I am posting the PGI June Ophthalmology questions that I have managed to collect

Dear students,
I am posting the PGI June Ophthalmology questions that I have managed to collect.But since the questions were lengthy, many options could not be properly recalled by students.Thus some discrepancies are bound to be there.Still, it will give us some idea about the kind of questions being asked. I have also put down the answers with short explanations wherever needed.

Question 1
Not true about posterior blepharitis is/are:

  • 1.Associated with rosacea
  • 2.May cause dry eye
  • 3.Leads to Meibomian gland dysfunction
  • 4.Expression of sticky material on pressing the lids
  • 5.Incision and currettage is done

0 voters

Answer:5

Question 2
Which of the following results in decreased corneal sensation?

  • 1.Herpes Zoster Ophthalmicus
  • 2.Herpes simplex keratitis
  • 3.Acanthamoeba keratitis
  • 4.Bacterial keratitis
  • 5.Fungal keratitis

0 voters

Answer: 1,2

Question 3
Lacrimal gland receives its parasympathetic secretomotor nerve supply from

  • 1.Zygomatic nerve
  • 2.Trigeminal nerve
  • 3.Greater petrosal nerve
  • 4.Lesser petrosal nerve
  • 5.Abducens nerve

0 voters

Answer: This is actually a tough one.
The parasympathetic fibres are carried by the greater petrosal nerve which is a branch of the facial nerve, then by the nerve of pterygoid canal to the pterygopalatine ganglion…The post ganglionic fibres are carried by the zygomatic nerve and then the lacrimal nerve to reach the lacrimal gland. So 1 and 3.
However, it can be argued that zygomatic nerve( branch of maxillary nerve) and lacrimal nerve( branch of ophythalmic nerve) are also indirectly branches of Trigeminal nerve.But I would not mark 2

Question 4
Surgery for management of congenital ptosis is/ are

  • 1.Fasanella Servat operation
  • 2.Frontalis sling surgery
  • 3.Levator resection/ Everbusch’s operation
  • 4.Levator excision
  • 5.Blepharoplasty

0 voters

Answer: Levator resection and Frontalis sling are done for congenital ptosis
Fasanella Servat is done for mild ptosis , seen in Horner’s syndrome.
Levator excision combined with Frontalis sling is done for Marcus Gunn jaw- winking phenomenon.

Question 5
Ocular features of the condition shown in the photograph include:(Fig 1)

  • 1.Pupillary miosis
  • 2.Papilloedema
  • 3.Proptosis
  • 4.Chemosis
  • 5.Lateral rectus palsy

0 voters

Answer: Empty delta sign seen in the given radiograph is a feature of dural venous sinus thrombosis.Ocular features are 2 3,4,5.
Pupillary miosis is incorrect.If at all, mydriasis may occur due to 3rd nerve involvement if thrombosis extends to Cavernous sinus

Question 6
Features of rhegmatogenous retinal detachment are:

  • 1.Sudden loss of vision
  • 2.Floaters may be a preceeding feature
  • 3.Straight lines appear distorted or wavy
  • 4.Black curtain like peripheral vision loss
  • 5.Associated with pain on ocular movements

0 voters

Answer: 1,2,4 are correct
Straight lines appearing wavy is a feature of macular disease like say ARMD
Pain is generally absent in rhegmatogenous RD

Question 7
The defect in the photograph is caused by lesion in( Fig 2)

  • 1.Right optic nerve
  • 2.Left optic tract
  • 3.Right optic tract
  • 4.Left optic nerve
  • 5.Optic chiasma

0 voters

Answer is 2.This is right homonymous hemianopia seen in left optic tract lesion

Question 8
Which of the following are used in the management of ocular chemical injuries?

  • 1.Ascorbic acid
  • 2.Doxycycline
  • 3.Acetic acid
  • 4.Corticosteroids
  • 5.Platelet rich plasma

0 voters

Answer: 1,2,4,5 are used in treatment of chemical injuries

Question 9
Flow of aqueous humour takes places through which of the following structures

  • 1.Vitreous cavity
  • 2.Schlemm’s canal
  • 3.Anterior chamber
  • 4.Posterior chamber
  • 5.Episcleral veins

0 voters

Answer: 2,3,4,5

Question 10
Which of these tests is/ are used for colour vision testing

  • 1.Pelli Robson chart
  • 2.Ishihara chart
  • 3.Naegel’s animaloscope
  • 4.Lantern test
  • 5.Holmgren’s wool test

0 voters

Answer: 2,3,4,5

Question 11
Benign intracranial hypertension/ Pseudotumour cerebri is not caused by

  • 1.Hypervitaminosis D
  • 2.Hypervitaminosis A
  • 3.Hypovitaminosis A
  • 4.Hypovitaminosis D
  • 5.Turner syndrome

0 voters

Answer: Hypervitaminosis D is the only one in the given options not directly associated with BIH