Optometrist Grade II Public Service Commission (PSC) Exam Question paper 2019 pdf
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1. **In Marfans' syndrome the lens is displaced**
- A. into the anterior chamber
- B. downwards and outwards
- C. upwards and outwards
- D. downwards and inwards
2. **The wavelength of Nd-YAG laser is**
- A. 532 nm
- B. 1064 nm
- C. 840 nm
- D. 647 nm
3. **Which is not an ocular feature of Down's syndrome?**
- A. Mongoloid slant
- B. Iris hypoplasia
- C. Cataract
- D. Aniridia
4. **Features of Crouzon's syndrome are all except**
- A. Syndactyly
- B. Mutation in FGFR2 gene
- C. Proptosis
- D. V Pattern exotropia
5. **Naevus Flammeus is associated with**
- A. Von Recklinghausen's disease
- B. tuberous sclerosis
- C. Sturge Weber syndrome
- D. Coats disease
6. **The commonest primary orbital tumors in children is**
- A. optic nerve glioma
- B. rhabdomyosarcoma
- C. orbital lymphoma
- D. optic nerve sheath meningioma
7. **When a small target oscillated in front of a patient with binocular vision is seen to move in an elliptical rather than to and fro path, the phenomenon is called...**
- A. Oppenheim phenomenon
- B. Pulfrich phenomenon
- C. Uthoff phenomenon
- D. Paroxysmal convergence spasm
8. **Which of these is found in excess of aqueous humor compared to blood**
- A. Ascorbic acid
- B. Lactic acid
- C. Glutathione
- D. Sorbitol
9. **Which structure does not develop from neural ectoderm..**
- A. tarsal gland
- B. retina
- C. smooth muscle of iris
- D. optic cup
10. **An inert intraocular foreign body is**
- A. Copper
- B. Iron
- C. Nickel
- D. Platinum
11. **A 75 year old diabetic presented with sudden loss of vision in one eye. Fundus examination showed multiple flame shaped hemorrhages in the retina. Probable diagnosis is**
- A. Central retinal vein occlusion
- B. retinal detachment
- C. Proliferative retinopathy
- D. Cystoid macular oedema
12. **Photostress test is performed to diagnose**
- A. Macular diseases
- B. Optic nerve diseases
- C. Glaucoma
- D. Nerve conduction
13. **The refractive index of cornea is**
- A. 1.333
- B. 1.376
- C. 1.342
- D. 1.420
14. **Prominent corneal nerves are a feature of all except**
- A. acanthamoeba keratitis
- B. keratoconus
- C. fuchs endothelial dystrophy
- D. mycotic keratitis
15. **Which of the following is a dystrophy involving the bowman's layer of cornea?**
- A. granular dystrophy of groenouwe
- B. meesmann corneal dystrophy
- C. ThielBehnke corneal dystrophy
- D. gelatinous drop like corneal dystrophy
16. **Following are associations of GoldenHar syndrome except**
- A. limbal dermoid
- B. mandibular hypoplasia
- C. microtia
- D. tower skull
17. **The optic nerve head in the region of lamina cribrosa is supplied by**
- A. branches from recurrent ciliary arteries
- B. Cilioretinal artery
- C. branches of posterior ciliary artery
- D. (1) and (2)
18. **Paralysis of lateral rectus, ipsilateral facial palsy and contralateral hemiplegia is seen in**
- A. foville syndrome
- B. benedicts syndrome
- C. millardgubler syndrome
- D. weber's syndrome
19. **The thin elastic membrane lining the inner side of choroid is**
- A. epiretinal membrane
- B. lamina vitrea
- C. lamina fusca
- D. lamina papyracea
20. **A child with retinitis pigmentosa has a bird shaped head and normal pressure hydrocephalus, probable diagnosis is**
- A. Kearne Sayre syndrome
- B. Usher syndrome
- C. Cockayne syndrome
- D. Bassen-Kornzewig syndrome
21. **Approximate number of retinal photoreceptors is**
- A. 1 million
- B. 25 million
- C. 10 million
- D. 125 million
22. **Which is not true of the parvocellular type of retinal ganglion cells?**
- A. they are color sensitive
- B. predominantly seen in macular region
- C. transmit motion related information
- D. cells have thinner axons of small caliber
23. **The normal resolution visual acuity level of 6/6 is attained at the age of**
- A. 6 years
- B. 4 years
- C. 3 years
- D. 8 years
24. **Weber's syndrome is**
- A. ipsilateral 3rd nerve palsy and jerky movements of contralateral side
- B. ipsilateral 6th and 7th nerve palsy and contralateral hemiplegia
- C. ipsilateral 6th nerve palsy, tinnitus, deafness and nystagmus
- D. ipsilateral 3rd nerve palsy, contralateral hemiplegia and UMN facial palsy
25. **Which is not viscoelastic?**
- A. 1% sodium hyaluronate
