Multiple Choice Questions (MCQ)

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Category: Prometric--->Ophthalmology
Page: 5

Question 21# Print Question

A 68-year-old man with a history of type 2 diabetes mellitus presents with worsening eye sight. Mydriatic drops are applied and fundoscopy reveals pre-proliferative diabetic retinopathy. A referral to ophthalmology is made. Later in the evening whilst driving home he develops pain in his left eye associated with decreased visual acuity.

What is the most likely diagnosis?

A. Keratitis secondary to mydriatic drops
B. Proliferative diabetic retinopathy
C. Acute angle closure glaucoma
D. Central retinal artery occlusion
E. Vitreous haemorrhage

Question 22# Print Question

A 71-year-old with a history of type 2 diabetes mellitus and hypertension presents due to the sensation of light flashes in his right eye. These symptoms have been present for the past 2 days and seem to occur more at the peripheral part of vision. There is no redness or pain in the affected eye. Corrected visual acuity is measured as 6/9 in both eyes.

What is the most likely diagnosis?

A. Change in shape of eye secondary to variations in blood sugar
B. Primary open angle glaucoma
C. Vitreous detachment
D. Normal phenomenon in diabetic retinopathy
E. Normal phenomenon in healthy eyes

Question 23# Print Question

A 67-year-old man presents as he has developed a painful blistering rash around his right eye. On examination a vesicular rash covering the right trigeminal nerve dermatome is seen. Currently he has no eye symptoms or signs.

Which one of the following is most likely to predict future eye involvement?

A. Presence of the rash on the tip of his nose
B. Smoking history
C. Increasing age
D. Previous courses of corticosteroids
E. Presence of the rash in the ear canal

Question 24# Print Question

Each one of the following is a cause of a mydriatic pupil, except:

A. Third nerve palsy
B. Atropine
C. Holmes-Adie pupil
D. Argyll-Robertson pupil
E. Traumatic iridoplegia

Question 25# Print Question

A 45-year-old woman with Graves' disease comes for review. She has recently been diagnosed with thyroid eye disease and is being considered for radiotherapy. Over the past three days her right eye has become red and painful. On examination there is proptosis and erythema of the right eye. Visual acuity is 6/9 in both eyes.

What complication is she most likely to have developed?

A. Exposure keratopathy
B. Optic neuropathy
C. Carbimazole-related neutropenia
D. Central retinal vein occlusion
E. Sjogren's Syndrome

Category: Prometric--->Ophthalmology
Page: 5 of 5