1. Regarding Steroid injection for treatment of
chalazion :
a) Is not preferable if chalazion is close to the
lacrimal punctum
b) Between 0.2 and 2 ml of 5 mg /ml
triamcinolone diacetate aqueous suspension
c) 0.2 and 2 ml of 5 mg /ml dexamethasone
d) The success rate following one injection is
about 50%
2. Which of the following is not a differential
diagnosis of squamous cell papilloma ?
a) Viral wart
b) Seborrhoeic keratosis
c) Intradermal naevus
d) Chalazion
3. which of the following is not a synonym of Basal cell
papilloma ?
a) Seborrhoeic keratosis
b) Seborrhoeic wart
c) Actinic keratosis
d) Senile verruca
4. Actinic keratosis
a) Is typically affect young people
b) Is common rapid – growing lesion
c) It affects individuals who have been exposed to
excessive sunlight
d) It has high potential for transformation into
squamous cell carcinoma
5. Capillary haemangioma :
a) Is rare tumor of infancy
b) The female to male ratio is 7: 1
c) It have predilection for the lower lid
d) It blanches on pressure and may swell on crying
6. Ocular features of sturge – weber syndrome
include all of the following except one:
a) Ipsilateral glaucoma
b) Iris haemangioma
c) Iris heterochromia
d) Diffuse choroidalheamangioma
7. Young patients who suffer from the following
conditions have no potential to develop eyelid
malignancies :
a) Xeradermapigmentosum
b) Gorlin – Goltz syndrome
c) Muir – Torre syndrome
d) Neurofibromatosis
8. Regarding basal cell carcinoma :
a) 90% of cases occur in the head and neck and
about 30% of these involve the eyelid
b) It most frequently arises from the upper
eyelid , followed in relative frequency by
medial canthus , lower eyelid and lateral
canthus
c) It most frequently affects young patients
d) The tumor is slow – growing and locally
invasive but not metastasizing
9. Regarding squamous cell carcinoma :
a) SCC is typically less aggressive tumor than
BCC
b) It metastasis to regional lymph nodes in about
50%
c) SCC accounts for 20% of eyelid malignancies
d) The tumor may exhibit perineural spread to
the intracranial cavity via the orbit
10. Clinical types of SCC include all of the following
except :
a) Nodular SCC
b) Noduloulcerative SCC
c) Ulcerating SCC
d) Cutaneous horn
11. The clinical types of sebaceous gland carcinoma
include all of the following except:
a) Nodular SGC
b) Spreading SGC
c) Sclerosing SGC
d) Pagetoid spread
12. Radiotherapy in the treatment of malignant eyelid
tumors is contraindicated in all the following
except:
a) Medial canthalBCC
b) Upper eyelid tumors
c) Aggressive tumors such as sclerosing BCC ,SCC
and SGC
d) Kaposi sarcoma
13. The causes of acquired trichomegaly include all of
the following except:
a) Malnutrition
b) AIDS
c) Hyperthyroidism
d) Familial
14. which one of the following is not ocular cause of
polliosis:
a) Chronic anteriorblepharitis
b) Sympathetic ophtlalmitis
c) Idiopathic uveitis
d) Vitiligo
15. Chronic blepharitisis not associated with:
a) Tear film instability
b) Chalazion formation
c) Viral keratitis
d) Contac lens intolerance
16. The classification of ptosis include all of the
following except :
a) Neurogenic
b) Myogenic
c) Aponeurotic
d) Pesudoptosis
17. The age related changes that contribute
toinvolutionalectropioninclude all of the
following except:
a) Vertical lid laxity
b) Lateral canthal tendon laxity
c) Medial canthal tendon laxity
d) Disinsertion of lower lid retractors
18. Which treatment modality is not considered in
the treatment of over – riding in
involutionalentropion :
a) Transvers everting sutures
b) Wies procedure
c) Lateral canthal sling or a full–thickness wedge
excision
d) Jones procedure
19. The causes of lid retraction include all of the
following except:
a) Myogenic
b) Neurogenic
c) Mechanical
d) Congenital
20. Regarding bleplarochalasis:
a) Conman condition
b) Characterized by recurrent episodes of painful
, non – pitting oedema of both upper lids
c) Usually resolves spontaneouslyafter few
months
d) Treatment involves blepharoplasty for
redundant upper lid skin and correction of
ptosis
21. The associations with floppy eyelid syndrome
include all the following except :
a) Keratoconus
b) Skin hyperelasticity
c) Joint hypomobility
d) Obstructive sleep apnoea
22. 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
23. 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
24. 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
