1. Distichiasis is:
a. Misdirected eyelashes
b. Accessory row of eyelashes
c. Downward drooping of upper lid
d. Outward protrusion of lower lid
2. Band shaped keratopathy is commonly caused by deposition of:
a. Magnesium salt
b. Calcium salt
c. Ferrous salt
d. Copper salt
3. Irrespective of the etiology of a corneal ulcer, the drug always
indicated is:
a. Corticosteroids
b. Cycloplegics
c. Antibiotics
d. Antifungals
4. Dense scar of cornea with incarceration of iris is known as:
a. Leucoma adherence
b. Dense leucoma
c. Ciliary staphyloma
d. Iris bombe
5. The treatment of photophthalmia is:
a. Atropine
b. Steroids
c. Topical antibiotics
d. Patching and reassurance
6. Corneal sensations are diminished in:
a. herpes simplex
b. Conjunctivitis
c. Fungal infections
d. Marginal keratitis
7. The color of fluorescein staining in corneal ulcer is:
a. Yellow
b. Blue
c. Green
d. Royal blue
8. Phlycten is due to:
a. Endogenous allergy
b. Exogenous allergy
c. Degeneration
d. None of the above
9. A recurrent bilateral conjunctivitis occurring with the onset of hot
weather in young boys with symptoms of burning, itching, and
lacrimation with large flat topped cobble stone papillae raised areas in
the palpebral conjunctiva is:
A. Trachoma
B. Phlyctenular conjunctivitis
C. Mucopurulent conjunctivitis
D. Vernal keratoconjunctivitis
10. Which of the following organism can penetrate intact corneal
epithelium?
A. Strept pyogenes
B. Staph aureus
C. Pseudomonas pyocyanaea
D. Corynebacterium diphtheriae
11. 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
12. A young child suffering from fever and sore throat began to
complain of lacrimation. On examination, follicles were found in the
lower palpebral conjunctiva with tender preauricular lymph nodes. The
most probable diagnosis is:
a. Trachoma
b. Staphylococal conjunctivitis
c. Adenoviral conjunctivitis
d. Phlyctenular conjunctivitis
13. Bandage of the eye is contraindicated in:
a. Corneal abrasion
b. Bacterial corneal ulcer
c. Mucopurulent conjunctivitis
d. After glaucoma surgery
14. Ten years old boy complains of itching. On examination, there are
mucoid nodules with smooth rounded surface on the limbus, and
mucous white ropy mucopurulent conjunctival discharge. He most
probably suffers from:
a. Trachoma
b. Mucopurulent conjunctivitis
c. Bulbar spring catarrh
d. Purulent conjunctivitis
15. In viral epidemic kerato-conjunctlvitis characteristically there is
usually:
a. Copious purulent discharge
b. Copious muco-purulent discharge
c. Excessive watery lacrimation
d. Mucoid ropy white discharge
16. Corneal Herbert's rosettes are found in:
a. Mucopurulent conjunctivitis
b. Phlyctenular keratoconjunctivitis
c. Active trachoma
d. Spring catarrh
17. 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
18. Tranta's spots are noticed in cases of:
a. Active trachoma
b. Bulbar spring catarrh
c. Corneal phlycten
d. vitamin A deficiency.
19. A painful, tender, non itchy localized redness of the conjunctiva can
be due to:
a. Bulbar spring catarrh.
b. Episcleritis.
c. Vascular pterygium.
d. Phlyctenular conjunctivitis.
20. In trachoma the patient is infectious when there is:
a. Arlt's line
b. Herbert's pits
c. Post-trachomatous concretions.
d. Follicles and papillae in the palpebral conjunctiva.
21. A female patient 18 years old, who is contact lens wearer since two
years, is complaining of redness, lacrimation and foreign body sensation
of both eyes. On examination, visual acuity was 6/6 with negative
fluorescein test. The expected diagnosis can be:
a. Acute anterior uveitis.
b. Giant papillary conjunctivitis.
c. Bacterial corneal ulcer.
d. Acute congestive glaucoma
22. Fifth nerve palsy could cause:
a. Ptosis
b. Proptosis
c. Neuropathic keratopathy
d. Lagophthalmos
23. Topical steroids are contraindicated in a case of viral corneal ulcer
for fear of:
a. Secondary glaucoma
b. Cortical cataract.
c. Corneal perforation
d. Secondary viral infection.
