BFUHS Ophthalmic Officer Previous Year MCQs: Ocular Diseases Solved Paper
Preparing for state optometry recruitment exams requires a strong clinical foundation, particularly in identifying and managing ocular pathologies. To help you secure a top rank in the written examination, this blog provides a high-yield collection of BFUHS Ophthalmic Officer Previous Year MCQs dedicated entirely to the subject of Ocular Diseases. By consistently practicing these targeted Ophthalmic Officer MCQs, candidates can sharpen their diagnostic acumen, improve clinical decision-making, and boost their overall exam scores.
Ocular Diseases (Pathology) is a high-weightage subject that tests your understanding of both anterior and posterior segment conditions. This comprehensive practice module features carefully selected Ophthalmic Officer Previous Year MCQs accompanied by detailed, step-by-step clinical explanations. In this practice set, you will review and master the following highly-tested concepts:
- Glaucoma Diagnostics: Identifying acute angle-closure glaucoma attacks precipitated by pupillary dilation and recognizing optic disc cupping as a primary indicator of open-angle glaucoma.
- Cataract Pathology & Complications: Differentiating cataract stages (such as the presence of an iris shadow in an immature senile cataract), understanding the painless nature of its progression, and identifying severe post-surgical complications like endophthalmitis.
- Neuro-Ophthalmology: Understanding the clinical presentation of Oculomotor (3rd cranial) nerve palsy, which classically presents with ptosis and a fixed, dilated pupil (mydriasis).
- Ocular Infections & Adnexal Disorders: Recognizing Herbert’s pits as pathognomonic for Trachoma, understanding the initial conservative management (sac massaging) for congenital dacryocystitis, and identifying eyelid malpositions like entropion.
- Retinal & Choroidal Diseases: Reviewing the characteristics of Retinoblastoma and understanding why vision loss in Central Serous Choroidopathy (CSR) cannot simply be corrected with concave lenses.
Practice BFUHS Previous Year MCQs on “Ocular Diseases”:
Q-1: Patient complaining after dilated fundus examination that he is experiencing pain around the eye, halos around lights, and headache. You would suspect: (BFUHS Ophthalmic Officer Previous Year MCQs)
A) Migraine
B) Acute angle closure glaucoma
C) Retinal detachment
D) Acute anterior uveitis
Click “Show more” to see the answer and explanation.
Answer: B) Acute angle closure glaucoma
Dilation of the pupil can precipitate an acute angle-closure attack in predisposed individuals. The classic triad includes severe ocular pain, colored halos around lights (due to corneal edema), and headache.
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Q-2: Which of these statements is false regarding retinoblastoma? (BFUHS Optometry Previous Year Question Paper)
A) It is an inheritable tumor
B) It can be treated by surgery
C) It occurs in children 1 to 4 years of age
D) Presents as white pupillary reflex
Click “Show more” to see the answer and explanation.
Answer: B) It can be treated by surgery
Retinoblastoma is a malignant tumor that cannot be treated by surgery. Treatment options include chemotherapy, radiotherapy, cryotherapy, and enucleation depending on the stage and extent of the tumor.
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Q-3: You have been referred a case of open-angle glaucoma. Which of the following would be an important point in diagnosing the case? (BFUHS Ophthalmic Officer Previous Year MCQs)
A) Shallow anterior chamber
B) Optic disc cupping
C) Narrow angle
D) Visual acuity and refractive error
Click “Show more” to see the answer and explanation.
Answer: B) Optic disc cupping
Open-angle glaucoma is characterized by optic disc cupping, visual field loss, and increased intraocular pressure. Optic disc evaluation is crucial for early diagnosis and monitoring of disease progression.
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Q-4: Optic nerve function is best studied by: (BFUHS Optometry Previous Year Question Paper)
A) Direct Ophthalmoscope
B) Retinoscope
C) Perimetry
D) Gonioscopy
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Q-5: Initial treatment of congenital dacryocystitis: (BFUHS Ophthalmic Officer Previous Year MCQs)
A) Massaging
B) Probing
C) DCR
D) Ointment
Click “Show more” to see the answer and explanation.
