34.A 2 year old child showed swelling of the right eye, a violet blue swelling of the sclera, and
cry when closing the eye In the district clinic, a diagnosis was marde adenoviral conjunctivitis,
treatment was prescribed according to the diagnosis, but no improvement was observed Later,
the wrong diagnosis wan revealed What diagnonis must be made to prescribe the correct
treatment?
1Blepharitis
2 Scleritis
3 Choroiditis
4. Iridocyclitis
5. Conjunctivitis

35.A 12 year old girt turned to an ophthalmologist with a complaint of decteased vision while
wearing previously prescribed glasses ( 5 00) When examned by an ophthalmologist, it was
noted that the patients myopia has recently increased every siN months by 1.OD, anterior
posterior size of eye is 250 mn, the girl's parents have moderate degree myopia. How do you
explain the progresson of myopia and your recommendations for treatment?
1 presence of avial myopia, scleroplastic surgery is recommended
2 Extension of the eyebal along the axis, LASIC is recommended
3Extension of the eyeball along the axis, keratotomy is recommended
4 Extension of the eyeball along the axis, refractive surgery is recommended
5 Extension of the eyeball along the axis, keratoplasty is recommended

36.What complications can not hyperopia in children lead to?

1 Chronic blepharitis
2 Converging squint
3 Accommodative asthenopia
4 Chronic conjunctivitis
5 Horizontal nystagmus

37.A pharmacist, 45 years old has complained of latigue, eye pain eye redness in the evening
especially after long work with prescriptions At this time, he notes the impossibility of working
with small objects at close range. Objectively visual acuity in both eyes 10 Eyes are calm. The
anterior part of the eyes is not changed Optical media are transparent. The fundus of the eye is
normal What is your presumptive diagnosis? O
1Amblyopia
2 Emmetropia
3Presbyopia
4 Myopia
5 Hypermetropia

38.Intraocular fluid is produced by

1.choroid
2.ciliary body
3.iris
4.cornea
5.lens
39.Name the fibers due to which the sclera performs a supporting function
1Mucous membrane
2Collagen fibers
3Muscle fibers
4Elastic fibers
5Nerve fibers

40.In which of the area greatest thickness of the sclerae

1 Under the tendon of the rectus muscies
2 Equator of eye
3Under the tendon of the oblique muscles 4Limbus
5Optic disc area

41.Dunng eyebrow correction procedure a patient had injured a skin of upper eyelid by using
tweezers, which subsequently led to a development of an abscess and further eyelid phlegmon
What prevents development of orbital phlegmon?
1 Upper eyelld muscles
2 Tarso-orbital fascia
3 Riolan's muscle
4. Accessory glands in the conjunctiva
5 Orbiculans muscle of eyelid

42.Male 36 years old After a traumatic brain injury, complete, unilateral ptosis is revealed During
the examination, it was revealed that when the patient opens his mouth, the ptosis disappears
What is the patient's diagnosis?
1Marcus-Gunn syndrome
2 Vogt-Koyanagi-Harada syndrome 3Morphan's syndrome
4 Forster Kennedy syndrome
5 Behcet syndrome

43.Parents brought a child T. 9 years old, to the ophthalmologist, at the request of the
pediatrician. The child complains of headaches, especially in the evening alter school He has no
complaints about eyesight VIsual acuity in both eyes - 1 0, but when corrected with weak
spherical positive lenses, visian does not deteriorate What is your presumptive diagnosis?
1Latent astigmatism
2 Latent squint
3 Latent hypermetropia
4 Latent amblyopia
5 Latent myopia

44.Name a clinical refraction in which parallel rays, after refraction by the optical media of the
eye, are collected in focus behind the retina in a state of resting accommodation 1Amblyopia
2 Hyperopia
3 Myopia
4Emmetropia
5 Presbyopia

45.Ru What complications can not hyperopia in children lead to?

1 Chronic blepharitis
2Converging squint
3 Accommodatrve asthenopia
4 Chronic conjunctivitis
5Horizontal nystagimus

50.The human binocular vision apparatus includes

1 Excretory system
2 Hearing aid
3 Muscles apparatus
4 Tactile apparatus
5 Nervous apparatus

51.A 78 year old patient complains of decreased vision When exarmining the fundus uf both
eyes, twisted and diated vens ate isible The arteties are narrow obliterated in places in places
where the artery ciosses the vein the latter becomes nvis.ble Focalretnal opacites Multiple
hemorhages along the vessels in the area of the macula, yelon wtute fac ard plaunornhages,
forming a star shape Discoid macular edema of the retina The optic nerve is practically
unchanged Make a preliminary diagnosis 1Hypertensive angiopathy
2Hypertensive scleropathy
3.Hypertensive angiosclerosis
4 Hypertensive neuroretinopaty
5Hypertensive retinopathy

52.A patient of the neurosurgical department complains of perindie bhurred vision in both eyes
and headaches Objectively visual acuty in both eyes 10 The accessory apparatus of the eyes is
nut changed Anterior segments without visible changes in the fundus of both eyes, the optie
rerve drscs are enlarged, musheoom like bulging into the vitreous body The vessels seem to
clmb onto l The color of the discs is pinkish gray, the borders are indistinct Espressed per
papilary edema with hemarhage unt what is your presumptive diagnoss
1 Papliedema
2Aplasia of the optic nerve discs
3Retrobubar optic neurtis
4Excavation of the optic nerve dises 5Ruptured optic nerves

53.A 45 year old woman turned to an ophthalmologist at the FMC complaints of pain
photophobia watery eyes in the right eye. From the anamnesis: the above complaints appeared
3 days ago sutters from chronc sinututis. On enamination visual acuity of the nght eye 01
Peticomeal injection, an ulcet on the comea with a black vesicle in the center pus in the anterior
chamber a narrow pupil. What conditions did you find in this case?
1 Cormeal ulcer, keratomalacia hypopyorn
2 Corneal ulcer, keratoconus miosis
Corneal ulcer, mydriasis madarosis
4 Corneal ulcer conjunctival chemoSIL miosis 5.Corneal ulcer descemetocele hypopyon

54.When vision is decreased, it is necessary to exclude the inflammatory process in the area of
the optic nerve exit from the orbit through:
1 Infraorbital canal
2 Superior orbital fissure
3 Optic nerve canal
4 Inferior orbital fissure
5Foramen rotundum

55.A 78-year-old patient complains of decreased vision. When examining the fundus of both
eyes, twisted and dilated veins are visible. The arteries are narrow, obliterated in places. In
places where the artery crosses the vein, the latter becomes invisible. Focal retinal opacities.
Multiple hemorrhages along the vessels. In the area of the macula, yellow-white foci, and
plasmorrhages, forming a star shape. Discoid macular edema of the retina. The optic nerve is
practically unchanged. Make a preliminary diagnosis.
1 Hypertensive angiosclerosis
2 Hypertensive angiopathy
3Hypertensive neuroretinopathy
4Hypertensive scleropathy
5 Hypertensive retinopathy

56.64-year-old female patient complains of pain radiating to the back of the head and a feeling
of swelling of the right eye. There is a thick fog in front of the right eye and the eye sees almost
nothing. On examination: VOD - counting the fingers of the eye. On the right eye, congestive
injection of the anterior vessels, the cornea is edematous, the anterior chamber is small, the iris
is edematous, the pupil is about 4-5 mm. gray color. What kind of secondary glaucoma does the
patient have?
1 Neoplastic
2 Facolytic
3 Neovascular
4 Facotopic
5 Phacomorphic

57.The patient is an 8 years old boy Was in the surgical department with purulent peritonitis
Suddenly noticed a decrease in vision in the right eye The Opthalmologist was called for the
consultation Objectively Right eye is irritated, mixed injection, the iris is greenish, the surface
smooth there is enutate in the vitreous body What is your diagnosis?
1Pheumalic uveitis
2 Sypranc uvetis
3Toxoplasmic uveitis
4 Rheumatoid uverts
5.Metastatic uveitis

58.64 year old female patent complains of pain radiating to the back of the head and a feeling of
skeling of the right eye There is a the fog in front of the right eye and the eye sees almost
nothing On examination vOD- counting the firgers of the eye on the night eve, congestive
injection of the anterior vessels the cornea is edematous, the anterior chamber is small the iris is
edematous, the pupitis about 4 5 mm gray color What kind of secondary glaucoma does the
patient have 1Neovascular
2Facotopic
3Neoplastic
4Facolytic
5Phacomorphic

59.72 year- old woman admitted to emergency complaints of pain in the lett eye, radiating to the
left half of the head, lacrimation, photophobia blepharospasm, decreased visian. Objective
examination: VOD -1.0, VOS - incorrect light perceptian. The eye is bluish Injected carnea is
edematous, the anterior chamber is deep, tremar of the iris is determined, the pupil is irregular,
small white particles of lens masses are detected in the anteriar chamber. The fundus of the eye
is not good visible. What type of secondary glaucoma has this patient?
1 Phlebohypertensive
2 Neoplastic
3Phacolytic
4Posttraumatic
5 Postuveal

60.A young man consulted an ophthalmologist complaining of slight photophobia moderate

lacrimation When testing visual acuity, it is equal to 0.7 of each eye. When viewed from the
sidelight, a minor precorneal injection is detected In the strama of the cormea near the limbus
multiple points infiltrates are determined, the surfaces above the infiltrates are rough some of
the infiltrates are approached by the blood vessels trom the episclera Additional examination
revealed: Hutchinson's teeth, saddle nose, sharply protruding frontal tubercles Diagnosed with
keratitis. What additional research is needed to clarity the diagnosis ?
1.Liver tests
2.Trepanema pallidum test.
3. X-ray of the chest organs
4 Rheumatological tests
5 Complete blood count.

61.A 49 year -old woman came to the emergency room with complaints of severe pain and
blurred vision of the tight eye, which arose against the background of an increase in blood
pressule to 180- and 90-mm Hg. The patient reported single vomiting that did not bring teliet. On
examination, the tottowing data were obtained visusl acuity of the right eye 0.09 is not corected
visual acuity of the lett eye = 0.1 (-)35 D = 10 Biomicioscopy of the right eye revealed a stagnant
injection of the eyeball. comeal edema, small anterior chamber, inis bombardment, the pupil is
dilated, does not react to ight. IOP OD 56 mm Hg. What is your preliminary diagnosis?
1 Retrobulbar rieutitis
2 FibrinoIS-plastic iridocylotitis
3 Lacrimal sac philegmon
4Total retinal detachiment
5 Acute attack of glaucoma

62.A mother with a 4 year old child turned to the MC optometrist. Complaints of photophoba
lacrimation pain in the left eye. The above complaints are worserning on the 2nd day the day
before the chid had had an ARVI Examination ievealed a smal number of small bubbles betwren
the eyelasthes, an increase in the follicles of the conjunctiva On the comea there ate several
vesucles and gray whute punctate foc of opacity What is your preliminary diagnosis
1Viral epithelial keratitis
2 Viral disciform keratitis
3Viral dendritic ketatitis
4 Viral landcartoid keratitis
5 Viral metaherpetic keratitis

63.An office worker of 30 years old, came to the doctor with complaints of fatigue in the eyes,
rapid fatigue. frequent blinking Objective research data. VOU = 1.0. The eyes are completely
calm. The movement of the eyes is not changed. Anterior segment of the eyes withaut visible
changes. Optical media is transparent. The lundus of the eye is normal. Refractometric
emmetropia. She was diagnosed with accommodation spasm. What drops can be prescribed to
this patient?
1 Dictotenac 0.1%
2 Sodium sulfate 20%
3 Dexamethasone 0.1%
4 Tropicamide 1%
5 Pilocarpine 1%

64.What complications can not hyperopia in children lead to?

