BFUHS Ophthalmic Officer Previous Year MCQs: Clinical Refraction Solved Paper
Securing a top rank in state optometry recruitment exams requires precision, especially in core clinical subjects. This comprehensive study guide provides a carefully curated set of BFUHS Ophthalmic Officer Previous Year MCQs dedicated entirely to the highly tested subject of Clinical Refraction. By diligently practicing these targeted Ophthalmic Officer MCQs, candidates can sharpen their objective and subjective refraction skills, ensuring maximum accuracy and time management during the written examination.
This specialized practice module breaks down complex clinical scenarios using authentic Ophthalmic Officer Previous Year MCQs accompanied by detailed, step-by-step explanatory answers. In this practice set, you will review and master essential refractive principles, including:
- Retinoscopy Dynamics & Working Distance: Decoding “with” and “against” reflex movements based on varying working distances (e.g., 1m vs. 50cm), and calculating final prescriptions using optical transposition.
- Cycloplegic Refraction: Understanding the standard dioptric deductions required when performing retinoscopy under strong cycloplegics like 1% Atropine.
- Subjective Refraction Tests: Interpreting the Duochrome test responses for under-corrected myopic patients and distinguishing the clinical presentation of near-vision blur in presbyopia versus hypermetropia.
- Refractive Surgery & Classifications: Reviewing the strict contraindications for LASIK surgery (such as the minimum age requirement of 18 years) and defining the clinical components of total hypermetropia (manifest plus latent).
Practice BFUHS Previous Year MCQs on “Clinical Refraction”:
Q-1: While doing retinoscopy from 1m, red reflex moves in the opposite direction to the retinoscope. This indicates: (BFUHS Ophthalmic Officer Previous Year MCQs)
A) Hypermetropia
B) Myopia greater than 1D
C) Myopia of 1D
D) Myopia lesser than 1D
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Q-2: An examiner working at 2/3 m observes against motion when refracting a -2.00D myopic eye (without any lenses being placed in front of the patient). When refracting the same eye at a working distance of 50 cm, he observes neutrality. When the examiner moves to 40 cm, he will observe: (BFUHS Optometry Previous Year Question Paper)
A) With movement
B) Against movement
C) Neutralisation point
D) Scissoring reflex
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Q-3: If the retinoscopy reveals neutralisation (retinoscopy finding) at +1.50 DS/-1.00 DC X 90 at 50 cm working distance, the final refraction will be: (BFUHS Ophthalmic Officer Previous Year MCQs)
A) +1.50 DS/-1.00 DC X 90
B) 0.50 DC X 90
C) -1.50 DS/+1.00 DC X 180
D) -0.50 DS/-1.00 DC X 180
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Q-4: A female patient wants LASIK surgery for her eye. She asks for your opinion. All the following things are suitable for performing LASIK surgery except: (BFUHS Optometry Previous Year Question Paper)
A) Myopia of 4 diopters
B) Stable refraction for 1 year
C) Corneal thickness of 600 microns
D) Age of 15 years
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Q-5: When a cycloplegic retinoscopy has been performed using atropine (1%), how many dioptres should be subtracted: (BFUHS Ophthalmic Officer Previous Year MCQs)
A) 1.00D
B) 0.75D
C) 0.50D
D) 0.00D
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Q-6: In Duochrome test, under corrected myopic patient will see: (BFUHS Ophthalmic officer Previous Year Question Paper)
A) Letters on Red more clearly
B) Letters on Green more clearly
C) Both equally clear
D) Both blurred
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Q-7: When plane mirror retinoscopy is performed at a distance of 1 m (no cycloplegics used); in myopia less than 1D, the movement of reflex will be: (BFUHS Ophthalmic Officer Previous Year MCQs)
A) With movement
B) Against movement
C) No movement
D) No reflex
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Q-8: Blurring of vision for near work occurs in:(BFUHS Ophthalmic officer Previous Year Question Paper)
A) Hypermetropia
B) Presbyopia
C) Both of the above
D) None of the above
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Q-9: Cycloplegic retinoscopy under atropine performed at 1m distance is +4.0D, the subjective refraction will be: (BFUHS Ophthalmic Officer Previous Year MCQs)
A) +3.0 D
B) +2.50 D
C) +2.0 D
D) +5.0 D
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Q-10: Total hypermetropia includes: (BFUHS Ophthalmic Officer Previous Year MCQs)
A) Facultative + absolute
B) Manifest + Latent
C) Manifest + absolute
D) Absolute + latent
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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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