Solve Ophthalmology AIIMS 2018 Total Questions: 19 1. A 5-year-old boy was brought with the complaints of protrusion of the right eye with no h/o fever. CT Scan showed a well- defined mass in the orbit with an irregular border and adjacent bony destruction. Biopsy showed small, round cells which were positive for Desmin in Immunohistochemistry. What is the probable diagnosis? Cavernous Hemangioma Retinoblastoma Rhabdomyosarcoma Orbital Cellulitis None 2. A 65-year-old female patient with a history of chronic arthritis on treatment came with complaints of defective vision in both eyes. On examination, vision in RE = 6/12, LE = 6/18, IOP = 18 mmHg in both eyes, the anterior segment was normal, fundus examination and fundus fluorescein angiography (FFA) findings given in the figure. What is the probable diagnosis? Steroid-induced glaucoma Macular edema Chloroquine toxicity Choroiditis None 3. A 30-year-old man presents with a history of injury to the eye caused by a leaf 5 days ago, resulting in pain, photophobia, and redness of the eye for 2 days. What would be the most likely pathology? Corneal laceration Fungal corneal ulcer Conjunctivitis Anterior uveitis None 4. All of the following are true about oculomotor nerve palsy except Mid-dilated pupil Loss of light reflex Lateral and upward gaze Ptosis None 5. What is the angle subtended by the largest alphabet on the Snellen's chart at 60m distance? 10 30 50 5 None 6. The center for vertical gaze is Raphe Nuclues Nucleus of Perlia Rostral Interstitial Nucleus of Cajal Pontine Paramedian Reticular Formation None 7. Identify the marked layer of the retina. Inner plexiform layer External limiting layer Outer plexiform layer Internal limiting layer None 8. You can use a stenopaeic slit for all of the following except Fincham's test Optical Iridectomy Corneal tattooing To find out the axis in astigmatism None 9. The spectacles shown in the image are not used for the management of which of the following? Aphakia Presbyopia Hypermetropia Pseudophakia None 10. Which of the following is the site of lesion in internuclear ophthalmoplegia? Pontine paramedian reticular formation Medial Longitudinal Fasciculus 6th Nerve nucleus A & C None 11. A 6-year-old girl is admitted for evaluation for recurrent seizures. She has a large port-wine stain on the right side of her face as shown below. The MRI of the head shows a leptomeningeal angioma. What is the most common ocular manifestation of the underlying condition? Keratitis Retinitis pigmentosa Glaucoma Uveitis None 12. A 57-year-old male patient came to OPD with the complaints of glare during night drives. He had undergone cataract surgery 1 year back. The best-corrected visual acuity is RE = 6/12 and LE = 6/9. No improvement with pinhole. What is the probable diagnosis? ARMD Posterior capsular opacification Pseudophakic bullous keratopathy Cystoid macular edema None 13. The child in the picture has large corneas, photophobia, and lacrimation. What is the likely diagnosis? Congenital hereditary endothelial dystrophy Retinoblastoma Congenital glaucoma Megalocornea None 14. Identify the lesion in the histopathological image of retina. Hard exudates Drusen Cotton wool spots Macular Edema None 15. The following image indicates: Lateral rectus palsy Trochlear nerve palsy Occulomotor palsy Internuclear ophthalmoplegia None 16. Identify the picture Cystoid Macular Edema Age related Macular degeneration Smoke stack pattern Macular Hole None 17. A 26-year-old female patient presents with 6/60 visual acuity in one eye and 6/18 in the other eye. She has recurrent episodes of diminution of vision which recovers on treatment with steroids. She also has a history of transverse myelitis. What is the most probable diagnosis? Subacute combined degeneration Hereditary spastic quadriplegia Multiple sclerosis Neuromyelitis optica None 18. What is the adjuvant therapy in fungal corneal ulcer? Pilocarpine e/d Dexamethasone e/d Atropine Sulfate eye ointment Lignocaine e/d None 19. All are ocular manifestations of dengue except Cataract Uveitis Retinal hemorrhage Subconjunctival hemorrhage None 1 out of 19 Time's up
