Multiple Choice Questions on disease of conjunctiva

 Multiple Choice Questions

DISEASE OF CONJUNCTIVA

1. Epidemics of conjunctivitis are known to occur with:

A. Bacterial infections

B. Viral infections

C. None of the above 

D. Both of the above

2. Most common bacteria associated with conjunctivitis is:

A. Staphylococcus aureus

B. Streptococcus pneumoniae

C. Haemophilus influenzae

D. Neisseria gonorrhoea

3. Preauricular lymph nodes may be enlarged in all except: 

A. Bacterial conjunctivitis

B. Viral conjunctivitis

C. Allergic conjunctivitis

D. Chlamydial conjunctivitis

4. Commonest causative organism for angular conjunctivitis is:

A. Moraxella axenfield

B. Klebsiella pneumoniae

C. Haemophilus influenzae

D. None of the above

5. Form the normal bacterial flora of the conjunctiva:

A. Corynebacterium xerosis 

B. E. Coli 

C. Streptococci

D. All of the above

6. Pathognomic features of trachoma follicle are:

A. Presence of Leber’s cells

B. Areas of necrosis 

C. Both of the above 

D. None of the above

7. Trachoma inclusion bodies in conjunctival smear are detected by:

A. Giemsa stain

B. Iodine stain

C. Immunofluorescent staining 

D. All of the above

8. Swimming pool conjunctivitis is caused by:

A. Chlamydia trachomatis

B. Adenovirus type 8

C. Picorna virus

D. Gonococcus

9. Acute haemorrhagic conjunctivitis is caused by:

A. Entero virus

B. Adeno virus 

C. Pseudomonas

D. Streptococcus haemolyticus

10. Occur in epidemics:

A. Entero virus conjunctivitis

B. Staphylococcal conjunctivitis

C. Adeno virus conjunctivitis

D. All of the above 

E. None of the above

11. Ophthalmia neonatorum is:

A. Inflammation of the conjunctiva occurring in an infant less than 30 days old

B. Any discharge/watering from the eye in first week of life

C. Always caused by gonococci 

D. All of the above

12. Incubation period of gonococcal ophthalmia neonatorum is:

A. 24 hours

B. 5-7 days

C. 7-10 days

D. None of the above

13. Intense itching is pathognomic feature of:

A. Spring catarrh

B. Trachoma

C. Follicular conjunctivitis

D. Angular conjunctivitis

E. All of the above

14. Spring catarrh may be associated with:

A. Anterior subcapsular cataract

B. Keratoconus

C. Interstitial keratitis

D. All of the above

15. Associations of atopic keratoconjunctivitis include all except:

A. Keratoconus

B. Atopic cataract

C. Atopic dermatitis

D. Interstitial keratitis

16. Giant papillary conjunctivitis occurs as an allergic response to all except:

A. Contact lens

B. Intraocular lens

C. Prosthesis

D. Nylon sutures

17. All are true about phlyctenular conjunctivitis except:

A. It is type-IV cell mediated hypersensitivity

B. Allergens are endogenous as well as exogenous

C. Incidence is higher in girls than boys

D. Nodular lesion usually occurs near the limbus

18. Ophthalmia nodosa occurs due to:

A. Leprotic conjunctivitis

B. Syphilitic conjunctivitis

C. Sarcoidosis conjunctivitis

D. Irritation by hair of caterpillar

E. All of the above

19. All are known to cause conjunctival xerosis except:

A. Trachoma

B. Membranous conjunctivitis

C. Angular conjunctivitis

D. Ocular pemphigoid

20. All are known to produce parenchymatous conjunctival xerosis except:

A. Vitamin A deficiency

B. Diphtheric membranous conjunctivitis

C. Trachoma

D. Stevens-Johnson syndrome

21. Goldenhar syndrome is associated with which prominent ocular manifestation:

A. Microcornea

B. Megalocornea

C. Sclerocornea

D. Epibulbar dermoids

