2019 Scheme (2019 Admission)
Q.P. Code: 314001
Reg. no.: .....................
III Professional MBBS Part I Degree Supplementary (SAY) Examinations
May 2025
Time: 3 Hours
Total Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers
Indicate the question number correctly for the answer in the margin space
Draw table/diagrams/flow charts wherever necessary
1. Multiple Choice Questions
(20x1=20)
The MCQ questions (Q.No. i to Q.No. xx) shall be written in the space provided for answering MCQ
Responses for MCQs marked in any other part/page of the answer book will not be valued
Question Numbers i - v are case scenario-based questions.
A 10 year old boy with complaints of redness, itching and ropy discharge in both eyes for past 10 days. Patient
gives history of similar complaints 1 year back
a) Pollen
b) Dust mites
c) Animal dander
d) Mold spores
a) IgG
b) IgM
c) IgA
d) IgE
a) Sudden onset of severe eye pain
b) Occurrence during certain times of the year, particularly spring and fall
c) History of previous eye trauma
d) Chronic, long-lasting symptoms throughout the year.
a) Topical corticosteroids
c) NSAIDs
b) Mast cell stabilizers
d) Systemic corticosteroids
a) Glaucoma
c) Cataracts
b) Secondary bacterial conjunctivitis
d) Retinal detachment
answers as per the options provided:
vi. Assertion (A): Fuchs' endothelial dystrophy primarily affects the corneal endothelium.
Reason (R): Loss of endothelial cells causes corneal edema and reduced transparency.
a) Both A and R are true, R is the correct explanation of A
b) Both A and R are true, R is not the correct explanation of A
d) A is true, but R is false
vii. Assertion (A): Acute angle-closure glaucoma is not a medical emergency.
Reason (R): Sudden blockage of aqueous outflow causes rapid rise in intraocular pressure.
c) A is false, but R is true
b) Both A and R are true, R is not the correct explanation of A
d) A is true, but R is false
viii. Assertion (A): Myasthenia gravis can cause fluctuating ptosis.
overstimulation of receptor
a) Both A and R are true, R is the correct explanation of A
c) A is false, but R is true
b) Both A and R are true, R is not the correct explanation of A
ix. Assertion (A): Mechanical ptosis can result from large chalazion or tumors.
Reason (R): Mechanical factors increase the weight of the upper eyelid, overcoming the action of the
levator muscle.
a) Both A and R are true, R is the correct explanation of A
b) Both A and R are true, R is not the correct explanation of A
d) A is true, but R is false
x. Assertion (A): Retinopathy of prematurity (ROP) primarily affects preterm infants with low birth weight.
Reason (R): Immature retinal blood vessels in preterm infants are highly susceptible to abnormal
a) Both A and R are true, R is the correct explanation of A
c) A is false, but R is true
b) Both A and R are true, R is not the correct explanation of A
d) A is true, but R is false
Question numbers xi-xv are multiple-response type questions. Read the statements & mark the
answers appropriately.
xi. Cherry red spot is found in
a) 1, 2 and 3 are correct b) 1 and 3 are correct c) 1 only is correct d) 1, 2 and 4 are correct
xii. Which of the following are symptoms of retinal detachment
1) Flashing lights 2) Floaters 3) Sudden loss of vision 4) Tunnel vision
a) 1, 2 and 3 are correct b) 1 and 3 are correct c) 1 only is correct d) 1, 2 and 4 are correct
1) Glaucoma 2) Vitamin A deficiency 3) Multiple sclerosis 4) Optic neuritis
a) 1, 2 and 3 are correct b) 1 and 3 are correct c) 1 only is correct d) 1, 3 and 4 are correct
xiv. Third cranial nerve supplies
1) Medial rectus 2) Inferior rectus 3) Superior oblique 4) Inferior oblique
c) 1 only is correct d) 1, 3 and 4 are correct
xv. Haemorrhagic conjunctivitis is caused by
1) Adenovirus 2) Enterovirus - 70 3) Papilloma virus 4) Coxsackie virus
a) 1, 2 and 3 are correct
Question numbers xvi-xx are single-response type questions
xvi. Herbert's pits are found in:
a) Mucopurulent conjunctivitis
c) Trachoma
d) Spring catarrh
xvii. Homonymous hemianopia is due to lesion at:
a) Optic tract
b) Optic nerve
d) Optic disc
xviii. Onion peel appearance is seen in
a) Posterior sub capsular cataract
c) Posterior polar cataract
d) Anterior polar cataract
xix. Fleischer ring is found in:
a) Keratoconus
b) Chalcosis
d) Buphthalmos
xx. Corneal sensations are diminished in:
a) Herpes simplex keratitis
c) Fungal infections
d) Marginal keratitis
Long Essays:
(2x10=20)
2. A 40 year old female patient came to casualty with pain in her left eye associated with defective vision and
the last 10 years. On examination there is circum corneal congestion and sluggish pupillary reactions in
her left eye
a) What is the most probable diagnosis
b) Name four conditions causing circum corneal congestion
d) Outline the investigations
e) Write the treatment and rationale for the drugs you will use for this patient
(1+2+2+2+3)
3. Describe the Etiopathogenesis of cataract and describe stages of maturation of cataract. Write the
Short Essays: (6x6=36)
4. Buphthalmos
5. Corneal ulcer types, causes and management
6. Papilloedema
8. Diabetic retinopathy
9. Describe preventable causes of blindness and national programs for control of blindness
Short Answers: (6x4=24)
10. Chalazion
12. Newer antiglaucoma drugs
13. Pterygium
14. Describe parts and layers of eye ball
15. Lasers in ophthalmology
Q.P. Code: 314001
Reg. no.: .....................
