Q.P. Code: 319001
Reg. no.: .....................
III Professional MBBS Part II Degree Regular/Supplementary Examinations
May 2025
Ophthalmology
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 7year old boy suffers from severe itching, redness and white discharge from both his eyes during summer
season every year. He also has history of allergic rhinitis
a) Vernal keratoconjunctivitis
c) Bacterial conjunctivitis
b) Allergic conjunctivitis
d) Trachoma
a) Photophobia
b) Severe itching
c) Pain
d) Blurred vision
a) Purulent
b) Watery
c) Mucoid
d) White ropy discharge
a) Pannus formation
c) Dendritic ulcer
b) Horner-Trantas dots
d) Conjunctival hemorrhage
a) Topical antibiotics
c) Topical antiviral agents
b) Topical mast cell stabilizers
d) Intravitreal injection
answers as per the options provided:
vi. (A): Amblyopia is most effectively treated in childhood.
(R): The visual cortex remains plastic and responsive to treatment during childhood
a) Both A & R are correct and R is the reason for A
b) Both A & R are correct but R is not the reason for A
d) A is correct and R is incorrect
vii. (A): Retinitis pigmentosa is a condition involving loss of central vision.
(R): Retinitis pigmentosa affects the rods in the peripheral retina first.
c) A is incorrect and R is correct
b) Both A & R are correct but R is not the reason for A
d) A is correct and R is incorrect
viii. (A): Herpes simplex keratitis is treated with topical steroids.
a) Both A & R are correct and R is the reason for A
c) A is incorrect and R is correct
b) Both A & R are correct but R is not the reason for A
d) A is correct and R is incorrect
(R): Demyelination of the optic nerve occurs in multiple sclerosis.
a) Both A & R are correct and R is the reason for A
c) A is incorrect and R is correct
b) Both A & R are correct but R is not the reason for A
x. (A): Open-angle glaucoma presents with sudden pain and visual loss.
(R): Open-angle glaucoma is caused by a gradual increase in intraocular pressure.
a) Both A & R are correct and R is the reason for A
c) A is incorrect and R is correct
d) A is correct and R is incorrect
Question numbers xi-xv are multiple-response type questions. Read the statements & mark the
answers appropriately.
xi. Which of the following are associated with congenital cataract
2) Galactosemia
3) Birth canal injury
4) Myopia
a) 1, 2
c) 1, 3, 4
d) All
(PTO)
1) Pain on eye movement
2) Relative Afferent Pupillary Defect (RAPD)
3) Hyperemic optic disc
4) Decreased color vision
b) 3, 4
c) 1, 2, 4
d) 1, 3, 4
xiii. Which of the following are true about retinoblastoma
2) Leucocoria is a common presenting sign
3) It is associated with mutations in the TP53 gene
4) Hereditary cases are associated with bilateral involvement
a) 1, 3, 4
c) 2, 3, 4
d) 1, 2, 4
xiv. Which of the following conditions can lead to corneal neovascularization
1) Contact lens overuse
a) 1, 3
b) 1, 2, 4
c) 2, 3, 4
d) All
1) Endophthalmitis
2) Posterior capsular opacification
3) Cystoid macular edema
4) Retinal detachment
b) 3, 4
c) 2, 3, 4
d) All
Question numbers xvi-xx are single-response type questions
last six months. He is more comfortable indoor. He does not have eye pain or any other complaint. What
is the probable diagnosis
a) Cuneiform cataract
c) Mature cataract
d) Morgagnian cataract
xvii. Aniridia means
a) Absence of Iris
c) Absence of Ciliary body
d) Absence of Retina
xviii. A boy gets hit by a tennis ball in the eye following which he has blurred vision in that eye. Which of the
following can happen due to the blunt injury by the ball
a) Pars planitis
c) Scleritis
d) Retinal vasculitis
xix. According to NPCB & VI criteria, Blindness is defined as visual acuity of less than
a) 6/18
c) 3/60
d) 1/60
xx. The total refractive power of normal adult cornea in
a) 30-35 D
c) 50-55 D
d) 60-65 D
Long Essays:
(2x10=20)
two days. He has a history of contact lens use and admits to occasional non-compliance with lens
hygiene. On examination, there is circumcorneal congestion, and fluorescein staining shows a central
corneal ulcer with surrounding edema.
a) What is the most likely diagnosis.
c) How will you manage this condition.
d) Mention the preventive measures for this condition in contact lens users.