- B. 3% methyl cellulose
- C. 5% acetyl cysteine
- D. 2% hypromellose
26. **Contrast sensitivity is affected in**
- A. diabetic retinopathy
- B. optic neuritis
- C. myopia
- D. astigmatism
27. **The average corneal endothelial cell count is**
- A. 2000/mm²
- B. 1800/mm²
- C. 3500/mm²
- D. 2800/mm²
28. **Adies' tonic pupil**
- A. is smaller than its fellow
- B. does not dilate with atropine
- C. constricts with 0.1% pilocarpine drops
- D. does not react to light
29. **Which of these help in visualization of corneal cells?**
- A. Confocal microscope
- B. Optical coherence tomography
- C. Pachymeter
- D. Slit lamp biomicroscope
30. **All are features of Behcet's disease except**
- A. significant association with HLA B 27 antigen
- B. orogenital ulceration
- C. obliterative retinal vasculitis
- D. hypopyon uveitis
31. **Conjunctival mucous is deficient in all these conditions except**
- A. Old trachoma
- B. Steven Johnson syndrome
- C. Ocular pemphigoid
- D. Sjogren's syndrome
32. **Following are examples of direct gonio lenses except**
- A. Koeppe
- B. Barkan
- C. Zeiss
- D. Swan Jacob
33. **Which is not a feature of Keratomalacia?**
- A. Necrosis and melting of cornea
- B. inflamed eye
- C. is a cause of childhood blindness
- D. seen in protein energy malnutrition
34. **To maintain a normal transparency of cornea, the endothelial cell count should be at least**
- A. 1000/mm²
- B. 2300/mm²
- C. 500/mm²
- D. 2000/mm²
35. **Which is not a feature of Stargardts' disease?**
- A. progressive tapetoretinal dystrophy
- B. beaten bronze appearance of fovea
- C. dark adaptation affected
- D. leakage of dye on fluorescein angiography
36. **Acute retinal necrosis is caused mainly by**
- A. Varizella zoster
- B. cytomegalovirus
- C. syphilis
- D. leptospira
37. **Which holds true for congenital retinoschisis?**
- A. splitting of retina at outer plexiform layer
- B. sparing of fovea
- C. splitting of retina in the nerve fiber layer
- D. extends up to ora serrata
38. **Which of these materials is deposited in the neurons in Taysachs' disease?**
- A. Lipofuscin
- B. Sphingomyelin
- C. Ceroid
- D. Ganglioside Gm2
39. **Which does not hold true for central serous choroidopathy?**
- A. smoke stack appearance of FFA
- B. ink blot appearance on FFA
- C. flower petal appearance on FFA
- D. vision correctable by convex lenses
40. **All statements hold true for retinal tamponade using silicon oil except**
- A. produces secondary glaucoma
- B. expands with changing atmospheric pressure
- C. to be removed after 8-12 weeks
- D. reduces tendency for proliferative vitreoretinopathy
41. **Which is the false statement regarding Leber's congenital amaurosis?**
- A. blindness in early infancy
- B. mutation in RPE65 gene
- C. coarse nystagmus
- D. autosomal dominant inheritance
42. **All are true of homocystinuria except**
- A. disorder of methionine metabolism
- B. severe myopia
- C. ectopia lentis
- D. autosomal dominant inheritance
43. **Lisch nodule in iris is seen in**
- A. syphilis
- B. sturge weber syndrome
- C. von hippel lindau syndrome
- D. neurofibromatosis
44. **Which of these statements hold true for basal cell carcinoma of the lids?**
- A. spreads to local lymph nodes
- B. commonest malignant tumor of the lids
- C. predilection for the lower lid
- D. cryotherapy is the treatment of choice
45. **The most common cause for Anton's syndrome is**
- A. bilateral occipital lobe infarction
- B. head injury
- C. falcotentorial meningioma
- D. multiple metastasis
46. **The primary action of superior oblique is**
- A. abduction
- B. intorsion
- C. depression
- D. adduction
47. **Which of the following pairs are yolk muscles?**
- A. RSR and LIR
- B. RSR and LSO
- C. LSR and RIO
- D. LSO and RIO
48. **The cell type commonly seen in the most malignant form of choroidal melanoma is**
- A. Spindle A
- B. Spindle B
- C. Epithelioid
- D. Mixed
49. **Which is not true for Leber's Hereditary optic neuropathy?**
- A. commences around 20 years of age
- B. it is a retrobulbar neuropathy
- C. females affected more
- D. transmission is by mutations in mitochondrial DNA
50. **Induction movements, which muscle help in elevation**
- A. SO in adduction
- B. IO in adduction
- C. SR in adduction
- D. SO in abduction
51. **While doing retinoscopy, red reflex moves in opposite direction to the mirror in**
