Day 31 – Lesson 7 – PG NEET Ophthalmology Mcqs 7 – Conjunctiva

    1. Stocker’s line is seen in
      1. Pinguecula
      2. Pterygium
      3. Conjunctival melanosis
      4. Conjunctival naevus
        1. Ans(2)
    2. Which of the following may be used to prevent recurrence after pterygium excision?
      1. Natamycin
      2. Mitomycin C
      3. Amphotericin
      4. Chloromycetin
        1. Ans(2)
    3. Subconjunctival hemorrhage is seen in all except
      1. Passive venous congestion
      2. Pertussis
      3. Trauma
      4. High intraocular pressure
        1. Ans(4)
    4. Goblet cells are seen in
      1. Cornea
      2. Conjunctiva
      3. Retina
      4. Vitreous
        1. Ans(2)
    5. Most common cause of scleritis is:
      1. Rheumatoid arthritis
      2. SLE
      3. Sjogren’s syndrome
      4. Behcet’s disease
        1. Ans(1)
    6. Most common cause of anterior staphyloma is:
      1. Corneal ulcer
      2. Myopia
      3. Hypermetropia
      4. Herpetic keratitis
        1. Ans(1)
    7. Most common cause of posterior staphyloma is:
      1. Corneal ulcer
      2. Degenerative myopia
      3. Uncontrolled glaucoma
      4. Scleritis
        1. Ans(1)
    8. The sclera is the thinnest at
      1. Limbus
      2. Insertion of extraocular muscles
      3. Al the optic nerve
      4. On the nasal side
        1. Ans(2)
    9. The most common systemic association of scleritis is
      1. Ehlers – Danlos
      2. Systemic sclerosis
      3. Rheumatoid arthritis
      4. Giant cell arteritis
        1. Ans(3)
    10. In scleritis, all are true except:
      1. Scleromalacia perforans is commonly associated with systemic disease
      2. Pain is not a prominent disease
      3. Retinal detachment is a known complication
      4. Glaucoma may occur
        1. Ans(2)
    11. Most common cause of anterior staphyloma is:
      1. Perforated corneal ulcer
      2. Scleritis
      3. Myopia
      4. Glaucoma
        1. Ans(1)
    12. Ciliary staphyloma is due to:
      1. Scleritis
      2. Myopia
      3. Iridocyclitis
      4. Choroiditis
        1. Ans(2)
    13. Blue sclera is seen in
      1. Alkaptonuria
      2. Osteogenesis imperfecta
      3. Ehlers –Danols
      4. Kawasaki disease
        1. Ans(3)
    14. Which of the following may present as a bluish-red nodule resembling conjunctival hemorrhage?
      1. Kaposi sarcoma
      2. Ciliary staphyloma
      3. Lymphoma
      4. Limbal dermoid
        1. Ans(1)
    15. Parenchymatous xerosis of the conjunctiva is seen in:
      1. Trachoma
      2. Vitamin A deficiency
      3. Vernal conjunctivitis
      4. Alkali burns
        1. Ans(4)
    16. True about cornea is/are:
      1. Power is 43D
      2. Majority of the refraction occurs at the air-cornea interface
      3. With the rule, astigmatism is seen because the vertical meridian is steeper than the horizontal
      4. Spherical in shape
        1. Ans(1)
    17. In which of the following tissues is long spaced collagen seen?
      1. Diaphragm
      2. Cornea
      3. Basement membrane
      4. Tympanic membrane
        1. Ans(2)
    18. Where are stem cells present in the cornea?
      1. Limbus
      2. Epithelium
      3. Stroma
      4. Descemet’s membrane
        1. Ans(1)
    19. Avascular structure of the eye is:
      1. Conjunctive
      2. Cornea
      3. Retina
      4. Ciliary body
        1. Ans(2)