(1+2+4+3)
3. Discuss in detail stages, clinical features and management of angle closure glaucoma.
4. Describe types of Astigmatism.
5. Vitamin A deficiency.
6. Entropion.
7. Interstitial Keratitis.
9. Chemical injury to eye.
Short Answers: (6x4=24)
10. Mention causes of cherry red spot.
11. Layers of tear film.
13. Indications of keratoplasty.
14. Causes of Proptosis.
15. Leucocoria.
**********************
Reg. no.: .....................
III Professional MBBS Part II Degree Regular/Supplementary Examinations
May 2025
Ophthalmology
--- Content provided by FirstRanker.com ---
(2019 Scheme)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
--- 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 7year old boy suffers from severe itching, redness and white discharge from both his eyes during summer
season every year. He also has history of allergic rhinitis
--- Content provided by FirstRanker.com ---
i. What is the most likely diagnosis for this 7-year-old boya) Vernal keratoconjunctivitis
c) Bacterial conjunctivitis
b) Allergic conjunctivitis
d) Trachoma
--- Content provided by FirstRanker.com ---
ii. Which of the following is the most characteristic symptoma) Photophobia
b) Severe itching
c) Pain
d) Blurred vision
--- Content provided by FirstRanker.com ---
iii. What is the most common type of discharge associated with thisa) Purulent
b) Watery
c) Mucoid
d) White ropy discharge
--- Content provided by FirstRanker.com ---
iv. Which of the following is a classic sign off the diseasea) Pannus formation
c) Dendritic ulcer
b) Horner-Trantas dots
d) Conjunctival hemorrhage
--- Content provided by FirstRanker.com ---
v. Which of the following treatments is most appropriate for followinga) Topical antibiotics
c) Topical antiviral agents
b) Topical mast cell stabilizers
d) Intravitreal injection
--- 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. (A): Amblyopia is most effectively treated in childhood.
(R): The visual cortex remains plastic and responsive to treatment during childhood
a) Both A & R are correct and R is the reason for A
--- Content provided by FirstRanker.com ---
c) A is incorrect and R is correctb) Both A & R are correct but R is not the reason for A
d) A is correct and R is incorrect
vii. (A): Retinitis pigmentosa is a condition involving loss of central vision.
(R): Retinitis pigmentosa affects the rods in the peripheral retina first.
--- Content provided by FirstRanker.com ---
a) Both A & R are correct and R is the reason for Ac) A is incorrect and R is correct
b) Both A & R are correct but R is not the reason for A
d) A is correct and R is incorrect
viii. (A): Herpes simplex keratitis is treated with topical steroids.
--- Content provided by FirstRanker.com ---
(R): Steroids reduce inflammation in the cornea.a) Both A & R are correct and R is the reason for A
c) A is incorrect and R is correct
b) Both A & R are correct but R is not the reason for A
d) A is correct and R is incorrect
--- Content provided by FirstRanker.com ---
ix. (A): Optic neuritis is commonly associated with multiple sclerosis.(R): Demyelination of the optic nerve occurs in multiple sclerosis.
a) Both A & R are correct and R is the reason for A
c) A is incorrect and R is correct
b) Both A & R are correct but R is not the reason for A
--- Content provided by FirstRanker.com ---
d) A is correct and R is incorrectx. (A): Open-angle glaucoma presents with sudden pain and visual loss.
