FCPS PART 1 OPHTHALMOLOGY JUNE 2013

FCPS PART 1 OPHTHALMOLOGY JUNE 2013


DR. NABEEL IQBAL Page 1
1) Most common congenital lens disease
a. Lenticonus
b. Absence of sector of suspensory ligament
c. Microphakia
d. Ectopia lentis
2) Follicular conjunctivitis is associated with
a. Brimonidine
b. Latanoprost
c. Timolol
d. Carbacol

3) 1 G of lignocain in 2 % solution is
a. 5ml
b. 10 ml
c. 50 ml
d. 100 ml

4) The lateral parts of both the eyelids are drained by
a. Submandibular nodes
b. Pre auricular nodes
c. Occipital nodes
d. Mastoid nodes

FCPS PART 1 OPHTHALMOLOGY JUNE 2013
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5) The use of lens is best in :
a. Irregular astigmatism
b. Oblique astigmatism
c. Regular astigmatism

6) Most important histological feature to differentiate between benign and
malignant is
a. Increase NC ratio
b. Invasion
c. Atypia
d. Pleomorphism
7) Patient with left eye facial palsy and left eye sunks downbelow orbit after
trauma. Most likely fractured bone is
a. Zygomatic
b. Maxilla
c. Nasal
8) Synophthalmia and cycloplegia results from
a. Defective midline fusion on day 19 & 22
b. Overgrowth of forebrain vesicles
9) Pons and cerebellum derives from
a. Mylencephelon
b. Metacephalon
FCPS PART 1 OPHTHALMOLOGY JUNE 2013
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c. Procephalon
10) Choroid blood vessels
a. Main source of supply to RPE
b. Affected by sympathetic nerves
c. Continuous layer
11) Regarding vitreous most inappropriate
a. Increase calcium in asteroid hyalosis
b. About 80% is water
c. Mainly type 2 collagen
d. Increase hyaluronic acid
12) Increase onset of action of local anesthesia is by mixing it with
a. Epinephrine
b. Hyaluronidase
c. CO2
13) Initial side effect of bupicaine is
a. Convulsions
b. Vasodialation
c. Cardiac arrhythmia
FCPS PART 1 OPHTHALMOLOGY JUNE 2013
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14) Most likely lesion of mid brain is
a. Defective horizontal gaze
b. 3
rd nerve palsy
15) After superior orbitotomy loss of sensation of right forhead but intact
medial sensation, nerve injured is
a. Supratrochlear
b. Supraorbital
c. Lacrimal
d. Infratrochlear
16) Regarding Corticospinal tracts
a. Axons of motor cortex
b. Cross in corpus callosum
c. Projection fibres
17) Injury to lateral side of head, pt unable to move e I ye upwards, most
likely injury:
a. opthalmic nerve
b. occulomotor nerve
c. trochlear
d. abducent nerve
e. floor of orbit

FCPS PART 1 OPHTHALMOLOGY JUNE 2013
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18) Nerve supply of superior rectus:
a. Opthalmic nerve
b. Occulomotor nerve superior div
c. Trochlear
d. Abducent nerve
e. Occulomotor nerve inferior division

19) Ophthalmic artery
a. Pass below n lateral to the optic nerve
b. Pass above optic nerve

20) Lacrimal gland
a. Apocrine
b. Holocrine
c. Serous
d. Mucinous
21) All autonomic preganglionic nerves are
a. Myelinated n cholinergic
b. Adrehergic n unmyelinated
c. Unmyelinated and cholinergic

22) Unilateral gradual proptosis
a. Meningioma
b. Glioma
FCPS PART 1 OPHTHALMOLOGY JUNE 2013
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23) Lower limb amputation..localized haphazarg growth of nerves
a. Hemartoma
b. Neuroglioma

24) How to manage occulocardiac reflex if initiated
a. I/V atropine
b. Stop stimulus
c. Infiltration of recti muscles
d. Hyperventilation induction