Answer: A) Massaging
The initial treatment for congenital dacryocystitis involves massaging the lacrimal sac to help open the blocked nasolacrimal duct. This conservative approach is successful in many cases before considering probing or surgery.
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Q-6: Complications of cataract surgery: (BFUHS Ophthalmic officer Previous Year Question Paper)
A) Optic neuropathy
B) Lagophthalmos
C) Grave’s disease
D) Endophthalmitis
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Q-7: Inversion of the lid margin is called: (BFUHS Ophthalmic Officer Previous Year MCQs)
A) Entropion
B) Ectropion
C) Trichiasis
D) Ptosis
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Q-8: Iris shadow is seen in which stage of cortical cataract: (BFUHS Ophthalmic officer Previous Year Question Paper)
A) Incipient stage
B) Hyper mature stage
C) Mature stage
D) Immature stage
Click “Show more” to see the answer and explanation.
Answer: D) Immature stage
An iris shadow is a distinguishing feature of an Immature Senile Cataract, occurring because clear cortex remains between the iris and the opaque lens nucleus. In a mature cataract, the opacity is total, eliminating the shadow.
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Q-9: Ptosis and mydriasis are seen in: (BFUHS Ophthalmic Officer Previous Year MCQs)
A) Facial nerve palsy
B) Optic nerve palsy
C) Oculomotor nerve palsy
D) Sympathetic palsy
Click “Show more” to see the answer and explanation.
Answer: C) Oculomotor nerve palsy
The Oculomotor nerve (CN III) supplies the Levator Palpebrae Superioris and the sphincter pupillae muscle. A palsy results in ptosis and a fixed, dilated pupil due to unopposed sympathetic dilator action.
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Q-10: Herbert’s pits are seen in: (BFUHS Ophthalmic Officer Previous Year MCQs)
A) Trachoma
B) Phlyctenular conjunctivitis
C) Spring Catarrh
D) Sarcoidosis
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Q-11: Symptoms of cataract include all of the following except: (BFUHS Ophthalmic Officer Previous Year MCQs)
A) Decreased vision
B) Pain
C) Glare
D) Frequent change of glasses
Click “Show more” to see the answer and explanation.
Answer: B) Pain
Cataracts primarily cause painless, progressive vision loss with symptoms including blurring, glare, and frequent refractive changes. Pain is not a feature unless complicated by secondary conditions like glaucoma or uveitis.
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Q-12: Which does not hold true for central serous choroidopathy? (BFUHS Optometry Previous Year Question Paper)
A) Smoke stack appearance of FFA
B) Ink blot appearance on FFA
C) Seen more in anxious males
D) Vision correctable by concave lenses
Click “Show more” to see the answer and explanation.
Answer: D) Vision correctable by concave lenses
Vision in central serous choroidopathy is not correctable with concave lenses as the condition is due to serous retinal detachment, not refractive error. Treatment typically involves observation, laser, or photodynamic therapy.
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Q-11: Which of these help in visualization of corneal cells?
A Confocal microscope
B Optical coherence tomography
C Pachymeter
D Slit lamp biomicroscope
Answer: A) Confocal microscope
A confocal microscope allows detailed, in vivo imaging of corneal cells, including endothelial and epithelial layers. It provides high-resolution cellular-level imaging essential for diagnosing corneal pathologies.
Q-12: Which are not the uses of single or double frequency Nd:YAG laser?
A Spectacle removal
B Laser iridotomy
C Pan retinal photocoagulation in diabetic retinopathy
D Ablation of posterior capsular opacification
Answer: A) Spectacle removal
Nd:YAG lasers are used for iridotomy, posterior capsular opacification ablation, and sometimes diabetic retinopathy treatment. They cannot be used for spectacle removal, which requires refractive surgery like LASIK.
Q-13: Slit lamp biomicroscope cannot be used for which of the following:
A Measurement of corneal epithelial defect
B Observing the optic disc and macula with 90D lens
C Laser iridectomy in angle closure glaucoma
D Fluorescein staining with cobalt blue light
Answer: C) Laser iridectomy in angle closure glaucoma
A slit lamp is a diagnostic tool and cannot perform surgical procedures like laser iridectomy. Such procedures require specific laser devices designed for therapeutic interventions.