(R): Open-angle glaucoma is caused by a gradual increase in intraocular pressure.
a) Both A & R are correct and R is the reason for A
c) A is incorrect and R is correct
--- Content provided by FirstRanker.com ---
b) Both A & R are correct but R is not the reason for Ad) A is correct and R is incorrect
Question numbers xi-xv are multiple-response type questions. Read the statements & mark the
answers appropriately.
xi. Which of the following are associated with congenital cataract
--- Content provided by FirstRanker.com ---
1) Rubella infection during pregnancy2) Galactosemia
3) Birth canal injury
4) Myopia
a) 1, 2
--- Content provided by FirstRanker.com ---
b) 1, 2, 3c) 1, 3, 4
d) All
(PTO)
--- Content provided by FirstRanker.com ---
xii. Which of the following are clinical features of retro bulbar neuritis1) Pain on eye movement
2) Relative Afferent Pupillary Defect (RAPD)
3) Hyperemic optic disc
4) Decreased color vision
--- Content provided by FirstRanker.com ---
a) 1, 4b) 3, 4
c) 1, 2, 4
d) 1, 3, 4
xiii. Which of the following are true about retinoblastoma
--- Content provided by FirstRanker.com ---
1) It is the most common intraocular malignancy in children2) Leucocoria is a common presenting sign
3) It is associated with mutations in the TP53 gene
4) Hereditary cases are associated with bilateral involvement
a) 1, 3, 4
--- Content provided by FirstRanker.com ---
b) 3, 4c) 2, 3, 4
d) 1, 2, 4
xiv. Which of the following conditions can lead to corneal neovascularization
1) Contact lens overuse
--- Content provided by FirstRanker.com ---
2) Trachoma 3) Viral keratitis 4) Stevens-Johnson syndromea) 1, 3
b) 1, 2, 4
c) 2, 3, 4
d) All
--- Content provided by FirstRanker.com ---
xv. Which of the following are complications of cataract surgery1) Endophthalmitis
2) Posterior capsular opacification
3) Cystoid macular edema
4) Retinal detachment
--- Content provided by FirstRanker.com ---
a) 1, 2, 3b) 3, 4
c) 2, 3, 4
d) All
Question numbers xvi-xx are single-response type questions
--- Content provided by FirstRanker.com ---
xvi. A 45 year old diabetic patient complaints of decreased vision when he goes out in bright daylight for thelast six months. He is more comfortable indoor. He does not have eye pain or any other complaint. What
is the probable diagnosis
a) Cuneiform cataract
c) Mature cataract
--- Content provided by FirstRanker.com ---
b) Cupuliform cataractd) Morgagnian cataract
xvii. Aniridia means
a) Absence of Iris
c) Absence of Ciliary body
--- Content provided by FirstRanker.com ---
b) Absence of Lensd) Absence of Retina
xviii. A boy gets hit by a tennis ball in the eye following which he has blurred vision in that eye. Which of the
following can happen due to the blunt injury by the ball
a) Pars planitis
--- Content provided by FirstRanker.com ---
b) Commotio retinaec) Scleritis
d) Retinal vasculitis
xix. According to NPCB & VI criteria, Blindness is defined as visual acuity of less than
a) 6/18
--- Content provided by FirstRanker.com ---
b) 6/60c) 3/60
d) 1/60
xx. The total refractive power of normal adult cornea in
a) 30-35 D
--- Content provided by FirstRanker.com ---
b) 40-45 Dc) 50-55 D
d) 60-65 D
Long Essays:
(2x10=20)
--- Content provided by FirstRanker.com ---
2. A 25-year-old male complains of acute onset redness, pain, and photophobia in his right eye for the lasttwo days. He has a history of contact lens use and admits to occasional non-compliance with lens
hygiene. On examination, there is circumcorneal congestion, and fluorescein staining shows a central
corneal ulcer with surrounding edema.
a) What is the most likely diagnosis.
--- Content provided by FirstRanker.com ---
b) List two differential diagnoses.c) How will you manage this condition.
d) Mention the preventive measures for this condition in contact lens users.
(1+2+4+3)
3. Discuss in detail stages, clinical features and management of angle closure glaucoma.
--- Content provided by FirstRanker.com ---
Short Essays: (6x6=36)4. Describe types of Astigmatism.
5. Vitamin A deficiency.
6. Entropion.
7. Interstitial Keratitis.
--- Content provided by FirstRanker.com ---
8. Extra ocular muscles- actions and nerve supply.9. Chemical injury to eye.
Short Answers: (6x4=24)
10. Mention causes of cherry red spot.
11. Layers of tear film.
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12. Types of IOL.13. Indications of keratoplasty.
14. Causes of Proptosis.
15. Leucocoria.
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