18 / 01 / 2024 Ophthalmology exam

İ.Ü.CERRAHPASATIP FAKÜLTESİ
GÖZ HASTALIKLARI ANABİLİM DALI İNGİLİZCE TIP SINAV SORULARI

1. Which of the following is the most important risk factor in the development and
progression of primary open-angle glaucoma?
a. Young age
b. Thick cornea
c. Decreased ocular perfusion pressure
d. Increased intracranial pressure
e. Decreased heart rate

2. Which of the following does not cause a decrease in visual acuity?

a- Optic neuropathy
b- Subconjunctival hemorrhage
c- Diabetic retinopathy
d- Central retinal artery occlusion
e- Keratitis

3. What is the method that allows non-invasive imaging of retinal layers, retinal nerve fiber layer (RNFL),
and optic nerve head structures at micron-level resolution?
a- FFA (fundus fluorescein angiography)
6 OCT (optical coherence tomography)
c- B-USG (B scan ultrasound)
d- Orbital MRI (magnetic resonance imaging)
e- ICG (indocyanine green angiography)

4. Which one of the following tear film layer mainly protect tear film stability and decrease surface
tension?
A. Aqueous
B Mucin
C. Plasma
D. Serum
E. Lipid

5. Which one of the following sentences is not correct?

A. Presbyopia is loss of accommodative ability of the lens resulting in difficulties with near tasks
B. Aniseikonia is a difference of image size between the 2 eyes as perceived by the patient
C. Anisometropia is a refractive power difference between the 2 eyes
D. High myopia usually describes myopia of -6.00 or more
E. The visible part of the electromagnetic spectrum, to which the retina is sensitive, lies between the
wavelengths 100 to 320 nm

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 18 / 01 / 2024 Ophthalmology exam

6.12-month-old female referred to the ophthalmologist due to congenital right eye mucopurulent
discharge and epiphora. Which is the most commonly used diagnostic
test?
A Dacryoscintigraphy
B. Fluorescien dye disappearance
C. Lacrimal irrigation
D. MRI
E. CT

7. A 18-year-old patient, who started using contact lenses a few months ago, is being treated with the
diagnosis of keratitis in an external center. The patient, who did not improve despite the use of antibiotics
and antivirals, was referred to our clinic with the diagnosis of treatment-resistant keratitis. In history, the
patient stated that he slept most nights without removing the lenses, and recently washed it with tap water
because the solution was exhausted. In addition, the patient states that he has had severe eye pain since
the beginning of the infection. Which of the following is the keratitis factor that should come to mind for
further research in this table?
A) S. aureus and S. epidermidis B)Acanthamoeba C) Herpes Simplex
D) Tuberculosis E) Fusarium

8. Which of the followings is not one of the clinical findings of total 3rd nerve palsy?
A) Since adduction, elevation and depression cannot be performed, the eye is in divergence
B) Since the levator palpebrae superior muscle cannot be innervated, a drooping of the eye lid is observed
C) Miosis is observed as paralysis of the iris sphincter muscle accompanies
D) Lack of accomodation occurs due to ciliary muscle paralysis and the patient has difficulty in near
vision
E) In total paralysis there is a complete ptosis that prevents diplopia and abnormal head position

9. Which of the following is not true about presbyopia?

A) It is the deterioration of near vision that occurs as a result of the decrease in the power of adaptation
with advancing age
B) Presbyopia starts earlier in myopic people
C) Presbyopic people see more clearly and comfortably in a bright environment.
D) Presbyopia can be corrected with refractive surgery.
E) Malnutrition, excessive fatigue, general diseases are factors that can affect the development of
presbyopia.

10. Angle of strabismus can be determined by the followings, except?

A) Hirschberg light reflex test B) Krimsky light reflex test C) Prism cover test
D) by retinoscopy E) by synoptophore

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 18 / 01 / 2024 Ophthalmology exam

11. A 60 years old patient presents with an acutely severe painful red eye that developed during resting in
a dark room after an anxiety attack. He has blurred vision and sees halos around lights. On exam, he has
fixed middilated pupil and conjunctival injection. The cornea is cloudy. What can be your diagnosis?
A) Uveitis B) Acut conjunctivitis C) Scleritis
D) Dacryosystitis E) Acute glaucoma

12. A ten-year-old boy with past history of squint surgery is found to have poor vision in his left eye that
cannot be improved with glasses which one is the diagnosis?
A) Ambliopia
B) Myopia
C) Congenital cataract
D) Congenital glaucoma
E)Hypermetropia

13. Which one of the following statement is FALSE for Retinal Detachments? A Rhegmatogenous,
traction and exudative are the main forms
B Traction form is usually associated with a retinal tear
C. Proliferative retinopathies cause tractional retinal detachment
D. Proliferative retinopathies cause combined traction and rhegmatogenous retinal detachment
E. Exudative forms are not treated by surgical operation generally

14. For a patient diagnosed to have posterior vitreous detachments (PVD), which one of
the following symptom may indicate a possible retinal detachment started?
A. Painful red eye
B. Sudden loss of light perception
CVisual field loss:
D. Nystagmus
E. Bitemporal hemianopsia

15. Which one of the following statement is false for medical indications of contact lens wear?
A. Unilateral aphakia
B. Dry eye
C. Irregular astigmatism
D. High myopia
E. Keratoconus

16. Which one of below is not a treatment modality of non-infectious uveitis?

a) steroid eye drops
b) oral steroid
c) immunomodulatory agents
d) midriatic eye drops
e) antibiotic agents

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 18 / 01 / 2024 Ophthalmology exam

17. The wrong explantion about the ciliary body:

A. consists of the pars plicata and pars plana
B. produces aqueous humour
C. derives its blood supply from the short posterior ciliary arteries
D. is responsible for accommodation
E. extends 10 mm from the corneoscleral junction

18. Which of the following in age-related macular degeneration indicates that it is an exudative type?
A) Soft drusen
B) Choroidal neovascularization
C) Retinal pigment epithelium hypertrophy
D) Epiretinal membrane
E) Geographic atrophy

19. A patient who gets bleach in her eye while cleaning panics and goes to the emergency room.
This patient states that the amount splashed in the eye was too much and that she could not open her eye
at all. What would your choice of initial approach?
A)I would rinse the eye liberally with isotonic NaCl
B) The pH as the sodium hypochlorite in bleach is highly acidic, therefore I rinse the eye profusely using
an alkaline liquid to balance the pH
C) Since the patient cannot open his/her eye, I would not perform any procedure and refer him/her to an
ophthalmologist
D) I would prescribe antibiotic drops and artificial tears and send the patient home.
E) I would put a therapeutic contact lens in your eye right away.

20. Which of the following is not a cause of sudden visual loss?

A Primary open angle glaucoma
B. Retinal detachment
C. Vitreous hemorrhage secondary to trauma x
D. Central retinal artery occlusion X
E. Vitreous hemorrhage secondary to proliferative diabetic retinopathy

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