Male patient developed corneal ulcer in his right eye after trauma, what is the management?

Topical antibiotic & analgesia    (Correct Answer)

topical steroid

Old diabetic patient with mild early cataract and retinal pigmentation with Drusen formation,
you prescribed
anti oxidant, what to do next?

urgent ophthalmology appointment

Routine ophthalmology referral    (Correct Answer)

cataract surgery

see him after One month to detect improvement

A picture of Snelling chart the q was how far should the patient stand :

3m

6m    (Correct Answer)

9m

Which of the following is not a sign or symptom of central retinal artery occlusion?

Painful loss of vision    (Correct Answer)

Painless loss of vision

Previous transient loss of vision

Dilated pupil with sluggish reaction to light

female pt with right eye pain and redness with watery discharge, no history of trauma, itching,
on examination
there is diffuse congestion in the conjunctiva and watery discharge what you'll do:

give Ab

give antihistamineby exclusion

topical steroid

refer her to the ophthalmologist

No need for further management    (Correct Answer)

Patient complaining of pain when moving the eye, fundoscopy􀃆 normal, what is the
diagnosis?

Optic neuritis    (Correct Answer)

Papillodema

Child with large periorbital hemangioma , if this hemangioma cause obstruction to vision ,
when will be
permanent decrease in visual acuity After obstruction by one day

By 1 week    (Correct Answer)

By 3 months

By 6 months

Infant born with hemangioma on the right eyelid what is appropriate time to operate to prevent
amylopia:

1 day

1 week    (Correct Answer)

3 months

9 months
50 year old Man presented to ER with sudden headache, blurred of vision and eye pain. The
diagnosis is:

Acute glaucoma    (Correct Answer)

Acute conjunctivitis

Corneal ulcer

Open globe injury, treatment is:

Continuous antibiotic drops

Continuous water and NS drops

Continuous steroids drops

Sterile cover and the refered    (Correct Answer)

2 years old boy with coryza, cough and red eyes with watery discharge (a case of measles).
Most likely
diagnosis of the red eyes is:

Conjunctivitis    (Correct Answer)

Blepharitis

Patient has decrease visual acuity bilateral, but more in right side, visual field is not affected,
in fundus there is
irregular pigmentations and early cataract formation. what you will do

Refer to ophthalmologist for laser therapy

Refer to ophthalmologist for cataract surgery

See the patient next month    (Correct Answer)

A patient have tender, redness nodule on lacrimal duct site. Before referred him to
ophthalmologist what you
will do:

Topical steroid

Topical antibiotics

Oral antibiotics    (Correct Answer)

Oral antibiotics

male came to you complaining of sudden progressive decreasing in vision of left eye over last
two/three days,
also pain on the same eye, on fundoscopy optic disk swelling was sees , Dx :

male came to you complaining of sudden progressive decreasing in vision of

left eye over last two/three days, also pain on the same eye, on fundoscopy
optic disk swelling was sees , Dx :

central retical vein occlusion

Optic neuritis    (Correct Answer)

macular degeneration

Gardener has recurrent conjunctivitis. He can’t avoid exposure to environment. In order to

decrease the
symptoms in the evening, GP should advise him to:

Cold compression

Eye irrigation with Vinegar Solution

Patient, medically free came with eye watery discharge, cloudy ant. Chamber with red
conjunctiva , Dx:
Contact lenses
Keratitis
Antihistamines    (Correct Answer)
Uveitis (red eye, injected conjunctiva, pain and decreased vision. Signs
include dilated ciliary vessels, presence of cells in the anterior chamber)   
(Correct Answer)

Retinitis (Night-blindness-Peripheral vision loss-Tunnel vision-Progressive

vision loss)

Corneal laceration
30 years old patient presented with eye stocking on the morning what the cause?

