Ophthalmology Questions and Answers Part-3

1. The associations with floppy eyelid syndrome include all the following except :
a) Keratoconus
b) Skin hyperelasticity
c) Joint hypomobility
d) Obstructive sleep apnoea

Answer: c

2. Contrast dacryocystogrophy :
a) To confirm the site of lacrimal drainage obstruction , especially , prior to surgery
b) Not used to diagnose diverticuli , fistula and filling defects caused by stones or tumors
c) The test is not usually performed on both sides simultaneously
d) It should be performed in patient with acute dacryocystitis

Answer: a

3. The treatment options in secondary punctual stenosis include all the following except:
a) Ziegler cautery
b) Medial conjunctivoplasty
c) Lower lid tightening
d) Upper lid tightening

Answer: d

4. The causes of nasolacrimal duct obstruction include all the following except :
a) Idiopathic stenosis is rare
b) Noso – orbital trauma and previous nasal and sinus surgery
c) Granulomatous disease
d) Infiltration by nasopharyngeal tumours

Answer: a

5. The advantages of endoscopic DCR over conventional DCR include all the following except :
a) Lack of a skin incision
b) Shorter operating time
c) Minimal blood loss
d) High risk of cerebrospinal fluid leakage

Answer: d

6. The ophthalmoplegia caused by all the following except :
a) An orbital mass
b) Splinting of the optic nerve by an optic nerve sheath meningioma
c) Tethering of extra ocular muscles or fascia in a blow – out fracture
d) Non –restrictive myopathy

Answer: d

7. The pathogenesis of lid retraction include all the following except :
a) Fibrotic contracture of levator
b) Secondary over action of levator – superior rectus complex
c) Humorally – induced overaction of Muller muscle
d) 6th nerve palsy

Answer: d

8. The surgical procedures for lid retraction include all the following except :
a) Mullerotomy
b) Radiotherapy
c) Recession of lower lid retractors
d) Botulinum toxin injection

Answer: b

9. The most common causative organisms for bacterial orbital cellulitis include all the following except :
a) S. pneumonia
b) S. aureus
c) Diphetheria
d) H . influenzae

Answer: c

10. The ocular complication of bacterial orbital cellulitis include all the following except :
a) Exposure keratopathy
b) Ocular hypotony
c) Occlusion of the central retinal artery or vein
d) Endophthalmitis

Answer: b