AZRA NAHEED MEDICAL COLLEGE

DEPARTMNT OF OPHTHALMOLOGY
Class Test MBBS 4th year
(Glaucoma+Uveitis)
Time allowed: - 20mins Dated: 26-03-2020 Total Marks: - 40
Multiple Choice Questions Please encircle the single best answer

1. A 60 year old patient came to eye OPD with acute attack of angle closure glaucoma, the
treatment option for this patient would be.
A. Initial therapy is usually surgery.
B. Epinephrine eye drops 5 times a day as first treatment option.
C. Only topical therapy (eye drops)
D. Both systemic carbonic anhydrase inhibitors and combined topical drops as initial therapy
E. Only tablet acetazolamide 4 times a day
2. An anxious mother comes to you, her baby is suffering from congenital glaucoma, what
best procedure of choice would you suggest for congenital glaucoma?
A. Topical prostaglandins
B. Laser iridotomy
C. Systemic acetazolamide only
D. Goniotomy
E. Cyclocryotherapy
3. In Buphthalmos
A. Boys are affected more than girls
B. It is usually a unilateral condition
C. Common around the age of 15 years
D. Surgery is not the treatment of choice
E. It is also called glaucoma capsulare
4. A one month old baby is brought to eye OPD with complaints of photophobia and
watering, on examination nasolacrimal apparatus is normal but the cornea diameters
are large, most probable diagnosis of this clinical condition is:
A. Congenital dacryocystitis
B. Keratoconus
C. Mucopurulent conjunctivitis
D. Corneal foreign baby
E. Buphthalmos
5. In primary open angle glaucoma:
A. The angle is open
B. Occurs in young age
C. There is acute increase in intraocular pressure
D. Long term hypertension has no role
E. Short term diabetes mellitus is associated with

6. A patient presents with red eyes, decreased visual acuity, on examination there is raised
intraocular pressure and the anterior chamber is shallow. The most likely diagnosis is:
A. Cataract
 B. Open angle glaucoma
C. Retinal detachment
D. Acute angle closure glaucoma
E. Hyphema
7. in primary congestive glaucoma the findings arc:
A. Miosed and regular with poor reaction
B. Miosed and irregular with poor reaction
C. Dilated and irregular with good reaction
D. Dilated and regular with poor reaction
E. Mid dilated pupil with very poor reaction
8. Timolol is
A. Beta blocker
B. Carbonic anhydrase inhibitor
C. Antibiotic
D. Alpha blocker
E. Calcium channel blocker
9. A 60 year old patient presented with gradual deterioration of vision with perception of
halos around light .on examination IOP is 25mmHg in right eye and 30mmHg the angle
is open and there is a snow flake like material on the surface of the lens
A. Pigment glaucoma
B. Pigment dispersion syndrome
C. Essential iris atrophy
D. Pseudo exfoliation glaucoma
E. Neo vascular glaucoma

10. A patient had following signs on examination, dilated congested conjunctival blood
vessels, corneal edema, and shallow anterior chamber, mid dilated sluggish or
unreactive pupil, shallow and narrow angle in fellow eye, what could be the most
probable diagnosis?
A. Ocular hypertension
B. Chronic open angle glaucoma
C. Acute angle closure glaucoma
D. Normotensive glaucoma
E. Chronic angle closure glaucoma
11. Pupil in acute anterior uveitis is
a) Miosed and regular with poor reaction
b) Miosed and irregular with poor reaction
c) Dilated and irregular with good reaction
d) Dilated and regular with poor reaction
e) Mid-dilated and oval with poor reaction
12. A patient presented with gross decrease of vision. On torch examination there was
conjunctival congestion and pupil miosed. On slit lamp examination there are cells and
flare in anterior chamber, which is the most probable diagnosis?
a) Anterior uveitis
b) Acute congestive glaucoma
c) Conjunctivitis
d) Scleritis
e) Foreign body