Viral

Bacterial    (Correct Answer)

Fungal

Patient with lateral and vertical diplobia, he can’t abduct both eyes, the affected nerve is:

II

III

VI    (Correct Answer)

V
Photophobia, blurred vision, keraticbehind cornea and cells in anterior chamber, the best
treatment is :

Topical antifungal

Topical Acyclovir

Antibiotic    (Correct Answer)

Patient with trachoma in eye. for prevention you should

Water sanitation    (Correct Answer)

water sanitation & eradication of organism

mass treatment

Patient come with history of flue like symptoms for many days & complain of periorbital
edema , DX

Viral conjunctivitis    (Correct Answer)

Bacterial conjunctivitis

Keratitis

Patient with pain in ophthalmic division of trigeminal nerve & vesicle, which of the following is
used to
decrease post herpetic neuralgia:

Local steroid

systemic acyclovir & steroid    (Correct Answer)

acyclovir

Male patient developed corneal ulcer in his right eye after trauma what is the Mx:

Topical antibiotic & analgesia

Topical steroid

Antibiotic, cycloplgia and refer to ophthalmology    (Correct Answer)

Blow out fracture eyelid swelling , redness other symptoms

Present air fluid level

Enophthalmos ‘posterior displacement of the eye”    (Correct Answer)

Attack rate for school children whom developed pink eye , first day 10 out of 50 , second day
30 out of 50

20

40

60

80    (Correct Answer)

Patient came with trauma to left eye by tennis ball examination shows anterior chamber
hemorrhage you
must exclude?

Conjunctivitis

Blepharitis

Foreign body (most likely)    (Correct Answer)

Keratitis

Acute angle glaucoma, you can use all of the following drug except?

B blocker

Acetazolamide

Pilocarpine

Dipivefrin    (Correct Answer

Patient with foreign body sensation in the eye, after the removal of the foreign body it was
insect, treatment:

Local antibiotic    (Correct Answer)

Local steroid

Systemic antibiotic

Systemic steroid

Patient with hypertensive retinopathy grade 2 AV nicking, normal BP, no decrease in vision,
with cupping of
optic disc, what will do to the patient:

Reassurance , the problem is benign

Convert him to ophthalmologist    (Correct Answer)

Laser Operation A 30 years old male present to E.R. complaining of visual deterioration for 3 days of Rt. Eye
followed by light
perception, the least cause is:

Retinal detachment.

Central retinal arterial embolism.    (Correct Answer)

Vitreous hemorrhage.

Retro-orbitalneuritis.

Retinitis pigmentation.
Anterior uveitis is a character of the following except:

RA    (Correct Answer)

Sarcoidosis

Behcet disease.

Riter'ssyndrome.

Ankylosingspondolitis.

Patient with open angle glaucoma and known case of COPD and DM, what is the treatment?

Timelol
Patient with bilateral eye discharge, watery, red eyes, corneal ulceration what is the most
common cause?
betaxolol

Dust & pollen    (Correct Answer)

Acetazolamid    (Correct Answer)

Hypertension

Ultra-violet light & stress

70y/o female says that she play puzzle but for a short period she can't play because as she
develop headache
when playing what you will exam for?

Astigmatism    (Correct Answer)

Glaucoma
54 years old patient, farmer, coming complaining of dry eye, he is smoker for 20 years and
smokes 2 packs/
day , your recommendation :

advise him to exercise

stop smoking    (Correct Answer)

wear sunscreen
patient is wearing contact lenses for vision correction since ten years , now coming
complaining of excessive
tearing when exposed to bright light , what will be your advice to him :

wear hat

wear sunglasses Patient complains of dry eyes, a moisturizing eye drops were prescribed to him 4 times daily.
What is the most
remove the lensesappropriate
at night    method
(CorrectofAnswer)
application of these eye drops?

Saline eye drops 4 times /1day

drop in the lower fornix    (Correct Answer)

2 drops in the lower fornix

1 drop in the upper fornix

17 years old school boy was playing foot ball and he was kicked in his Right eye... Few hours
later he started to
complain of double vision & ecchymoses around the eye, what is the most likely diagnosis?

cellulitis

Orbital bone fracture    (Correct Answer)

global eye ball rupture

subconjunctival hemorrhage
35 years old female patient complaining of acute inflammation and pain in her Left eye since
2 days, she gave
history of visual blurring and use of contact lens as well, On examination: fluorescence stain
shows dentritic
ulcer at the center of the cornea, what is the most likely diagnosis?