1 Horizontal nystagmus
2 Converging squint
3Chronic canjunictivitis
4Chronic blepharits
5Accommodative asthenopia

65.In the case when light reflex from ophthalmoscope localizes an cornea of the squinting eye,
projecting in the middle of the distance from the edge of the pupil to the edge of the cornea in its
inner half, this corresponds to:
1 Divergent strabismus with an angle of 45 degree
2 Convergent strabismus with an angle of 45 3 Divergent strabismus with an angle of 30
4 Convergent strabismus with an angle of 15 degrees
5 Convergent strabismus with an angle of 30

66.A 15-year-old boy complains of visual impairment, noting that he had been wearing glasses
since he was 8 years old. Objectively, retinoscopy tevealed myopia at 12.0 D, further
ophthalmoscopy tevealed myopic creschent in the fundus and the absence of a macular rellex
What treatment is needed to stop the progression of myopia?
1 Laser coagulation of the retina
2 Photorefractive keratectomy
3Keratonileusis
4 Keratotomy
5 Scleroplasty

67.Anomaloscope is used
1 to detect anomalies in the visual field
2 For color perception research
3To determine visual acuity abnormalities
4 To determine refractive errors
5 To determine dark adaptation

68. Conjunctivitis, accompanied by the appearance of follicles and hyperplasia of the papillae.
which in the process of decay are always replaced by scar tissue. What conjunctivitis does this
condition refer to?
1 Allergic
2 Tuberculous
3 Diphtheria
4 Herpetic
5 Chlamydial

69.A 45-year-old man underwent subtotal penetrating keratoplasty. What is the optimal time to
remove stitches?
1 6 months
2 3-4 months
3 .3-4 weeks
4. 4-5 months
5. 1-2 months

70.A 39-year-old woman turned to an ophthalmologist at the FMC with complaints of facrimation
soreness, photophobia of the left eye. The above complaints have been worsening the last 4
days. the day befare something got into the eye, and she washed it with water. Suffering from
chronic dacryocystitis for the last 2 years. Objectively VOS 005. Biomicroscopy: precomeal
injection, ulceration in the center of the cornea, one edge of which is swollen arıd raised, the
other is flat with delicate epithelialization Hypopyon, the pupil is narrow. What should be done
before treatment?
1 Scraping from the surface of the ulcer
2 Rinse the conjunctival cavity
3 Make a keratotopography
4 Lamellar keratoplasty
5 Wear a medicated contact lens

71.Which of the following colors is a medium wavelength?

1 Green
2 Orange
3 Red
4 Blue

72.Watch repairman, 47 years old, complains of visual impairment when working at close range.
He sees well in the distance. Visual acuity in both eyes- 1.0. The eyes are healthy. What optical
correction does the patient need?
1 Prismatic lenses
2 Contact lenses
3 Orthokeratological lenses
4 Convex lens
5 Cylindrical lenses

73.Patient K.,47 years old, consulted an ophthalmologist at the place ot residence with
complaints of stinging, redness, pain, decreased vision of the right eye. From the anamnesis it
was tound that he had been suffering rom chronic dacryocystitis for 2 years was treated
conservatively. Pain and redness of the eye appeared for the first time. Examination revealed
sevete precormeal injection of the eyeball. The cornea is the inner segment is eccentrically dull,
edemataus there is a depression in this area. One edge of the depression is raised,
crescent-shaped In the anterior chamber . hypopyon 2.0 mm, the pupil is narrow, rounded the
iris is hyperemic, edematous. What is your diagnosis?
1 Corneal dystrophy
2 Corneal erosion
3 Corneal vascularization
4Corneal ulcer
5Corneal anomaly

74.The optic nerve is formed by axons:

1 Bipolar neurons
2 Retinal photoreceptor
3 Neurons of the geniculate body
4 Neurons of the cerebral cortex
5 Ganglionic neurons
75.A 20-year-old patient consulted an ophthalmologist with complaints of low object vision and
squint of the left eye. Objectively: VOD=1.0. VOS= 0.1 uncorrected. Esothropia of the left eye
-250 (Hirshberg test). The fundus of the eye is normal. Define treatment tactic
1 Recession of superior oblique muscle of the left eye by 5 mm.
2 Recession of medial rectus muscle of the left eve on 5 mm
3 Recession of superior rectus muscle at the left eye by 5. mm,
4 Recession of lower oblique muscle of the left eye try 5 mm
5 Recession of lateral rectus muscle of the left eye by 5 mm

76.20-year-old man turned to an ophthalmologist with complaints of low object vision in his right
eye. From the anamnesis it was tound that last night he received blunt force blow to the right
eye. When examining the eyeball, the following was revealed: the anterior chamber is deep, the
iris is trembling in the lumen pupil vitreous. What is the likely reason for this state?
1 .Scleral rupture
2 Detachment of the iris at the root
3 Dislocation of the lens
4 Detachment ef the vitreous body
5 Retinal concussion

77.A 3-year-old child was brought to an ophthalmologist with severe symptoms of lacrimation,
photophobia, blepharospasm. Anamnesis: complaints started 3 days ago, accompanied by
periodic fever and cough far 2 months. When examining the eyes using the eyelid lifter, a
yellowish-gray nodule 4 mm in diameter and the vessels going to it in the farm of a ray are
visible on the cornea. What's your diagnosis?
1 Flicterular keratitis
2 Keratomycosis
3 Herpetic keratitis
4 Corneal ulcer
5 Leucoma of the cornea

78.A 75-year-old woman consulted with an FMC ophthatrmalogist complaining about lack of
object vision in her right eye; according to the patient, her right eye stopped seeing 3 months
ago, and het vision gradually decreased. With visometry, the function of the right eye has a
correct color projection, intraocular pressure is normal, with ophthalmoscopy there is no reflex.
What pathology are we talking about?
1 Initial cataract
2 Hypermature cataract
3 Immature cataract
4 Secondary cataract
5 Mature cataract

79.A patient complains of a partial loss of the visual field. From the anamnesis recently received
a head injury. Examination revealed left-sided hemianopsia. Wiete is the lesion site?
1 In the right optic tract
2In the left optic nerve
3 In the chiasm zone
4In the light optic nerve
5 In the left optic tract

80.The 59-year-old patient suffering from hypertension determined the dilation and tortuosity of
the veins in the fundus of both eyes. The arteries are narrowed, their walls are thickened,
individual trunks are obliterated (a symptom of a silver wire). Corkscrew tortuosity of venous
trunks is observed in the macular region. At the intersection of the veins with the arteries, the
vein before the intersection bends and sharply becomes thinner (Salus II). What stage of the
hypertensive fundus do these changes correspond to?
1 Hypertensive angiopathy
2 Hypertensive neuroretinopathy
3 Hypertensive scleropathy
4 Hypertensive angiosclerosis
5 Hypertensive retinopathy

81.A patient of the neurosurgical department complains of perlodic blurred vision in both eyes
and headaches. Objectively: visual acuity in both eyes = 1.0. The accessory apparatus of the
eyes is not changed. Anterior segments without vislble changes. In the fundus of bath eyes, the
optic nerve dises are enlarged, mushroom-like bulging into the vitreous hody. The vessels seem
to climb anto it. The color of the discs is pinkish gray, the borders are indistinct. Expressed per
papillary edema with hemorrhage unit. What is your presumptive diagnosis?
1 Ruptured optic nerves
2 Retrobulbar optic neuritis
3 Papilladerma
4 Aplasia of the optic nerve discs
5 Excavation of the optic nerve discs

82.A 70-year-old man came to the emergency service of the eye department with complaints of
severe soreness, redness, decreased objective vision in the left eye. Fram the anamnesis he
was diagnosed with an immatuje cataract of the left eye 3 years ago, an operation was
proposed, which he refused. On examination, the eyes are injected, the cornea is edematous,
the anterior chamber is smaller than the middle, the pupil is wide the lens is cloudy, and swells.
The fundus of the eye is not visible. She was diagnosed with a swelling cataract of the let eye.
What is the likely cause of this condition?
1 Dissolution of the lens
2 Lens opacity
3 Lens hydration
4 Lack of lens
5. Displacement of the lens

83.A 49 year old man turned to an ophthalmologist at the place of residence with complaints of
low vision in both eyes from the anamnesis the vision decreased gradually, objectively, the eye
is calm, the cornea is transparent, the anterior chamber is medium. the pupil is irregularly
shaped posterior synechiae. the lens is cloudy, the fundus is not visible. He was diagnosed with
a postuveal cataract in both eyes Which af the following signs helped him to diagnose?
1.Posterior synechiae
2 Patient's age
3 Transparent carnea
4 Patient gender
5 Decreased vision

84. At an appointment with an ophthalmologist, a woman with a 4-month old baby notes that the
child does not follow toys, does not react to bright colars. From the anamnesis pregnancy
proceeded with threats, polyhydramnios. the child is registered with a neuropathologist for
hydrocephalus. When examining the fundus, in the macular zone, a large focus corresponds to
1 PD, whitish-brown with a prominence into the vitreous body. What kind of examination is
required to make a diagnosis?
1 Blood for cytomegalovirus
2 Blood for brucellosis
3 Blood for herpes simplex virus
4 Blood for rheumatic test
5 Blood for toxoplasmosis

85.A 48-year-old woman was admitted to the emergency service of the eye department after an
accident, a patient has complaints of redness and swelling of the eyelids on the right,
Objectively. VOU = 1.0. Right eye: the adnexa are slightly edematous, the cornea is
transparent, local subconjunctival hemorrhage. the anterior chamber is middle. the pupil is
rounded in the center, the lens is transparent the fundus of the eye is normal. What is your
presumptive diagnosis?
1 Metallosis of eye
2 Severe contusion
3Moderate contusion
4 Penetrating eye injury
5 Mild contusion
 1. When vision is decreased it is necessary to exclude the inflammatory
process in the area of the optic nerve exit from the orbit through
Ans:::: Optic Nerve Canal

2. To characterize the functional center of retina, it is necessary to

examine opthalmoscopically:
Ans::::: Fovea Centralis

3. Innervation of superior oblique muscle:::

Ans::::: Trochlear Nerve

4. Main function of retina:

Ans::::: light perception.

5. 45-year-old man underwent subtotal penetrating keratoplasty. What is

the optimal time to remove stitches?
Ans::::: 6 months

6. Normal color perception.

Ans::::: Trichromasia

7. All of the following are histological changes in glaucoma except.

Ans::::: peripapillary atrophy.

8. What is the displacement of the lens called?

Ans:::::: Subluxation

9. What is the presence of an artificial lens in the eye called?

Ans::::::: Artiphakia

10. The preferred therapy for infantile glaucoma is:

Ans ::::: Trabeculotomy or goniotomy

11. Which of the following symptoms patients with cataracts more

likely to have?
Ans::::::: Gradual decreased vision

12. Eye refraction with spasm of accommodation (if emmetropic eye)

Ans::::: becomes myopic

13. With orthophoria, the angle between the optical and visual axes is
equal to :
Ans:::: 1-2 degree

14. Which of the following colors is a medium wavelength?

Ans:::: Green

15. What diagnostic condition characterizes protanomaly?

Ans ::::: Abnormal perception of red color.

16. Intraocular fluid is produced by?

Ans:::::: Ciliary body.

17. Name the most significant symptom of binocular vision disorder:

Ans. ::::: Amblyopia (doubtful)

18. Sokolov's test is used to diagnose:

Ans ::::: Binocular vision

19. A 70-year-old woman applied to ophthalmologist with complaints

of a sudden decreased Vlslon of her right eye, she noted this after
Increased Her blood pressure. Ophthalmological examination
revealed no changes of anterior part but no red reflex from fundus.
What Is your preliminary diagnosis?
Ans :::: Vitreous hemorrhage

20. A 13-year-old schoolboy complains of visual impairment while

reading. He sees well in the distance. Visual acuity in both eyes =
1.0. Eyes are healthy. What is your presumptive diagnosis?
Ans:::: Hypermetropia
Gl
aucomamcqbyy
ashpal
gr
oup26

