0524 E037
Third Year MBBS Examination
MBBS Part 1 Ophthalmology
Time: 2 hours
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Max Marks: 401. Answer to the points.
2. Figure to the right indicates marks.
3. Use separate answer books for each
section.
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4. Draw diagrams wherever necessary.5. Write legibly.
Section 1
1. Structured long question (any | of
2) (1x10 marks=10@ marks)
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(10)a) Classify ocular injuries. Draw a
concept map(flow diagram) to manage
a patient of open globe injury
presenting to emergency room.
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Enumerate the do's and don'ts of firstaid for fire cracker open globe injury
b) Give 5 differences between pre-
septal cellulitis and orbital(post
septal) cellulitis. Describe briefly one
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ocular and one life threateningcomplication of orbital cellulitis.
Draw a labelled diagram of the
cavernous sinus and its eannection
with the orbit.
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1. Case based scenario/applied shortnotes (any 2 of 3) (2x6 marks-12
marks)
(12)
a) Classify ocular injuries. Draw a
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concept map(flow diagram) to managea patient of open globe injury
presenting to emergency room.
Enumerate the do's and don'ts of first
aid for fire cracker open globe injury
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b) Give 5 differences between pre-septal cellulitis and orbital(post
septal) cellulitis. Describe briefly one
ocular and one life threatening
complication of orbital cellulitis.
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Draw a labelled diagram of thecavernous sinus and its eannection
with the orbit.
3. Write short notes(any 3 of 4): (3x6
marks 18 marks)
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(18)a) Clinical signs of antertor uveitis.
b) Relative Afferent Pupillary Defect
(RAPD)
c) Leukocoria.
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d) Management of chemical ocularinjury
4. Answer only in 2-3 sentences (any 5
of 6)
(5x2 marks '0 murks) (10)
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a) Corneal transparencyb) Presbyopia
c) Topical Atropine 1%
d) Oculo-cardiac reflex
e) Amblyapia
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f) Papilledema
Section 2
5. Structured long question (any 1 of
2) (Ix10 marks-(0 marks)
(10)
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a) Classify conjunctivitis.Differentiate between bacterial and
viral conjunctivitis. Enlist the steps
that can be taken for prevention of
spread of infectious conjunctivitis
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from one person to another. (2+4+4)b) Write the signs and symptoms of
post-operative endophthalmitis.
Enumerate the pre-operative. per-
operative and post-operative measures
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necessary for the prevention ofendophthalmitis. (442+2+2)
6. Case based scenario/applied short
notes (any 2 of 3) (2x6 marks =12
marks)
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(12)a) A 70 year old female presented
with unilateral eye pain and loss of
vision since 2 days with vomiting and
one sided headache. On examination
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there is cireumcorneal congestion,cloudy cornea, shallow anterior
chamber.mid-dilated fixed pupil,
mature cataract and raised intraocular
pressure. The other eye is
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pseudophakic. (24+2+2) a. Name theclinical diagnosis? b, Enlist the drugs
that can be used in the management. c
Write about the definitive
manayement of this condition?;
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b) A farmer presented with a historyof vegetative matter injury to the eye
while working in the fields a week
ago. On examination, he has a corneal
ulcer with a hypopyon. (24242) a.
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What is the investigation of choice toconfirm the causative organisin? b.
Enlist 2 anti-fungal medication
available topically for fungal keratitis.
c. Discuss the role of Atropine 1% in
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the treatment of keratitis.
c) A. 60 year old male presented with
a wing shaped fleshy lesion on the
nasal bulbar conjunctiva extending
onto the cornea. (24242) a. Name 2
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differential diagnosis for thispresentation. b, What are the causes of
diminution of vision due to this
clinical condition? c. Describe the
management?:
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7. Write short notes (any 3 of 4) (3x6marks-18 marks)
(18)
a) Keratoplasty
b) Dacryocystitis
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c) Entropiond) Chalazion
8. Answer only in 2-3 sentences (any 5
oul of 6) (5x2 marks=10 marks)
(10)
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a) Avoidable blindnessb) Metamorphopsia
c) Corneal endothelium
d) Cystoid Macular edema
e) Ophthalmia neonatorum
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f) Trachoma sequelae