Corneal abrasion

Herpetic central ulcer   

Patient (Correct Answer)
present with corneal abrasion Treatment:

central lens stress ulcer

Cover the eye with a dressing
acute Episcleritis
Antibiotic ointment put it in the home without covering the eye    (Correct
Answer)
acute angle closure glaucoma

Patient with subconjunctival hemorrhage. What you will do for him?

Reassurance

Send him to the ophthalmologist    (Correct Answer)

patient with recent history of URTI ,develop sever conjuctivitis Injection with redness,
tearing ,photophobia ,
So, what is treatment?

Topical antibiotic

Topical acyclovir

Oral acyclovir

Topical steroid    (Correct Answer)

Patient presented with constricted pupil, ciliary flushing and cloudy antierior Chamber .there is
no abnormality
In eye lid, vision and lacrimal duct:

Uveitis    (Correct Answer)

Central vein thrombosis

Central artery embolism

Newborn with eye infection :
Acute angle closure glaucoma

Oral antibiotic    (Correct Answer)

Oral steroid

Topical antibiotic

Man who bought a cat and now developed watery discharge from his eyes he is having:

Allergic conjunctivitis    (Correct Answer)

Atopic dermatitis

cat scratch disease

How to differentiate between Uveitis and Keratitis in red eye

Redness of the eye

Blurred vision Hypertensive came to ophthalmology doctor by exam show increase cup when asking the
patient he did not
photophobia complain of anything. What is the diagnosis?

Dark, floating spots alongHypertensive

the visual field in Uveitis, Ciliary vessel
retinopathy
dilatation    (Correct Answer)
Diabetic neuropathy
Eye pain
Diabetic neuropathy    (Correct Answer)

Acute closed angle glaucoma

Retinal detachment

Long use of topical corticosteroid lead to:

Rise intra ocular pressure

Cataract    (Correct Answer)

Ptosis

Keratoconus
Female patient wear glass since 10 years , she diagnosed recently type 2 DM , she should
screen or examine
her eyes every:

6m

12m    (Correct Answer)

2y

5y
Diabetic patient want your advice to decrease the risk of developing Diabetic retinopathy?

Decrease HTN and Obesity    (Correct Answer)

Decrease HTN and smocking

Decrease Smocking and Obesity

Patient came to you after Trauma complaining of loss of the abduction of his (left or right) eye.
So which
cranial nerve affected?

III

IV

VI    (Correct Answer)

boy 3 day after flue symptom develop conjunctivitis with occipital and nick L.N enlarged so
diagnosis is

Adenoviruses    (Correct Answer)

streptococcus

HSV

Child came to ophthalmology clinic did cover test, during eye cover , his left eye move
45 year old male presented to the ER with sudden headache, blurriong of vision, excruciating
spontaneously to left,
eye pain and
the most complication is:
frequent vomiting:

Strabismus    (Correct Answer)

Acute glaucoma    (Correct Answer)
Glaucoma Acute conjunctivitis
Myobloma Acuteiritis

Episcleritis

Corneal ulceration
Patient came to you complaining of gradual loss of vision & now he can only identify
light.which of the
following is the LEAST cause of his problem:

Retinal detachment

Central retinal artery    (Correct Answer)

Retinitis pigmentosa

Retrobulbar neuritis

All the following may cause sudden unilateral blindness EXCEPT:

Retinitis pigmentosa    (Correct Answer)

Retrobulbar neuritis.

Retinal detachment.
Patient has painful red left eye associated with photophobia , what is the DX
Vitreous hemorrhage.

Glaucoma
Central retinal artery embolism.

Uveitis    (Correct Answer)

other
Acute glaucoma, all are true EXCEPT:

Refer to ophthalmologist

Give miotic before referral    (Correct Answer)

Can present with headache

Can present with abdominal pain.