III Professional MBBS Part I Degree Supplementary (SAY) Examinations
May 2025
--- Content provided by FirstRanker.com ---
OphthalmologyTime: 3 Hours
Total Marks: 100
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers
Indicate the question number correctly for the answer in the margin space
--- Content provided by FirstRanker.com ---
Answer all parts of a single question together ? Leave sufficient space between answersDraw table/diagrams/flow charts wherever necessary
1. Multiple Choice Questions
(20x1=20)
The MCQ questions (Q.No. i to Q.No. xx) shall be written in the space provided for answering MCQ
--- Content provided by FirstRanker.com ---
questions at page No. 51 of the answer book (the inner portion of the back cover page (PART III)).Responses for MCQs marked in any other part/page of the answer book will not be valued
Question Numbers i - v are case scenario-based questions.
A 10 year old boy with complaints of redness, itching and ropy discharge in both eyes for past 10 days. Patient
gives history of similar complaints 1 year back
--- Content provided by FirstRanker.com ---
i. Which of the following is the most common allergen associated with the above clinical conditiona) Pollen
b) Dust mites
c) Animal dander
d) Mold spores
--- Content provided by FirstRanker.com ---
ii. Which immunoglobulin is associated with this conditiona) IgG
b) IgM
c) IgA
d) IgE
--- Content provided by FirstRanker.com ---
iii. Which of the following is a hallmark feature of this conditiona) Sudden onset of severe eye pain
b) Occurrence during certain times of the year, particularly spring and fall
c) History of previous eye trauma
d) Chronic, long-lasting symptoms throughout the year.
--- Content provided by FirstRanker.com ---
iv. Which of the following classes of drugs is considered first-line treatment for this conditiona) Topical corticosteroids
c) NSAIDs
b) Mast cell stabilizers
d) Systemic corticosteroids
--- Content provided by FirstRanker.com ---
v. Which of the following is a potential complication of untreated allergic conjunctivitisa) Glaucoma
c) Cataracts
b) Secondary bacterial conjunctivitis
d) Retinal detachment
--- Content provided by FirstRanker.com ---
For questions vi - x, there are two statements marked as Assertion (A) and Reason (R). Mark youranswers as per the options provided:
vi. Assertion (A): Fuchs' endothelial dystrophy primarily affects the corneal endothelium.
Reason (R): Loss of endothelial cells causes corneal edema and reduced transparency.
a) Both A and R are true, R is the correct explanation of A
--- Content provided by FirstRanker.com ---
c) A is false, but R is trueb) Both A and R are true, R is not the correct explanation of A
d) A is true, but R is false
vii. Assertion (A): Acute angle-closure glaucoma is not a medical emergency.
Reason (R): Sudden blockage of aqueous outflow causes rapid rise in intraocular pressure.
--- Content provided by FirstRanker.com ---
a) Both A and R are true, R is the correct explanation of Ac) A is false, but R is true
b) Both A and R are true, R is not the correct explanation of A
d) A is true, but R is false
viii. Assertion (A): Myasthenia gravis can cause fluctuating ptosis.
--- Content provided by FirstRanker.com ---
Reason (R): Myasthenia gravis leads to overaction of the levator palpebrae superioris due tooverstimulation of receptor
a) Both A and R are true, R is the correct explanation of A
c) A is false, but R is true
b) Both A and R are true, R is not the correct explanation of A
--- Content provided by FirstRanker.com ---
d) A is true, but R is falseix. Assertion (A): Mechanical ptosis can result from large chalazion or tumors.
Reason (R): Mechanical factors increase the weight of the upper eyelid, overcoming the action of the
levator muscle.
a) Both A and R are true, R is the correct explanation of A
--- Content provided by FirstRanker.com ---
c) A is false, but R is trueb) Both A and R are true, R is not the correct explanation of A
d) A is true, but R is false
x. Assertion (A): Retinopathy of prematurity (ROP) primarily affects preterm infants with low birth weight.
