prometric exam ophthalmology 28-3-2013

1-picture everted upper lid show swelling(chalizion):

associated with rosecia and chronic blepharitis
2- phase of retinobastoma for prenatal diagnosis:
metaphase
3-time for tensoline effect for mayathenia graves diagnosis:
5-10minutes
10-15minutes
15-20minutes
20-30minutes
4-congenital ocular motor apraxia:
absence of corpus callosum
5-ocular hypertention with normal vision called:
galucoma suspect
hypertensive galucoma
6-habbs stria :
breaks in desmet s membrane in congental galucoma
breaks in desemet s membrane in developmental
galucoma
breaks in desmet s membrane in keratoconus
7-figure. girl 10 years female with port stain lf side of the
face VA 6/9, 6/18 IOP12, 28, C/D o.3, o.8
what to do:
CTorbit and brain
measures to decrease IOP
8-double elevator palsy:

 paralysis of SR,IO musules of the same eye

paralysis of SR of both eyes
9- corneal topography after LASIK of central steeping with
decrease central corneal thickness diagnosis:
ectasia
KC
forme fruste
pellucid marginal degentration
10- elderly patient had maxillary sinus surgery 3days early
with nasal pack with ointment and systemic antibiotic ,come
with eyelid leasion ,biopsy from eyelid leasion shows large
empty spaces diagnosis:
xanthgranuloma
lipogranuloma
mucormycosis
histocytosis
11- patient not complaining from diplopia :
blow out fracture
6th nerve palsy
orbital myositis
supranuclear gaze palsy
12-sclertis is common except:
rhumatic fever
systemic lopus
herpes zoster
rhumatoid arthritis
13-sclertis is common except:
juvenile rhumatoid arthritis

 polyartetis nodosa
wegner granulomatosis
14- photocoagulation for diabetic retiopathy all except:
visul acuity is the most important factor for treatment
detrenination
15- diabetic retinopathy study all false except:
prompt treatment for high risk diabetic retinopathy
16- diplopia test except:
titmus test
17-causes of subretinal neovascularizationexcept:
DM
degenerative myopia
choroidal rupture
angeoid streak
age related macular degneration
18- argon laser used in all except:
cutting vitrearetinal adhesions
19- blepharophemosis all except:
distichasis
20- 3years child with nasolacrimal duct obstruction primary
measure of treatment:
probing
probing with irigation dilatation
probing with stent
DCR
21-patient done canalecular dilatation ,put plug 6months
early,come with discharge explored plug ,diagnosis:

 congunctivitis
canaleculitis
dacryocyctitis
22- child 10years aquired esotropia ,no diplopia treated with
prism but the angle of devation increase possibilities:
uncorrect prism
abnormal retinal corrospondance
ambylopia
neurological problem
23- FA dilated arteries and veins (?capillary retinal
haemangeoma) diagnosis:
neurofibromatosis
von hipples lindou
24-10years with ptosis ,external ophthalmoplegia,fundus
shows pigmented retinoscopy diagnosis:
chronic progressive external ophthalomoplegia

myathenia gravis

25- picture of marcus gunne jaw winkining most common

cause:
aberrant 3rd nerve regneration
marcus gunne ptosis
dawane syndrome
26- most important factor in detrmining ptosis surgery:
margin reflex measure
vertical palpepral measure
ongental or aquired
levator function
27- nasopharngeal mass eroding the bone onCTscan what to

do:
MRI
refer for neurosurgent
28- picture of cystcercosis?of fundus befor and after
treatment with resolution of the leasion what was done:
subretinal removal of cysticercous
laser photocoagulation of central serous retinopathy
29-fundus both eyes ,young patient with2days of
headache,palpetation. ?peripapillary retinopathy,anterior
segment free,no vitritis diagnosis:
hypertention
DM
syphalis
TB
30- picture of chemical burn.best mangment:
take history
measure VA
irrigation with ringer lactate for30 minutes then
measure PH
31- patient with acute glaucoma ,after use of usual
antiglaucoma drugs what to do:
gonioscopy
manitol IV
fundoscopy
32- fig,overhanging of bleb after trabeculectomy treatment:
autologous blood with bleb needling
needling
33- 2days after trabeculectomy with pain,shallow AC,shallow
bleb,opened peripheral iridectomy,IOP45 what to do:

 topical steroid,oral acetazolamid,topical antiglaucoma

topical atropin,topical steroid ,topical antiglaucoma
topical atropin, oral acetazolamide,topical antiglaucoma
topical antiglaucoma,after 1week phacoemulesfication
34- an object placed25cm to the left of -1,00D lens ,where is
the image:
20cmto the left
20cm to the right
25cm to the left
25cm to the right
35- which of the following keratometric measurment
indicative of with the role astigmatism:
46.00/43,00@175
36- biological factors render chlamydia close to bacteria than
virus all except:
nuclic acid content
mechanism of replication
cell wall proparties
full presence of organelles
resopnse to antibiotics
37-most safe antiglaucoma drug in asthmatic patient:
betoxalol
38- lateral orbital walls relation:
perpendicular
39- rust in the cornea due to iron:
couled be removed 24-48 hours after FB removal
40- parent bring his 2nd child 6 months age complain from
non seeing and socially not as his 1st child ,routine

ophthalmic examination normal what to do:

observation
elecrophysiological tests
ultrasonography
CT brain
41- in chronic anterior uveitis in juvenial idiopathic arthritis
all true except:
band keratopathy
2ry glaucoma
2ry catract
no posterior synchia
42-child 1year old ,catract surgery ,measures to do to
decrease postcatract PCO :
posterior contenous capsulorhexis with anterior
vitrectomy
43- diabetic patient refraction-3.50spher ,after attack of
hyperglacemia refraction -4.50 what to do :
redo refraction after controlling blood glucose
44- 2nd sight occure due to :
nuclear catract
cortical catract
45- all bacteriostatic except:
ciprofloxacin
46- cross cylinder 1st we measure :
cylinder axis
cylinder power
47- duchrome test all true except:
refinement of spherical power
after spherical power mersurment

 if green light appear more clear patient is over

corrected
of little clinical importance
depend on chromatic abbrations
48- corneal ulcer treated with cefazoline eye
drop,tobramycin eye drop every 2hours for 14 days come
with corneal ulcer with vascularization,congunctival
hyperemia,diagnosis:
fungal keratitis
drug toxicity
49- pathology report of malignant melanoma which is not
predesopse for bad prognosis:
pagetoid growth
thickness
basement mmbrane intact
50- 3 years with esotropia 30degree.cycloplegic refraction
+2.00 rt eye 0.5 lf eye what to do:
glasses prescription
full time occlusion
part time occlusion
51- least useful method for evaluation of glaucometous optic
nerve :
indirect ophthalmoscope
slit lamp with contact lens
direct ophthalmoscope
slit lamp with 90D lens
slit lamp with robe lens
52- dalen fuch s nodules:
usullaly muliple or multifocal
may disappear in the course of the disease

 epitheloid cells
53- PVD detected with:
real time B scan
real time A scan
54- least helpful in orbital diseases assessment:
x ray
orbital ultasound
CT
exophthalmometer
55- 6 years VA 20/20,20/200 with no prevous complain what
to do:
cycloplegic refraction
56-exudative RD most characterestic of subretinal fluid:
shifting
demarcation line
57- chemical burn all true except :
alkaline liqufy fatty acids
alkali more dangerous than acid
acid coagulate tissue
acid liqufy fatty acids when be more acidic
alkali if not removed or denaturated more danderous
59- congenital esotropia all true except:
may not occure untile 4 months
cross fixation
surgery nessecary
if surgery done early may maintaine binocular single

vision
60- most indicative of rupture globe:
blow out fracture
dislocated or sublaxated lens
hyphema
chemosis,subconjuctival haemmorage decrease
intraocular pressure