Q1.A69y eraoldladywasr eferredt oan

opt hal mol
ogistbecauseofdecl i
ning
vision. onexaminationherv isualacui ty
was20/ 25ineachey e.heriri
docor neal
angl ewer eopenandI OPwassl i
ght l
y
elev ated.f
undusexami nati
onshowed
cuppedopt icdiskwi thsuper i
ornot ching
oft hecupi nt heri
ghtey eandgener ali
zed
thinni ngofneuroretinalrimint heleft
ey e.thediagnosisofpr i
maryopenangl e
glaucomawasmade. thedocterpr escibed
acet azolamideasai ntialt
reatmentwhati s
themechani sm ofact ionofacet azol amide
usedi nglaucoma?
A.i
ncr
easeaqueouspr
oduct
ion
B.i
ncr
easeuv
eo-scl
eralout
fl
ow
C.decr
easeaqueouspr
oduct
ion
D.i
ncr
easet
rabecul
arout
fl
ow
E.Decr
easet
rabecul
arout
fl
ow
ans:
C
Q2-49y earoldmal epresenttot heclini
c
withinsidi
ousonsetofl ossofv ision,mil
d
headacheandey eache. healsogi vea
histor
yoff requentchangeinr eading
glass.onexami nati
onhewasf oundt o
glaucomat ousv i
sualfei
lddefectbuthi s
i
nt r
aocularpressurewasnor mal.fundus
exami nati
onshowedpal ediscwi thalarge
cup.
A.bet
axol
oli
sthedr
ugofchoi
cef
ort
his
condi
ti
on
B.I
ncr
easet
hei
ntr
aocul
arpr
essur
e.
C.Decreasetheopt
icner
vebl
oodf
lowar
e
hel
pfulinthi
scondi
ti
on
D.Met
hyl
predni
sone
E.Opt
icner
vedamage
ans:
A
Q3-A36y earoldpat i
entcamet o
emer gancywar dwi t
hhy potensionand
heartrateis60permi nut
esandshor teni
ng
ofbreathing,bronchospasm, dryey esand
anxietyanddepr esi
onand. "
acut ebrochi
al
astmaandar rhyt
hmias"aftertreatmentof
glaucomadr ugwhoactasaqueous
suppressant'
.sowhatcausat i
vedr ugis
A.bet
axol
ol
B.acet
azol
ami
de
C.cl
oni
dine
D.t
imol
ol
E.met
hyl
predni
sone
ans:
D
Q4-Apat ientscomest ocli
nichavehi story
ofl ongt erm ant iglaucomadr ug
(prost aglandinanal ogues)f orseveral
mont hs.hepr esent swi thheadache,
mi gr aine,mal aise,skinr ashonbody, mi ld
upperr espiratoryt ractsy mptoms,
per i
ocul arhy perpigment ati
on,ir
reversible
i
rishy perpigment ation,and"li
ghtcoloured
i
ris''canpr oducehet erochromiairi
dis,
whi chdr ugt heyhav eused?
A.t
imol
ol
B.ol
opat
adi
ne
C.l
atanopr
ost
D.br
imoni
dine
E.Apr
acl
oni
dine
ans:
C
Q5-A67y earol
dgrandf athercomet o
cli
nic.hehasbl oodpressur ei
s125/ 85
,andgl ucoseleveli
s6.8mmol /
l,headache
,delayeddar kadaptat
ion,andlossoff eil
d
ofv i
siony oucansaytunnelv isi
onand
"f
requentchangeofpr esby opic
glasses".whatisyourmostpr obabl e
diagnosis? .
A.di
abet
icr
eti
nopat
hy
B.seni
lecat
aract
C.ager
elat
edmacul
ardegener
ati
on
D.gl
aucoma
E.uv
eit
is
ans:
D
Q6-Apat i
entcomet ocli
nicatmidlate
nightwit
hsev erepain.fr
ontalheadache
,vomiti
ng,diahhorea,nousiaandlossof
visi
on,hi
sintraocularpressureis
55mmHg. opthamologistwhi chof
foll
owingisnotani mmedi ate
managementst r
ategyinthiscase
A.i
ntr
avenousmanni
tol
B.sy
stemi
cpai
nki
ll
erandant
i-emi
ti
cdr
ug
C.or
alhy
per
osmot
icgl
ycer
ol
D.sy
stemi
ccar
boni
canhy
drasei
nhi
bit
ors
E.Yagi
ri
dot
omy
ans:
E
Q7-63y rroldfemalecomestot he
casuali
tywithahi st
oryofsev
ereey epai
n
,rednessanddi minuti
onofvi
sion.on
examinationthereiscir
cumcorneal
congesti
on,cor
nealoedemaandashal
l
ow
anteri
orchamber,
whichist
hedr
ugof
choice?
A.at
ropi
neoi
ntment
B.i
ntr
avenousmani
tol
C.ci
prof
loxaci
ney
edr
ops
D.bet
amet
hasoneey
edr
ops
E.met
hylpr
edni
sone
ans:
B
Q8-66y earoldpat i
entcomest oclinicwith
cheifcompl aintofdiminuti
onofv isionin
bothey es.IOPi nbot heyeswas24mmHg
andt herewasi nferi
ornotchseeni n2nd
cranialnervehead. onvi
sualfeil
dt here
wasapar acentralscotoma.whichoft he
foll
owingi sthedr ugofchoice?
A.l
atanopr
ost
B.t
imol
ol
C.car
boni
canhgdr
asei
nhi
bit
or
D.br
imoni
dine
E.manni
tol
ans:
A
Q9-AOpt hamol ogisthav eaelder l
ypat i
ent
,
opthamol ogisteaxami neoft hispatients
coloredracesandt hincor neas,nocor neal
edema, nosuf f
icei
ntlossofv i
sionand
opthamol ogistruleoutt hathehasa
primaryopenangl e
glaucoma. opthamol ogistprescribedrug
whoactasi ncreasedt rabecularout f
low
.whichdr ugt heyprescr i
be?
A.bet
abl
ocker
B.pr
ost
agl
andi
nanal
ogues
C.al
phaagoni
st
D.chol
iner
gics
E.st
eroi
d
ans:
B
Q10-ay oungwhi temalecomest o
ophtamol igistwit
hmy opi
c,increseintra
occularpr essure.
hehascol oured
i
ntermittenthal os,
burningandbl ur
ringof
vi
sion.painandal sokrukenbergspi ndleof
pi
gmentv isibleonthecornealendot heli
um
onslitlamp. whatproblediagnosishehas?
A.pseudoexf
oli
ati
onsy
ndr
ome
B.phacol
yti
cgl
aucoma
C.pi
gment
rygl
aucoma
D.acut
eant
.uv
eit
is
E.t
ramat
icgl
aucoma
ans:
C
Q11-Apat ienthaspr i
mar yopenangl e
glucomai nhisr ightey e.
theappear anceof
theopticner veandv isualfei
ldare
shown. vi
sualacui tyis10/ 90despitebei ng
ont i
molol,pil
ocar pi
neandacet azomi de
,theIOPr emai ns20t o24mmHg. a
subsequentv isualf ei
ldtesyshown
evidenceoff urthetprogresionoff eil
dl oss
i
nt hiseyewhi choneoft hef oll
owingi sthe
besttreatmentoot i
onsf orthispatients.?
A-set
onpl
acement
B-t
rabeacul
ect
omy
C-ar
gonl
asert
rabecul
opl
ast
y
D-addi
ti
onofapr
acl
oni
dine
E-t
rabeacul
otomy
Ans:
B
Q12-Apatientwhohadahi st
oruofsulf
a
al
lergypr
esentwithacutecongesti
ve
glucoma.
whichofthefoll
owingdrug
shouldbeavoidedi
nthispati
ent?
A-gl
ycer
ol
B-manni
tol
C-l
atanopr
ost
D-acet
azol
ami
de
E-t
imol
ol
Ans:
D
Q13-65y rroldpat.presntwit
hprogessive
deter
iorati
onofv i
sion. onexami
nation.the
pupil
lar
yr eacti
onissl uggi
shandIOPis
normal.fundoscopyshowsal ar
geand
deepcup. visualf
eildreveal
sparacentr
al
scot
oma,
whati
sthepr
obabl
edi
agnosi
s?
A-neov
ascul
argl
aucoma
B-pr
imar
yopenangl
egl
aucoma
C-nor
malt
ensi
ongl
aucoma
D-absol
utegl
aucoma
E-pr
imar
yangl
ecl
osergl
aucoma
Ans:C
Q14-30day soldbabypr esentswi t
h
excessiv
elacri
mat i
onandphot ophobia.
he
hadlargrhazycorneainbot hey es.
his
l
acrimalsystem i
snor mal.
whati st
he
tr
eatmentofchoicef ort
hiscase?
A-t
rabecul
ect
omy+MMC
B-t
rabecul
ect
omy+t
rabecul
otomy
C-
goni
otomy
D-
ir
idot
omy
E-
congest
ivet
reat
ment
Ans:
B
Q15-Aopt hamol ogisttakenai nstument
forassesangl estructureli
keangl eof
anteri
orchamber, per i
pheralanteri
or
synechiae,
locali
zationoff or
eignbodi es
,abnormalbloodv essel sandtumor si n
angle.thi
sinstumentcr iti
calanglefor
corneaairinterf
acei s46degr ee.dir
ect
l
enesi skoeppe, swanj acob.sowhati sthi
s
i
nstrument
A.per
imet
ry
B.v
anher
ickgr
adi
ng
C.goni
oscopy
D.per
kinst
onomet
er
E.t
onopen
ans:
C
Q16-A40y r
roldf emalecomestocl i
nic
,opthamol ogistexamineanddiagnosed
thatshehasopenangl eglaucoma.then
opthamol ogistprescr
ibedatropi
calbeta
blockertherapyt oher.
whichofthe
foll
owingi snotasi deeff
ectoftopi
cal
betablocker
A.hy
pogl
ycemi
a
B.ast
hma
C.br
ady
car
dia
D.het
erochr
omi
air
idi
s
E.hy
per
tensi
on
ans:
D
Q17-Ayoungpati
entwi
thsuddenl
ossof
vi
sionwi
thsyst
oli
cmurmurandocular
examinati
onreveal
sacher
ryr
edspotwi
th
cl
earanteri
orchamber.
whati
sli
kel
y
diagnosi
sis?
A.cent
ralr
eti
nalar
ter
yoccl
usi
on
B.cent
ralr
eti
nalv
einoccl
usi
on
C.di
abet
esmel
l
itus
D.br
anchr
eti
nalv
einoccl
usi
on
E.Br
anchr
eti
nalar
ter
yoccusi
on
ans:
A
Q18-Apat i
entpr
esentwithhist
oryof
examinati
oneveninghal
osandoccasional
headacheforsomemont h.hi
sexaminati
on
showsnor malI
OPbutshallowAC. heisi
n
whichstageofglaucoma?
A.acut
e
B.pr
odr
ome
C.const
anti
nst
abi
li
ty
D.absol
ute
E.chr
oni
c

ans:
B
Q19-Ay oungmal epati
enthehaspainless
l
ossofv isi
onwi t
hrecurr
entunil
att
ral
att
ackofacut eri
seofIOPnear55mmHg
withoutshal
lowingofanter
iorchamber
associat
edwi t
h.
A.angl
ecl
osur
egl
aucoma
B.acut
eant
eri
oruv
eit
is
C.chr
oni
cpapi
ll
edema
D.gl
aucomat
ocy
cli
ti
ccr
isi
s
E.Cl
osur
eangl
egl
aucoma
ans:
D
Q20-APat ientcomest oclini
calbrought
tocasualtywithacutenarrowangle
glaucoma.shehassev erepaininhereye
anditsspreads.theradiat
ionofpainin
acutenarrowangl egl
aucomai si
nthe
distr
ibut
ionof?
A.3r
dcr
ani
alner
ve
B.7nt
hcr
ani
alner
ve
C.8r
thcr
ani
alner
ve
D.5t
hcr
ani
alner
ve
E.2ndcr
ani
alner
ve
ans:
D
Q21-Ami dagedwomencomest ocli
nic
,shetreatedwithacet
azol
ami
de,several
weekl at
erthewomenhasanar t
eri
alphof
7.34,anarter
iapPCO2of30mmHganda
plasmaHCO3of17meq/lwhi choft he
f
oll
owi
ngabnormalit
ieshadt
hiswomen
mostl
ikel
ydev
eloped?
A.met
abol
icaci
dosi
s
B.met
abol
ical
kal
osi
s
C.mi
xedaci
dosi
s
D.mi
xedal
kal
osi
s
E.Respi
rat
oryaci
dosi
s
ans:
A
Q22-mr. browncomest oclini
chehas
coloredr acesandthincor neaalsahave"
tr
abecul aroutfl
owblockedbutt hereisno
colouredhal os,t
heytreatedwi t
h" ar
gon
l
asert rabeculopl
asty"
.whatpr oblem
probabl ytheyhave?.
A.secondr
ygl
aucoma
B.angl
erecessi
ongl
aucoma
C.angl
ecl
osergl
aucoma
D.openangl
egl
aucoma
E.congeni
talgl
aucoma
ans:
D
Q23-Aper sonridesbikeandsuddenl yhe
metwi t
ht heacci dent.Duringthe
examinationofper sonbyopt hamol
ogist
vi
agoni oscopyhegetwi deningofci
li
ary
bodybandandangl erecession
glaucoma. whichtypeofgl aucomathey
have?.
A.mal
ignantgl
aucoma
B.pseudoexf
oli
tat
iongl
aucoma
C.l
encei
nducedgl
aucoma
D.phacomor
phi
cgl
aucoma
E.t
raumat
icgl
aucoma
ans:
E
Q24-Apatienthav
ingamal
ignantgl
ucoma
.somestatementgiv
enbel
ow. whi
chone
i
scorrect
1-
ant
eri
orchamberi
snor
mal
2-
misdi
rect
edaqueousf
low
3-
pil
ocar
pinei
sthedr
ugofchoi
ce
4-
managementi
smedi
calonl
y
5-
atr
opi
nei
sthedr
ugofchoi
ce
A.1,
3iscor
rect
B.2,
5ar
ecor
rect
C.1,
5iscor
rect
D.3,
5iscor
rect
E.2,
3,
5iscor
ect
ans:
B
Q25-pat ienttocomest oclini
cwithhehas
drandrufflikematteri
alonpupill
ary
mat t
arialandmout heat en
tr
ansilumi nati
oneffect.
opthamologi
stdo
l
asert rabeculopastyforwhat?.
A.chr
oni
cangl
egl
ucoma
B.neov
ascul
argl
aucoma
C.pseudoexf
oli
ati
vegl
aucoma
D.uv
eit
icgl
aucoma
E.t
ramat
icgl
aucoma
ans:
C
Gl
aucomamcqpr
iyachoudhar
ygr
oup26