Reason (R): Immature retinal blood vessels in preterm infants are highly susceptible to abnormal
--- Content provided by FirstRanker.com ---
angiogenesis.a) Both A and R are true, R is the correct explanation of A
c) A is false, but R is true
b) Both A and R are true, R is not the correct explanation of A
d) A is true, but R is false
--- Content provided by FirstRanker.com ---
(PTO)Question numbers xi-xv are multiple-response type questions. Read the statements & mark the
answers appropriately.
xi. Cherry red spot is found in
--- Content provided by FirstRanker.com ---
1) Central retinal artery occlusion 2) ARMD 3) Tay-sachs disease 4) CRVOa) 1, 2 and 3 are correct b) 1 and 3 are correct c) 1 only is correct d) 1, 2 and 4 are correct
xii. Which of the following are symptoms of retinal detachment
1) Flashing lights 2) Floaters 3) Sudden loss of vision 4) Tunnel vision
a) 1, 2 and 3 are correct b) 1 and 3 are correct c) 1 only is correct d) 1, 2 and 4 are correct
--- Content provided by FirstRanker.com ---
xiii. Which of the following are possible causes of optic atrophy1) Glaucoma 2) Vitamin A deficiency 3) Multiple sclerosis 4) Optic neuritis
a) 1, 2 and 3 are correct b) 1 and 3 are correct c) 1 only is correct d) 1, 3 and 4 are correct
xiv. Third cranial nerve supplies
1) Medial rectus 2) Inferior rectus 3) Superior oblique 4) Inferior oblique
--- Content provided by FirstRanker.com ---
a) 2 and 3 are correct b) 1, 2 and 4 are correctc) 1 only is correct d) 1, 3 and 4 are correct
xv. Haemorrhagic conjunctivitis is caused by
1) Adenovirus 2) Enterovirus - 70 3) Papilloma virus 4) Coxsackie virus
a) 1, 2 and 3 are correct
--- Content provided by FirstRanker.com ---
b) 1 and 3 are correct c) 1 only is correct d) 1, 2 and 4 are correctQuestion numbers xvi-xx are single-response type questions
xvi. Herbert's pits are found in:
a) Mucopurulent conjunctivitis
c) Trachoma
--- Content provided by FirstRanker.com ---
b) Phlyctenular keratoconjunctivitisd) Spring catarrh
xvii. Homonymous hemianopia is due to lesion at:
a) Optic tract
b) Optic nerve
--- Content provided by FirstRanker.com ---
c) Optic chiasmad) Optic disc
xviii. Onion peel appearance is seen in
a) Posterior sub capsular cataract
c) Posterior polar cataract
--- Content provided by FirstRanker.com ---
b) Anterior subcapsular cataractd) Anterior polar cataract
xix. Fleischer ring is found in:
a) Keratoconus
b) Chalcosis
--- Content provided by FirstRanker.com ---
c) Argyrosisd) Buphthalmos
xx. Corneal sensations are diminished in:
a) Herpes simplex keratitis
c) Fungal infections
--- Content provided by FirstRanker.com ---
b) Conjunctivitisd) Marginal keratitis
Long Essays:
(2x10=20)
2. A 40 year old female patient came to casualty with pain in her left eye associated with defective vision and
--- Content provided by FirstRanker.com ---
intolerance to light for the last 3 days. she gives history of joint pain and morning stiffness of her hand forthe last 10 years. On examination there is circum corneal congestion and sluggish pupillary reactions in
her left eye
a) What is the most probable diagnosis
b) Name four conditions causing circum corneal congestion
--- Content provided by FirstRanker.com ---
c) Describe the clinical signs you will get in this patient on detailed ocular examinationd) Outline the investigations
e) Write the treatment and rationale for the drugs you will use for this patient
(1+2+2+2+3)
3. Describe the Etiopathogenesis of cataract and describe stages of maturation of cataract. Write the
--- Content provided by FirstRanker.com ---
different types of cataract surgeries available. What are the complications of cataract surgery. (2+2+2+4)Short Essays: (6x6=36)
4. Buphthalmos
5. Corneal ulcer types, causes and management
6. Papilloedema
--- Content provided by FirstRanker.com ---
7. Ptosis8. Diabetic retinopathy
9. Describe preventable causes of blindness and national programs for control of blindness
Short Answers: (6x4=24)
10. Chalazion
--- Content provided by FirstRanker.com ---
11. Horner syndrome12. Newer antiglaucoma drugs
13. Pterygium
14. Describe parts and layers of eye ball
15. Lasers in ophthalmology
--- Content provided by FirstRanker.com ---
**********************