1) Salt and pepper fundus is seen in:
- A. Multiple sclerosis
- B. Cystinosis
- C. Weil- Mechaesani Syndrome
- D. Congenital syphilis
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Correct Answer: D.
Explanation:
Salt and pepper fundus is seen in congenital syphilis, where retinal pigment epithelium (RPE) shows mottled pigmentation. It results from syphilitic retinochoroiditis affecting the pigment layer. Multiple sclerosis and cystinosis don’t present with this finding.
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2) A patient presented with gross decrease of vision with intense pain. On torch examination, there was conjunctival congestion and pupil miosed. Which is the probable diagnosis:
- A. Anterior uveitis
- B. Acute congestive glaucoma
- C. Conjunctivitis
- D. Scleritis
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Correct Answer: A.
Explanation:
Anterior uveitis presents with symptoms like conjunctival congestion, miosis, pain, and photophobia. The inflammation affects the iris and ciliary body, causing pupil constriction. Other differential diagnoses like conjunctivitis typically do not involve miosis.
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3) Dilator pupillae is supplied by:
- A. Cholinergic fibres of oculomotor nerve
- B. Ophthalmic division of trigeminal nerve
- C. Facial nerve
- D. Adrenergic fibres of oculomotor nerve
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Correct Answer: B.
Explanation:
The dilator pupillae muscle is supplied by sympathetic adrenergic fibers, not cholinergic ones. These sympathetic fibers travel through the ophthalmic division of the trigeminal nerve to control dilation of the pupil. Parasympathetic control involves constriction via cholinergic pathways.
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4) Photopsia occurs in
- A. Retinitis
- B. Iritis
- C. Choroiditis
- D. Cyclitis
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Correct Answer: C.
Explanation:
Photopsia, or flashes of light, occurs due to retinal stimulation, often associated with retinal pathology like retinitis or choroiditis. Inflammation in these areas can stimulate photoreceptors abnormally, causing the sensation of flashes. Conditions like iritis or cyclitis typically do not cause photopsia.
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5) Polychromatic lustre is seen in
- A. Posterior sub capsular cataract
- B. Zonular cataract
- C. Nuclear cataract.
- D. Cortical cataract
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Correct Answer: A.
Explanation:
Polychromatic lustre is seen in posterior subcapsular cataracts, especially under oblique illumination. This is due to the specific scattering of light caused by the cataract, creating a rainbow-like effect. Other cataracts like cortical or nuclear cataracts do not typically display this phenomenon.
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6) According to Erber and Osborn, detection of subtle facial cues and eye contact is possible at one meter distance if visual acuity is better than …………… .
- A. 6/12
- B. 6/24
- C. 6/60
- D. 3/60
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Correct Answer: B.
Explanation:
Visual acuity of 6/24 allows a person to detect subtle facial cues and maintain eye contact at a distance of one meter. This corresponds to moderate visual impairment but is still sufficient for recognizing some facial expressions. Erber and Osborn’s studies emphasized the importance of acuity in social interactions.
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7) A 30 years old male presents with a history of injury to the eye with a leaf 5 days ago and pain, photophobia and redness of the eye for 2 days. What would be the most likely pathology?
- A. Anterior uveitis
- B. Conjunctivitis
- C. Fungal corneal ulcer
- D. Corneal laceration
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Correct Answer: C.
Explanation:
A fungal corneal ulcer is likely after trauma with organic material (like a leaf), presenting with pain, redness, photophobia, and reduced vision. Fungi are common pathogens in such cases, and they can invade the corneal stroma, causing ulceration. Delayed onset of symptoms is typical for fungal infections.
Note: Prepare for Optometry License Exam (DHA, MOH, HAAD, QCHP, OMSB, SMLE, SCFHS, DHCC, NHRA) with our course “MCQs in Optometry”. This course provides: Basic Notes, Fundamental Videos, Subjectwise MCQs, PDF MCQs, Previous Years MCQs, RAPID Access Guide for Optometrists PDF Book, Group Chat, Live Support.
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8) Which of the following drugs is not used topically for the treatment of open angle glaucoma:
- A. Latanoprost
- B. Brimonidine
- C. Acetazolamide
- D. Dorzolamide
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Correct Answer: C.
Explanation:
Acetazolamide is a systemic carbonic anhydrase inhibitor and is not used topically for open-angle glaucoma. It reduces intraocular pressure by decreasing aqueous humor production. Topical medications for glaucoma include prostaglandin analogs (Latanoprost) and alpha agonists (Brimonidine).
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9) Which of the following statements about functional visual impairment caused by cataracts is false?
- A. “Second sight” is caused by lenticular myopia and improved near vision without correction
- B. Monocular diplopia caused cataract cannot be corrected by spectacles.