25) Association of xanthelasmas with hypercholestrolemia
a. 41 to 60%
b. 10 to 20 %

26) Structures passing through foramen ovale
a. Mandibular
b. Accessory meningeal artery
c. Middle meningeal artery

27) Vein not draining in internal jugular vein
a. External jugular
b. Facial
c. Lingual

FCPS PART 1 OPHTHALMOLOGY JUNE 2013
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28) Artery not supplying scalp
a. Maxilllary
b. Occipital
c. Superior temporal

29) Bradycardia not occur in
a. Topical atropine

30) Hemisection below lesion….ipsilatrl loss….(it was about spinal cord?)
a. Pain
b. Temperature
c. Crude touch
d. Propioception
32) Pupillary light reflex lost..lession is .in which part of brain
a. Pons
b. Mid brain
c. Medulla

33) Radiation causes malignancy
a. 5 to 10 yr
b. After 10 yr

FCPS PART 1 OPHTHALMOLOGY JUNE 2013
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34) Midbrain lesion involves
a. 3
rd nerve
b. 5
th nerve
c. 6
th nerve
d. 10th nerve
35) Cyanosis occur when
a. Carboxy haemoglobin is more than 5%
36) Patient with epiphoa..negative jones1 jones 2 n flourescent test..what next
a. Probing
b. Syringing
c. Schirmer test
d. Tear film breakup time
e. Immunoassay of tears

37) In subdural haemorrhage which artery is damaged
a. Superior cerebral vein
b. Inferior cerebral vein
c. Middle meningeal artery
38) Cerebellum is connected to midbrain via
a. Superior cerebellar peduncle
b. Inferior cerebellar peduncle
c. Olivocerebellar tract

FCPS PART 1 OPHTHALMOLOGY JUNE 2013
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39) In Cavernous sinus lesion which nerve is damaged
a. Abducent nerve
b. Maxillary nerve
40) Remession and reappearance of symptoms
a. Latent period
b. Incubation periodDorment period

41) First sign of diabetic retinopathy…..
a. Microaneurysms
b. Oculo pathy
c. Exudates in retinal nerve fibre layer
d. Loss of pericytes

42) Most common complication of HTN in eye
a. Ischemia
b. Microaneurysms
c. Arteriosclerosis
d. 3
rd nerve pasly

43) Thrombocytopenia…which increases
a. APTT
b. BT
c. CT
d. Delay wound healing
FCPS PART 1 OPHTHALMOLOGY JUNE 2013
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44) Primary hyperthyroidism…………which harmone is elevated
a. Renin
b. Aldosterone
c. TSH

45) Colour blindness disease is
a. X linked dominent
b. X linked recessive

46) Pretectal nucleus are located at
a. Superior colliculus
b. Above the level of superior colliculus
c. Inferior colliculus

47) Cerebral blood flow increases because of
a. Decrease pco2
b. Decrease po2
c. Decrease extraneuronal potassium
d. Increase intracraneal pressure