Q-14: Gold standard for measurement of IOP is:
A Digital tonometry
B Schiotz tonometry
C Pneumotonometry
D Applanation tonometry
Answer: D) Applanation tonometry
Goldmann Applanation Tonometry is widely regarded as the gold standard for measuring intraocular pressure. It works by measuring the force required to flatten a fixed area of the cornea and is considered the most accurate method for glaucoma diagnosis and management.
Q-15: Which laser is used in the management of after-cataract?
A Argon
B Krypton
C Nd:YAG
D Excimer
Answer: C) Nd:YAG
The Nd:YAG laser is the standard tool used for posterior capsulotomy to disrupt opacified posterior capsule. This restores clear vision in patients who develop after-cataract following cataract surgery.
Q-16: Instrument used to measure phoria for near (33 cm) is:
A Maddox rod
B Maddox wing
C RAF rule
D None of the above
Answer: B) Maddox wing
The Maddox wing is specifically designed for measuring heterophoria at near distance (typically 33 cm). It uses a combination of red and white lights with a dissociating effect to quantify the deviation.
Q-17: Auto-refractometer is a method of refraction:
A Subjective
B Objective
C Both of the above
D None of the above
Answer: B) Objective
Auto-refractometry is an objective method of refraction that measures the eye’s refractive error without requiring patient responses. It provides a reliable starting point for subjective refraction.
Q-18: Jackson’s cross cylinder is used to check:
A Axis of the cylinder
B Power of the cylinder
C Both of the above
D None of the above
Answer: C) Both of the above
The Jackson Cross Cylinder is used to refine both the axis and power of the cylindrical correction during subjective refraction. It allows precise adjustment of astigmatic correction by presenting two alternative lens positions.
Q-19: Keratometry measures:
A Retinal thickness
B Corneal curvature
C Lens power
D Visual fields
Answer: B) Corneal curvature
Keratometry measures the radius of curvature of the anterior corneal surface. This measurement is essential for contact lens fitting, IOL power calculation, and diagnosing corneal conditions like keratoconus.
Q-20: Which instrument is used to measure intraocular pressure?
A Perimeter
B Retinoscope
C Tonometer
D Ophthalmoscope
Answer: C) Tonometer
A tonometer is the instrument used to measure intraocular pressure, with Goldmann Applanation Tonometry being the gold standard. Regular IOP measurement is essential for glaucoma diagnosis and management.
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📋 Key Recruitment Highlights & Exam Pattern:
- Recruiting Body: Baba Farid University of Health Sciences (BFUHS), Faridkot (on behalf of the Directorate of Health & Family Welfare, Punjab).
- Pay Scale: Initial Pay Scale is ₹10,300–34,800 + Grade Pay ₹3,800, with a revised 7th Pay Commission convergence starting salary of ₹35,400/- per month.
- Essential Qualification: Must have passed 10+2 in Science with Biology (or equivalent) AND hold a Diploma in Ophthalmic Assistant from a recognized university or institution. (Note: As per Term & Condition No. 20, candidates with higher qualifications like BSc Optometry can apply, but no extra weightage or bonus marks will be given for higher qualifications).
- Selection Process & Weightage (100 Marks Total):
- Written Examination: 90 Marks (Objective MCQ test conducted by BFUHS). Candidates must score a minimum of 33% marks in the written test to be eligible.
- Experience Marks: 10 Marks (Awarded for prior work experience in Punjab Government health institutions as per state norms).
- Mandatory Language Rule: Candidates must have passed Matriculation (10th standard) with Punjabi as a compulsory or elective subject.
- Age Limit (As on 01.01.2026): 18 to 37 years. Upper age relaxations apply: 5 years for SC/BC, 10 years for Physically Handicapped, and up to 45 years for State/Central Govt employees.
- Application Fee: ₹2,360/- for All Categories except SC (₹2,000 + 18% GST); ₹1,180/- for SC Category (₹1,000 + 18% GST).
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