Q25.A40y earoldpat i
entcomest oopdwi t
h
compl ai
nwi thsuddenonsetsev erepaini
ney e
,l
acrimation,progressi
v elossofv i
sionaft
er
watchingamov ie.Noticeonocul arexaminati
on
conjucti
valandbi l
iaryvesselsarecongested
corneabecomeoedemat ousandinserti
veangleof
anteri
orchambercompl etel
yclosed.Whatwi l
lbe
yourdiagnosis?
A.
openangl
egl
aucoma
B.
acut
eangl
ecl
osur
egl
aucoma
C.
sub-
acut
epr
imar
yangl
ecl
osur
egl
aucoma
D.
chr
oni
cangl
ecl
osur
egl
aucoma
E.
pri
mar
yangl
ecl
osur
egl
aucoma
Ans-(B)
Q26.A 60 yearoldfemale complain di
ffi
cultyin
readi
ng and close work persi
stentl
yi ncreased
scotomal(defectinvi
sualfi
eld)maybenot iced,
h/odiabet
esmel l
it
us.Onexami nati
onf i
ndnor mal
anter
ior chamber in l
ater st
age pupi
lr ef
lex
becomessluggi
shandcorneashowssli
ght
lyhazy,
whatismostlyl
ikel
ydi
agnosi
s?
A.
acut
eangl
ecl
osur
egl
aucoma
B.
ocul
arhy
per
tensi
on
C.
pri
mar
yopenangl
egl
aucoma
D.
chr
oni
cangl
ecl
osur
egl
aucoma
E.
sub-acut
eangl
ecl
osur
egl
aucoma
Ans-(c)
Q27. A55y earoldpatientwithpainfulbl
indnessey e
,onexami nati
onanteriorchamberi sver
yshal l
ow
cornealat erbecomehazy,i r
isbecomeat r
ophy,
eyebal lbecomest onyhar d,per il
imbusr eddi
sh
bluezone,opt icdiscshow gl aucomat ousopt ic
atrophy treatmentofchoi ce cy clocr
yotherapy .
Whatwi llbey ourdi
agnosis?
A.
lat
entpr
imar
yangl
ecl
osur
egl
aucoma
B.
pri
mar
yopenangl
egl
aucoma
C.
Absol
utepr
imar
yangl
ecl
osur
egl
aucoma
D.
ocul
arhy
per
tensi
on
E.
Acut
eangl
ecl
osur
egl
aucoma
Ans-(c)
Q28.A70y earoldpatientpr
esent
swit
hpr ogressiv
e
deter
ioration of v i
sion . On examinati
on,t he
pupil
aryr eactioni
ssluggishandtheI
OPi snor mal.
Fundoscopyshowsal argeanddeepcup,v isual
fi
eldr eveals paracentr
alScotoma, whati sthe
probabledi agnosi
s?
A.
pri
mar
yangl
ecl
osur
egl
aucoma
B.
Nor
malt
ensi
ongl
aucoma
C.
Neov
ascul
argl
aucoma
D.
absol
utegl
aucoma
E.
acut
eangl
ecl
osur
egl
aucoma
Ans-(B)
Q29.AMal epati
entwi t
hahistor
yofhypermat ure
cataractpr
esent
swi t
hsuddenonsetpai
n, r
edness,
photophobiaint he ri
ghteye .On examinati
on,
thereisadeepant eri
orchamberwit
hraisedIOP.
Thel
eftey
eisnor
mal.Whati
sthel
ikel
ydi
agnosi
s?
A.
Phacomor
phi
cgl
aucoma
B.
phacol
yti
cgl
aucoma
C.
phacot
oxi
cgl
aucoma
D.
phacoanaphy
lact
icgl
aucoma
E.
pigment
arygl
aucoma
Ans-(B)
Q30.A baby about39 day s old pr
esents wi
th
excessi
ve l acri
mation , phot ophobia and
blephar
ospasm .Hehaslargeandhazycor neain
botheyes.Hislacri
malsyst
em isnormal.Whatis
theprobabl
ediagnosi
s?
A.
congeni
talgl
aucoma
B.
Megal
ocor
nea
C.
ker
atoconus
D.
Hunt
er'
ssy
ndr
ome
E.Mucopur
ulentconj
unct
ivi
ti
s
Ans-(A)
Q31. A55y earoldwomanpr esent stoherphysician
compl ai
ningofacut epai nandr ednessi nherright
eye, wit
hnauseaandv omi t
ing.Sher eport
sseei ng
halosaroundl ights.onexami nation,lacri
mination
l
idedema, conjuncti
v alinjecti
on,ast eamycor nea
andaf ixedmi ddilatedpupi lar eseen.Shehas
mar kedl
yel ev
at edIOPandv i
sualacui t
yof20/ 200
i
nherr i
ghtey e.Shehasnof ami l
yhistor
yofey e
disease .Whi ch oft he f oll
owi ng is mostlikely
diagnosis?
A.
Acut
eangl
ecl
osur
egl
aucoma
B.
cor
neall
acer
ati
on
C.
ocul
arhy
per
tensi
on
D.
openangl
egl
aucoma
E.
congeni
talgl
aucoma
Ans-(A)
Q32.A 65 year old pati
entcame to physi
cian
complai
ningabouteyepain,headacheandfat
igue
dur
inganykindofnearwor ks.Andsomet i
meshe
i
sunablet oseeproperl
yatni
ght.whatwil
lbeyour
di
agnosi
s?
A.
Pri
mar
yopenangl
egl
aucoma
B.
pri
mar
yangl
ecl
osur
egl
aucoma
C.
ocul
arhy
per
tensi
on
D.
phay
col
yti
cgl
aucoma
E.
Neov
ascul
argl
aucoma
Ans-(A)

Q33.A36y earoldwomandev el
opspainineyeaf
ter
darkroom/pr one-pr
ovocati
vet
estwithfacedown
forwithoutsl
eeping.Whi chofthefoll
owingdr
ug
shoul
dbeav oided?
A.
Atr
opi
ne
B.
pil
ocar
pine
C.
Acet
azol
ami
de
D.
Timol
ol
E.
Scopol
ami
ne
Ans-(A)
Q34.A pat
ient25 yearold pr
esentwi th pai
nless
whit
eey ewithani
ntraocul
arpressure (i
op)of60
mmrHg.Whati st
hemostl i
kel
ydi agnosi
s?
A.
chr
oni
cpapi
ll
edema
B.
Acut
eangl
ecl
osur
egl
aucoma
C.
Glaucomat
ocy
cli
ti
c
D.
Acut
eant
eri
oruv
eit
is
E.
Pri
mar
yopenangl
egl
aucoma
Ans-(C)
Q35.A 48y earoldladywasst artedonanocul ar
medi cation that she was i nstructed to take
dail
y.shedev el
opsr ednessofey e.Exami nati
on
revealsacol orchangeofiri
sandor bit
alfatatr
ophy
.Whi choft hefol
lowingmedicati
onwasshel i
kely
prescr i
bed?
A.
Timol
ol
B.
Pil
ocar
pine
C.
Lat
anopr
ost
D.
Scopol
ami
ne
E.
Atr
opi
ne
Ans-(C)
Q36.Apati
ent70y earofagecomplaint
sofsev ere
pain,nausea,v omiti
ng,blur
redvi
sionandseei ng
rai
nbow halos around l
ight.On examinat
ion the
fl
owofaqueoushumori snormalt
hen, whatwil
lbe
yourdi
agnosis?
A.
Angl
ecl
osur
egl
aucoma
B.
openangl
egl
aucoma
C.
nor
malt
ensi
ongl
aucoma
D.
congeni
talgl
aucoma
E.
Secondar
ygl
aucoma
Ans-(A)
Q37.A patient kusuml ata presents wit
h acute
painf
ulr
edassoci atedwithheadacheandv ert
ical
ly
ovalmid -di lated pupil.Hercor nea becomes
oedematousandhazy.I OPisincreasedto70mm
Hg.Whati slikelytobethediagnosis?
A.
Acut
eret
robul
barneur
it
is
B.
Acut
eangl
ecl
osur
egl
aucoma
C.
Acut
eant
eri
oruv
eit
is
D.
sver
eker
atoconj
unct
ivi
ti
s
E.
openangl
egl
aucoma
Ans-(B)
Q38.A baby about 40 days old pr
esent wi t
h
enlargedeyeball,cor
nealdi
ametermorethan12
mm .Hi scorneabecomeshazyandis associat
ed
withdeepanteri
orchamber.Whati
smostpr obabl
e
diagnosis?
A.
pri
mar
ycongeni
tal
glaucoma
B.
openangl
egl
aucoma
C.
Nor
malt
ensi
ongl
aucoma
E.
Pri
mar
yangl
ecl
osur
egl
aucoma
Ans-(A)
Q39.Whent heagedpat i
entdevelopsdecreaseand
bl
urred vi
sion aft
ervisi
ti
ng thesauna,col our
ed
hal
osseenar oundtheli
ght,severepainintheeye
wit
hi r
radi
ationtobackofthefrontalhead,eyeand
vomiting al
so be seen.Whi
ch i
s mostpr
obabl
e
diagnosis?
A.
Acut
edacr
yocy
sti
ti
s
B.
Acut
eker
ati
ti
s
C.
Acut
eangl
ecl
osur
egl
aucoma
D.
Acut
econj
unct
ivi
ti
s
E.
Acut
eir
idocy
cli
ti
cs
Ans-(C)
Q40.A55y earoldpatientcomest ocli
nicpr
esent
ed
with sudden drop inv i
sion ,col
ored hal
os.On
exami nat
ionofFi ncham' stesthalosdonotspli
t.
Themostpr obablediagnosisis?
A.
Acut
econgest
ivegl
aucoma
B.
openangl
egl
aucoma
C.
seni
lei
mmat
urecat
aract
D.
Acut
ecl
osur
egl
aucoma
E.
tr
aumat
icgl
aucoma
Ans-(D)
Q41.Anolderpati
entwi t
hacutepainfulredeyeand
ver
tical
lyovalmi
ddi l
atedfi
xed, nonreacti
ngpupil.
Andsev eredecreaseinv i
sionduet orednessof
aff
ectedeyeisseen.Mostlikel
ydiagnosisis?
A.
acut
eret
robul
barneur
it
is
B.
acut
eangl
ecl
osur
egl
aucoma
C.
acut
eant
eri
oruv
eit
is
D.
sev
ereker
atoconj
unct
ivi
ti
s
E.
openangl
egl
aucoma
Ans-(B)
Q42.A pati
entwhohasl ongt erm useofst eroi
d
devel
opscer t
ainocularsympt omslikebl
urr
yv i
sion,
eyepain,headacheandf ati
gueonnearwor kssince
few weeks.Whi choft hef oll
owingcondit
ionsis
causedbychr oni
csteroiduse?
A.
congeni
talgl
aucoma
B.
phacomor
phi
cgl
aucoma
C.
Acut
euv
eit
is
D.
openangl
egl
aucoma
E.
ker
atoconus
Ans-(D)
Q43.A 70 y earold pat ientper fectly heal
thy is
refer
redbyheropt i
ciant oopthalmol ogyoutpati
ent.
Theopt ici
anhasnot icedcuppingoft heopt i
cdi sc
andenl argementofbl indspot.Tonomet ryconf
irm
the diagnosi
s ofchr onic si
mpl e (open angl e)
glaucoma.Chooset hemostappr opr i
atedrugfrom
thechoicesgivenbelow?
A.
tr
opi
cami
de
B.
ti
mol
ol
C.
bri
moni
dine
D.
hyper
mel
lose
E.
acet
azoami
de
Ans-(B)
Q44.A pati
entcame t o physici
an wit
h l oss of
per
ipheralvision ,epi sodes ofhalos and bl
urry
vi
sion,pain and pr oblems like myopi
a due t o
i
ncreasedint
r aocularpressurebyv i
gor
ousexerci
se
.Whatwi l
lbey ourdi
agnosi s?
A.
pigment
arygl
aucoma
B.
openangl
egl
aucoma
C.
pri
mar
yangl
ecl
osur
egl
aucoma
D.
nor
malt
ensi
ongl
aucoma
E.
congeni
talgl
aucoma
Ans-(A)
Q45.Apat ientcomestoclini
cwi thhistoryofslow
visi
onlossf ormonthsoryearspr i
ortoacut eonset
ofpain,r ednessandsomet i
meshei snotabl et o
seet hi
ngscl earl
y.Onexami nati
onr evealedthat
therei sinaccurateli
ghtper cepti
on due t ot he
densityofcat ar
act.Whatwillbet hedi agnosi
sof
thispati
ent?
A.
phacol
yti
cgl
aucoma
B.
phacomor
phi
cgl
aucoma
C.
mal
ignantgl
aucoma
D.
openangl
egl
aucoma
E.
acut
eangl
ecl
osur
egl
aucoma
Ans-(A)
Q46.A patient comes to ophthalmol
ogi
st with
symptomsofmi ddil
ated,sluggi
shandi r
regul
ar
pupil
.Cornealedemai salsoseen.Onexaminati
on
rev
ealedthathisI OPismor ethan35mm ofHg
.Whatisyourdiagnosi
s?
A.
phacomor
phi
cgl
aucoma
B.
phacol
yti
cgl
aucoma
C.
mal
ignantgl
aucoma
C.
phacot
oxi
cgl
aucoma
E.Pi
gment
arygl
aucoma
Ans-(A)
Q47.A patientcomest oclini
cwi t
hsy mptomsof
mi gr
aineheadaches,coldhandsandf eet
.Hisbl
ood
pressureisal sol
ow .Onexami nati
onhi sIOP i
s
exceedingt henor
malr ange.Whatwoul dbey our
diagnosis?
A.
openangl
egl
aucoma
B.
Nor
malt
ensi
ongl
aucoma
C.
phacot
oxi
cgl
aucoma
D.
mal
ignantgl
aucoma
E.
phacol
yti
cgl
aucoma
Ans-(B)
Q48. A patient presented wi th formation of
peripher
al anteri
or sy nechiae which leads to
constanthighIOPandi sassoci at
edwi t
hdamage
toopt i
cnerv eandv i
sualf i
elddefect
s.Pigmented
dispersi
ononcor nealendot hel
ialandsectorali
ri
s
atrophyisseen.Whati syourdiagnosis?
A.
Chr
oni
cangl
ecl
osur
egl
aucoma
B.
pri
mar
ycongeni
talgl
aucoma
C.
openangl
egl
aucoma
D.
mal
ignantgl
aucoma
E.
nor
malt
ensi
ongl
aucoma
Ans-(A)
Q49.A pat
ient25y earoldmal epati
entcamet o
physi
cian with loss of iri
s pigments and is
deposi
tedinit
ial
lyon othert
issuel
ikecornea,l
ens
capsule.He is also my opi
c wit
h high IOP.On
examinati
on therei s i ri
s heter
ochromi a and
tr
ansil
luminat
iondefectsareseenwithkrukenberg
spindl
eformation.Whatwil
lbeyourdiagnosis?
A.
pigment
arygl
aucoma
B.
phacol
yti
cgl
aucoma
C.
mal
ignantgl
aucoma
D.
Nor
malt
ensi
ongl
aucoma

