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Physio: 6# Eye & Retina

Q1. The greatest refraction of light in the eye occurs at the:

Lens–vitreous interface
Aqueous humor
Air–cornea interface
Posterior lens surface
Explanation:
Most refraction occurs at the air–cornea interface due to the largest change in refractive index.

Q2. If the eye is considered a single optical system, its total refractive power is approximately:

+40 D
+59 D
+34 D
+70 D
Explanation:
Refractive power ≈ 1 / 0.017 m ≈ +59 diopters.

Q3. Myopia is best corrected by concave lenses because they:

Diverge light rays
Increase axial length
Increase refractive power
Increase corneal curvature
Explanation:
Concave lenses diverge light rays, moving the image from in front of the retina onto it.

Q4. Astigmatism occurs due to:

Weak lens power
Long eyeball
Short eyeball
Uneven corneal curvature
Explanation:
Astigmatism is caused by non-uniform curvature of the cornea causing unequal refraction in different planes.

Q5. During accommodation, increased refractive power of the lens occurs because:

Suspensory ligaments tighten
Lens becomes more convex
Ciliary muscles relax
Pupil dilates
Explanation:
Contraction of ciliary muscles releases ligament tension, making the lens more convex.

Q6. The parasympathetic fibers mediating accommodation originate from:

Superior cervical ganglion
Lateral geniculate body
Edinger–Westphal nucleus
Oculomotor nucleus proper
Explanation:
Preganglionic PSNS fibers arise from the Edinger–Westphal nucleus.

Q7. Presbyopia develops mainly due to:

Loss of lens elasticity
Weak ciliary muscle contraction
Increased axial length
Corneal flattening
Explanation:
Age-related lens hardening and reduced capsule elasticity reduce accommodation.

Q8. A 30-fold change in light entry into the eye is mainly due to:

Lens curvature
Retinal adaptation
Blinking
Change in pupil diameter
Explanation:
Light entry ∝ (pupil diameter)²; 1.5² vs 8² gives ~30-fold difference.

Q9. The sphincter pupillae muscle is supplied by:

Sympathetic fibers
Parasympathetic fibers
Somatic motor fibers
Optic nerve
Explanation:
Parasympathetic stimulation causes pupil constriction (miosis).

Q10. Aqueous humor is primarily drained through:

Uveal tract
Ciliary veins
Trabecular meshwork → Schlemm canal
Choroid plexus
Explanation:
Aqueous humor drains via trabeculae into Schlemm canal then venous circulation.

Q11. Normal mean intraocular pressure (IOP) is approximately:

15 mmHg
5 mmHg
25 mmHg
40 mmHg
Explanation:
Mean IOP is ~15 mmHg; elevation causes glaucoma.

Q12. The most common cause of irreversible blindness worldwide mentioned is:

Cataract
Macular degeneration
Diabetic retinopathy
Glaucoma
Explanation:
Increased IOP in glaucoma damages retina and optic nerve.

Q13. The fovea centralis contains:

Only rods
Only cones
Equal rods and cones
No photoreceptors
Explanation:
Fovea centralis has cones only, giving highest visual acuity.

Q14. High visual acuity at the fovea is due to all EXCEPT:

High cone density
Absence of blood vessels
High rod density
Low cone–ganglion ratio
Explanation:
Fovea has few rods; cones dominate.

Q15. Inner two-thirds of the retina is supplied by:

Central retinal artery
Posterior ciliary arteries
Choroidal vessels only
Venous diffusion
Explanation:
Outer third is supplied by choroid; inner two-thirds by central retinal artery.

Q16. Horizontal cells primarily function to:

Transmit color
Transmit motion
Excite bipolar cells
Enhance contrast
Explanation:
Horizontal cells inhibit bipolar cells and enhance edge contrast.

Q17. Rods differ from cones by having:

Higher visual acuity
Higher sensitivity to light
Color discrimination
Low receptor–ganglion ratio
Explanation:
Rods are highly sensitive and mediate night vision.

Q18. Rod signals reach ganglion cells through:

Direct bipolar pathway
Horizontal cells
Amacrine cells
Interplexiform cells
Explanation:
Rods → bipolar → amacrine → ganglion.

Q19. The photopigment of rods is:

Rhodopsin
Photopsin
Melanopsin
Iodopsin
Explanation:
Rhodopsin consists of scotopsin + 11-cis-retinal.

Q20. Vision involves conversion of light energy into neural signals by:

Refractive adaptation
Neural summation
Electrical coupling
Phototransduction
Explanation:
Phototransduction converts light energy into electrical signals.