2/4/2014

1. An object placed 25 cm to the left of -1.00 lens what is the distance of the
image:
a. 20 cm to the left lens
b. 25 cm to the left the lens
c. 20 cm to the right the lens
d. 25 cm to the right the lens
answer (a)
2.diplopia test including all except:
a. Maddox rod
b. worth 4 dot test
c. litmus test
d.bagolini started glasses
answer (c)
3. lateral orbital walls relation:
a. 45 degree to each other
b. 23 degree to each other
c. perpendicular to each other
d. parallel
answer ( C)
4.ACCORDING to the ETDRS group which is true:
a. PRP is effective in CSME
b. aspirin MAY DELAY THE VISUAL LOSS
C. MODERATE VISION LOSS EGUAL TO DOUBLING OF THE
INITIAL VISUAL ANGLE
D. focal laser improve the vision but doesnt affect the retinal thickness
answer ( c)
5. a child 18 months with congenital cataract best method to remove is :

a. lensectomy
b. needling
c. lensectomy with anterior vitrectomy and posterior capsulorrehexis
answer ( c
6.the medial canthal tendon attaches to which of the following :
a. Posterior lacrimal crest and maxillary bone
b. anterior lacrimal crest and frontal bone
c. lacrimal bone
d. maxillary bone
e. frontal bone
answer ( b)
7. which one of the following types of electromagnetic radiation results in
true exfoliation of the lens:
a, microwave
b. infrared
c. x-ray
d. ultraviolet
e. gamma rays
answer ( b)
8. regarding acanthamoeba ,all are true except:
a. it is a free living protozoan
b. it might be isolated from tap water
c. it might grow better at 25 c than 37c
d. it is usually sensitive to gentamycin
e. it has an encysted form
answer ( d)

9. which one of the following is associated with cystoid macular edema :

a. timolol
b. echthiopate
c. epinephrine
d. pilocarpine
correct answer ( c)
10 . le fort ll fracture :
Pyramidal
11. PAS stains positive which layer of the cornea ;
a. Epithelial
b. bowmans membrane
c. endothelium
d. descement membrane
e. stromal lamellae
correct ( d)
12. Trachoma induces which type of entropion of the upper eyelid?
(A). Paralytic
(B). Involutional
(C). Spastic
(D). Cicatricial
answer (d)
13. which of the following keratometric fmeasurment would be indicative of
with the rule astigmatism:
a-46.00/43.00@176
b-42.67/41.37@98
c-45.00@10/43.00@100
d-50.50@80/43.87@160
e-42.00/39@35
answer (a)
14-patient with decresed corneal sensation due to prior infection wih herpes
zoster virus, with large epithelial defect, best treated with:

a-conjuncival flap
b-frequent lubricants
c-lateral tarsorraphy
d-bandage CL
answer (c)
15-photo of bilateral disc edema is enclosed
Female patient 40yrs that complains of headache with transient visual
obsecurations that underwent MRI was free with VA is 20/20 both eyes,next
procedure will be:
a-systemic acetazolmide
b-surgical decompression
c-systemic steroids
d-lumber puncture
answer (d)
16-female patient 12yrs old with bilateral progressive ptosis and
ophthalmoplegia and o/e no significant signs in anterior segment but fundus
shows pigmentry retinopathy, most propable diagnosis:
a-chronic progressive external phthalmoplegia
b-myotonia dystrophia
c-mythenia gravis
answer (a)
20-intraocular FB is best detected by:
a- A- scan us
b-ultrasound biomicroscopy
c- MRI
d- B- sacn us
e-X- RAY
answer (d)

21-a traumatic cataract and iridodialysis case after trauma will undergo
operation for the cataract the surgeon wants to check status of the zonules
before operation,which investigation will be used:
a-US
b-ultrasound biomicroscopy
c-anterior OCT
answer (B)
22-a photo for topography of postoperative ectasia, what is procedure to be
done nxt:
a-cross linking
b-deep lamellar keratoplasty
c-hard CL
d-????
answer (a)
23-the anomaly DIDMD, is having diabetes mellitus, diabetes insipidus and
last D for:
a-dementia
b-deafness
c-??
d-??
answer (b)
24-leukemia may be associated with all of the following except :
a-increase incidence of viral infection
b-hyphema in AC
c-associated with ON glioma
.d- blood staining of the cornea
answer (c)
25-conerning aqeous all true except:
a-produced 2uml/h
b-contain higher ascobic acid than serum
c-higher protein content than serum
d-contain IgG
e-inhibits action of fibroblasts

answer (c)
26. patient diagnosed with Amyloidosis sample from vitreous can be stained
with all except
a-Oil red O
b-Congo red
c-Crystal violet
d-Thioflavine T
answer (A)
27. CT and photo of child with acute post traumatic proptosis the CT shows
medial sub periostal hematoma, VA decreasing, RAPD and complete
ophthalmoplegia The best ttt
a-Systemic steroid
b-Observation
c- systemic steroids, topical antibiotics, deal with the cause of proptosis.
answer (c)
28. Best ttt for convergence paralysis
a-BL prisms for reading
b-Training BO prisms
c- Bilateral MR resection
answer (a)
29. Cornea plana
a-Marfan
b-Anterior and posterior coloboma
c- Megalocornea
answer (b)
30. Behcet which is not major chch