- C. Mild posterior subcapsular cataracts never cause visual symptoms.
- D. Cataract can cause greater impairment in contrast sensitivity than in Snellen acuity,
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10) Coloured halos in acute congestive glaucoma
- A. Raised IOP
- B, Corneal edemal
- C. Raised ict
- D. Mydriasis
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Correct Answer: B.
Explanation:
Colored halos in acute congestive glaucoma result from corneal edema. The swollen cornea causes diffraction of light, producing halos around light sources. Elevated intraocular pressure and optic nerve damage are other hallmarks of this condition, but corneal edema specifically causes the colored halo effect.
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11) The following passes through the foramen rotundum:
- A. Maxillary nerve.
- B. Mandibular nerve.
- C. Facial nerve.
- D. Meningeal artery.
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Correct Answer: A.
Explanation:
Only maxillary nerve passes through the foramen rotundum. Mandibular nerve and meningeal artery pass through the foramen ovale. The facial nerve passes through the styloid foramen. Sympathetic nerve accompanies the internal carotid artery and enter the skull through the carotid canal.
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12) A 3-year-old child presents with a convergent squint dating for one year. The first step management is:
- A. Proper refraction
- B. Surgical correction
- C. Training on the Synaptophore
- D. Prism prescription
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Correct Answer: A.
Explanation:
The first step in managing a child with convergent squint is proper refraction. Many cases of esotropia (convergent squint) are related to uncorrected refractive errors, especially hyperopia. Addressing refractive errors with glasses can correct the squint in some cases, avoiding the need for surgery.
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13) Which of the following mydriatic/cycloplegic agents is used systemically in the treatment of motion sickness?
- A. Homatropine
- B. Scopolamine
- C. Atropine
- D. Hydroxyamphetamine
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Correct Answer: B.
Explanation:
Scopolamine transdermal patch is used prophylactically in the treatment motion sickness.
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14) The differential diagnosis of retinoblastoma would include all except:
- A. Persistent hyperplastic primary vitreous
- B. Coat’s disease
- C. Retinal astrocytoma
- D. Retinal detachment
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Correct Answer: D.
Explanation:
Retinal detachment is not a common differential diagnosis for retinoblastoma, unlike conditions like persistent hyperplastic primary vitreous and Coat’s disease. These conditions can mimic the appearance of retinoblastoma on fundoscopic examination, but retinal detachment presents differently. It primarily involves separation of the retina rather than a mass lesion.
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15) Snellen’s chart is used to test
- A. Vision
- B. Refraction
- C. Presbyopia
- D. Colour blindness
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Correct Answer: A.
Explanation:
Snellen’s chart is used to assess visual acuity, which measures the clarity or sharpness of vision. The patient reads letters of decreasing size from a specific distance, and their acuity is recorded based on their ability to discern them. This test does not measure refractive error or color vision directly.
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16) Which of the following bones or parts of a bone do not contribute to the middle cranial fossa?
- A. Greater wing of the sphenoid bone
- B. Body of the sphenoid bone
- C. Petrous portion of the temporal bone
- D. Frontal bone
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Correct Answer: D.
Explanation:
The frontal bone articulates with the lesser wing of the sphenoid bone but does not contribute to the middle cranial fossa.
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17) The colour best appreciated by the central cones our foveo-macular area are:
- A. Red and blue
- B. Blue and green .
- C. Red and green
- D. Blue and yellow
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Correct Answer: C.
Explanation:
The foveo-macular area, rich in central cones, is most sensitive to red and green wavelengths. These colors are best detected in this region, contributing to fine visual tasks such as reading and color discrimination. Blue cones are present in lower numbers, especially outside the fovea.
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18) Which is the better assessment of a person’s visual capabilities to perform tasks such as driving?
- A. Visual acuity
- B. Contrast sensitivity
- C. Color vision
- D. Vernier acuity
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19) Lid lag on ptotic eye on same side is caused by
- A. Neurogenic
- B. Myogenic
- C. Metabolic
- D. Traumatic ptosis
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Correct Answer: B.
Explanation:
Myogenic ptosis is often associated with lid lag due to weakness in the levator muscle, causing the upper eyelid to lag behind the eye’s downward movement. This condition is common in myogenic disorders like myasthenia gravis. Other causes of ptosis may not exhibit lid lag.
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20) CO2 is transported in the blood mainly in the form of ………
- A. Bicarbonate ions
- B. Dissolved CO2
- C. Carbaminohaemoglobin
- D. Bound to plasma proteins
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Correct Answer: A.
Explanation:
Dissolved CO2 and CO2 bound to hemoglobin (carbaminohemoglobin) account for -5% and 3% of total CO2 content of the blood, respectively, whereas CO2 carried blood in the form of bicarbonate ions accounts for less than 90% of the total CO2.
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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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