Download DNB 2012 June OPHTHALMOLOGY JUNE12 Question Paper

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2012

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Attempt all questions in order.

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1. Define range and amplitude of accommodation. Define manifest and (2+2)+(2+2)+2
   latent hypermetropia. What are the different ways to uncover the
   latent hypermetropia?
2. Describe clinical features, laboratory diagnosis, prevention and 3+2+1+4
   

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   management of acanthamoeba keratitis.
3. Describe clinical manifestation, pathology, differential diagnosis and 2+2+2+4
   management of squamous cell carcinoma of conjunctiva.
4. Discuss clinical features, pathogenesis, differential diagnosis and 2+2+2+4
   management of primary congenital glaucoma.

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5. Discuss etiopathogenesis, diagnosis and management of acute angle 3+3+4
   closure glaucoma.
6. Discuss ophthalmic manifestation of thyrotoxicosis. 10
7. Define scotoma. How do you differentiate between negative and 1+3+6
   positive scotoma? Discuss approach to diagnosis in a patient
   

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   presenting with left hemianopia.
8. Give differential diagnosis of painless progressive proptosis in a 35 3+(2+2+3)
   year old man. Describe clinical features, histopathology and
   management of orbital cavernous haemangioma.
9. Describe clinical features, etiology, investigation, various modalities in 2+2+2+4
   

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   management of Branch Retinal Vein occlusion.
10. Discuss clinical features, investigation, sequelae and management of 2+3+2+3
    retained intraocular metallic foreign body.

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2012
OPHTHALMOLOGY
PAPER- II
Time : 3 hours OPH/JI12/26/11

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Attempt all questions in order.
Each question carries 10 marks.

1. Discuss the techniques for evaluation of visual acuity form birth to 3 10
   years of age.

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2. What is suppression in relation to strabismus? Discuss diagnosis and 2+(4+4)
   management strategies of suppression.
3. Discuss indications, surgical procedure, complications and advances in 2+3+3+2
   endothelial keratoplasty.
4. Describe relevant nasal anatomy in relation to endonasal DCR. Give 3+7
   

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   advantages and disadvantages of endonasal DCR versus external DCR.
5. Discuss clinical features, diagnosis, complication and management of 2+2+2+4
   uveitis associated with juvenile rheumatoid arthritis.
6. Classify scleritis. Discuss clinical manifestations, investigations and 2+(2+3+3)
   management of scleritis and its complications.

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7. Describe etiology, clinical features, investigation and management of 2+2+2+4
   Nerve palsy.
8. What are Femtosecond Lasers? Discuss the uses of Femtolaser 4+6
   systems in ophthalmic surgery.
9. Discuss the investigations and management of a 55 year old diabetic 3+7
   

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   patient presenting with neovascular glaucoma and cataract with a visual
   acuity of 3/60 and IOP of 46mm Hg.
10. Discuss the workup of a patient planned for refractive surgery. Give 5+2+3
    relevance of each investigation. What are the absolute contra-indications
    for Laser refractive surgery?

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2012
OPHTHALMOLOGY

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Attempt all questions in order.
Each question carries 10 marks.

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1. Discuss the intra-operative and postoperative management of unilateral 10
   congenital cataract in a 2 year old child.
2. Discuss the differential diagnosis and management of shallow anterior 5+5
   chamber on the first post operative day after trabeculectomy.
3. Write briefly on ocular involvement in cysticercosis and briefly outline 6+4
   

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   management of ocular cysticercosis.
4. Discuss clinical features, investigations and management of a case of 2+2+6
   medial orbital wall fracture.
5. Describe with a diagram the management of a 22 year old patient 10
   presenting with a corneo-scleral perforation after road traffic accident 2
   

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   hours back.
6. Draw a labeled diagram of cut section of lid in relation to involutional 3+7
   ectropion. Describe etiopathogenesis, clinical features, diagnosis and
   surgical management of involutional ectropion.
7. Draw a labeled diagram of pupillary reflex pathway. Discuss approach to 5+5
   

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   diagnosis of Anisocoria.
8. Discuss role of silicon oil and expandable gases in management of 5+5
   retinal detachment.
9. Discuss the immediate management of a 60 year old diabetic patient 10
   who has collapsed after injection of dye during fluorescein angiography.

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10. Discuss etiology, clinical feature, diagnosis and management of optic 2+2+2+4
    neuritis in a 40 year old female.

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FINAL EXAM NATIONAL BOARD OF EXAMINATIONS

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Attempt all questions in order.
Each question carries 10 marks.

1. Give labeled diagram of optics of 90D lens for retinal examination. Give 5+6
   the advantage/disadvantage of retinal examination with respect to use
   of 20D lens.

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2. Discuss the principle of Contrast Sensitivity (CS). Give various methods 2+(2+6)
   of CS testing and its role in ocular disorders.
3. Discuss the different modalities of measurement of corneal thickness 6+4
   and role of corneal thickness in glaucoma diagnosis.
4. Discuss principle of Refractive and Diffractive Intraocular Lenses (IOLs). 5+5
   

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   Give advantages and disadvantages of multifocal IOLs.
5. Enumerate the causes of childhood blindness and measures to prevent 4+6
   childhood blindness.
6. Enumerate various preservatives used in ophthalmic topical drugs. 4+6
   Discuss their ocular side effects.

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7. Enumerate the principle, advantages and disadvantages of various 4+3+3
   modalities for anterior segment imaging.
8. Draw cross section, labeled diagram of lacrimal sac showing relation of 4+6
   orbicularis oculi muscle to sac. Discuss lacrimal pump.
9. Discuss the anatomy of macula. Enumerate relevant points of difference 5+5
   

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   between retinal anatomy at macula and peripheral retina.
10. Draw labeled diagram of cavernous sinus. Describe clinical features of 4+6
    cavernous sinus thrombosis.

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