24. The sure diagnostic sign of corneal ulcer is
a. Ciliary injection
b. Blepharospasm
c. Miosis
d. Positive fluorescein test.
25. The effective treatment of dendritic ulcer of the cornea is:
a. Surface anesthesia
b. Local corticosteroids
c. Systemic corticosteroids
d. Acyclovir ointment,
26. Herpes simplex keratitis is characterized by:
a. Presence of pus in the anterior chamber,
b. No tendency to recurrence
c. Corneal hyposthesia.
d. Tendency to perforation.
27. Bacteria, which can attack normal corneal epithelium:
a. Neisseria gonorrhea.
b. Staphylococcal epidermidis.
c. Moraxella lacunata.
d. Staphylococcal aureus.
28. Advanced keratoconus is least to be corrected when treated by:
a. Hard contact Lens,
b. Rigid gas permeable contact Lens,
c. Spectacles.
d. Keratoplasty.
29. Tranta nodules are seen in:
a. Blepharoconjuctivitis
b. Vernal conjunctivitis
c. Phlyctenular conjunctivitis
d. Herpetic keratitis
30. Organisms causing angular conjunctivitis are:
a. Moraxella Axenfeld bacilli
b. Pneumococci
c. Gonococci
d. Adenovirus
31. Chalazion is a chronic inflammatory granuloma of
a. Meibomian gland
b. Zies’s gland
c. Sweat gland
d. Wolfring’s gland
32. Ophthalmia neonatorum is prevented by:
a. 1% Silver nitrate
b. Penicillin drops
c. Normal saline drops
d. Frequent eye washes
33. Deep leucoma is best treated by:
A. Tattooing
B. Lamellar keratoplasty
C. Keratectomy
D. Penetrating keratoplasty
34. Distichiasis is:
a. An extra row of lashes
b. Central fusion of eye brow
c. Suturing of lashes
d. Absence of lashes
e. White lashes
35. Dendritic ulcer causing virus:
a. Herpes simplex
b. Herpes zoster
c. Cytomegalovirus
d. Adenovirus
e. Poxvirus
36. Treatment of choice in angular conjunctivitis is:
a. Penicillin
b. Dexamethasone
c. Sulphacetamide
d. Zinc oxide
37. Herbert's pits are seen in:
a. Trachoma
b. Herpetic conjunctivitis
c. Ophthalmia neonatorum
d. Spring catarrh
e. Phlyctenular ulcer
38. The H.P. inclusion bodies in trachoma are:
a. Intra-nuclear
b. Intra-cytoplasmic
c. Both
d. None of the above
39. Symptoms of corneal ulcer are the following except:
a. Mucopurulent discharge
b. Pain in the eye
c. Redness of the eye
d. Watering
40. Hordeolum externum is a suppurative inflammation of:
a. Zeis' gland
b. Meibomian gland
c. Moll's gland
d. Gland of Krause
e. Gland Wolfring
41. Intense itching is the most common symptom of:
a. Trachoma
b. Blephritis
c. Phlyctenular conjuctivitis
d. Spring catarrh
42. Which of the following is not a source of nutrients to cornea?
a. Tear film
b. Aqueous humour
c. Perilimbal capillaries
d. Vitreous humour
43. Treatment of phlyctenular conjunctivitis is:
a. Systemic Anti-TB drugs
b. Systemic steroids
c. Topical acyclovir
d. Topical steroids
44. Blood vessels in a trachomatous pannus lie:
a. Beneath the Descemet's membrane.
b. In the substantia propria.
c. Between Bowman's membrane & substantia propria.
d. Between Bowman's membrane & Epithelium.
45. Dendritic ulcer is due to:
a. Herpes simplex
b. Fungal infection
c. Syphilis
d. Phlycten
46. Ptosis in Horner's syndrome, is due to paralysis of:
a. Riolan's muscle
b. Horner's muscle
c. Muller's muscle
d. The levator palpebral muscle
e. Orbicularis oculi muscle
47. The dendritic corneal ulcer is typical of:
a. Varicella-Zoster infection
b. Herpes simplex infection
c. Pseudomonas infection
d. Aspergillus infection
48. In vernal catarrh, the characteristic cells are:
a. Macrophage
b. Eosinophils
c. Neutrophils
d. Epitheloid cells
49. Cobblestone appearance of conjunctiva is seen with:
a. Trachoma
b. Spring catarrh
c. Purulent conjunctivitis
d. Angular conjunctivitis
50. On removing yellow crusts on the lid margin, small ulcers bleed.
What is the most probable diagnosis?
