1223 E568
Third Year MBBS Examination
MBBS Part 1 Ophthalmology
Time: 3 hours
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Max Marks: 100Instructions:
1. Answer to the points.
2. Figure to the right indicates marks.
3. Use separate answer books for each
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section.4. Draw diagrams wherever necessary.
5. Write legibly.
Section 1
1. Structured Long Questions (Any 1
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out of 1)(10)
a) Discuss the pathophysiology of
Diabetic Retinopathy. Enumerate its
various stages and write about the
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management of protiferative diabeticretinopathy.
(3+3+4)
b) Descite the anatomy of the angle of
the anterior chamber. Discuss the
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clinical features and manageshent ofPrimary angle closure disease (3+3+4)
2. Case based scenarios applied
short notes: (Aay 2 out of 3)
(12)
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a) Discuss the pathophysiology ofDiabetic Retinopathy. Enumerate its
various stages and write about the
management of protiferative diabetic
retinopathy.
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(3+3+4)b) Descite the anatomy of the angle of
the anterior chamber. Discuss the
clinical features and manageshent of
Primary angle closure disease (3+3+4)
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3. Write short notes (any 3 out of 4)(18)
a) Cycleplegic retinoscopy
b) Clinical features of pathological
myopia
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c) Clinical features of acute anterioruveities
d) How would you as an
ophthalmologist explain the need for
surgery to the parents of a 2 year old
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child diagnosed with congenitalcataract
4. Answer anly in 2-3 sentences (any
5 out of 6)
(10)
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a) Applanation tonometryb) Hypopyon
c) Satellite lesions
d) Chalazion
e) Marcus Gunn pupil
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f) EntropionSection 2
5. Structured Long Questions: (any 1
ont of 2)
(10)
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a) Describe the clinical features ofsenile cataract. Write the preoperative
evaluation of a patient posted for
cataract surgery and enumerate the
steps of phacoemulsification. (3+3+4)
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b) What is the etiopathogenesis ofvernal keratoconjuctivitis. Describe the
clinical features & management of
spring catarrah.
(2+4+4)
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6. Case based scenario/appliednotes: (Any 2 out of 3)
(12)
a) A 3 years old child is brought by the
parents with complains of inward
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deviation of the right eye since birth. a)What test will you perform to measure
the amount of deviation? b) How will
you differentiate accommodative and
non accommodative esotropia for this
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patient? c) How will you manage thispatient if he is diagnosed to have
accomodative esotropia?
(1+2+3)
b) A 45 year old agricultural worker
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presented with a mass on the nasalbulbar conjunctiva which is
encroaching upon his cornea a) What
is the most likely diagnosis? b)How will
you manage this condition? c) What
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are the differential diagnosis for thiscondition
(1+3+2)
c) A 50 years old diabetic patient
presented with sudden painless loss of
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vision in the right eye for 1 day. Hehas a history of two similar episodes in
the past also a)What is the most likely
diagnosis. b) How will you manage this
condition? c)What are the differential
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diagnosis for a patient presenting withsudden painless decrease in vision
(1+3+2)
7. Write short note (any 3 out
of 4)
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(18)a) What are the various strategies
described by WHO for prevention of
trachoma infection and blindness?
b) What are the surgical treatments
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available for correcting myopia?c) What are the uses of Nd YAG laser
in ophthalmology?
d) How will you manage a patient
diagnosed with post operative
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endophthalmitis?8. Answer only in 2-3 sentences (any
5 out of 6)
(10)
a) Factors maintaining corneal
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transparencyb) Biometry
c) Causes of avoidable blindness in
India
d) Low vision aids
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e) Seclusion Pupillaef) Siderosis Bulbi