Download MBBS 3rd Year WBUHS MBBS Ophthalmology 2023 April May Question Paper

The West Bengal University of Health Sciences

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

April-May 2023

--- Content provided by⁠ FirstRanker.com ---

Subject: Ophthalmology

Full Marks: 100

Time: 3 hours

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

1. a) A 45 year old female patient presents to the eye OPD with severe pain right eye along with gross dimness of vision, nausea and vomiting, shortly after watching a movie in a theatre. What may be the possible clinical diagnosis? How will you manage this case? Mention the differential diagnosis of a red eye. 3+6+6

--- Content provided by‌ FirstRanker.com ---

2. b) What is pupillary light reflex ? Briefly describe the pathway of pupillary light reflex with a schematic and labelled diagram. What are the drugs affecting pupillary light reflex? 3+7+5
3. a) Classify Uveitis in different ways. Write down the symptoms and signs of anterior uveitis. Discuss the management of nongranulomatous iridocyclitis. 2+5+3
4. b) What is myopia? Classify myopia. Write down the signs and symptoms of pathological myopia. 2+3+5
5. c) Name the structures forming the angle of the anterior chamber. Draw a neat labelled diagram of the angle of the anterior chamber. Name two pathological features at the angle and two abnormal contents of anterior chamber. How do you examine the structures of the angle of anterior chamber? 3+3+2+2
6. Write short notes on the following: 2 x 5
   1. How will you counsel the family members of a dead person for eye donation in your hospital under hospital cornea retrieval programme.

   --- Content provided by FirstRanker.com ---

   2. Difference between paralytic and non-paralytic squints.
7. Explain the following statements: 5 x 4
   1. In small children atropine should be applied in ointment form.
   2. Pterygium can recur after simple excision.
   3. Genetic counseling is important in retinoblastoma.

   --- Content provided by​ FirstRanker.com ---

   4. Dilated fundoscopy is done for evaluation of cataract.
   5. Corneal edema can develop following endothelial damage.
8. Choose the correct option for each of the following: 10x1
   1. Distichiasis is
      1. Misdirected eyelashes
      2. Accessory row of eye lashes

      --- Content provided by‌ FirstRanker.com ---

      3. Downward drooping of upper lid
      4. Outward protrusion of lower lid
   2. Dense scar of cornea with iris incarceration is known as:
      1. Dense leucoma
      2. Adherent leucoma

      --- Content provided by​ FirstRanker.com ---

      3. Ciliary staphyloma
      4. Iris bombe.
   3. Ptosis in horner's syndrome is due to paralysis of:
      1. Riolan's muscle
      2. Horner's muscle

      --- Content provided by‌ FirstRanker.com ---

      3. Miller's muscle
      4. Orbicularis oculi muscle
   4. Phacolytic glaucoma is best treated by:
      1. Trabeculectomy
      2. Cataract extraction

      --- Content provided by‌ FirstRanker.com ---

      3. Miotics and beta blocker
      4. Cyclo destructive procedure
   5. Drug of choice in uncomplicated acute bacterial keratitis is:
      1. Prednisolone eye drop
      2. Moxifloxacin eye drop

      --- Content provided by‌ FirstRanker.com ---

      3. Pilocarpine eye drop
      4. Natamycin eye drop
   6. Where the oldest protein of lens located?
      1. In the nucleus
      2. In the cortex

      --- Content provided by⁠ FirstRanker.com ---

      3. At the equator
      4. In the subcapsular region
   7. An orbital floor fracture is suspected in a 23 year old patient examined in the emergency department following trauma. What imaging modality is best suited to evaluate the orbit in this case?
      1. Ultrasound biomicroscopy
      2. MRI

      --- Content provided by‌ FirstRanker.com ---

      3. CT scan
      4. Optical coherence tomography
   8. Amblyopia to be treated by
      1. Prednisolone eye drop
      2. Optical correction

      --- Content provided by‌ FirstRanker.com ---

      3. Colour vision glasses
      4. Ocular massage
   9. Periphery of retina is best visualized by
      1. Direct Ophthalmoscope
      2. Indirect Ophthalmoscope

      --- Content provided by FirstRanker.com ---

      3. Retinoscopy
      4. USG
   10. Complete Oculomotor nerve palsy is characterized by
       1. Incomplete ptosis with restricted all eye movements
       2. Complete ptosis with down and out eyeball

       --- Content provided by⁠ FirstRanker.com ---

       3. Complete ptosis with straight eyeball
       4. Complete ptosis with upward and inward eyeball

FirstRanker.com

--- Content provided by‌ FirstRanker.com ---