1.
Q: A poorly controlled diabetic patient presents with
sudden painless loss of vision with floaters. Which of the
following could be the likely cause for this?
A. Snowflake cataract
B. Cystoid macular edema
C. Vitreous hemorrhage
D. Neovascular glaucoma
2. Q: A 70 years old patient is planned for cataract surgery
in left eye. His right eye had developed bullous
keratopathy following cataract surgery. Which of the
following investigation should be done before the surgery
in this case?
A. Pachymetry
B. Corneal Tomography
C. Specular microscopy
D. Gonioscopy
3. Q: A diabetic patient presents with drooping of his
right eyelid. On examination, his right pupil is dilated.
What is the most likely cause of his condition?
A. Horner Syndrome
B. Third nerve palsy
C. Adies pupil
D. Argyll Robertson pupil
4. Q: Identify the instrument shown in the given image.
A. Exophthalmometer for Proptosis
B. Exophthalmometer for Ptosis
C. Goldmann Tonometer for IOP
D. Schiotz Tonometer for IOP
5. Q: Which of the following is not a pair of yoke muscles?
A. Right Superior Rectus & Left Inferior Oblique
B. Left Superior Rectus & Right Inferior Oblique
C. Right Inferior Rectus & Left Inferior Oblique
D. Left Inferior Rectus & Right Superior Oblique
6. Q: A young girl wishes to wear soft contact lenses for
correction of refractive error. All of the following can develop
with soft contact lens use if adequate care is not taken except?
A. Pseudomonas keratitis
B. Giant papillary conjunctivitis
C. Acanthamoeba keratitis
D. Phylctenular keratoconjunctivitis
7. Q: A 48 years old man with uncontrolled hypertension
presents with painless loss of vision in his right eye. On
examination, the fundus findings are as shown. This patient
is at the risk of developing all of the following except:
A. Malignant glaucoma
B. Tractional retinal detachment
C. Vitreous haemorrhage
D. Neovascular glaucoma
8. Q: A middle-aged lady presents with headache and
menstural irregularities. She has also lost right side of visual
field in right eye and left side of visual field in left eye.
Which of the following could be the probable cause of her
condition?
A. Pituitary adenoma
B. Occipital lobe stroke
C. Temporal lobe tumor
D. Idiopathic benign hypertension
9. Q: Which of the following surgery does not need 10-0
nylon sutures?
A. Conventional ECCE
B. ICCE
C. Penetrating Keratoplasty
D. Pterygium excision with conjunctival autograft
10. Q: Identify the lesion shown in the both eyes of an
infant who recently had measles. The child is also under-
weight for his age and is from a poor socioeconomic
background.
A. Temporal pterygium
B. Bitot spots
C. Pinguecula
D. Horner Tranta spots
11. Q: Which of the following is not a used to protect corneal
endothelium during phacoemulsification?
A. Trypan blue
B. Chondroitin sulfate
C. Sodium hyaluronate
D. Methyl cellulose
Anaesthesia for Cataract surgery:
1. Local anaesthesia Peribulbar or retrobulbar injection
DOC: 2% xylocaine/lignocaine + 0.5% Bupivacaine
2. Topical anaesthesia eye drops
DOC: 0.5% Proparacaine
Irrigating Solution : BSS, Ringer Lactate
Viscoelastics: Sodium Hyaluronate, Methyl Cellulose,
Chondroitin Sulphate
Dye to stain anterior capsule of lens: Trypan Blue
12. Q: A 17 years old girl has a far point of 100 cm and
near point of 25 cm. Which of the following refractive
error is expected in this case?
A. Presbyopia
B. Hypermetropia
C. Myopia
D. Amblyopia
13. Q: All of the following can cause foreign body sensation and
watering from the eyes except:
A. Trichiasis
B. Distichiasis
C. Hypertrichosis
D. Entropion
14. Q: Which of the following is not a side effect of
prostaglandin analogues when used to decrease the
intraocular pressure?
A. Worsening of bronchial asthma
B. Worsening of cystoid macular edema
C. Hypertrichosis
D. Increased iris pigmentation
15. Q: A 54 years old lady is suffering from watering and
occasional discharge from her left eye. On syringing, a hard
block is noted and mucus-filled fluid regurgitates from the
opposite punctum. Which of the following procedures will
be indicated in this case?
A. Dacryocystorhinosotomy
B. Jones t be
C. Conjunctivo DCR
D. Dacryocystectomy
16. Q: A 5 years old girl is diagnosed with refractive error
of +3.0 Dsph in right eye and -0.5 Dsph in left eye. Her best
corrected vision is 6/18 in right eye and 6/6 in left. What is
the most appropriate management in this case?
A. Spectacle correction and squint surgery
B. Spectacle correction and occlusion therapy
C. Contact lens
D. Refractive surgery and occlusion therapy
17. Q: A child is brought by the parents with squint in left
eye. On DDO, a white reflex is noted. Lens is clear and
fundus examination shows a cauliflower like intraocular
mass. Which of the following could be the likely diagnosis in
this case?
A. Retinal detachment
B. Retinoblastoma
C. Toxoplasma
D. Old vitreous hemorrhage
18. Q: Identify the lesion shown in the given image.
A. Rosette cataract
B. Pseudoexfoliation
C. Vossius ring
D. Keyser Fleischer ring
19. Q: A young man with history of oral ulcers and
erythema nodosum presents with painful red eye and
decreased vision. Slit lamp examination shows the following
findings. What is the diagnosis in this case?
A. Anterior uveitis
B. Episcleritis
C. Keratoconjunctivitis
D. Herpetic keratitis
20. Q: A man presents to emergency following a road traffic
accident. His eye shows periorbital ecchymosis with
enophthalmos. The imaging shows the following findings.
What is the diagnosis in this case?
A. Lateral orbital wall fracture
B. Orbital floor fracture
C. Mandibular fracture
D. Medial orbital wall fracture
21. Q: A 47 years old lady presents with following fundus
findings. Her IOP is 19 mmHg and visual fields show
paracentral scotomas. What is the diagnosis in this case?
A. Papilledema
B. Glaucomatous optic neuropathy
C. Optic neuritis
D. Hypertensive retinopathy
22. Q: A factory worker presents with iris heterochromia and
progressively decreased vision. There is a past history of eye
injury while working with hammer and chisel. Which of the
following is the likely diagnosis in this case?
A. Rosette cataract
B. Retinal detachment
C. Siderosis bulbi
D. Traumatic endophthalmitis
23. Q: 32 years old man has noticed that his eyelids start
drooping in the later part of the day. He also has
intermittent diplopia. Application of icepacks to his eyes by
the ophthalmology resident improved his ptosis. What is
the likely diagnosis in this case?
A. Third nerve palsy
B. Myasthenia gravis
C. Complicated ptosis
D. Myositis
24. Q: A patient presents with complains of seeing colored
halos. On seeing through a stenopic slit, her colored halos
break. What is the likely etiology of her symptoms?
A. Acute angle closure glaucoma
B. Immature cortical cataract
C. Mature cataract
D. Pigmentary glaucoma
25. Q: A patient reports painful red eye and decreased
vision 3 days following cataract surgery. On examination,
aqueous cells and flare with hypopyon is noted. Fundus
examination shows vitreous exudates with poor view of
retina. Which of the following organism is likely to be
causative of this condition?
A. Staph aureus
B. Pseudomonas
C. Staph epidermidis
D. Candida