25. 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
26. 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
27. 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
28. 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
29. 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
30. 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
31. Intracranial complications of bacterial orbital
cellulitis (all true except) :
a) Meningitis
b) Brain abscess
c) Cavernous sinus thrombosis
d) Sub periosteal abscess
32. Regarding Tolosa‐ Hunt syndrome (all true
except ):
a) is a diagnosis of exclusion
b) It is a common condition
c) Caused by non – specific granulomatous
inflammation of the cavernous sinus
,superior orbital fissure and/ or orbital apex
d) Its clinical course characterized by remissions
and recurrences
33. Lymphangiomas are :
a) Neoplasms
b) Functional
c) Malignant
d) Vascularmalformations
34. The types of classification of carotid – cavernous
fistulae include all the following except:
a) Aetiological
b) Hemodynamics
c) Pathological
d) Anatomical
35. Regarding direct carotid – cavernous fistula :
a) Representing80% of all cases
b) Also called dural shunt
c) Trauma is responsible for 10% of cases
d) Middle – aged hypertensive women are at
particular risk
36. Regarding superficial dermoid cyst :
a) Painful nodule
b) Most commonly located in the inferotemperal
part of the orbit
c) C T shows a homogenous well – circumscribed
lesion
d) Treatment is by excision in toto
37. Associations with encephalocele (all true except):
a) Broad nasal bridge and cleft palate
b) Microphthalmos
c) Neurofibromatosis
d) Morning glory syndrome
38. Regarding capillary haemangioma :
a) Boys are affected more commonly than girls
b) Is the least common tumor of the orbit and
periorbital areas in childhood
c) The tumor is composed of anastomosing small
vascular channels without true encapsulation
d) Present only as a small isolated lesion of
minimal clinical significance
39. The indications of treatment of capillary
haemangioma include all the following
except:
a) Amblyopia secondary to induced astigmatism
, anisometropia and occlusion
b) Optic nerve compression
c) Exposure keratopathy
d) Painand tenderness
40. Regarding cavernous haemangioma:
a) Is avascular malformation that occurs in
children
b) It has a female preponderance of 40%
c) Although it may develop anywhere in the
orbit , it most frequently occurs within the
medial part of the muscle cone just behind
the globe
d) It's histologyshows endothelial – lined
vascular channels of varying size separated by
fibrous septae
41. Pleomorphic lacrimal gland adenoma:
a) Also called malignant mixed – cell tumor
b) Presentation is in the 1st decade with painful
slowly progressive proptosis
c) Treatment involve surgical excision
d) Prognosis is poor even if the excision is
complete and without disruption of the
capsule
42. Regarding lacrimal gland carcinoma (all true
except) :
a) Is a rare tumor which carries a high morbidity
and mortality
b) Presentation is in the 4th – 5th decades with a
history shorter than that of a benign tumour
c) CT shows a globular lesion with irregular
serrated edges , often with contiguous
erosion or invasion of bone
d) Biopsy is not necessary to establish the
histological diagnosis
43. Optic nerve glioma:
a) Histology shows spindle – shaped pilocytic
astrocytes and glial filaments
b) Presentation is most frequently in the 2nd
decade( median age 14 years )
c) Proptosis often axial
d) MR may be not useful in showing intracranial
extension
44. Optic nerve sheath meningioma :
a) Presentation is with sudden unilateral visual
impairment
b) The classical triad is visual loss , optic atrophy
and opticociliary shunt vessels
c) CT shows fusiform enlargement of optic
nerve
d) Prognosis for life is very poor in adults
45. Enculation ( removal of the globe) is indicated in
the following circumstances ( all true except ):
a) Primary intraocular malignancies
b) After sever trauma
c) Blind painful or unsightly eyes
d) Orbital mucormycosis
46. Crouzon syndrome :
a) Inheritance is usually AR
b) The gene (F G F R 2) has been isolated to
chromosome 10
c) Proptosis due to shallow obits is rare
conspicuous feature
d) Cataract and glaucoma not associated with it
47. Apert syndrome (all true except ) :
a) Inheritance is AD
b) Also called acrocephalosyndactyly
c) Is the most severe of the craniosynostose and