a. Squamous blepharitis
b. Ulcerative blepharitis
c. Parasitic blepharitis
d. Hordeolum internum
e. All of the above
51. In which of the following conditions, severe itching of the eye with
ropy discharge in a 1 0 years old boy with symptoms aggravating in
summer season is most likely present:
a. Trachoma
b. Vernal keratoconjunctivitis
c. Acute conjunctivitis
d. Blepharitis
52. Epidemic conjunctivitis is caused by:
a. Adenovirus
b. Herpes virus
c. EB virus
d. Papilloma virus
53. Severe congenital ptosis with no levator function can be treated by:
A. Levator resection from skin side
B. Levator resection from conjunctival side
C. Fascia lata sling operation
D. Fasanella servat operation
54. The commonest cause of hypopyon corneal ulcer is:
a. Moraxella
b. Gonococcus
c. Pneumococcus
d. Staphylococcus
e. diphtheria
55. Irrespective of the etiology of a corneal ulcer, the drug always
indicated is:
a. Corticosteroid
b. Atropine
c. Antibiotics
d. Antifungal
56. Fleischer ring is found in:
a. Keratoconus
b. Chalcosis
c. Argyrosis
d. Buphthalmos
e. None of the above
57. In case of central dense leucoma 5 mm, treatment of choice is:
a. Penetrating keratoplasty
b. Glasses
c. Tattooing
d. Enucleation
58. Dense scar of cornea with incarceration of iris known as:
a. Leucoma adherent
b. Leucoma non adherent
c. Ciliary staphyloma
d. Iris Bombe
e. Occlusion pupillae
59. Adhesion of iris margin anteriorly is known as:
a. Intercalary staphyloma
b. Anterior synychia
c. Posterior staphyloma
d. Iris Bombe
60. Intercalary staphyloma is a type of:
a. Equatorial staphyloma
b. Posterior staphyloma
c. Scleral staphyloma
d. Anterior staphyloma
61. Cornea is supplied by nerve fibers derived from:
a. Trochlear nerve
b. Optic nerve
c. Trigeminal nerve
d. Oculomotor nerve
62. Ciliary injection is not seen in:
a. Herpetic keratitis
b. Bacterial ulcer
c. Chronic iridocyclitis
d. Catarrhal conjunctivitis
e. Acute iridocyclitis
63. Not true about herpes keratitis:
a. Steroids accelerate recovery
b. Starts as punctate or striate epithelial infiltration
c. Recurrent
d. Usually unilateral
64. The clinical features of symblepharon include
A. ectropion
B. lagophthalmos
C. chalazion
D. Xanthelasma
65. Most of the thickness of cornea is formed by:
a. Epithelial layer
b. Substantia propria
c. Descemet's membrane
d. Endothelium
66. Corneal ulceration is caused by injury to the —— cranial nerve
a. Third
b. Fifth
c. Sixth
d. Fourth
67. Dendritic ulcer is due to:
a. Herpes simplex
b. Fungal infection
c. Syphilis
d. Phlycten
68. Herpetic corneal ulcer is diagnosed by:
a. Geimsa stain
b. EL1SA
c. Cell culture/PCR
d. Rose Bengal stain
69. Most common viral infection of the cornea is:
a. Herpes simplex
b. Herpes zoster
c. Adenovirus
d. Molluscum contagiosum
70. A 30 years old male presents with a history of injury to the eye
with a leaf 5 days ago and pain, photophobia and redness of the eye
for 2days. What would be the most likely pathology?
a. Anterior uveitis
b. Conjunctivitis
c. Fungal corneal ulcer
d. Corneal laceration
71. Lagophthalmos occurs as a result of paralysis of:
a. 6th cranial nerve
b. 5th cranial nerve
c. Levator palpebrae-superioris
d. 7th cranial nerve
72. Hordeolum externum is inflammation of:
a. Zeis gland
b. Tarsus
c. Meibomian gland
d. Lacrimal gland
73. Chalazion is the infection of:
a. Meibomian glands
b. Conjunctiva
c. Cornea
d. Uvea