KALOJI NARAYANA RAO UNIVERSITY OF HEALTH SCIENCES
TELANGANA STATE, WARANGAL ? 506 002
MBBS FINAL YEAR PART-I DEGREE EXAMINATIONS: NOVEMBER,2025
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OPHTHALMOLOGYTime: 3 Hours
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Max Marks: 100
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Note: Answer all questionsGive Diagrammatic representation wherever necessary
Multiple Choice Questions: 10 X 1 = 10
1. Following all are tests for contrast sensitivity except
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a) Visitech chartb) Functional Acuity contrast
test (FACT)
c) Pelli Roboson Contest sensitivity
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d) Visual Evokedchart
Potential(VEP)
2. A 24 year old lady presents with a red eye. There is no discharge. The
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redness is located in the temporal quadrant of the bulbar conjunctiva. There
is slight discomfort; the vision is normal. There is no other medical history,
one of the following is true:
a) The most likely diagnosis is
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b) The most likely diagnosis isbacterial conjunctivitis
keratoconus
c) The most likely diagnosis is
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d) The most likely diagnosis isepiscleritis
scleritis
3. Symptoms of congenital glaucoma include of the following, except:
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a) Increased corneal diameter
b) A red eye
c) Splits in Descemet's membrane
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d) Cloudiness of the cornea4. A patient presents to casualty with a painful red eye and a cloudy cornea,
the emergency doctor suspects the patient has acute glaucoma. One of the
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following is false:a) He should arrange for him to be seen b) Treatment is initially with
in the eye clinic in a week
intravenous acetazolamide
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and pilocarpine eye dropsc) A laser iridotomy should be
d) The condition may be
performed
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caused by a block to theflow of aqueous through the
pupil
5. A patient is found by his ophthalmologist to have an arcuate visual field
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defect, an enlarged optic cup and raised intra ocular pressure. One of thefollowing is true:
a) The most likely diagnosis is acute
b) The most likely diagnosis is
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glaucomachronic open angle
glaucoma
c) Treatment is with intravenous
d) Treatment is confined to
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acetazolamide
topical therapy
6. All the following regarding the pupils are true, except:
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a) The term miosis means a constricted b) Anisocoria means that thepupil
pupils differ in size
c) Damage to oculomotor
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d) A relative afferent pupillaryparasympathetic fibers causes miosis
defect indicates optic nerve
disease
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7. A 55-year-old woman presents with small ptosis, miosis on the same side.
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She is a smoker, The likely diagnosis is:a) Myasthenia gravis
b) Marcus-Gunn syndrome
c) Horner's syndrome
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d) Third nerve palsy8. A 16-year-old boy presents with swollen eyelids, a red eye, proptosis,
severe eye pain and tenderness and a pyrexia. The vision has become very
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blurred and colour vision is reduced. Which statement is false?a) Orbital cellulitis
b) A relative afferent pupillary
defect may be present
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c) No investigations are necessaryd) Urgent orbital compression
is indicated
9. Which of the following is the main cause of blindness in children
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worldwide?
a) Glaucoma
b) Cataracts
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c) Protein deficiencyd) Vitamin A deficiency
10. Regarding trabeculectomy surgery, one of the following is false:
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a) May be complicated by intraocularb) Is associated with
infection
accelerated cataract
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developmentc) Reverses damage to the optic disc
d) Success of surgery may be
caused by glaucoma
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improved by usingantimetabolites
Essay/ Long Answer Questions:
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2 X 15 = 30
11. Describe etiopathogenesis, clinical features and management of Fungal Corneal
Ulcer.
12. Define and classify Retinal Detachment. Describe etiology, clinical features and
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management of Rhegmatogenous Retinal Detachment.Short Answer Questions:
7 X 6 = 42
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13. Explain Fundus finding in pathological Myopia,add a note on management.14. Vernal Kerato-conjunctivitis.
15. Etiology, clinical features and management of Traumatic Cataract.
16. Discuss the etiology, clinical features and management of Optic Neuritis.
17. Clinical features and management of Acute Iridocyclitis.
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18. Describe etiopathogenesis, clinical features and management of Buphthalmos.19. WHO classification of Vitamin A Deficiency.
Very Short Answer Questions:
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6 X 3 = 1820. Mention causes of Leukocoria.
21. Clinical signs of Trachoma.
22. Enumerate types of Intraocular Lens.
23. Mention causes of gradual painless loss of vision.
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24. Mention causes of cherry red spot.25. Structure of the precorneal tear film.
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