Pupil size in acute glaucoma is larger than normal.

All are true about congenital squint except:

There is no difference of the angle of deviation of squint eye between far&

near vision.    (Correct Answer)

Asymmetry of corneal light reflex

TB patient suffer from painful red eye photobi

Glucoma

Uvitis    (Correct Answer)

Bact.conjctivitis
Regarding Stye infection of the lower eyelid, all true except:-
Viral conjuctivites

Is infection of gland in the lower eye lid

Can be treated by topical antibiotics

Can be treated by systemic antibiotics

Needs ophthalmology referral “ though sometimes referral is needed, but

it is never the first option”    (Correct Answer)
Which of the following is true regarding red eye:

More redness occur in corioscleral "suggest iritis"    (Correct Answer)

if associated with fixed mid –fixed dilated pupil suggest anterior uvitis

in case of glaucoma treatment is mydratics

Picture of Snellin chart, 70 years old patient can only read to the 3rd line, what is his visual
acuity?

20\100

20\70    (Correct Answer)

20\50
24 years old female newly diagnosed type 2 DM, she is wearing glasses for 10 years, how
frequent she should
20\40 follow with ophthalmologist?

Every 5 years

Annually    (Correct Answer)

Contraindicated in acute glaucoma management:

Pilocarpine

Timolol

Flu like symptoms since two days and now has red eye, what is the diagnosis:

Viral conjunctivitis    (Correct Answer)

bacterial conjunctivitis

c.uvitis

glaucoma

The most dangerous red eye that need urgent referral to ophthalmologist

associated with itching

presence of mucopurulant discharge

bilateral Patient with pterygium in one eye, the other eye is normal, what's correct to tell:

Associated with photophobia   

It's due(Correct Answer)
to vitaminosis A.

It may affect vision    (Correct Answer)

It's a part of a systemic disease.

It's a part of a systemic disease.

50 year old Man presented to ER with sudden headache,

blurred of vision, and eye pain. The diagnosis is:

Acute glaucoma    (Correct Answer)

Acute conjunctivitis

Corneal ulcer
60 years old pt. presented with decrease vision bilaterally,
especially to bright light on exam he was having cupping with
wedge shaped opacities ... he is having??

lens sub laxation

cataract

open angle glaucoma    (Correct Answer)

diabetic patient for long time came after car accident

complains of flashes of light in the left eye, blurred vision, and
shadows?

Retinal detachment    (Correct Answer)

Cataract

Which of the following drugs is contraindicated in glaucoma:

Timolol

Pilocarpine

Steroids    (Correct Answer)

Newborn with left eye purulent discharge, redness, edema.
culture showed gram -ve diplococci. your TTT ?

IV cephalosporin    (Correct Answer)

IM cephalosporin

Oral floroquinolone

Topical sulfonamide
Patient with eye pain not relieved by patching when he came
you find red eye with sclera injection with cloudy anterior
chamber, DX

Retinitis

Uveitis    (Correct Answer)

Eye screening in DMI:

Now and annually

Now and every 10 years

After 5 years & annually    (Correct Answer)

Pt having glaucoma and taking treatment for it presents with

shortness of breath, which of the drug is he taking

PILOCARPINE

TIMOLOL    (Correct Answer)

BETAXOLOL

ACETAZOLAMIDE

Patient with DM II with good vision, to prevent eye disease

(Retinal back ground) to develop is to avoid:

HTN, Smoking

Obesity, Smoking

HTN, Obesity    (Correct Answer)

patient with blepharitis, with hx of acne rosacea but with no
sign of keratitis, what you will give him:

Topical chloramphenicol

Oral doxycycline    (Correct Answer)

Topical gentamicin

pic of optic nerve cupping:

Gluocomatous cupping    (Correct Answer)

Optitis

Optic nerve atrophy

Blow out fracture:

Parasthesia in superior orbital ridge.

Exophthalmos.

Air fluid level in maxillary sinus.

