Download RUHS MBBS 3rd Year 2024 Dec Ophthalmology Question Paper

Attempt all questions in both sections.

Section-A

1. Fill in the blanks:
   1. In retina colour vision sense is the function of __________.
   2. Distant vision in eye OPD is checked by the box known as __________.
   3. 1 mm increase in axial length produces myopia of __________.
   4. Haab's striae are characteristics of __________.

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   5. Loss of accommodation in age group >40 years old is known as __________.
   6. Silver wiring in fundus is seen in __________ retinopathy.

   6x1=6

2. Answer the following:
   1. Length of the nasolacrimal duct is about:
      1. 8-12 mm

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      2. 22-34 mm
      3. 12-18 mm
      4. 18-21 mm
   2. Earliest changes in diabetic retinopathy is:
      1. Hard exudate

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      2. Soft exudate
      3. Dot haemorrhage
      4. Micro aneurysm
   3. Sclera is thinnest at:
      1. Posterior pole

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      2. Equator
      3. Corneoscleral junction
      4. Points of muscular attachments
   4. Corneal transparency is due to all except:
      1. Normal IOP

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      2. Na+ K+ pumps
      3. Hyper cellular stroma
      4. Peculiar arrangement of stromal lamella

   4x1=4

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3. A 40 years old farmer presents with a painful red eye and blurred vision in the left eye. On examination, there is a central corneal ulcer with feathery borders and overlying dense stromal infiltrates. Slit lamp examination reveals hyphae on corneal scraping.
   1. What is the most likely diagnosis? 05
   2. What is the management of the condition? 05
   3. What are the complications & sequelae of this condition? 05

   5x2=10

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4. Write briefly on (Any Five).
   1. Layers of cornea
   2. Chalazion
   3. Vitreous substitutes
   4. Non-proliferative diabetic retinopathy

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   5. Colour blindness
   6. Enucleation

   3x5=15

5. Explain (Any Three):
   1. Chronic dacryocystitis

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   2. Vernal keratoconjunctivitis
   3. Phacomorphic glaucoma
   4. Chronic simple glaucoma

   5x2=10

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Section-B

6. A 84 year old male came to eye OPD with vision of PLPR (positive) in right eye and complaining of decreased vision from last 6 months. A white opacity seen in pupillary area. Vision of the patient PLPR positive, IOP (normal), pupil (round, regular and reactive).
   1. Give the diagnosis of disease. 05
   2. Write down different surgical procedure of the disease. 05
   3. Steps involved in surgery of SICS (Small Incision Cataract Surgery). 05
   4. Stages of maturation of senile cataract. 05

   4x5=20

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7. Write briefly on (Any Five).
   1. Retinoblastoma
   2. Dry eye
   3. Myopia
   4. Keratoconus

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   5. Steps of pterygium auto graft surgery
   6. E.R.G. (Electroretinogram)
8. Write short notes on (Any Four).
   1. Sympathetic ophthalmitis
   2. Nystagmus

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   3. Anterior uveitis
   4. Optic atrophy
   5. In case of retinal detachment, what would be the strategies adopted by you to ensure that the patient understands the diagnosis and treatment options appropriately?

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