1st EVALUATION (OPHTHALMOLOGY) 4TH YEAR MBBS

DATE: 29/4/2021…………… Time=40 minutes ROLL No……………………………….

Marks= (MCQs=40. SEQs=10) Total marks=50.
Pass marks=25
COURSE:
1) LENS
2) GLAUCOMA

Encircle the correct option in MCQs. Each MCQ carries 2marks. Each SEQ carries 5 marks.
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MCQ:

1) Lens is developed embrylogically from. 6) Causes of congenital cataract are except.

a) Surface ectoderm a) Galactosemia
b) Endoderm b) Congenital rubella
c) Mesoderm c) Lowe syndrome
d) Hippocampus d) Marfan syndrome
e) Brain e) Down syndrome
2) Lens consists of following except. 7) Treatment of congenital cataract is.
a) Cortex a) B. Blocker eye drops
b) Nucleus b) Pilocarpine eye drops
c) Anterior capsule c) ECCE with IOL implantation
d) Pars plana d) Trabeculectomy
e) Posterior capsule e) Lens aspiration & posterior
3) Diopteric power of lens is. capsulotomy ant vitrectomy + IOL
a) +40 D 8) Ectopia lentis is due to following except.
b) +35 D a) Marfan syndrome
c) +15 D b) Weil –Marchisani syndrome
d) +20 D c) Homocystin uria
e) +45 D d) High myopia
4) Classification of cataract according to age e) Astigmatism
is except. 9) Best surgical treatment of senile cataract
a) Senile cataract is.
b) Pre senile a) Mydriacyl eye drops
c) Congenital b) ECCE + IOL
d) Polar cataract c) Phacoemulsification + IOL
e) Infantile d) ICCE + IOL
5) Classification of cataract based upon e) Small incision cataract extraction
maturity is except. 10) Following are causes of pre senile cataract
a) Hypermature cataract except.
b) Premature cataract a) Diabetes mellitus
c) Supra nuclear cataract b) Neurofibromatosis -2
d) Mature c) Atopic dermatitis
e) Morgagnian d) Myotonic dystrophy
 e) Diabetes incipidus 16) Which one of following occurs in chronic
11) Aqueous humor is mainly produced by close angle glaucoma.
ciliary epithelium by. a) Corneal clouding
a) Active secretion 80% b) Corneal edema
b) Passive secretion 50% c) Epiphora
c) Active secretion 65% d) Photophobia
d) Passive secretion 30% e) Peripheral anterior synechiae
e) Ultra filtration 35% 17) The prophylactic treatment option for
12) Aqueous is drained through except. primary angle closure glaucoma is.
a) Trabecular meshwork a) Laser iridotomy
b) Uveoscleral route b) Prostaglandin analogue
c) Schlemm canal c) Beta blocker
d) Inferior facial veins d) Pilocarpine E/D
e) Episcleral veins e) Trabeclectomy
13) Intraocular pressure is measured by 18) Pilocarpine eye drops are indicated in.
except. a) Conjunctivitis
a) Digital tonometry b) Uveitis
b) Perkin tonometry c) Glaucoma
c) Applanation tonometry d) Cataract
d) Goldmann perimetry e) Scleritis
e) Schiotz tonometry 19) The most comman symptom in congenital
14) Normal range of intraocular pressure is. glaucoma is.
a) 9------5 mm Hg a) Redness
b) 11-----21 mm Hg b) Burning
c) 10-----30 mm Hg c) Epiphora
d) 10-----28 mm Hg d) Photophobia
e) 15-----32 mm Hg e) Blurriag of vision
15) Primary open angle glaucoma (POAG) is 20) Applanation tonometry is used to.
characterized by following except. a) Measure intraocular pressure
a) Onset of disease is with severe pain b) Measure the refractive error
b) Painless onset c) To check the lens opacity
c) Anterior chamber angle is open d) To check the thickness of cornea
d) IOP is usually more than 22 mm Hg e) To assess astigmatism
e) Visual fields loss
SEQ: A female of 60 yrs of age presented to eye OPD with gradual loss of vision in both eyes
right VA-6/60 left VA- 6/24 right pupil is white. IOP 18 mm of Hg in each eye.

Q1) what is Diagnosis of right eye. (1 mark)

Q2) what is its treatment. (2 mark)
Q3) what are per operative complications. (2 mark)

SEQ: A male patient of 50 yrs came in OPD with severe pain is left eye, nausea, vomiting, Headache IOP in
left eye is 55 mm of Hg and right eye is 16 mm of Hg. Left pupil is dilated & non reactive to light eye is red
& watering.

Q1) what is Diagnosis. (1 mark)

Q2) How to investigate this case. (2 mark)
Q3) what is medical and surgical treatment. (2 mark)