UHS 4TH YEAR MBBS EYE (OPTHALMOLOGY) ANNUAL PAPER 2017

Ophthalmology

Short Essay Questions

Maximum Marks: 45                                                               Time Allowed: 2 Hours

Attempt all Questions

1. A 30 year old man of low socioeconomic group presents with in turned lashes of the upper lid. Lid evasion shows a significant white horizontal line involving the conjunctiva and tarsal plate.
2. a) What is the most probable diagnosis?                                                   01
3. b) Give the most recent staging of this disease used globally.                 02
4. c) Enumerate the treatment strategies in this condition.                           02
5. A 30 year old male diabetic presents with sudden onset deviation of the face to right side and inability to close the lids on the left side. He later presents with a painful red eye and whitening of the inferior cornea.
6. a) What is the most probable diagnosis?                                                   01
7. b) Enumerate the clinical features of the disease?                                    02
8. c) How will you manage this condition.                                                   02
9. A 30 year old insulin dependent diabetic presents with new vessels at the disc in the right eye. He also has multiple hard exudates at the macula. Hi visual acuity is 6/60 in that eye.
10. a) What is the most probable diagnosis?                                                   01
11. b) What is the pathogenesis of this condition?                                         02
12. c) Give at least 4 risk factors which aggravate this condition?                02
13. A 45 year old female is on heavy dose of a steroids for her acute kidney disease. She reports in emergency with 3 days history of painful swelling in the left eye on temporal sclera followed by sudden severe swelling of the orbit, lid closure and inability to move the eyeball in any direction.
14. a) Give most likely diagnosis.                                                                   01
15. b) Give THREE relevant investigations.                                                  5
16. c) How it will be treated. What are the complications?                           5
17. A 30 year old patient got acid burn of her right lower lid 5 months ago. Now she presents with epiphora and pulling of her lower lid downward.
18. a) What is the most probable diagnosis?                                                   01
19. b) Give the classification of this condition.                                              02
20. c) How will you treat this patient?                                                           02
21. A 5 year old child is found to have 6/6 vision in the right eye and 6/24 in the left eye on routine school eye examination. His anterior and posterior segment examination is normal. His eyes are straight on Hirschberg test.
22. a) What is the most probable diagnosis?                                                   01
23. b) Give the classification of this condition.                                              02
24. c) How ill you manage this patient?                                                         02
25. An elderly gentleman presents to you with the history of gradual and painless reduction in vision for the past 6 months. His best corrected visual acuity in the right eye is 6/60 and in the left eye is 6/12. He complains of further reduction of vision in bright light.

(a)        What is your diagnosis?                                                                        01

(b)        Enlist the investigations that you would like to perform.                     02

(c)        What are the treatment options?                                                           02

8. A 30 year old patient with headache for one month presents with intermittent obscuration of his vision. His visual acuity is 6/6 in both eyes and fundus examination shows swelling of the optic disc of both sides. No intracranial pathology has been found on investigation.

(a)        What is the most probable diagnosis of this patient?                           01

(b)        What will be result on visual field examination in early and late stages of this condition?   02

(c)        What investigations will you perform in this case?                              02

9. Write briefly:

(a)        Retinoblastoma                                                                                    2.5

(b)        Rhegmatogenous retinal detachment 2.5

UHS 4TH YEAR MBBS EYE (OPTHALMOLOGY) ANNUAL PAPER 2017