    20. In hypoxic injury, the cornea becomes edematous due to the accumulation of:
      1. Carbon dioxide
      2. Lactate
      3. Pyruvate
      4. Glycogen
        1. Ans(2)
    21. Which of the following is not true regarding the cornea?
      1. Endothelium helps to maintain the cornea in a dehydrated state
      2. Oxygen is derived from the corneal epithelium from the air through the tear film
      3. Glucose supply for the cornea is derived from the aqueous
      4. Richly vascular
        1. Ans(4)
    22. The nerve supplied to the cornea is:
      1. Maxillary branch of the trigeminal nerve
      2. Facial nerve
      3. Auriculotemporal nerve
      4. Ophthalmic branch of trigeminal
        1. Ans(4)
    23. Contact lens wear has been shown to have deleterious effects on the corneal physiology. Which of the following statements is incorrect?
      1. The level of glucose availability in the corneal epithelium is reduced
      2. There is a reduction in the density of hemidesmosomes
      3. There is increased production of CO2 in the epithelium
      4. There is the reduction in the glucose utilization by the corneal epithelium
        1. Ans(4)
    24. Corneal transparency is maintained by all except:
      1. Relative hydration of the cornea
      2. The arrangement of collagen fibers
      3. Unmyelinated nerve fibers
      4. Mitotic figures at the center of the cornea
        1. Ans(1)
    25. Corneal transparency is maintained by:
      1. Keratocytes
      2. Bowman’s membrane
      3. Descemet’s membrane
      4. Endothelium
        1. Ans(4)
    26. Corneal thickness is best measured by:
      1. Ophthalmometer
      2. Lensometer
      3. Pachymeter
      4. Focimeter
        1. Ans(3)
    27. Which of the following can penetrate the intact cornea?
      1. Gonococcus
      2. Pseudomonas
      3. Diphtheria
      4. Streptococcus
        1. Ans(1)
    28. Ulcer serpent is caused by:
      1. Pseudomonas
      2. Pneumococcus
      3. Gonococcus
      4. Diphtheria
        1. Ans(2)
    29. Which of the following can cause a corneal perforation in just 48 hours?
      1. Staphylococcus
      2. Pseudomonas
      3. Diphtheria
      4. Aspergillus
        1. Ans(2)
    30. Which of the following is not a feature of fungal corneal ulcer?
      1. Fixed hypopyon
      2. Ulcer with sloughing margins
      3. Symptoms are more pronounced
      4. Fungal hyphae are seen on KOH mount
        1. Ans(3)
    31. Satellite nodule with the corneal ulcer is seen in:
      1. Fungal ulcer
      2. Viral Keratitis
      3. Bacterial ulcer
      4. Acanthamoeba keratitis
        1. Ans(1)
    32. A young man aged 30 years presents with difficulty in vision in the left eye for the past 10-15 days. He gives the history of trauma to the eye with vegetative matter 15 days back. On examination, there is an ulcerative lesion in the cornea whose base has a soft creamy infiltrate. The margins are feathery with a few satellite lesions. Which is the most probable etiological agent?
      1. Acanthamoeba
      2. Corynebacterium diphtheria
      3. Fusarium
      4. Streptococcus pneumonia
        1. Ans(3)
    33. A 33-year-old male came with pain and watering in the right eye for 36 hours. On examination, a 3×2 mm corneal ulcer is seen with elevated margins, feathery finger-like projections, and minimal hypopyon. What is the likely causative organism?
