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Medicine 1# Eye Diseases
1. Hordeolum is best described as:
Acute infectious inflammation of the eyelid
Chronic non-infectious eyelid swelling
Benign conjunctival growth
Allergic eyelid reaction
Explanation:
Hordeolum is an acute infection of the eyelid characterized by pain, redness, hotness, and pus. :contentReference[oaicite:0]{index=0}
2. An external hordeolum (stye) affects the:
Meibomian glands
Eyelash follicles
Lacrimal gland
Conjunctiva
Explanation:
External hordeolum involves infection of the eyelash follicles. :contentReference[oaicite:1]{index=1}
3. The recommended treatment for hordeolum is:
Topical steroids only
No treatment is needed
Systemic antibiotics
Incision and curettage immediately
Explanation:
Hordeolum is treated with systemic antibiotics such as amoxicillin-clavulanic acid. :contentReference[oaicite:2]{index=2}
4. Which feature differentiates chalazion from hordeolum?
Swelling
Pus collection
Eyelid involvement
Absence of pain and redness
Explanation:
Chalazion is a chronic, non-infectious condition with no pain, redness, or tenderness. :contentReference[oaicite:3]{index=3}
5. Chalazion results from obstruction of which gland?
Meibomian gland
Lacrimal gland
Sweat gland
Sebaceous gland of eyebrow
Explanation:
Chalazion is caused by obstruction of the meibomian (sebaceous) gland of the eyelid. :contentReference[oaicite:4]{index=4}
6. The most common cause of viral conjunctivitis is:
HSV
Adenovirus
Staphylococcus aureus
Chlamydia
Explanation:
Viral conjunctivitis is most commonly caused by adenovirus and is highly contagious. :contentReference[oaicite:5]{index=5}
7. A key clinical feature of viral conjunctivitis is:
Purulent discharge
Severe pain
Preauricular lymphadenopathy
Unilateral involvement only
Explanation:
Viral conjunctivitis may present with preauricular lymphadenopathy and follicular reaction. :contentReference[oaicite:6]{index=6}
8. The most important symptom of allergic conjunctivitis is:
Pain
Photophobia
Discharge
Itching
Explanation:
Itching is the hallmark symptom of allergic conjunctivitis. :contentReference[oaicite:7]{index=7}
9. Pterygium is best described as:
Benign conjunctival growth extending onto cornea
Malignant corneal tumor
Acute corneal infection
Inflammation of the iris
Explanation:
Pterygium is a benign conjunctival growth that may extend toward the cornea. :contentReference[oaicite:8]{index=8}
10. A major risk factor for pterygium is:
Diabetes
Sun exposure
Smoking
Contact lens use
Explanation:
Pterygium is strongly associated with chronic sun exposure. :contentReference[oaicite:9]{index=9}
11. Keratoconus occurs due to:
Increased intraocular pressure
Corneal infection
Weakness of corneal collagen
Lens degeneration
Explanation:
Keratoconus results from weakness in corneal collagen causing corneal bulging. :contentReference[oaicite:10]{index=10}
12. Munson’s sign is seen in:
Cataract
Glaucoma
Uveitis
Keratoconus
Explanation:
Munson’s sign (V-shaped corneal indentation on downgaze) is characteristic of keratoconus. :contentReference[oaicite:11]{index=11}
13. The most important risk factor for bacterial keratitis is:
Contact lens use
Diabetes
Old age
Dry eye alone
Explanation:
Contact lens use is the most important risk factor for bacterial keratitis. :contentReference[oaicite:12]{index=12}
14. Hypopyon refers to:
Blood in the vitreous
Pus in the anterior chamber
Lens opacity
Corneal thinning
Explanation:
Hypopyon is pus collection in the lower part of the anterior chamber. :contentReference[oaicite:13]{index=13}
15. Dendritic keratitis is most commonly caused by:
Adenovirus
Bacteria
HSV-1
Fungal infection
Explanation:
Dendritic keratitis is most commonly caused by HSV-1. :contentReference[oaicite:14]{index=14}
16. First-line treatment for anterior uveitis is:
Antibiotics
Antivirals
Systemic chemotherapy
Topical steroid eye drops
Explanation:
Anterior uveitis is treated with topical steroid eye drops. :contentReference[oaicite:15]{index=15}
17. Leukocoria in children is a sign of:
Cataract
Glaucoma
Conjunctivitis
Uveitis
Explanation:
Leukocoria (white pupil) is a sign of cataract in children. :contentReference[oaicite:16]{index=16}
18. Glaucoma primarily causes:
Central vision loss first
Peripheral visual field loss
Color vision defects
Night blindness
Explanation:
Glaucoma damages the optic nerve causing peripheral visual field defects. :contentReference[oaicite:17]{index=17}
19. The most common cause of vision loss in adults aged 30–60 years is:
Glaucoma
AMD
Diabetic retinopathy
Cataract
Explanation:
Diabetic retinopathy is the most common cause of vision loss in this age group. :contentReference[oaicite:18]{index=18}
20. Age-related macular degeneration is treated primarily with:
Laser PRP
Topical steroids
Systemic antibiotics
Intravitreal anti-VEGF injections
Explanation:
AMD is treated with intravitreal injections of anti-VEGF agents. :contentReference[oaicite:19]{index=19}