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Dr. Asif Ali Khan 2500 Points

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Dr. Asif Ali Khan 2500 Points 1 GOLDEN POINTS FROM CLINICAL SUBJECTS DR. ASIF ALI KHAN Email: [email protected] CLINICAL SUBJECTS HIGH YIELD POINTS INTERNAL MEDICINE, SURGERY, GYNAECOLOGY AND OBSTRITICS, PSYCHITORY, PEDIATRICS, ENT, OPTHOLMOLOGY AND DERMATOLOGY OPTHOLOMOLGY 1. Unilateral painful red eye + dilated avoid pupil » Diagnose: Acute Congestive Glaucoma » Investigation: Schoid Tonometery , slit lamp examination, Fundoscopy » medical Rx: - For decrease production -Timolol drop, oral Acetazolamide - For increase drainage -Pilocarpine drop, IV mannitol » Surgical Rx: Laser Iridotomy 2. Unilateral painful red eye + vision loss+ preexisting Autoimmune disease history + constricted pupil + Talbot sign +ve Anterior Uveitis 3. Bilateral red eyes Acute Conjunctivitis 4. unilateral painful red eye + whitish spots in cornea Acute Keratitis 5. unilateral painful red eye + dilated blood vessels that are moveable over sclera — Acute Episcleritis 6. unilateral painful red eye + dilated engorged blood vessels that are not moveable over sclera — Acute Scleritis 7. unilateral painless red eye + there is no loss of vision activity + no photophobia + no lacrimation — Sub- Conjunctival Haemorrhage 8. unilateral painless loss of vision + cherry red spots in macula — Central Retinal Artery Occlusion 9. unilateral painless loss of vision + stormy sunset appearance or angry looking retina — Central Retinal Vein Occlusion 10. unilateral painless loss of vision + curtain falling infront of eyes or clouds infront of my eyes + dull grey opaque retina that is balloning forward — Retinal Detachment 11. unilateral painless loss of vision + retina can’t be seen or there is absence of red reflex » Diagnose: Vitreous Haemorrhage » Rx: Vitrectomy + placement of vitreous gel 12. unilateral painful loss of vision + red desaturation + marcus gun pupil — Optic Neuritis 13. Gradual loss of B/L peripheral vision + temporal vision intact + optic disc cupping + tonometry shows raised IOP » Diagnose: Open Angle Glaucoma » Investigation: schoitz Tonometery , slit lamp examination, Fundoscopy » medical Rx: - For decrease production -Timolol drop, oral Acetazolamide 2 GOLDEN POINTS FROM CLINICAL SUBJECTS DR. ASIF ALI KHAN Email: [email protected] - For increase drainge -Pilocarpine drop, IV mannitol » Surgical Rx of choice: Trabeculotomy or Laser Tabeculoplasty 14. A 3 year old child + unilateral leucocoria — Retinoblastoma 15. Raised IOP since birth upto 2-4 years of age + tonometry shows raised IOP + enlarge eyeball, proptosis lacrimation, red eye, nystagmus » Diagnose: Buphthalmos » AKA: infantile/congenital glaucoma » Association: Neurofibromatosis, von reckling hausen syndrome and Struge-Weber-syndrome » Investigation: Slit lamp exam, schoitz tonometery » Surgical Rx: Goniotomy, Trabeculotomy, Trabeculectomy 16. old age + loss of central vision + degenerative pigments on fundoscopy » Diagnose: Senile Macular Degeneration » Rx is ineffective but Laser photocoagulation has tried 17. At puberty night blindness + later on total loss of vision+ fundoscopy shows deposition of blackish pigments — Retinitis Pigmentosa 18. Cataract is the most common cause of blindness in Pakistan 19. The thickest part of retina is — Fovea rim 20. Tear drainage is into lacrimal sac via— Canaliculus 21. The most common adverse effect of DM on eye is — Retinopathy 22. No accommodation Lesion at— Midbrain 23. 5 years old boy unilateral blindness tumor on CT with blue cells and which of the following gene involved — Retinoblastoma gene 24. Photoreceptors of retina carry — Decosahexaenoic acid 25. Optic disc is a vertical oval, with average diameter of — 1.5mm 26. Dilates the eye but doesn’t produce cycloplegic effect —Phenylephrine 27. Lens derived from — Surface ectoderm 28. Retinal pigment epithelium derived from Neuroectoderm 29. 1-year-old child source of oxygen for Atmosphere 30. German measles to mother in 5th month of pregnancy scenario effects on child — Congenital cataract 31. Regarding Trabecular meshwork — Greatest resistant at uveoscleral outflow (The trabecular meshwork is responsible for most of the outflow of aqueous humor.It has greatest resistance at uveoscleral outflow) 32. Most common congenital anomaly of lens — Ectopia lentis 33. Outermost layer of retina — Pigment epithelial layer 34. Scenario of eye surgery, occulocardiac reflex was activated. Which nerves were afferent n efferent — Trigeminal and vagus 35. Patient developed gradual loss of peripheral vision in 3 years. On examination he had bitemporal hemianopia — Pituitary adenoma 3 GOLDEN POINTS FROM CLINICAL SUBJECTS DR. ASIF ALI KHAN Email: [email protected] 36. Aqueous humor is produced by — Cilliary process 37. Ectopia lentis with dissecting aneurysm is seen in — Marfan syndrome 38. H/O cataract microphthalmia,iris and ciliary body anamolies are seen in — patau syndrome(Trisomy13) 39. In hypermetropic image is formed — Behind the retina 40. Lens needs continuous supply of — Aqueous and vitreous 41. Bruch"s membrane separates retina from — Choroid 42. Corneal transparency is maintained by intact — Endothelium 43. Drug increasing the IOP is — Ketamine 44. most common type of acquired cataract is senile cataract 45. Most common congenital cataract — Punctate cataract “AKA” Blue Dot cataract 46. Most common cataract in adults is — Cortical cataract 47. 