may involve all the cranial sutures
d) Ocular associations include blue sclera ,
coloboma and megalo cornea
48. The causes of meibomian gland dysfunction
include all the following expect :
a) Anterior blepharitis
b) Rosacea
c) Atopic kertaconjunctivitis
d) Congenital meibomian gland absence
49. The Causes of lagophthalmos include all
thefollowing except :
a) Severeproptosis
b) 3rd nerve palsy
c) Eyelid scarring
d) Following blepharoplasty
50. Sjogren syndrome :
a) Characterized by infection of lacrimal and salivary
glands
b) Primary Sjogren syndrome affects males more
commonly than females
c) Presentation is in adult life with qrittiness of the
eyes and dryness of mouth
d) Diagnostic tests include schirmer test and biopsy
of lacrimal gland
51. Schirmer test :
a) The test involves measuring the amount of
witting of a special (no.40 what man) filter paper
, 5 mm wide and 70 mm long
b) The filter paper removed from the eye after 1
minute
c) Less than 10 mm of wetting after 5 minute ,
without anesthesia and less than 6 mm with
anesthesia is considered abnormal
d) Single schirmer test used as the sole criterion for
diagnosing dry eye
52. Conjunctival discharge
a) Watery discharge occurs in acute viral or
chronic allergic conjunctivitis
b) Mucoid discharge is typical of acute allergic
conjunctivitis and dry eye
c) Mucopurulent discharge typically occurs in
acute viral conjunctivitis
d) Severe purulent discharge is typical of
gonocococal infection
53. The causes of true conjunctival membrane
include all the following except
a) Severe adenoviral conjunctivitis
b) Gonococcal conjunctivitis
c) Ligneous conjunctivitis
d) Chronic Stevens ‐ Johonsan syndrome
54. The most common isolates in Acute bacterial
conjunctivitis are (all true except ) :
a) S. pneumonia
b) S. aureus
c) Strep. Cocci
d) H. influenza
55. Incubation period of chlamydia trachoma's is about :
a) 1 week
b) 2 week
c) 5 days
d) 20 days
56. Trachoma is associated principally with infection by
serovars (all true except )
a) A
b) B
c) Ba
d) D – K
57. Antibiotics used in management of trachoma
include all the following expect
a) A single dose of azithromycin (20mg/kg up
to1g )
b) Erythromycin 500mg b.d for 14 days in an
alternative forwomen for Child bearing age
c) Doxycycline 100mg b.d for 10 days
d) Topical 1% tetracycline ointment for 6 weeks
58. The percentage of silver nitrate that use as
prophylaxis for neonatal conjunctivitisis
a) Silver nitrate 1% solution
b) Silver nitrate 2% solution
c) Silver nitrate 3% solution
d) Silver nitrate 4% solution
59. The presentation of adenoviral conjunctivitis
include all the following except :
a) Non – specific ocule follicular conjunctivitis
b) Pharyngoconjunctival fever
c) Epidemic keratoconjunctivitis
d) Acute / relapsing adenoviral conjunctivitis
60. Pharnygoconjunctival fever is a caused by
adenovirus serovars (all true expect ):
a) 3
b) 4
c) 17
d) 7
61. Epidemic keratoconjunctivitis is caused by
adenovirus serovars (all true except) :
a) 8
b) 17
c) 19
d) 37
62. Incidence of keratitis in epidemic
keratoconjunctivitis is:
a) 50%
b) 60%
c) 80%
d) 20%
63. Peak incidence of molluscumcontagiosum
conjunctivitis is between the age :
a) 2 and 4 years
b) 10 and 14 years
c) 5 and 10 years
d) 20 and 25 years
64. Keratopathy associated with vernal
keratoconjunctivitisoccur in the fallowing
forms : (all true except )
a) Epithelial macroerosions
b) Plagues and shield ulcers
c) Subepithlial scares
d) Inferior punctate epithelial erosions
65. Recurrance of pterygium after simple excision(
bare sclera technique) is about :
a) 60%
b) 80%
c) 40%
d) 20%
66. The adult corneal endothelial cell density is
about
a) 1000 cells /mm2
b) 1500 cells /mm2
c) 2500 cells /mm2
d) 4000 cells /mm2
67. The number of cornel endothelial cells decreases
per year at about :
a) 0.2%
b) 0.6%
c) 0.9%
d) 1 %
68. The causes of interpalpebral punctate epithelial
erosions include all the following expect :
a) Dry eye
b) Reduced corneal sensation
c) Ultra violet keratopathy
d) Toxicity to drops
69. Causes of corneal filaments are ( all true expect ):
a) Superior limbic keratoconjunctivitis
b) Neurotrophic keratitis
c) Long – term ocular patching
d) Herpes zoster keratitis
70. The bacteria that are able to penetrate a normal
cornealepitheliuminclude all the following
expect :
a) N. gonorrhea
b) Pseudomonas aeruginosa
c) N. meningitides
d) C. diphtheria