E.
openangl
egl
aucoma
Ans-(A)
Q50.Apat ientwithdecreasedv ision,photophobia,
cornealedema,conj unti
vitalinfecti
on.HisI OPis
high and v it
reous hemorrhage i s also seen on
exami nat
ion. Alongwi t
ht hesesy mptomshehas
severe pain ,headache ,nausea and v omiti
ng
problemsal sothen,Whatwi llbeyourdiagnosis?
A.
Neov
ascul
argl
aucoma
B.
mal
ignantgl
aucoma
C.
openangl
egl
aucoma
D.
phacol
yti
cgl
aucoma
E.
pigment
arygl
aucoma
Ans-(A)
 Anterior part disorders

Disorders of Conjunctiva

Q-1) A patients come to clinic, complain with redness ,foreign body , blurring of sudden onset has
purulent discharge from his eye ,and chemosis.what is most probably daignosis ?

A- viral conjunctivitis

B – fungal conjunctivitis

C- chlyamadial conjunctivitis

D- bacterial conjunctivitis

E- allergic conjunctivitis

Ans-D

Q- 2 ) A person has chronic alcohol history complain congestion around the latral canthus and burnung
sensation and discomfort of the eye .what probably diagnosis

A- adenovirual conjuctivitis

B- appolo virus

C- trachoma

D- angular conjuctivitis

E- gonnococcous

Ans

Q-3) A 40 years old patients complain with itching , soreness,dry sensation , mucoid discharge,
photophobia. on examination be noticed loss of lateral eyebrow(hertoghe,s sign) may be seen ,extra lid
fold due to chronic eyelid rubbing ,lower conjunctiva are involved .What will be daignosis ?

A- Vernal keratoconjunctivitis
B- Atopic keratoconjunctivitis (AKC)
C- Simple allergic conjunctivitis
D- Allergic conjunctivitis
E- Acute haemorrhagic conjunctivitis

Ans-B
Q-4 ) 9 years old child came to clinic with follicles look like boiled sago-grain commonly seen in upper
tarsal conjuctiva . mild foreign body sensation scanty mucoid dyscharge treatment recommended
antibiotics. .what is the probable diagnosis ?

A- trachoma

b- vernal keretoconjuctivitis

c- phylectenular keretoconjuctivitis

d- limbus stem cell deficincy

E- allergic conjectiva

Ans-A

Q-5) A patients come in OPD complain with redness, sudden onset profuse watery dyscharge with mild
mucoid , photophobia usually mild acute hemorrhagic conjunctivitis ,what is the causetive organism

A- Bacteria

B- virus

C- fungus

D- clamydia

E-streptococcus auriouconjunctivitis

Ans-B

Q-6) 20 years old patients recurrent bilateral conjunctivitis in young boys symptoms appear because of
hot weather like burning, itching, and lacrimation with lesions Hard, flat topped, cobble stone, papillae
raised areas in the palpebral conjunctiva in severe case daignosis is?

A. Trachoma

B. Phlyctenular conjunctivitis

C. Mucopurulent conjunctivitis

D. Vernal keratoconjunctivitis

E. Allergic conjunctivitis

Ans-D
Q-7) Patient , 25 years old, went to the ophthalmologist with coplaints of having a red spot on the right
eye with intensive pain after touching, on examination, a dark red area with purple tint was revealed.
The conjunctiva is fused with the affected area of the sclera, the vessels intersect in different directions.
Diagnosed with pingveculitis. What is the treatment of choice?

A-playered keratoplasty

B-ultre- high frequency therapy

C- Non penetrating scleroplasty

D-hydrocortisone ointment

E-Ophthalmoferon ointment

Ans-E

Q-8)A patient complains of maceration of

skin of the lids and conjunctiva redness at

the inner and outer canthi. Conjunctival

swab is expected to show:

A- Slaphylococcus aureus

B- Streptococcus viridans

C-Streptococcus pneumonae

D- Morax- Axenfeld diplobacilli

E-E.coli

Ans-D

Q-9)A 30-year-old female patient consulted an ophthalmologist complaining of dryness, burning

sensation and irritation of the conjunctiva, with a sensation of splashing in the eyes and a decrease in
visual acuity, intensifying during the day. Examination revealed mucinous “filaments”, redness and local
edema of the conjunctiva of the eyeball, decreased tear secretion. Anamnesis revealed that the patient
wore lenses. Was diagnosed with xerosis of the cornea. What drug will be recommend?

A- solution of cypromed

B- amphotericin solution

C-fusidic acid solution

D- artificial tear solution

 E- dexamethasone solution

Ans-C

Q-10) A patient came to with complaints of pain, redness, share deterioration of vision in the left eye.
He had a history of chopping Wood about two hour ago. We noticed swelling of the eye, diffuse
hyperemia, soreness when patient trying to close and open the eyes. Bacterial conjunctivitis was
diagnosed. What is the first- line I.V. drug of choice for treatment of this patient

A-predniosolone 1.5mg /kg

B- Ceftriaxone

C- Meldonium 5%

D- Metformin 2mg/kg

E-Citicoline 1-5 mg / kg

Ans-A

Q-11) A 30 years old female complain With soreness in the upper eyelid, headaches and fever, which
bothers her purulent pustule was revealed in the upper eyelid. damage unilateral, painfull with
conjunctiva, edema. Female patient suffering from type 2-diabetes mellitus, What is the cause of
disease?

A-Pneumococcus

B-Staphylococcus

C-Mycobacteria

D-mycoplasma

E-gonococcal

Ans-B

Disorders of Lacrimal apparatus

Q-12) A patients with complain dry eye foreign body sensation, xerostomia (dry mouth) , itching
rheumatoid arthritis pathological changes Focal accumulation and infiltration by lymphocytes and
plasma cells with destruction of lacrimal and salivary glandular tissue what is daignosis?

A- Sjogren' s syndrome
B- Epiphora
C- Dacrocystitis
D- Acut dacrocystitis
 E- Congenital

Ans-D

Q-13)A patient complains of severe ocular pain in the right eye and headache. The patient is
drowsy, fever with right proptosis, lid and conjunctival edema, mastoid edema and bilateral
papilledema. The diagnosis is?

A- Endophthalmitis

B- Panophthalmitis

C- Orbital cellulitis

D- Cavernous sinus thrombosis

E-Dacrocystitis

Ans-D

Q-14) A 40-year-old patients came to the eye hospital with complaints of severe headaches, chills, pain
in the right eye area. The anamnesis suffers from chronic sinusitis, does not receive treatment. body
temperature 39.8 Eyelids are sharply edematous, hyperemic, conjunctival chemosis, eye mobility is
limited. What is daignosis?

A-Flush the lacrimal duct

B- lacrimal sac phlegmon

C- KuntShimanovsky operation

D-Orbitotomy

E-Blepharitis

Ans-B

Q-15) A patient came to opd. History : Two days ago the dentist removed the upper tooth on the right
side. The patient is worried about headache, chills, the double vision of objects when examining with
the right eye, there is pronounced swelling and redness of the eyelids of the right eye, protrusion of the
eyeball, its mobility is limited, painful. conjunctiva of the eyelids and eyeball is sharply edematous what
is the probable daignosis ?

A- Phlegmon orbits

B-Abscess of the eyelids

C- Acute dacryoadenitis

D-Orbital pseudotumor

E- Fibrinous-plastic iridocyclitis
Ans-C

Q-16) Patient 45 years old, complains of constant watery eyes from the right eye, especially when
outside. She has watery eyes for 2 years. the position of the eyelids and lacrimal openings is correct,
when pressing on the area of the lacrimal sac, there is no discharge. Colored lacrimal test is negative.
When the lacrimal passages are flushed, the liquid does not pass into the nose, it returns through the
superior lacrimal opening. The eye is healthy. The lacrimal test is positive; when rinsing, the liquid
passes freely into the nose. Diagnosis with inflammation of the lacrimal sac. Which surgical procedures
we have done ?

A-vitreoectomy

B- Collagen crosslinking

C- Penetrating keratoplasty

D-Dacryocystorhinostomy

E-Limbosclerectomy

Ans-D

Q-17) A newborn infant present as a mild grade chronic inflammation. Epiphora developed after 7 day
of birth complain mucopurulent dyscharge from eyes, swelling on the sac area . regurgitation test is
positive what is most probable daignosis?

A- Panophthalmitis

B- orbital cellulitis

C- congenital Dacrocystitis

D-canemous sinus thrombosis

E- none of the above

Ans-c

Q-18)A patient 60 year old age female Complain watery eye , constant epiphora, swelling just below the
canthus. on regurgitation test milky or gelatinous mucoid fluid regargitate what is probably diagnosed?

A- chronic dacryoadenitis

B-thyrotoxicosis

C-orbital vercosis vein

D- acute dacryoadenitis
E-superior orbital fissure syndrome

Ans-A

Q-19) A patient Complain with painful swelling in the region of lacrimal sac , epiphora, fever and malaise
, swelling is red, hot , tender, area involved lip and cheek , if untreated due to edema ,sack is filled with
pus , lacrimal abscess is formed ,into nasal cavity forming an internal fistula what is daignosis?

A- Congenital Dacrocystitis
B- Acute dacryoadenitis
C- Chronic dacryoadenitis
D- Dacryops
E- Tumse of the lacrimal gland

Ans-B

Q-20)A patient came to opd with painful swelling in the lateral part of upper lid, painful proptosis , lid
become swollen with a typical s-shaped curve of its margin. what is daignosis?

A-acute dacryoadenitis

B- chronic dacryoadenitis

C-Acute Dacrocystitis

D- chronic dacroysitis

E-Congenital Dacrocystitis

And-A

Q-21)A Patient complain usually complains of deposition whitish material (soft scales) at the lid margin
association with discomfort, irritation occasionally watery dyscharge history of falling of eye lashes .
After removing the scale there is no ulcers, hyperemic and greasy apearence what is the daignosis?

