Download WBUHS MBBS 3rd Year 2025 June Ophthalmology New Regulation Question Paper

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The West Bengal University of Health Sciences

MBBS 3rd Professional Part-I Examination (New Regulation)

June 2025

Subject: Ophthalmology

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Full Marks: 100

Time: 3 hours

Attempt all questions. The figures in the margin indicate full marks.

1. 1. A 67 year old man had cataract surgery 2 days back. He was all right. On 3rd post-operative day, the eye has become increasingly red and painful and the vision is severely reduced. What is the probable diagnosis? What other comparatively benign condition may present in such a way without much pain? How will you differentiate the two conditions? Outline its management. 2+2+5+6
   2. A 35 year old man presents to emergency OPD with erythematous, swollen right upper and lower eyelids, worsening over previous 2 days. He is unable to open the eyes. He feels unwell and has a temperature. Examination reveals marked lid swelling, tender globe and on manual opening of the lids, a proptosis with congested conjunctiva is seen. Eye movements are limited in all direction. 1+4+5+3+2
      1. What is the probable diagnosis?

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      2. Enumerate the differential diagnoses and how will you differentiate each D/d from each other?
      3. How will you examine such case?
      4. Describe in brief about the management of such case.
      5. Enumerate the complications of such condition if not treated.

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2. Answer the following:
   1. Write down the etiology, clinical features and management of congenital nasolacrimal duct obstruction. (CNLDO) 3+2+5
   2. How will you approach in a case of lime burns? Write down its management. Enumerate the complications with such a case. 3+5+2
   3. Write down the classification of Diabetic retinopathy. Describe the fundus findings with a diagram. 5+5

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3. Write short notes on the following: 2x5
   1. How to counsel a patient of pathological myopia?
   2. Recurrent pterygium.
4. Explain the following statements: 5x4
   1. Spectacle correction is not the preferred treatment in aphakia.
   2. Anisometropia can not be corrected by accommodation.

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   3. There is no posterior epithelial layer in the lens.
   4. Cotton wool spot is a poor prognostic factor.
   5. Exposure keratitis may occur in Bell's palsy.
5. Choose the correct option for each of the following: 10x1
   1. Refractive status of eye of a newborn commonly is:
      1. Emmetropia

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      2. Hypermetropia
      3. Myopia
      4. Astigmatism
   2. The most common cause of vitreous hemorrhage in young adults:
      1. Retinal hole

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      2. Hypertension
      3. Trauma
      4. Diabetes
   3. Which is not macular function test?
      1. Color vision test

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      2. Amsler Grid test
      3. Maddox rod test
      4. Automated perimetry
   4. Commotio retinae is seen in:
      1. Concussion injury

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      2. Papilloedema
      3. Central Retinal Vein thrombosis
      4. Central Retinal Artery thrombosis
   5. Color vision is the function of:
      1. Retinal pigment epithelial cells

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      2. Rod cells
      3. Cone cells
      4. Muller cells
   6. Refractive index of cornea is:
      1. 1.38

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      2. 1.39
      3. 1.32
      4. 1.40
   7. Fine KPs are seen in:
      1. Tuberculosis

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      2. Leprosy
      3. Sarcoidosis
      4. Fuchs iridocyclitis
   8. Treatment of choice in congenital glaucoma is:
      1. Trabeculoplasty

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      2. Trabeculotomy with trabeculectomy
      3. Goniotomy
      4. Topical Dorzolamide
   9. Which laser is used for capsulotomy in patients with posterior capsular opacification?
      1. Diode laser

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      2. Excimer Laser
      3. CO2 Laser
      4. Nd: Yag laser
   10. Topical carbonic anhydrsae inhibitor is:
       1. Brimonidine

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       2. Brinzolamide
       3. Pilocarpine
       4. Latanoprost

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