      1. HSV
      2. Aspergillus
      3. Pseudomonas
      4. Acanthamoeba
        1. Ans(2)
    34. Microscopy of a corneal ulcer showed branched septate hyphae. Th probable diagnosis is:
      1. Candida
      2. Aspergillus
      3. Mucormycosis
      4. Histoplasma
        1. Ans(2)
    35. Which of the following is the drug of choice for fungal corneal ulcers caused by filamentous fungi?
      1. Itraconazole
      2. Natamycin
      3. Nystatin
      4. Fluconazole
        1. Ans(2)
    36. Which of the following is used in the treatment of fungal keratomycosis?
      1. Silver sulfadiazine
      2. Linezolid
      3. Vancomycin
      4. Doxycycline
        1. Ans(1)
    37. Which of the following is the most important adjuvant therapy for a fungal corneal ulcer?
      1. Atropine sulfate
      2. Dexamethasone
      3. Pilocarpine
      4. Lignocaine
        1. Ans(1)
    38. Steroids are contraindicated in:
      1. Fungal ulcer
      2. Viral keratitis
      3. Bacterial ulcer
      4. Acanthamoeba keratitis
        1. Ans(1)
    39. A young man aged 30 years presents with difficulty in vision in the left eye for the past 10-15 days. He gives the history of trauma to the eye with vegetative matter 15 days back. On examination, there is an ulcerative lesion in the cornea whose base has a soft creamy infiltrate. The margins are feathery with a few satellite lesions. Which is the most probable etiological agent?
      1. Acanthamoeba
      2. Corynebacterium diphtheria
      3. Fusarium
      4. Streptococcus pneumonia
        1. Ans(3)
    40. A 33 –years old male came with pain and watering in the right eye for 36 hours. on examination, a 3 x2 mm corneal ulcer is seen with elevated margins, feathery fingers – like projections and minimal hypopyon. What is the likely causative organism?
      1. HSV
      2. Aspergillus
      3. Pseudomonas
      4. Acanthamoeba
        1. Ans(2)
    41. Microscopy of a corneal ulcer showed branched septate hyphae. The probable diagnosis is:
      1. Candida
      2. Aspergillus
      3. Mucormycosis
      4. Histoplasma
        1. Ans(2)
    42. Which of the following is the drug of choice for fungal corneal ulcers caused by filamentous fungi?
      1. Itraconazole
      2. Natamycin
      3. Nystatin
      4. Fluconazole
        1. Ans(2)
    43. Which of the following is used in the treatment of fungal keratomycosis?
      1. Silver sulfadiazine
      2. Linezolid
      3. Vancomycin
      4. Doxycycline
        1. Ans(1)
    44. Which of the following is the most important adjuvant therapy for the fungal corneal ulcer?
      1. Atropine sulfate
      2. Dexamethasone
      3. Pilocarpine
      4. Lignocaine
        1. Ans(1)
    45. Steroids are contraindicated in:
      1. Phlyctenular conjunctivitis
      2. Mooren’s ulcer
      3. Vernal keratoconjunctivitis
      4. Dendritic ulcer
        1. Ans(4)
    46. Corneal ulcer resembling fungal ulcer is seen due to infection with:
      1. Nocardia asteroids
      2. Mycobacterium
      3. Chlamydia trachomatis
      4. Klebsiella pneumonia
        1. Ans(1)
    47. Which of the following is an important feature of herpes simplex keratitis?
      1. Cirumciliary congestion
      2. Corneal Infiltrates
      3. Pannus
      4. The decrease in corneal sensation
        1. Ans(4)
    48. All of the following are true about herpetic keratitis except:
      1. Topical steroids are given in dendritic keratitis
      2. Topical steroids are given in disciform keratitis
      3. The geographic ulcer is a type of epithelial keratitis
      4. A meta herpetic ulcer is not an active disease
        1. Ans(1)
    49. 56 years – old man has painful rashes on the forehead and upper eyelid along with punctuating keratopathy for the past two days. About a year ago, he underwent chemotherapy or non- Hodgkin’s Lymphoma. What is the most probable diagnosis?
      1. Impetigo
      2. SLE
      3. Herpes zoster
      4. Pyoderma gangrenosum
        1. Ans(3)
    50. In a patient presenting with Herpes Zoster ophthalmicus, all of the following are true except:
      1. It is caused by Varicella Zoster
      2. The virus is lodged in the Gasserian ganglion and travels down the trigeminal nerve
      3. Corneal involvement is seen when the tip and sides of the nose are involved
      4. Punctate keratitis may coalesce to form dendritic ulcers like Herpes simplex
        1. Ans(4)

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