70 yrs female diabetic. Difficulty in seeing distant objects. VA reduced in both eyes — Cataract 48. Boy with fracture arm after bout of fight with sister ( kuch is tarah tha) with Blue sclera — Osteogenesis imperfecta 49. Color Blindness due to — Cones defect 50. Early sign of Vitamin A deficient — Night blindness 51. Mother having measles, child at risk of — Cataract 52. Mother delivered a baby with cataract, cause — Measles 53. Most common visually significant congenital cataract Zonular or Lamellar cataract (MC type of congenital cataract associated with diminished vision) 54. Atropine is contraindicated in glaucoma 55. Most common complication of BRVO: Vitreous haemorrhage 56. Most common cause of unilateral proptosis in children: Orbital cellulitis 57. Most common cause of bilateral proptosis in children: Chloroma 58. Most common cause of unilateral & bilateral proptosis in adults: Thyroid ophthalmopathy 59. The first drug to be administered in a case of Acute acute angle closure glaucoma intravenous — Mannitol or oral Acetazolamide. 60. DOC for acute angle closure glaucoma is pilocarpine 61. Treatment of choice for acute angle closure glaucoma is Laser iridotomy 62. Most common complication of CRVO: Neovascular glaucoma 63. Neovascular glaucoma in CRVO is also called 100 day glaucoma 64. Most common cause of severe vision loss in diabetes: Vitreous Hemorrhage 65. Most common cause of vitreous haemorrhage in adult: Diabetes mellitus 66. Most common cause of vitreous haemorrhage in young adults: Trauma 67. The retina develop from neuro ectoderm 68. Most common cause of moderate vision loss in diabetes: Diabetic Maculopathy 69. Dendritic ulcers are pathogonomic of herpes simplex virus 4 GOLDEN POINTS FROM CLINICAL SUBJECTS DR. ASIF ALI KHAN Email: [email protected] 70. Steroids are contraindicated in dendritic ulcer 71. Nuclear cataract Associated with Rubella infection 72. Coronary cataract Develops at puberty 73. ICCE: (Intracapsular cataract extraction): Whole lens removed with intact capsule 74. ECCE: (Extracapsular cataract extraction): Lens removed, capsule left behind 75. Phecoemulsification: Whole lens removed with intact capsule 76. Phecoemulsification: Emulsifies lens nucleus and cortex by ultrasonic vibration 77. Most common intraocular malignancy in children: Retinoblastoma 78. Most common tumor of orbit/periorbitin children: Capillary hemangioma 79. Most common primary orbital malignancy in children Rhabdomyosarcoma 80. Most common cause of orbital metastasis in children: Neuroblastoma 81. Most common benign orbital tumor in adults: Cavernous hemangioma 82. Most common Eyelid tumor is: BCC 83. Most common tumor of lacrimal glands: Benign mixed tumor 84. Indirect ophthalmoscopy is the investigation of choice for retinal detachment 85. Diabetic retinopathy is the most common cause of blindness in adults aged 35–65 years old 86. Guanethidine is used in treatment of thyroid ophthalmopathy. 87. Test used for detection of Dry eye syndrome is Schirmer’s test 88. River blindness is due to Oncerchiasis volvolus, Transmitted by black fly, Mazotti test is helpful in diagnosis, Ivermectin is DOC 89. Commonest complication of topical steroids: Glaucoma 90. Rx Presbyopia — convex lenses 91. Rx Amblyopia — cover better eye 92. Rx Hypermetropia — convex lenses 93. Rx Myopia — concave lenses 94. Rx Trachoma — oral tetra or erythromycin 95. Repeated attacks of headache + Seeing haloes around light at night time + episode of blurred vision episode + increased IOP, Dark room test +ve — stage-ll angle closure glaucoma (intermittent stage) 96. sudden onset U/L Red Eye + painful vision loss + N&V, photophobia , headache lacrimation and Increase IOP, O/E; hazy cornea, Red/congested conjuctiva, shallow angle of ant, chamber + dilated pupil — Acute angle closure Glaucoma (Acute congestive Glaucoma) 97. persistent features of acute angle glaucoma + optic disc cupping on Retinoscopy — chronic angle closure glaucoma (chronic congestive Glaucoma) 98. Hypopyon — pus in anterior chamber , can be seen in anterior uveitis 99. DOC for anterior uveitis is steroid 100. Rx of anterior uveitis is — Hot fornentation + Atropine (pupillary dilator) + steroids + Abx if infectious & Rx underlying disease
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