22. Follicle formation may be seen in all of the following except:

A. Trachoma

B. Vernal keratoconjunctivitis

C. Inclusion conjunctivitis

D. Epidemic keratoconjunctivitis

23. Acute haemorrhagic conjunctivitis is seen with:

A. Adenovirus

B. Staphylococcus 

C. Pneumococcus 

D. Haemophilus

24. Pseudomembranous conjunctivitis is caused by:

A. Gonococcus

B. Staphylococcus

C. Streptococcus

D. Keratoconjunctivitis sicca

25. Conjunctivitis in newborn is commonly caused by:

A. Streptococcus

B. Gonococcus

C. Pseudomonas

D. Chlamydia

26. Unilateral conjunctivitis is commonly seen in:

A. Blepharitis

B. Vernal conjunctivitis 

C. Dacryocystitis

D. Trachoma

27. Ligneous conjunctivitis is caused by:

A. Purulent conjunctivitis

B. Membranous conjunctivitis

C. Angular conjunctivitis

D. Phlyctenular conjunctivitis

E. Any of the above

28. Horner Tranta’s spots are seen in:

A. Vernal conjunctivitis

B. Phylectenular conjunctivitis

C. Angular conjunctivitis

D. Follicular conjunctivitis

29. H.P. inclusion bodies in trachoma are seen to be:

A. Extracellular

B. Intracytoplasmic

C. Intranuclear

D. None

30. Pathognomonic feature of trachoma is: 

A. Bulbar papillae 

B. Palpebral papillae 

C. Bulbar follicles 

D. Palpebral follicles

31. “Safe strategy” has been developed for the control of:

A. Conjunctivitis

B. Trachoma

C. Refractive error 

D. Ocular trauma

32. Subconjunctival haemorrhage can occur in all conditions except:

A. Passive venous congestion

B. Pertusis

C. Trauma

D. High intraocular tension

33. Unilateral chronic conjunctivitis may be associated with

A. Habit of smoking

B. Use of uniocular microscope

C. Foreign body retained is the fornix

D. Unilateral aphakia

34. Trachoma in a newborn cannot produce follicular reaction because:

A. Antibodies are transfered from mother

B. Adenoid layer is devoid of lymphoid tissue

C. Immunity is not developed

D. Incubation period is one year

35. Conjunctival ulceration may suggest:

A. Embedded foreign body

B. Tuberculosis 

C. Syphillis 

D. Any of the above.

36. Commonest congenital tumour of conjunctiva is:

A. Epibulbar dermoid

B. Benign melenoma 

C. Papilloma 

D. Capillary haemangioma

37. Inclusion body conjunctivitis true is all except:

A. Self limiting

B. Present only in infants

C. Occurs while passage from birth canal

D. Caused by chlamydia

38. Pathognomonic of trachoma is:

A. Bulbar papillae

B. Palphebral papillae

C. Bulbar follicles

D. Palpebral follicles

39. All are seen in stage III trachoma except:

A. Tarsal epitheliofibrosis

B. Trachomatous pannus

C. Herbert’s pits

D. Disappearance of Bowman’s membrane

40. Follicles of a diameter of 5 mm are typically seen in:

A. Pharyngoconjunctival fever

B. Trachoma

C. Drug induced follicular conjunctivitis

D. Ophthalmia neonatorum

41. Tetracycline ointment for mass prophylaxis:

A. 0.1%

B. 0.5%

C. 1%

D. 5%

42. Spring catarrah is:

A. Type I hypersensitivity reaction

B. Type II

C. Type III

D. Type IV

43. Complication of vernal kerato conjunctivitis:

A. Cataract

B. Keratoconus

C. Retinal detachment

D. Vitreous hemorrhage

44. Treatment of vernal keratoconjunctivitis includes all except:

A. Steroids

B. Chromoglycate

C. Olopatadine

D. Antibiotics

45. The histology of pterygium includes:

A. Elastotic degeneration

B. Epithelial inclusion bodies

C. Precancerous changes

D. Squamous metaplasia of the epithelium

46. Subconjunctival cyst is seen in:

A. Toxoplasmosis

B. Cysticercosis

C. Leishmaniasis

D. Chaga’s disease.