a-Skin lesion
b-Arthritis
c-Oral ulcer
d-Genital ulcer
e-Anterior uveitis
answer (b)
31. Visual field central 10-2 Humphrey, tubular field, the complication you
should discuss with the patient that can happen even with successful
uneventful surgery.
Loss of central field.
32-a child 2 yrs with orbital cellulitis,all are false except:
a-oral AB
b-outpatient ttt
c-rarely caused by ethmoidal sinusitis
d-must strongly suggests H influenza
answer (d)
33-which is not true about congenital esotropia:
a-occurs in first 6m
b-usually large angle of deviation
c-surgical ttt must needed
d-squint Sx is necessary in most cases
e-cross fixation is common
answer (c)

34-in low tension gl, the most diagnostic provocative test :

a-water drinking test
b-cortiscosteroids
c-tonography

d-diurnal curve
answer (d)
35. orbascan post LASIK shows inferior steepening, central thining both in
anterior and posterior The condition most likely:
a-Forme froste KC
b-Pellucid marginal deg
c-Ectasia
d- KC
answer (c)

36. coloured photo of topography showing inferior red cone :

Keratoconus

37. Orbascan showing crab claw sign in the lower cornea the max meridian
power 46 D the min 43 D The thickness in the center 454 in the periphery
540um
a-Forme fruste KC
b-Pellucid marginal degeneration
c-KC
d-Keratoglobus
answer (a)
38. child 7 yrs sudden ET no diplopia, ttt with prism, the angle increased,
Free neorology and systemic exam.
a-ARC
b-Amblyopia
c- Undercorrection of prism
answer (b)

39. keratoacanthoma what is true

a-Slowly growing
b-HPV is associated
c-Recurrence is not common
answer (c)

40. lens capsule thinnest location :

the posterior pole
41. aphakic pt. wear +12 D glasses, he refuse wearing glasses, he want to
wear contact lens .. what lens size you give to him :
a- - 10
b- +12

c- +13.5
d- +14
answer (d)

42. Concerning NLD obstruction all are true except:

a. most cases resolve spontaneously by ostium opening in 1st year
b. should exclude congenital glaucoma
c. may be associated with telecanthus
d. probing should done as early as possible
answer (a)
coloured photo of cornea of ophthalmic nurse showing precipitate .43
:diagnosis
Subepithelial infiltrate of viral keratitis
44. 63. Peripheral retinal vascularization except :
a. CRVO
b. chronic uveitis
c. sarcoidosis
d. radiation of orbit
e. coats d
???keratoacanthoma what is true .45
a. Slowly growing
b. HPV is associated
c. Recurrence is not common
answer (c)
the following systemic diseases are characterized by scleritis -46
: except

?????? -a- RA

b- SLE

c- JA

case report about child 4 years presented with leukocoria with -47
:calcification within his ultrasound diagnosis
Retinoblastoma
Anisocoria in all except -48
a- Horner
b- trauma
c Duane retraction
d 3rd nerve palsy
answer (c)
: Vitreous loss during cataract operation all are possible except .50
Pc iol inoculation
sturge weber syndrome photo of achild 4 years old showing red .51
colouration of left side of the face . with left eye 20/200 VA AND HIGH
:TENSION . Next step to do
a- familial AD history
b- Co2 laser to the lesion to decrease size
c- fluorescine showing black choroid
d- ct of orbit and barin
photo of anterior uveitis with multiple posterior synechia the case was .52
: dignosed as acute anerior uveitis >> how you can confirm the diagnosis
a- familial AD history
.b- previous photo of the patient
-c
,d
: eye hypertension without visual affection diagnosed as .53
a- hypertensive glucoma

b- glaucoma suspect
c- NTG
D- POAG
Management of chemical burn except .54
a. Acetylcystein
b. 1st. 5 to 7 days corticosteroid
c. mydriatics
d. ascorbic acid
ANSWER (D)
coloured photo of very old patient with epiphora and lower corneal .55
: staining with flouerscine disappearance test the cause
In complete clousure of eye lids due to Facial palsy
: In eye trauma without rupture globe all can occur except .56
a- iridodialysis
b- RD
C- hyphaema
d- sympathetic opthalmia
ANSWER (D)
diabetic pt. has cataract extraction in his rt eye . the vision after operation .57
not improved well, ffa photo of both eyes showing macular oedema . the
: cauce of post operative bad VA is
a- CSME
B- CME
ANSWER ( A)
colouerd photo of bil. FUNDUS showing
: aches several days ago diagnosis

pt also has fever and body .58

Answer : CMV RETINITIS

: in evaluation of orbital diseases the least important .59
a- US
b- X-RAY
c- CT
d- MRI
e- exopthalmometry