MCQs



Question 1
A gonioscopic view of a closed anterior chamber angle will show -

a) The trabecula meshwork.
b) The scleral spur.
c) Schwalbe's line.
d) None of the above.
e) All of the above

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Question 2
What fundus condition is this?
a) Central venous thrombosis
b) Anaemic retinopathy
c) Choked disc
d) Hypertensive retinopathy

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Question 3
It is necessary to use gonioscopy to view the angle because

a) It is not possible to set the SLM beams at the correct angle
b) Total internal reflection stops the image of the angle leaving the cornea
c) The trabeculum interferes with the view
d) Total internal reflection stops the SLM illuminating the angle

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Question 4
A useful test to diagnose an Adie tonic pupil is-

a) Swinging flashlight
b) Dark room test
c) Monocular 1% Physostigmine
d) Monocular 0.125% Pilocarpine
e) Binocular 1% Physostigmine
f) Binocular 0.125% Pilocarpine

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Question 5
What fundus condition is this:-

a) Choroideraemia
b) Cone dystrophy
c) Angoid streaks
d) Craniopharingioma
e) None of the above

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Question 6
"A pie on the floor" visual field defect is more commonly caused by-

a) CVA to the parietal optic radiations
b) Tumour close to the temporal optic radiations
c) Pituity adenoma
d) Craniopharingioma
e) Aneuryms to the posterior circle of Willis

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Question 7
Diagnosis of Horner's syndrome is by-

a) Observing a unilateral miosis of the pupil
b) Swinging flashlight test
c) Observing a unilateral ptosis
d) Anhidrosis to one side of the face
e) All of the above
f) None of the above

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Question 8
Floating spots or blobs complained of by patients are most commonly caused by

a) Defects in the vitreous cortex following posterior vitreous detachment
b) Blood in the anterior chamber
c) Blood in the posterior chamber
d) Hypertrophy of the pigment epithelium
e) Retinal detachment

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Question 9
Floating spots or blobs with flashing lights are sometimes caused by

a) Posterior vitreous detachment
b) Cerebral tumours
c) Migraine
d) Retinal detachment
e) All of the above
f) None of the above

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Question 10
Epiphora may be due to

a) Hypersecretion of the lacrimal fluid
b) Hyposecretion of the lacrimal fluid
c) Ectropion
d) Blockage of the nasolacrimal duct
e) All of the above
f) None of the above

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Question 11
Dilating a patient should be carried out for the following reasons

a) To obtain an accurate refraction
b) Routine 90D SLM examination of the fundus
c) In the presence of squint
d) All of the above
e) None of the above

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Question 12
The correct procedure for managing a patient with an intra-ocular pressure of 45mm Hg is

a) Refer the patient to the ophthalmic casualty department. Telephone GP.
b) Refer patient to their GP
c) Instill one drop of 2% pilocarpine and refer to ophthalmic casualty. Telephone first.
d) Instill one drop of 0.5% tropicamide and refer to ophthalmic casualty. Telephone first.

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