Opthalmology Multiple Choice Questions And Answers

9- Which of the following conditions is associated with a pathognomonic retinal change.
1) Infective endocarditis
2) Polycythaemia Rubra Vera
3) Toxoplasmosis
4) Wilson's disease
5) Sickle cell anaemia
Answers-5

10- A 25 year-old man presents with 24 hours blurred vision in left eye and mild frontal headache. He has a 10 year history of Diabetes Mellitus.
Examination reveals a central scotoma. What is the diagnosis?
1) Central retinal artery occlusion.
2) Diabetic retinopathy.
3) Optic neuritis.
4) Pituitary tumour.
5) Migraine.
Answers-3

11- Which of the following is NOT associated with retinitis pigmentosa:
1) Abetalipoproteinaemia
2) Friedreich's ataxia
3) Hurler's syndrome
4) Lawrence-Moon-Biedl syndrome
5) Refsum's disease
Answers-2

12- Which of the following concerning Diabetic retinopathy is correct?
1) Is unusual in type 2 diabetic patients
2) Improved glycaemic control is more effective than hypertensive control in reducing progression of disease.
3) Normal visual acuity is seen in Proliferative retinopathy.
4) Progression may be reduced statin therapy
5) Soft exudates are a feature of background retinopathy.
Answers-3

13- A 50 year old man with a history of Diabetis Mellitus and hypertension attends an ophthalmic clinic for regular assessment. On fundoscopy he is diagnosed to have preproliferative diabetic retinopathy. Which of the following is characteristic of preproliferative diabetic retinopathy?
1) Cotton Wool Spots
2) Microaneurysms
3) Hard Exudates
4) Venous Beading
5) Macular Odema
Answers-4

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Opthalmology Objective Type Questions And Answers

5- A patient presented with a quadrantic hemianopia. Which of the following conditions is most likeley to cause such a presentation?
1) a lesion of the occipital cortex
2) a lesion of the optic chiasma
3) bilateral diabetic retinopathy
4) chloroquine poisoning
5) tobacco amblyopia
Answers-1

6- A 30-year-old female presents to the eye clinic with an acute history of pain and blurring in the right eye. Examination reveals a visual acuity of 6/36 in the right eye but 6/6 in the left eye, a central scotoma in the right eye, with a right swollen optic disc.
What is the most likely diagnosis?
1) Compression of the optic nerve
2) Cavernous sinus thrombosis
3) Glaucoma
4) Optic neuritis
5) Retinal vein occlusion
Answers-4

7- A woman gives birth to a male child who is found to have bilateral cataracts. Which of the following diagnoses should be considered?
1) Galactosaemia
2) Hypoparathyroidism
3) Hypocalcaemia
4) Lowe's Syndrome
5) Wilson's Disease
Answers-4

8- Regarding retinoblastoma which of the following statements is correct?
1) Bilateral involvement is found in 70% of cases.
2) The predisposition may be inherited as an autosomal dominant condition.
3) There is an increased risk of autoimmune disease.
4) They have often metastasised by the time of diagnosis.
5) They usually present with leukocoria.
Answers-5

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13 Top Opthalmology Objective Type Questions And Answers

1- Which of the following may be associated with optic atrophy?
1) XXY karyotype
2) Low plasma caeruloplasmin
3) Anti-Acetylcholinesterase antibodies
4) Red Ragged fibres on muscle biopsy
5) Intense iron deposition on liver biopsy
Answers-4

2- Which ONE of the following diagnoses is associated with acute Iritis?
1) keratoconus
2) Lyme disease
3) osteogenesis imperfecta
4) Psoriatic arthropathy
5) Refsum's disease
Answers-4

3- A 23-year-old man presents with visual loss in the right eye, diagnosed as optic neuritis.
Which one of the following statements would be seen in an afferent pupillary defect?
1) accommodation response is unaffected
2) hypersensitive response to pilocarpine in the affected eye
3) irregular pupil of the affected eye
4) pupil of affected eye larger than the unaffected eye
5) pupil of affected eye smaller than the unaffected eye
Answers-1

4- A 22 year old female presents with a month history of episodic, brief visual loss affecting the right eye. Over the last one year she had gained a considerable amount of weight. Examination reveals a BMI of 35, with bilateral optic disc swelling, worse on the right and small retinal haemorrhages on the right.
What is the most likely diagnosis?
1) benign intracranial hypertension
2) Craniopharyngioma
3) Graves' Ophthalmopathy
4) Optic neuritis
5) sagittal sinus thrombosis
Answers-1

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