REMEDIOS TRINIDAD ROMUALDEZ MEDICAL FOUNDATION

COLLEGE OF MEDICINE
DEPARTMENT OF EENT
SECTION OF OPHTHALMOLOGY
FIRST BIMONTHLY EXAMINATION

NAME: _______________________________________

DATE: __________________

TEST I: MULTIPLE CHOICE

1. The uveal tract is all of the following, except;
a. The vascular coat of the eye
b. Firmly attached to the macular area
c. Is composed of 3 parts
d. Firmly attached to the optic nerve
2. All are true of the iris, except;
a. The pigmented epithelium is located at its anterior surface
b. The constrictor muscle is located near its pupillary margin
c. The thinnest portion is the iris root
d. It is thrown into folds and ridges during mydriasis
3. Bechets disease is;
a. Common in young females
b. A HLA-B27 uveitis
c. A panuveitis
d. More common in the anterior uveal tract
4. The following should be done in a patient with uveitis, except;
a. Constrict the pupil
b. Dilate the pupil
c. Give topical steroids
d. Give oral steroids
5. The following describes sympathetic ophthalmia, except;
a. A granulomatous uveitis
b. May occur as early as 10 days after trauma
c. Early symptom is problem of distant vision
d. May present as mild eye redness
6. The involuntary muscles of the orbicularis oculi muscle, except;
a. Preseptal part
b. Pretarsal part
c. Horners tensor tarsi
d. Orbital part
7. The structure posterior to the orbital septum which may prolapse during the
aging process;
a. Orbital fat
b. Levator muscle
c. Periosteum

d. Mullers muscle
8. The lacrimal gland is, except;
a. Located in the shallow depression within the orbital portion of the frontal
bone
b. Separated from the orbit by fibroadipose tissue
c. An exocrine gland
d. Divided into 2 parts by the orbital septum
9. The following describes the accessory glands, except;
a. Located in the eyelids
b. Cytologically identical to the main gland
c. Under parasympathetic control
d. Furnish basal tear secretion
10.The most common site of blow-out fracture of the orbit;
a. Roof
b. Medial wall
c. Floor
d. Lateral wall
11.The following are true of pterygium, except;
a. May be caused by chronic dry eye
b. Nearly always preceded by pinguecula
c. Cornea shows destruction of the Descemets membrane
d. Management is complete excision
12.The following bacteria causes central corneal ulcer, except;
a. H. Influenza
b. S. Pneumonia
c. Moraxella
d. N. Gonorrheae
13.The strongest of the corneal layers;
a. Descemets membrane
b. Endothelium
c. Stroma
d. Bowmans layer
14.The thickest of the corneal layers;
a. Descemets membrane
b. Endothelium
c. Stroma
d. Bowmans layer
15.The following are true of the endothelium, except;
a. It is derived from the neural crest
b. Cell number increases with age
c. Maintains the deturgescence of the cornea
d. Mitosis seldom occurs
16.A condition in which the curvature of the cornea is distorted by an abnormal
thinning and bulging of its central portion;
a. Keratoglobus
b. Arcus senilis
c. Band keratopathy
d. Keratoconus
17.The following happens when focusing at near except;
a. The zonules becomes taut

b. The antero-posterior diameter of the lens increases

c. The ciliary muscles contract
d. The pupils constrict
18.The following may cause cataract, except;
a. Steroids
b. UV light
c. Diabetes
d. None of the above
19.He most common site of rupture of the sclera in a blunt trauma;
a. Infero-nasal quadrant
b. Supero-nasal quadrant
c. Infero-temporal quadrant
d. Supero-temporal quadrant
20.Necrotizing scleritis with signs of inflammation is characterized by;
a. 10% suffer loss of vision
b. Not associated with autoimmune disease
c. Area of episcleral avascularity overlying the scleral edema
d. The least destructive form of scleritis
21.The condition preceded with nasolacrimal duct obstruction, characterized
with severe pain and swelling in the medial canthal area.
a. Dacryoadenitis
b. Dacryocystitis
c. Conjunctivitis
d. Blepharitis
22.A large, elevated cutaneous tumor of the lid that contains a central,
umbilicated core of keratin is;
a. Papilloma
b. Seborrheic keratosis
c. Sebaceous cyst
d. Keratoacanthoma
23.A central corneal ulcer usually associated with make-up use;
a. Moraxella corneal ulcer
b. Pseudomonas corneal ulcer
c. Herpetic keratis
d. Fungal corneal ulcer
24.All are true of herpes keratitis, except;
a. Caused by type 2 Herpes simplex virus
b. Primary infection has a dentritic appearance
c. Corticosteroids is contraindicated
d. Pupil dilation is indicated
25.A benign lesion of the lids characterized with the presence of cells filled with
cholesterol and foam cells;
a. Chalazion
b. Lithiasis
c. Xanthelasma
d. Arcus senilis
26.The most common cause of proptosis in children;
a. Rhabdomyosarcoma
b. Orbital cellulitis
c. Optic nerve glioma

d. Capillary hemangioma
27.The following may occur in TRIO, except;
a. Loss of vision
b. Lid retraction
c. Proptosis
d. None of the above
28.The following comprise the medial wall of the orbit, except;
a. The ethmoid bone
b. The lacrimal bone
c. The nasal bone
d. The sphenoid bone
29.The orbit is composed of ____ bones;
a. 6
b. 7
c. 8
d. 9
30.Each eye has ____ extraocular muscles;
a. 6
b. 7
c. 8
d. 9

TEST II: MATCHING TYPE

1. Sympathetic ophthalmia
ray
2. Mucin layer
secretion
3. Bechets disease
ulcer
4. Orbital apex syndrome
keratitis
5. Dermoid cyst
6. Glands of Krause and Wolfring
7. Ankylosing spondylitis
8. Basal cell carcinoma
9. Peripheral corneal ulcer
antigen
10.Carotico-cavernous fistula
palsies

A. Sacro-iliac XB. Basal tear

C. rodent
D. Gonococcal
E. Goblet cells
F. hamartoma
G. bruit
H. choristoma
I. Retinal S
J. Cranial nerve
K. HLA-B5

TEST III: ENUMERATION AND ESSAY

1. Differentiate CONJUNCTIVAL INJECTION from CILIARY INJECTION

G O O D L U C K !!!!!!