A- Bacterial blepharitis
B- Seborrheic or squamous blepharitis
C- Externa hordeolum
D- Posterior blepharitis (Meibomitiss)
E- Acute Meibomitiss

Ans-B
Q-22) A patient complains of severe ocular

pain in the right eye and headache. The

patient is drowsy, feverish with right

proptosis, lid and conjunctival edema,

mastoid edema and bilateral papilledema.

The diagnosis is:

A- Endophthalmitis

B- Panophthalmitis

C- Orbital cellulitis

D- Cavernous sinus thrombosis

E-Exophthalmitis

Ans-D

Q-23) A 8 year old boy with a history of atopy presents with a seasonally recurrent bilateral
conjunctivitis and complains of blurred vision for 1 week. giant papillae are seen upon lid eversion.
All of the following could also be seen on the slit-lamp except:

A-vascular pannus and pnctate epithelial erosions involving the superior cornea
B- An oval epithelial ulceration with underlying stromal opacification in the central
cornea
C- Limbal follicles
D- Conjunctical symblephara

E-Corneal opacities

Ans-D

Disorders of eyelids

Q-24) A Patients complaints with the chronic irritation , itching mild lacrimation , mild
photophobia symptoms worse in the morning , on examination yellow crust are seen
small ulcers which easily bleed are seen on removing the crust, red and thikened lid
margin s with dilated vessel (rosettes). What is daignosis?

A- Squamous blepharitis
B- Seborrheic
C- Bacterial blepharitis
D- Meibomitis
 E- Parasitic blepharitis

Ans-C

Q-25) A Patient complain with irritation , itching , burning , milfd lacrimation history of
person living in poor hygienic conditions.on examination noticed lid margin red inflamed
,on slit- lamp examination lice anchoring the lashes there claws may be seen. which
type of blepharitis accur in this Patient?

A-posterior blepharitis

B-Bacterial blepharitis

C-squamous blepharitis

D-Parasitic blepharitis

E-Seborrhoeic blepharitis

Ans - D

Q-26) A 8 years old child habitual rubbing of eye and nose , Complain pain and swelling
mild watery dyscharge and photophobia, examination firm ,red tender ,edema,there is
one stye, visible pus point on lid margin. Most probable daignosis is ?

A-chalazion

B- acut meibomitis

C-External hordeolum(stye)

D-Internal hordeolum

E-Molluscum contagiosum

Ans-c

Q-27) 20 years old age boy come to opd complain with painless swelling in eye lid ,
gradually increase in size ,feel heaviness , blurred vision due to induced astigmatism ,
watering (epiphora) in examined nodule is noted and reddish purples area seen.
treatment of choice incision and curettage, diathermy. what is daignosis?
A-chalazion

B- poliosis

C-entrapion

D- distichiasis

E-madarosis

Ans-A

Q-28) A Patient come with Complain diplopia (double vision), ristricted occular
movement, lagophthalmos (inability to close lids . Anamnesis: injury in eye during road
accident, on examination: seen symblepharon(adhesion present in eye)

What is daignosis?

A-ptosis

B-blepharospasm

C-lagophthalmos

D-Symblepharon

E-Chalazion

Ans-D

Q-29) A 25 years old age male patient compliant irritation, discomfort and mild
photophobia, epiphora .on examination : lid margin is outrolled , what will be
daignosis?

A-ptosis

B-blepharospasm

C-entrapion

D- ectropion

E-Lagophthalmos

Ans-D
 Q-30) A Patient with ptosis present s with retraction of ptotic eyelid on chewing . What
is the represent ?

A-abducent palsy

B- occulomotor palsy

C-third nerve palsy mis direction palsy

D- Marcus gunn jaw winking syndrome

E-harner syndrome

Ans-D

Disorders of orbit

Q-31) A patient presented with unilateral proptosis, which was compressible and
increases on ending forward. No thrill was present. MRI shows a retro- orbital mass
with enhancement. Most likely daignosis is?

A-orbital encephalocoecle

B-orbital varix

C-Av malformations

D-neurofibromatosis

E-chloroma

Ans- B

Q-32) A patient paralysis of 3rd, 4th and 6th cranial nerves with involvement of
ophthalmic division of 5th CN location of lesions is?

A-Apex of the orbit

B-brainstem

C-base of the skull

D-cavernous sinus

E-brain cortex
Ans- D

Q-33) A 30 years old man RTA presented with proptosis and pain in right eye after four
days. On examination. There is bruise on forehead and right eye . What is daignosis?

A- Caroticocavernous fistula
B- Fracture of sphenoid bone
C- Internal carotid artery aneurysm
D- Cavernous sinus thrombosis
E- Neuroblastoma

Ans- A

Q-34) A 20 years old girls with history of repeated pain over medial canthus
and chronic use of nasal decongestant , presented with abrupt onset of fever
with chills and rigor, diplopia on lateral gaze, moderate proptosis and
chemosis. On examination. Optic disc is congested. Most likely daignosis is?

A- Orbital cellulitis
B- Cavernous sinus thrombosis
C- Acute ethmoidal sinusitis
D- Orbital apex syndrome
E- Non of these

Ans-B

Q-35) Adult patients present with proptosis and pain in eye after 4days of trauma to
eye. Chemosis, conjuctival connection and extraocular muscles palsy with inability to
move eye are seen. What is the investigation of choice?

A- MRI
B- CT
C- MR angiography
D- Digital substraction angiography
E- Radiography

Ans-D

Q-36) A patients come to hospital present 6 hour’s after head injury complaining of
mild proptosis and scleral hyperemia?

A- Retro- orbital hematoma

B- Orbital cellulitis
C- Pneumo-orbit
D- Caroticocavernous fistula
 E- Meningioma

Ans -A

Q-37) A Patients present with proptosis , pain and necrotic areas with black eschar
formation may be seen on the mucosa of palate, turbinates and nasal septum and skin
of eyelid . History of Patient daibetis mellitus with renal failure what is daignosis?

A- Orbital cellulitis
B- Orbital mucormycosis
C- Cavernous sinus thrombosis
D- Thyroid of eye disease
E- Tolosa- hunt syndrome

Ans-B

Q-38) A patients with ocular changes which includes upper lid retraction(Dalrymple's
sign), upper lid lag( Von graef's sign), increase pigmentation of lids(jellinek's sign).
and proptosis, chemosis history of patients with chronic cigarette smocker,
exopthalamos What is daignosis?

A- Thyroid eye disease

B- Cavernous sinus thrombosis
C- Orbital cellulitis
D- Orbital mucormycosis
E- Orbital infection

Ans-A

Q-39) A patients come to OPD after diagnosis triad of exophthalmos, diabetes

insipidus and bone lesions is characterized by ?

A- Optic atrophy
B- Papilloedema
C- Opticociliary
D- Osteoporosis
E- Hand- Schuller Christian disease

Ans-E

Q-40) Most often the first sign of involvement of opposite site in cavernous
sinus thrombosis is ?

A- Paralysis of opposite lateral rectus muscle

B- Proptosis of the opposite side
 C- Paralysis of opposite 3rd nerve
D- Paralysis of opposite 4th nerve
E- All of the above

Ans –A

Keratitis

Q-41) A mother with a 8 year old child came to the pediatrician, Complaints of
photophobia, lacrimation, pain in the left eye. The above complaints are worsening in
2nd day, the day before the child had ARVI. Examination revealed a small number of
small bubbles between the eyelashes, an increase in the follicles of the conjunctiva.
On the cornea there are several vesicles and gray-white punctate foci of
opacity.what is daignosis?

A-viral keratitis

B- ulcerative keratitis

C- protozoal keratitis

D- allergic keratitis

E-bacterial keratitis

Q-42)A10 years old patients go to the pediatrician. Complaints moderate photophobia

and lacrimation in both eyes; the mother also noticed the child has difficulty hearing.
On examination: sharply protruding frontal tubercles, asaddle nose, a lunate notch in the
middle of the upper front teeth are noticeable.Objectivelly : there is a moderate
precorneal injection inere is diffuse infiltration of a grayish-white color. What is the most
likely diagnosis?

A- Tuberculous keratitis

B- Herpetic keratitis

C- Syphilitic keratitis

D- Neuroparalytic keratitis

E-non of these

Ans. B
 Q-43) A patients Complain with ocular irritation ,moderate pain lacrimation foreign
body sensation.on examination find filament feely movement over Cornea . History
of patients DM, ocular surgery done for cataract What is most likely diagnosis?

A-Dendritic keratitis

B-Filamentary keratitis

C-Tuberculous keratitis

D-Syphilitic keratitis

E-Acanthamebic keratitis

Ans-B

Q-44 ) 30 years old patients present redness of the mucous membrane of both
eyes, moderate discharge, sticking of eyelashes in the morning, feeling of sand
under the eyelids, lacrimation. Felt sick two days after swimming in the pond. On
examination, the conjunctiva of the eyelids and eyeballs is sharply hyperemic,
moderately edematous, there are single follicles on the conjunctiva of both eyes,
moderate mucous discharge. What is complication of this disorders

A- Choroiditis

B- Retinitis

C- Panophthalmitis

D- Keratitis

E- Endophthalmitis

Ans- E
 Q-45)A patient has come to OPD with complaints of dryness, burning, itching, pain in
the eyes, photophobia, decreased vision in both eyes, almost complete absence of
tears even during crying, dry skin and dry mouth, swelling and stiffness in the joint’s
arms and legs. Ill for six months. On examination, there is a moderate mixed
injection of the conjunctiva in both eyes, scanty, viscous discharge. In the lower part
of the cornea, there is moderate edema, small-point infiltrates, superficial opacities.
What complication in this patient

A. Orbital phlegmon

B. Thrombosis of the cavernous sinus

C. Filamentous keratitis

D. Dislocation of the lens

E. Retinal detachment

Ans-C

Q-46)A patient come to opd Complaints moderate photophobia and lacrimation in

both eyes; the mother also notes that the child has difficulty hearing. On examination,
sharply protruding frontal tubercles, a saddle nose, a lunate notch in the middle of
the upper front teeth are noticeable. Objectively: there is a moderate precorneal
injection in the eyeball, in the corneal stroma near the limbus there is diffuse
infiltration of a grayish-white color. What is your presumptive diagnosis?

A- Tuberculous keratitis

B- Herpetic keratitis

C- Syphilitic keratitis

D- Neuroparalytic keratitis

E- Avitaminous keratitis

Ans-C
Q-47)A mother with a 7 year old child came to the pediatric department. Complaints
of photophobia, lacrimation, pain in the left eye. The above complaints are worsening
the 2nd day, the day before the child had ARVI. Examination revealed a small number
of small bubbles between the eyelashes, an increase in the follicles of the
conjunctiva. On the cornea there are several vesicles and gray-white punctate foci
of opacity. Diagnosed with viral keratitis. What treatment is needed in this case?

A- Bioquinol, penicillin

B- Ftivazid, streptomycin

C- Acyclovir, ophthalmoferon*

D- Nerobol, tetracycline ointment

E- Retinol, korneregel

Ans-C

Q-48)A patient has come to you with complaints of dryness, burning, itching, pain in
the eyes, photophobia, decreased vision in both eyes, almost complete absence of
tears even during crying, dry skin and dry mouth, swelling and stiffness in the joint’s
arms and legs. On examination, there is a moderate mixed injection of the
conjunctiva in both eyes, scanty, viscous discharge. In the lower part of the cornea,
there is moderate edema, small-point infiltrates, superficial opacities. What
complication of thi patiens?

A- Orbital phlegmon

B- interstitial keratitis

C- Filamentous keratitis

D- tuberculous keratitis

E-syphilitic keratitis

Ans-C
Q-49) A 56 year old man has painful rashes over the forehead and upper eyelid with
puctuate keratopathy for the past two days. About a year ago, he undergoes
chemotherapy for non hodgkin's lymphoma. What is your diagnosis?

A. Impetigo

B. SLE

C. Herpes zoster

D. Pyoderma gangreosum

E. Aspergillus

Ans- C

Q-50) A person with prolong use of contact lens has irritation of left eye . After
examination diagnosis of keratitis was made and revealed the growth of pseudomonas
aeruginosa . The organism was multidrug resistant. Which of the following best
explains the mechanism of antibiotic?