48) Edwingerwestphal nucleus lesion causes
a. Loss of near and light reflex
b. Only loss of near reflex
FCPS PART 1 OPHTHALMOLOGY JUNE 2013
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49)Pendular nystagmus is diagnostic sign of
a. Cerebellar lesion
b. Hypothyroidism
c. UMN lesion
50)Most important muscle of expiration is
a. Anterior scalene
b. Abdominal recti
c. Internal intercostal muscles
d. External intercostal muscles
51)Markedly increase cardiac output in
a. Pregnancy
b. Exercise
52)Bradycardia not caused by
a. Topical atropine
b. Increase intraocular pressure
c. Massage of eyeball
d. Massage of recti
53)Decrease CO, decrease heart rate, increase peripheral vasoconstriction with pale
looking patient, which drug he has taken
a. Epinephrine
b. Norepinephrine
c. Popramycin
d. Nifedipine
e. Phenylepinephrine
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54) Self propagating action potential occur in
a. Horizontal cells
b. Bipolar
c. Ganglion
d. Amacrine
e. Muller
55) Most inappropriate regarding bile salts
a. Secondary bile acids formed in intestine
b. Severe increase bile acid production in liver
c. Absorbed in terminal ileum
56) Most radiosensitive tumor
a. Bone
b. Lymphnode
c. Skeletal muscle
d. Cartilage
57) Hypothyroid patient developed exophthalmosis, most imp test is
a. Anti thyroid anti bodies
b. Protein bound iodine
c. T3 t4 level
d. TSH level
e. Thyroid scan
FCPS PART 1 OPHTHALMOLOGY JUNE 2013
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58) A 40 yr old man with painless proptosis of rt eye (xray and cbc normal)
most likely diagnosis is
a. Glioma of optic nerve
b. Meningioma
c. Orbital varices
d. Secondaries in orbit
e. Thyroid ophthalmopathy
59) Serotonin is produced by
a. GIT cells
b. Platelets
60) Hyperacute rejection occur in
a. Minutes after transplant
b. Because of preformed cytotoxic t cells
c. Occur before chronic rejection
61) Most imp complication of HIV is
a. Cryptococcal infection
b. Toxoplasmosis
c. Pneumocytis
62) HIV initially
a. Forms provirus
b. Causes its RNA to DNA
c. Activate t cells
d. Remain dorment for lot of tim
FCPS PART 1 OPHTHALMOLOGY JUNE 2013
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63) One of the following tumor causes paraneoplastic syndromes
a. Adeno Ca stomach
b. Mesothelioma
c. Thymoma
d. Small cell lung Ca
e. RCC
64) Latanoprost most likerly causes
a. Minimum toxic effects
b. Decrease melanin in iris
c. Causes congestive hyperemia
d. Decrease ag production
65) Descriptive study
a. Describes analytical study
b. Describes ecological models
c. Describes mode, time, internal index
d. Describe experimental study
66) Neural retina is most thickest at
a. Fovea
b. Equator
c. Orraserrata
d. Peripapillary region
e. Pars plana
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67) Flat facial profile, oblique palpaberal fissure, decrease IQ level
a. Down syndrome
b. Edward syndrome
c. Patau
d. Klinefelter
e. Turner
68) Leukokoria in PHPV is due to
a. Retrolental fibrovascular tissue
b. Berg biesk papilla
c. Thickening of pupillary membrane
69) Corneal epithelium rests on
a. Bowman’s membrane
b. Basal lamina
c. Bruch membrane
d. Desment membrane
70) Patient with severe trauma to lateral aspect of skull, after which he
become unconscious for 3 minutes, later he developed visual disturbance.
Which artery is damaged
a. Anterior branch of middle meningeal artery
b. Posterior branch of middle meningeal artery
c. Anterior branch of superior temporal artery
d. Posterior branch of superior temporal artery
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71)A patient develop raised serum creatin, urea andlow K+ level, with increase RBC count,
most likely diagnosis is
a. Hyperaldosteronism
b. ARF
c. Erythropoietin deficiency
72)A patient developed ringing of right ear with marked deafness of same side, he also has
ipsilateral faial palsy. Most likely diagnosis is
a. Internal acoustic meatus
b. Cerebropontine angle
c. Stylomastoid foramen
73)Choriocapillaries are maximum in number at:
a. Orra serrata
b. sub macula
c. Equator
74)A 40 year old man has presented with LIVER CIRRHOSIS..what is most likely cause?
a. Alcohol
b. Hep B
c. Hep C
75) Xanthelasmas appear in hyperlipoproteinemia in what percent of patients:
a. 10-20%
b. 21-40%
c. 41-60%
d. 61-80%
76)Paisades of Vogt:
a. Provide site for regeneration of cornea



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