1) The tricarboxylic acid cycle has, as its principal function:
- A. The incorporation of amino acids into energy metabolism
- B. A way by which carbon units are absorbed in metabolism
- C. The production of carbon dioxide to make use of molecular O₂
- D. A means of supplying electron equivalents for ATP production
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2) All are seen in papilloedema after a head injury except:
- A. Blurring of disc margin
- B. Hyperemia
- C. Afferent pupillary defect
- D. Filling of cup
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Correct Answer: C.
Explanation:
Papilloedema is characterized by optic disc swelling, hyperemia, and obliteration of the optic cup, but afferent pupillary defect is not a typical feature unless there is optic nerve damage.
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3) Type of contact lenses used in bullous keratopathy:
- A. Soft (Bandage soft)
- B. Hard
- C. Gas permeable
- D. All
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4) Which of the following acts to antagonize the effect of aldosterone?
- A. Spironolactone
- B. Triamterene
- C. Amiloride
- D. None of the above
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5) T cells can express both CD4 and CD8 simultaneously (double positive), either CD4 or CD8 (single positive), or neither (double negative). Double-positive T cells are most numerous:
- A. In the spleen
- B. In the thymus
- C. In the bone marrow
- D. Circulating in the blood
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Correct Answer: B.
Explanation:
During development in the thymus, T cells initially express both CD4 and CD8. These double-positive T cells later differentiate into single-positive cells as they mature.
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6) The anterior iris epithelium is composed of:
- A. Pigmented columnar epithelium
- B. Fibroblasts and melanocytes
- C. Myoepithelium
- D. Nonpigmented cuboidal epithelium
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7) A lesion of the optic radiation involving the Meyer’s loop causes:
- A. Homonymous hemianopia
- B. Superior quadrantopia
- C. Inferior quadrantopia
- D. Central scotoma
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8) African trypanosomes evade the host immune system by:
- A. Coating themselves with host molecules
- B. Their intracellular location
- C. Variation in surface glycoprotein expression
- D. Suppression of host humoral responses
Click “Show more” to see the answer and explanation.
Correct Answer: C.
Explanation:
African trypanosomes undergo antigenic variation by altering their surface glycoproteins, enabling them to evade immune detection.
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9) Dislocation of lens is seen in all the following conditions except:
- A. Congenital Rubella
- B. Marchesani’s Syndrome
- C. Marfan Syndrome
- D. Homocystinuria
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10) Information traveling from the cerebral cortex enters the cerebellum via the:
- A. Red nucleus
- B. Ventral lateral nucleus of the thalamus
- C. Ventral anterior nucleus of the thalamus
- D. Pontine nuclei
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11) Distichiasis is:
- A. An extra row of lashes
- B. Central fusion of eyebrow
- C. Suturing of lashes
- D. Absence of lashes
Click “Show more” to see the answer and explanation.
Correct Answer: A.
Explanation:
Distichiasis is a condition where an extra row of eyelashes emerges from the Meibomian gland openings, often causing corneal irritation.
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12) With age, loss of contrast sensitivity occurs under scotopic and mesopic conditions only for intermediate and high spatial frequencies. This is probably due to:
- A. Parvocellular pathway deficit
- B. Magnocellular pathway deficit
- C. Both parvocellular and magnocellular pathway deficits
- D. Changes in the retina
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13) Ptosis with weakness of orbicularis oculi is seen in:
- A. Polymyositis
- B. Myasthenia gravis
- C. Eaton-Lambert syndrome
- D. Thyrotoxicosis
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14) Which of the following conditions have autosomal dominant inheritance:
- A. Gyrate atrophy
- B. Best disease
- C. Lawrence-Moon-Biedl syndrome
- D. Bassen-Kornzweig syndrome
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Correct Answer: B.
Explanation:
Best disease, a macular dystrophy, is inherited in an autosomal dominant pattern.
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15) A lesion of which of the following tracts would result in a loss of position and vibration sense on the left side of the body?
- A. Left medial lemniscus
- B. Right medial lemniscus
- C. Left corticospinal tract
- D. Right corticospinal tract
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16) When there is intumescence of the lens causing glaucoma:
- A. Trephining should be done
- B. Paracentesis is indicated
- C. Lens should be extracted
- D. Glaucoma should be treated medically only
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17) Ulcus serpens results from infection by:
- A. Gonococcus
- B. Pseudomonas pyocyanea
- C. Pneumococcus
- D. Proteus vulgaris
Click “Show more” to see the answer and explanation.
Correct Answer: C.
Explanation:
Pneumococcus is the most common causative organism of Ulcus serpens, a corneal ulcer with a serpiginous appearance, often leading to severe corneal damage.
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18) Regarding the treatment for infantile esotropia, which is true among the following?
- A. Usually surgical treatment is adopted only at a later stage
- B. Responds well to plus lenses
- C. Orthotropic eyes following surgery eliminate the need for amblyopia treatment
- D. Surgical overcorrection is preferred in adults and children with good fusion potentials
Click “Show more” to see the answer and explanation.
Correct Answer: D.
Explanation:
Early surgery is recommended in infantile esotropia to restore binocularity and fusion, and surgical overcorrection is often preferred for individuals with good fusion potential to optimize alignment.
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19) Which laser is used for capsulotomy?
- A. Diode laser
- B. Carbon dioxide laser
- C. Excimer laser
- D. YAG laser
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20) Cataract associated with convulsions is seen in:
- A. Toxoplasmosis
- B. Tay-Sachs disease
- C. Galactosemia
- D. Birth asphyxia with prematurity
Click “Show more” to see the answer and explanation.
Correct Answer: C.
Explanation:
Galactosemia, a metabolic disorder, causes cataracts due to the accumulation of galactitol in the lens, often associated with systemic symptoms like convulsions.
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Conclusion:
Overview of “Rapid Access Guide for Optometrists“
The “Rapid Access Guide for Optometrists” is an essential resource designed for optometry students and professionals preparing for various optometry license exams, including DHA, MOH, HAAD, QCHP, OMSB, SMLE, SCFHS, DHCC, and NHRA. This comprehensive book provides a streamlined approach to mastering the content required for these certifications, offering practice materials, mock tests, and review questions tailored to the specific needs of optometrists.
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