A- Ability to transfer resistance gene from adjacent flora

B- Improper contact lens

C- Frequent and injudicious use of antibiotics

D- Ability of pseudomonas to produce biofilm

E- Increase curvature of cornea

Ans - D
Name-Medha Tripathi
Gp. 26
Case Study

1. A 72-year-old man consulted an optometrist at the place

of residence with complaints on a slight decrease in
vision in both eyes, fog before the eyes, objectively:
visual acuity of the right eye = 0.1, left eye = 0.2, the eye
is calm, the cornea is transparent, the anterior chamber
is medium, the pupil is round forms, lens opacity, fundus
is not good visible. What is the preliminary diagnosis in
this case?
1. Mature cataract
2. Initial cataract
3. Overripe cataract
4. Partial cataract
5. Immature cataract

Ans. 2
2. A 74-year-old man admitted to the emergency room with
complaints on severe pain, decreased vision in the left
eye. From the medical history, patient's diagnosis was
immature cataract of the right eye. On examination, the
eye is red, the cornea is edematous, the anterior
chamber is shallow, the pupil is mydriatic, the lens is
opaque, and swells. The fundus of the eye is not visible.
Diagnosis is Hyper mature cataract, phacomorphic
glaucoma of the right eye. Which of the more
appropriate treatment for this diagnosis?
1 Sclerectomy.
2 Extraction of the lens
3 Corneal transplantation
4 Sinus trabeculectomy
5 Dacryocystorhinostomy

Ans. 2

3. A 75-year-old woman consulted with an FMC

ophthalmologist complaining about lack of object vision
in her right eye; according to the patient, her right eye
stopped seeing 3 months ago, and her vision gradually
decreased. With visometry, the function of the right eye
has a correct color projection, intraocular pressure is
normal, with ophthalmoscopy there is no reflex. What
pathology are we talking about?
1 Mature cataract
2 Hypermature cataract
3 Immature cataract
4 Secondary cataract
5 Initial cataract

Ans. 2

4. Choose the most probable diagnosis when the aged

patient develops decrease and blurred vision after
visiting the sauna, rainbow circles around the light,
severe pain in the eye with irradiation to the back of the
head, teeth, ear:
1 Acute dacryocystitis
2 Acute keratitis
3 Acute angle close glaucoma
4 Acute conjunctivitis
5 Acute iridocyclitis

Ans. 3

5. A 78-year-old woman referred to ophthalmologist

complaining of a decrease in object vision in the left eye,
lack of object vision in the right eye, according to the
patient, vision has been gradually decreasing for the last
2 years. With visometry, the function of the right eye is
0.005. Left eye functions at 0.2, intraocular pressure is
normal, with ophthalmoscopy, the reflex is gray.
Clinically diagnosed as a mature cataract of the right
eye, immature cataract of the left eye. What method of
treatment is advisable to prescribe for this diagnosis?
1 Corneal transplantation
2 Extraction of the lens
3 Sinus trabeculectomy
4 Dacryocystorhinostomy
5 Discission of the secondary cataract

Ans. 2

6. Parents brought a two-year-old child to the children's eye

department with complaints on poor orientation in
space during for last 6 months. Objectively: OU —
anterior part of eyes without changes, the cornea is
transparent, the anterior chamber is normal, the pupil is
rounded in the center, the lens is opaque, there is no red
reflex. A diagnosis: Congenital cataract of both eyes and
surgical treatment was proposed. What type of
treatment is indicated for this patient?
1 No surgery till adolescence
2 Spectacle correction
3 Medicamentous treatment
4 Extraction of cataracts
5 Sinustrabeculoectomy
Ans. 4

7. An 80-year-old woman consulted with an

ophthalmologist of the FMC with complaints of
decreased object vision in her left eye; according to the
patient, her vision has been gradually decreasing for the
last 2 years. With visometry, the function of the left eye
is 0.05, intraocular pressure is normal, with
ophthalmoscopy, the reflex is gray. Diagnosed with
cataract. What additional examination does this patient
need to confirm the diagnosis?
1 Non-contact tonometry
2 Fluorescence angiography
3 Automatic refractometry
4 Optical coherence tomography
5 Ultrasound examination

Ans. 3

8. 68-year-old man turned to the emergency service of

the eye department with complaints of severe soreness,
redness, and decreased object vision in the right eye.
From the anamnesis, the diagnosis was made of an
immature cataract of the right eye. On examination, the
eyes are injected, the cornea is edematous, the anterior
chamber is smaller than the middle, the pupil is wide, the
lens is cloudy, and swells. The fundus of the eye: not
visible. What type of secondary glaucoma does this?
patient has?
] Neoplastic
2 Fakomorphic
3 Phlebohypertensive
4 Dystrophic
5 Postuveal

Ans. 2

9. A 75 year old woman consulted with an FMC

ophthalmologist complaining about lack of object vision in her
right
eye. According to the patient, her right eye stopped seeing 3
months ago and her vision gradually decreased. With
visometry, the function of the right eye has a correct color
projection, intraocular pressure is normal, with
ophthalmoscopy there is no reflex. What pathology are we
talking about?
1 immature cataract
2 Initial cataract
3 mature cataract
4 Hypermature cataract
5 secondary cataract

Ans.

10. A 12 years old boy receiving long term

treatment for spring catarrh, developed
defective vision in both eyes. The likely
cause is;
a. Posterior subcapsular cataract
b. Retinopathy of prematurity
c. Optic neuritis
d. Vitreous hemorrhage

Ans. 1

11. Phakolytic glaucoma is best treated by:

a. Fistulizing operation
b. Cataract extraction
c. Cyclo-destructive procedure
d. Miotics and Beta blockers

Ans. B

12. Lens induced glaucoma least occur in:

a. Intumescent cataract.
b. Anterior lens dislocation,
c. Posterior subcapsular cataract
d. Posterior lens dislocation

Ans. C
13. A 72-year-old woman admitted to emergency room with
complaints of pain in the left eye, radiating to the left
half of the head, lacrimation, photophobia,
blepharospasm, decreased vision. Objective
examination: VOD =1.0, VOS= incorrect light perception.
The eye is bluish injected, the cornea is edematous, the
anterior chamber is deep, tremor of the iris is
determined, the pupil is irregular, small white particles of
lens masses are detected in the anterior chamber. The
fundus of the eye is not good visible. What type of
secondary glaucoma has this patient?
1 Phlebohypertensive
2 Posttraumatic
3 Neoplastic
4 Postuveal
5 Phacolytic

Ans. 5

14. A 49-year-old woman came to the emergency room with

complaints of severe pain and blurred vision of the right eye,
which arose against the background of an increase in blood
pressure to 180- and 90-mm Hg. The patient reported single
vomiting that did not bring relief. On examination, the
following
data were obtained: visual acuity of the right eye = 0.09 is not
corrected, visual acuity of the left eye = 0.1 (+) 3.5 D = 1.0;
Biomicroscopy of the right eye revealed a stagnant injection of
the eyeball, corneal edema, small anterior chamber, iris
bombardment, the pupil is dilated, does not react to light. |OP
OD
56 mm Hg. What is your preliminary diagnosis?
1 Retrobulbar neuritis
2 Acute attack of glaucoma
3 Lacrimal sac phlegmon
4 Total retinal detachment
5 Fibrinous-plastic iridocyclitis

Ans. 2
 15. 64-year-old female patient complains of pain radiating to
the
back of the head and a feeling of swelling of the right eye.
There
is a thick fog in front of the right eye and the eye sees almost
nothing. On examination: VOD - counting the fingers of the eye.
On the right eye, congestive injection of the anterior vessels,
the
cornea is edematous, the anterior chamber is small, the iris is
edematous, the pupil is about 4-5 mm. gray color. What kind of
secondary glaucoma does the patient have?
1 Facotopic
2 Neoplastic
3 Neovascular
4 Facolytic
5 Phacomorphic

Ans. 4

16. A 49-year-old patient admitted to the emergency room

with complaints of severe pain and blurred vision of the
right eye, nausea, vomiting, haloes around the lights. She
has increased blood pressure -180/90 mm Hg. On
examination: VOD= 0.09 n/c, VOS= 0.1(+) 3.5 D = 1.0:
Biomicroscopically- OD- injection of the eyeball, corneal
edema, shallow anterior chamber, iris bombe, the pupil is
dilated, does not react to light. The intraocular pressure
of the right eye is 56 mm Hg. What is your preliminary
diagnosis?
1 Acute filbrinous iridocyclitis
2 Acute obstruction of the central retinal vein
3 Acute obstruction of the central retinal artery
4 Acute angle close glaucoma
5 Acute bacterial conjunctivitis

Ans. 4

17. The patient, 40 years old, turned to the eye trauma

center with complaints of irritation and pain in the right
eye, lacrimation, photophobia. Anamnesis revealed that
yesterday while working in the garden, he injured his eye
with a branch. On examination: VOD - 0.4, VOS - 1.0.
Pericorneal injection, the cornea in the center when
viewed from the side light - opalescent; loss of smooth
in the optical zone. The doctor instilled fluorescence
solution into the conjunctival cavity. An area of the
cornea with a size of 2.0x1.5 mm turned greenish.
Diagnosed with corneal erosion. What is your treatment
strategy?
1. antibiotic and corneregel
2. Taurine 4% and Riboflavin 0.02%
3. Timolol 0.5% and Solcosery| Gel
4. Pilocarpine 1% and Riboflavin 0.02%
5. Dexamethasone 0.1% and corneregel

Ans. 5

18. Male 36 years old. After a traumatic brain injury,

complete, unilateral ptosis is revealed. During the
examination, it was revealed that when the patient
opens his mouth, the ptosis disappears. What is the
patient's diagnosis?
1 Marcus-Gunn syndrome
2 Behcet syndrome
3 Voagt-Koyanagi-Harada syndrome
4 Morphan's syndrome
5 Forster-Kennedy syndrome

Ans. 1

19. A 30-year-old man came to an eye trauma center

with complaints of photophobia, lacrimation of the
left eye. From the anamnesis, it was found out that
the day before he worked in the garden and touched
= eye with a branch. On examination: visual acuity
of the left eye = 0.4 on the cornea in the central!
zone, the epithelium rejection focus is 4 mm, the
‘corneal surface above the focus is dull and rough.
What is your preliminary diagnosis?
1 Corneal ulcer
2 Keratoconus
3 Keratomycosis
4 Corneal erosion
5 Descemetocele

Ans. 4

20. An 8 year old girl received a tennis ball

trauma to her right eye. On examination on
the same day you would find
A. Blood staining of the cornea
B. Hyphaema
C. Hypopyon
D. Ghost cell glaucoma

Ans. B

21. A 33-year-old patient consulted an ophthalmologist

complaining of a sharp decrease in vision in the right
eye, which he has noticed 2 days ago. A week ago he
suffered acute right-sided sinusitis. Objectively: visual
acuity of the right eye = 0.2 (not corrected). The right eye
is calm, the optical media is transparent. The fundus of
the eye: the optic nerve head is hyperemic, its borders
are blurred, edematous, slightly protrudes into the
vitreous body, the arteries are dilated. The veins are
convoluted, the vascular funnel is filled with exudate.
Macular region and retinal periphery without pathology.
Left eye visual acuity = 1.0. The eye is healthy. What is
your presumptive diagnosis?
1 Ruptured optic nerve
2 Congestive papilla of the optic nerve
3 Optic neuritis
4 Atrophy of the optic nerve
5 Excavation of the optic nerve head

Ans. 2

22. Patient 40 years old, complains of a gradual decrease in

vision in the left eye. Anamnesis: suffered a head injury a
year ago. Ophthalmoscopy revealed: pallor of the optic
nerve head from the temporal side, the borders of the
disc are clear, the vascular bundle in the center, the
arteries are narrow. What is the most likely diagnosis?
1 Retrobulbar optic neuritis
2 Ruptured optic nerve
3 Congestive papilla of the optic nerve
4 Excavation of the optic nerve discs
5 Atrophy of the optic nerve

Ans. 5

23. Absence of vision in left eye was revealed upon examination

of visual activity of a 6 year old child. According to
the anamesis that day there was a blow to the head with a
heavy metal objct. Everything is normal in the fundus and
pathological process in the brain is excluded. What is your
preliminary diagnosis?
1. Damage of optic radition
2. damage of the optic tract
3. Retinal rupture
4. damage of cerebral cortex
5. avulsion of optic nerve

Ans. 5

24. A 65-year-old patient has consulted a doctor with

complaints of deterioration of
vision and spatial orientation. The above complaints appeared
about six months
ago but did not cause much concern. Has noticed intermittent
passing blurred
vision. Objectively: Visual acuity in both eyes = 0.4, sphera - 3.5
diopters = 1.0.
The eyes are calm. The corneas are transparent. The anterior
chambers are of
medium depth. The irises are subatrophic. The pupils are
slightly dilated. In the
fundus, there is an excavation of the optic nerve discs, their
blanching. Intraocular
pressure in both eyes = 38 mm Hg. Art. What research needs to
be done to fully
determine the stage of glaucoma?
A. Refractometry
B. Gonioscopy
C. Tonography
D. Perimetry
E. Diaphonoscopy

Ans. B

25. The patient, 42 y.o., came to the emergency department

with complaints of a
gradual decrease in vision in both eyes; she has a history of
traumatic brain injury.
An objective examination revealed an increase in the size of the
blind spot,
hyperopia of 7.0 D is determined skiascopically above the optic
nerve head.
Ophthalmoscopically, the optic nerve head dominates forward,
the boundaries are
indistinct. What pathology does this patient have?
A. Descending optic nerve atrophy
B. Ischemia of the optic nerve head
C. Papilledema
D. Post-traumatic optic nerve rupture
E. Pseudo-optic neuritis