13. A 25 year female came to eye OPD with complaints of sudden pain in her right eye
worst at night , she also complaint of excessive tearing, photophobia and watering in that
eye , on examination the vison was decreased ,pupil showed sluggish reaction to light
.fundus appeared normal, what is the most probable diagnosis ?
a) Traumatic iritis
b) Infectious endophthalmitis
c) Episcleritis
d) Acute bacterial conjunctivitis
e) Acute iridocyclitis

14. A 50 year old female presented to ophthalmic clinic with complaints of blurred vision,
floaters and pain in eyes along with redness and photophobia, on examination there were
exudates around the vessels
a) Postoperative endophthalmitis
b) Pan uveitis
c) Traumatic endophthalmitis
d) Choroiditis
e) Posterior uveitis

15. A patient had penetrating trauma to his one eye and after few years he was diagnosed
with bilateral granulomatous pan uveitis. This condition is known as:
a) Endophthalmitis
b) Intermediate uveitis
c) Panophthalmitis
d) Chorioretinitis
e) Sympathetic ophthalmitis

16. The most essential drug in the treatment of anterior uveitis among the following drugs
is
a) Atropine eye drops
b) Anti-allergic eye drops
 c) Antibiotic eye drops
d) Decongestant eye drops
e) Anti-prostaglandin eye drops

17. A young male was diagnosed with tuberculosis, he was advised detailed ophthalmic
examination. On examination he was diagnosed with uveitis in his both eyes. The structure
predominantly affected in this condition is
a) Choroid
b) Iris
c) Retina only
d) Pars plana
e) Iris, choroid , ciliary body

18. Ankylosing spondylitis is most commonly associated with:

a) Retinitis
b) Scleritis
c) Uveitis
d) Keratitis
e) Choroiditis

19.A middle aged patient presented to eye OPD complaints of floaters and decreased vision,
on examination there are flare cells in anterior chamber and vitreous, in posterior chamber
there is pars planitis, snowball or cotton ball opacities, this type of uveitis is called:
a) Acute anterior uveitis
b) Chronic anterior uveitis
c) Intermediate uveitis
d) Posterior uveitis
e) Sympathetic ophthalmitis

20. In uveitis
a) Anterior synechia may form between lens and iris
b) The inflammation of choroid is termed as choroiditis
c) Visual field examination is mandatory
d) In this condition only one eye is effected
e) It is associated with hypertension.
 Time: 20 min
Short Essay Questions

1. A 60 year old patient occasional headaches & discomfort in his eyes. On

examination his vision was normal, his intra ocular pressure was 30 mm Hg in right
& 28 mm Hg in left eye. On funduscopic examination; there is enlarged optic cup in
both eyes
a) What is most likely diagnosis? 1
b) How will you further investigate this case 2

c) How will you manage this condition 2

2. A 60 years old female patient presented in ophthalmic emergency, with severe pain
in her right eye, associated with headache and projectile vomiting. On examination,
there is ciliary congestion, cornea is hazy and pupil is mid-dilated, oval and non-
reacting to light. She gives past history of halos and decreased vision.

a) The most probable diagnosis is? 1

b) How will you manage this patient? 4

3. A middle aged man has come with intense pain in his left eye with decreased vision,
watering and photophobia. He also complaints of lower back pain. On examination
there is marked ciliary injection. Pupil is small and non-reacting to light. The eyeball is
tender.

a) What is the most probable diagnosis? 1

b) b) What ocular and systemic workup is required in this case? 2
c) How will you treat this patient? 2

4. A young man had penetrating injury to his right eye, the primary repair was done,
after few weeks the patient complaints of blurring of vision pain and photophobia in the
normal left eye, on examination there are mutton fat keratic precipitates, focal infiltrates in
choroid (Dalen Fuchs nodule).

a) a. What is your diagnosis? 1

b) b. How will you investigate this case and put differential diagnosis of this case? 2
c) c. What is treatment of this disease? 2