Diplopia in upward gaze.    (Correct Answer)

Pt with DM since 20years present with cotton wool spots on
retina, Mx:

Control blood sugar

Refer to ophthalmology    (Correct Answer)

Insulin

Tetracycline drops
Patient complains of eye itching due to flying of foreign body
in his eye, after removal the foreign body what you will do

topical antibiotics    (Correct Answer)

oral antibiotic
Infant born with hemangioma on the right eyelid what is
topical steroid appropriate time to operate to prevent amblyopia:

oral steroid After obstruction by one day

By 1 week    (Correct Answer)

By 3 months

By 6 months

9 months

A corneal ulcer, Abrasion other investigation

visual field measurement

slit lamp

fluorescence dye    (Correct Answer)

pt with typical Hx of viral conjunctivitis in Rt eye..what is
your action ‫؟‬

Add topical steroid    (Correct Answer)

Add topical antiviral

Add topical antibacterial

Patient came with red eye and itching with discharge, what is
the diagnosis:

Conjunctivitis    (Correct Answer)

iritis

Known case of allergic conjunctivitis that suffer in every

spring he is a Gardner and cannot avoid allergic
substances…what do you advise him to reduce the symptoms in
the night?

Sleep in air conditioned room

Eye drops

Apply cold compressors    (Correct Answer)

Red eye with watery discharge:

Local antihistamine    (Correct Answer)

Steroids

Antibiotics
80 yr old in his normal state of health presented with
decrease visual acuity bilaterally without any defect in visual
field his VA Rt eye= 20/100 VA Lt eye=20/160 fundoscopic exam
showed early signs of cataract and drusen with irregular
Diabeticorptneovascularization.
pigmentations. No macular edema for 20 years, eye examination
The reveals vitreous
hemorrhage, neovascularization.
appropriate action beside antioxidants and Zn is: How to manage:

Strict
Refer the pt for emergency laserdiet
therapy

Refere the pt for cataract Referral

surgery to ophthalmologist    (Correct Answer)

Name
See the patient next month    of medication
(Correct Answer)

Trauma by tennis ball with blood in the anterior chamber,

you must rule out:

conjunctivitis

keratitis

penetrating FB    (Correct Answer)

blepharitis

ttt of dacryocystitis :

topical antibiotic

oral antibiotics    (Correct Answer)

oral steroid

oral antiviral
Picture of an old man having red eye of left side, between the
two eyes above the nose there are small papular lesions, for
which he is using acyclovir cream, it is characterized by a
prodrome of fever, malaise, nausea, vomiting, and severe pain
and skin lesions between eyes. Treatment is:

Topical antibiotic

Topical antihistamine

Topical steroids    (Correct Answer)

Patient diabetic,
Topicalage 39, has diagnosed to have DM when he
decongestants
was 30, came to your clinic complaining of blurred vision,
redness, irritable eye, on fundoscopy there is new vessels
Regarding pterygium:
growing (angiogenesis) Dx?

Due to the presence

Background of a systemic cause
retinopathy
Causes blindness SNELLEN CHART, there is a chart, old man comes with
Proliferative retinopathy   
decrease in(Correct Answer)
vision, doctor check his vision by snellen chart he is
able to read up to 3rd line, so his vision is
Due to actinomycosis

20/70   
Needs surgical intervention    (Correct
(Correct Answer)
Answer)

20/100 eye drops

A patient complains of dry eyes, a moisturizing
were prescribed to him 4 times daily. What is the most
appropriate method of application of these eye drops?
20/50

1 drop in the lower fornix    (Correct Answer)

20/40

2 drops in the lower fornix

1 drop in the upper fornix

2 drops in the upper fornix

Pt involve in RTA, develop raccoon eye:

fracture of the globe

fracture in base of anterior fossa

concussion

base skull fracture    (Correct Answer)

24 y/o female newly diagnosed type 2 DM, she is wearing

glasses for 10 years, how frequent she should follow with
ophthalmologist:

Every 5 years.

Annually    (Correct Answer)

54 y old patient, farmer, coming complaining of dry eye, he is

smoker for 20 years and smokes 2 packs/ day, your advice to him