Ans. B

26. A 46-year-old patient complains of a gradual decrease in

vision in both eyes.
An objective examination revealed an increase in the size of the
blind spot in both
eyes. Ophthalmoscopically, the optic disc will dominate
forward, the boundaries
are indistinct. The veins are sharply dilated; the arteries are
medium, hemorrhage
near the optic nerve head. Formulate this patient's condition.
A. Increased intraocular pressure
B. Increased intracranial pressure
C. Increased erythrocyte sedimentation rate
D. Increased blood glucose
E. Increase in leukocytes in the blood
Ans. A

27. A 16-year-old patient complains of low vision in both eyes.

Vision is poor from
birth. He doesn't use glasses because they are not suitable.
Objectively: visual
acuity in both eyes = 0.2 (not corrected). The accessory
apparatus of the eyes is
normal. The eyeballs are calm. Anterior segments without
visible pathology.
Optical environments are transparent. On the fundus of the
optic nerve, discs are
pale, somewhat reduced in size. No other pathology is visible.
What is the
pathology of the optic nerve?
A. Retrobulbar optic neuritis
B. Congestive papilla of the optic nerve
C. Aplasia of the optic nerve disc
D. Ruptured optic nerve
E. Excavation of the optic nerve discs
Ans. B

28. A 46-year-old patient complains of a gradual decrease in

vision in both eyes.
An objective examination revealed an increase in the size of the
blind spot in both
eyes. Ophthalmoscopically, the optic disc will dominate
forward, the boundaries
are indistinct. The veins are sharply dilated; the arteries are
medium, hemorrhage
near the optic nerve head. Formulate this patient's condition.
A. Increased intraocular pressure
B. Increased intracranial pressure
C. Increased erythrocyte sedimentation rate
D. Increased blood glucose
E. Increase in leukocytes in the blood

Ans. B

29. A 16-year-old patient complains of low vision in both eyes.

Vision is poor
from birth. He doesn't use glasses because they are not
suitable. Objectively: visual
acuity in both eyes = 0.2 (not corrected). The accessory
apparatus of the eyes is
normal. The eyeballs are calm. Anterior segments without
visible pathology.
Optical environments are transparent. On the fundus of the
optic nerve, discs are
pale, somewhat reduced in size. No other pathology is visible.
What is the
pathology of the optic nerve?
A. Retrobulbar optic neuritis
B. Congestive papilla of the optic nerve
C. Aplasia of the optic nerve disc
D. Ruptured optic nerve
E. Excavation of the optic nerve discs

Ans. B

30. Patient 32 years old referred with complaints of poor night

vision, narrowing of
the fields of vision in both eyes. The above complaints are
noted from childhood.
Ophthalmoscopy showed areas of dystrophic destruction of
receptor cells on the
periphery of the retina in the form of "bone bodies", narrowing
of the retinal
arteries. What is the most likely diagnosis?
A. Localized retinal detachment
B. Occlusion of the central retinal artery
C. Pigmented retinal degeneration
D. Macular retinal degeneration
E. Thrombosis of the central retinal vein

Ans. C

31. A 45-year-old man has referred to the FMC with complaints

of a
sharp decrease in vision, flashing of files in front of the left eye.
From
the anamnesis, it was noted that the day before he had
suffered
tonsillitis. On examination the visual acuity of the left eye =
0.02. The
left eye is calm; the anterior segment is not changed. When
examining the fundus, a focus in the central zone of 0.3 pd with
Indistinct borders, yellowish-gray in color, the retina around is
infiltrated, edematous. What is your presumptive diagnosis?
Ans:::: Central retinal degeneration.

32. When consulting a 74-year-old patient suffering from

hypertension, the
following picture is determined in the fundus of both eyes:
retinal veins are dilated,
twisted. The arteries are somewhat narrowed, uneven in size.
No changes were
observed on the retinas and optic nerve discs of both eyes.
Visual acuity in both
eyes = 1.0. What stage of the hypertensive fundus do these
changes correspond to?
A. Hypertensive angiopathy
B. Hypertensive angiosclerosis
C. Hypertensive retinopathy
D. Hypertensive neuroretinopathy
E. Hypertensive scleropathy

Ans. B

33. In the last few years, the patient has been progressively
losing vision especially
at night. On examination, visual acuity is 2 to 2, around the eye,
the optic nerve
head is pale, the boundaries are clear, deposits of retinal
pigment in the form of
bone bodies. What is your presumptive diagnosis?
A. Retinitis pigmentosa
B. Chorioretinal dystrophy
C. Retinal abiotrophy
D. Central chorioretinitis
E. Ischemic opticopathy

Ans. A
34. A Patient consulted a Doctor after contusion of the eyeball
with the
complaints of decreased vision when viewed in transmitted
light, dark
floating opacities are visible on pink reflex background. what is
your
presumptive diagnosis?
ANS:::: Retinal hemorrhage.

35. Pregnant lady at 27 week gestation

developed marked elevation of her blood
pressure and proteinuria then developed
marked diminution of vision. It is mostly
due to:
a. Rhegmatogenous retinal detachment
b. Central retinal artery occlusion
c. Exudative retinal detachment
d. Tractional retinal detachment

Ans. C
36. Patient received a tennis ball hit to his
eye which used to have 6/6 vision. External
eye examination showed no abnormalities
vision is H.M. and red reflex is normal.
Possible diagnosis is:
a. comotio retinae
b. traumatic cataract
c. vitreous hemorrhage
d. secondary glaucoma

Ans. A

37. A 30-year-old patient was admitted to the Department of

Neurotraumatology
with drooping eyelid of his left eye. According to his words, he
got into traffic
accident and received hard blow from temporal side of the
orbit. Upon
examination: complete ptosis, vision is preserved, the eyeball is
immobilized, the
pupil is dilated, there is no corneal sensitivity. What led to this
situation?
A. Fracture of the inferior wall of the orbit
B. Fracture of the suparior wall of the orbit
C. Trauma of the sphenoid bone
D. Rupture of the superior oblique muscle from the block
E. Fracture of the medial wall of the orbit

Ans. A
38. A 33-year-old man, a car’s mechanic, received a blunt
trauma to his right eye.
The causes of secondary traumatic glaucoma can be:
A. Dislocation of the lens
B. Traumatic retinal detachment
C. Paralytic strabismus
D. Vitreochorioretinal dystrophies
E. Choroidal rupture

Ans. A

39. The patient, 42 y.o., came to the emergency department

with complaints of a
gradual decrease in vision in both eyes; she has a history of
traumatic brain injury.
An objective examination revealed an increase in the size of the
blind spot,
hyperopia of 7.0 D is determined skiascopically above the optic
nerve head.
Ophthalmoscopically, the optic nerve head dominates forward,
the boundaries are
indistinct. What pathology does this patient have?
A. Descending optic nerve atrophy
B. Ischemia of the optic nerve head
C. Papilledema
D. Post-traumatic optic nerve rupture
E. Pseudo-optic neuritis

Ans. B

40. An objective examination of a patient has disclosed a

symblepharon. According to the words, the patient suffered an
eye
injury several years ago. This pathology is the complication of
what
trauma?
Ans::: eye and adnexa burns.

41. A patient came to ophthalmologist. Two days ago the

dentist removed the upper
tooth on the right side. The patient is worried about headache,
chills, the double
vision of objects when examining them with the right eye, the
temperature is
increased to 38.5 С, there is pronounced swelling and redness
of the eyelids of the
right eye, protrusion of the eyeball, its mobility is limited,
painful. The conjunctiva
of the eyelids and eyeball is sharply edematous, a mixed
injection of the vessels of
the right eye. The cornea is swollen. Visual acuity: OD = 0.1
uncorrected, OS =0.01.
What is your presumptive diagnosis?
A. Phlegmon orbits
B. Abscess of the eyelids
C. Acute dacryoadenitis
D. Orbital pseudotumor
E. Fibrinous-plastic iridocyclitis

Ans-C

42. Patient K.., 47 years old, Consultanted An ophthalmologist

at the
place of residence with the complaints of stinging, redness,
pain,
decreased vision of the right eye from the anamnesisMarwadi it
was
found that he had been suffering from chronic dacryocystitis
for 2
years, was treated conservatively. pain and redness of the eye
appeared for the first time examination revealed several
precorneal
injections of the eyeball. The cornea is the inner segment is
eccentrically dull it is there is a depression in this area 1 age of
the
depression is range crescent-shaped in the anterior chamber-
hypopyon 2.0mm The Pupil is narrow rounded, the iris is
hyperemic,
edematous. What is your diagnosis?
Ans:::::::; corneal erosion

43. A patient complains of severe ocular

pain in the right eye and headache. The
patient is drowsy, feverish with right
proptosis, lid and conjunctival edema,
mastoid edema and bilateral papilledema.
The diagnosis is:
a. Endophthalmitis
b. Panophthalmitis
c. Orbital cellulitis
d. Cavernous sinus thrombosis

Ans-D

44. After 48 hours of a cataract extraction

operation, a patient complained of ocular
pain and visual loss. On examination, this eye looked red with
ciliary injection, corneal
oedema and absent red reflex. The first
suspicion must be:
a. Secondary glaucoma.
b. Anterior uveitis.
c. Bacterial endophthalmitis.
d. Acute conjunctivitis

Ans-C

45. After suffering a cold, a 7-year-old patient suddenly

developed pain when moving his eyes. Objectively: visual
acuity in both eyes = 1.0. There is small exophthalmos, a
slight limitation of the mobility of the eyeballs. With
extreme abduction of the eyes - diplopia. Slight swelling
of the eyelids and conjunctiva. Minor mixed eyeball
injection. There is no discharge from the conjunctival
sacs. Anterior segments without visible changes. Optical
media are transparent. The fundus of the eye is normal.
Diagnosed with phlegmon of the orbit. What is your
treatment strategy?
a. Dry heat, vitamins, anticoagulants
b. Keratoprotectors, antibiotics
c. Mydriatics, prostaglandins, vitamins
d. Dry heat, corticosteroids, antibiotics
e. Prostaglandins, antibiotics, vitamins

Ans-D

46.A 15-year-old schoolboy turned to an ophthalmologist with

complaints about the blurred images in the distance, in
particular, he complains that the images
merge after a long hard work, objectively the visual acuity of
both eyes: = 0.5 s
-0.75 D = 1.0 The ophthalmologist prescribed drops for
cycloplegia Irifrini 2.5%
for 2 weeks. After 2 weeks, visual acuity in both eyes = 1.0.
What is your
presumptive diagnosis?
A. Simple myopic astigmatism
B. Complex myopic astigmatism
C. Spasm of accommodation
D. Mild hyperopia
E. Mixed astigmatism

Ans. E

47.The mother of a 7-year-old boy consulted an

ophthalmologist because of
her son's vision loss after school, as before school the child's
visual acuity was
100%. Objectively, VOU= 0.3 with a correction of -1.0D =1.0.
What diagnostic
measures need to be applied to distinguish true from pseudo
myopia?
A. Performe retinoscopy under accommodation paralysis
B. Performe campimetry under accommodation paralysis
C. Performe perimetry under accommodation paralysis
D. Performe tonography under accommodation paralysis
E. Performe gonioscopy under accommodation paralysis

Ans. D

48.A 30-year-old man has a high degree of myopia M 7.0 d.

Anterior segment
of the eye without changes. The central corneal thickness is 560
µm. The
fundus of the eye is unchanged. He would like to completely
eliminate his
disease. In this situation, the most preferable is:
A. Spectacle lens correction
B. Correction with contact lenses
C. Radial keratotomy
D. Excimer laser correction
E. Scleroplasty

Ans. A

49.A 28-year-old patient consulted an ophthalmologist with

complaints of severe
burning sensation, a sharp decrease in object vision, edema of
the eyelids, profuse
lacrimation, with difficulty opening his eyes. According to the
patient, while
working in the laundry, foamy water got into his eyes.
Objectively, VOU=0.3, the
eyelids are hyperemic, edematous, the cornea is de-epithelized,
cloudy, the
intraocular medium is not visible. The ophthalmologist
ascertained colliquation
necrosis, what causes such necrosis?
A. Alkali
B. Acids
C. Increased temperature
D. Infrared rays
E. Ultraviolet rays

Ans. A

50. A male emmetrope, 40 years old, complains of visual

impairment when
reading. What spherical lenses does he need for reading?
A. Concav 2.0d
B. Convex 1.0d
C. Convex 2.0d
D. Concav 3.0d
E. Convex 3.0d
Ans. B