- A. hypermetropia
- B. myopia greater than 1D
- C. myopia of 1D
- D. myopia lesser than 1D
52. **The number of blind people in India is approximately**
- A. 37 million
- B. 45 million
- C. 20 million
- D. 9 million
53. **The near point of convergence is approximately**
- A. 70 cm
- B. 100 cm
- C. 50 cm
- D. 25 cm
54. **Steroid drop with the greatest anti inflammatory action is**
- A. loteprednol 0.2%
- B. fluorometholone 0.1%
- C. medrysone 1.0%
- D. prednisolone acetate 1.0%
55. **Image formed by a prism is**
- A. virtual, erect, displaced towards its apex
- B. inverted, real, displaced towards apex
- C. virtual, inverted displaced towards apex
- D. real, erect, displaced towards apex
56. **Which of these statements is false regarding retinoblastoma?**
- A. mutation in the RBI gene
- B. lactate dehydrogenase higher within aqueous than serum
- C. Flexner wintersteiner rosettes indicative of poorly differentiated tumor
- D. Lactate dehydrogenase activity higher in aqueous than serum
57. **Which is not true about Vogt Koyanagi Harada syndrome?**
- A. Chronic granulomatous uveitis
- B. involves parotid glands
- C. commoner in Asians
- D. autoimmune response against melanocytes
58. **Average endothelial cell loss following a normal cataract surgery is**
- A. 2-10%
- B. 8-15%
- C. 12-16%
- D. 16-20%
59. **Neurotrophic Keratopathy is caused by**
- A. symblepharon
- B. herpetic keratitis
- C. deep coma
- D. paralysis of orbicularis oculi
60. **Which statement is not true about cornea verticillata?**
- A. seen in fabry disease
- B. caused by long term use of chloroquine
- C. involves corneal endothelium
- D. reversible condition
61. **True about adenoviral conjunctivitis**
- A. genome is a linear double stranded DNA
- B. incubation period of 3 weeks
- C. formation of true membrane
- D. ganciclovir only modality of treatment
62. **All are branches of ophthalmic artery except**
- A. central retinal artery
- B. anterior choroidal artery
- C. anterior ciliary artery
- D. short posterior ciliary artery
63. **Causes of decreased corneal sensation are all except**
- A. herpes simplex keratitis
- B. acanthamoeba keratitis
- C. post keratoplasty
- D. acoustic neuroma
64. **Unilateral mydriasis is seen in**
- A. Adie's tonic pupil
- B. Argyll Robertson pupil
- C. Horner syndrome
- D. Pontine bleed
65. **Thinnest part of retina is**
- A. macula
- B. around optic disc
- C. equator
- D. ora serrata
66. **Capacity of the orbit is**
- A. 15 cc
- B. 18 cc
- C. 30 cc
- D. 45 cc
67. **Refractive index of vitreous humour is**
- A. 1.42
- B. 1.37
- C. 1.39
- D. 1.33
68. **Which is not true for sympathetic ophthalmitis?**
- A. never seen within a week of injury
- B. retrolental flare is an early sign
- C. non granulomatous panuveitis
- D. autoimmune etiology
69. **Extra ocular muscles develops from**
- A. neural crest
- B. neural ectoderm
- C. surface ectoderm
- D. mesoderm
70. **Which of these developmental cataracts is not genetically inherited?**
- A. zonular cataract
- B. cataracta coerulea
- C. cataracta centralis pulverulenta
- D. coralliform cataract
71. **All these conditions cause a salt and pepper fundus picture except**
- A. rubella
- B. leber's congenital amaurosis
- C. cytomegalovirus
- D. syphilis
72. **Depth perception in an infant develops by the age of**
- A. 3 months
- B. 8 weeks
- C. 12 months
- D. 6 months
73. **Which of these is a photo disruptive laser?**
- A. Nd YAG laser
- B. frequency doubled Nd YAG laser
- C. diode laser
- D. argon laser
74. **Rate of formation of aqueous humor is**
- A. 3.2 µl/minute
- B. 3.4 µl/minute
- C. 2.9 µl/minute
- D. 2.3 µl/minute
75. **The instrument generally used to measure intraocular pressure in a scarred cornea is**
- A. Pulse air
- B. Airpuff
- C. Tonopen
- D. Perkins
76. **Which of these anti glaucoma drugs are contraindicated in patients with sulfa allergy?**
- A. bimatoprost
- B. brinzolamide
- C. timolol maleate
- D. travoprost
77. **Which of these bacteria can penetrate an intact corneal epithelium?**
- A. listeria monocytogenes
- B. E coli
- C. Klebsiella
- D. Pseudomonas
78. **In contact lens users the most common cause of infection is**
- A. Pneumococcus
- B. Streptococcus
- C. Pseudomonas
- D. Staphylococcus
79. **All are true about arcus senilis except**
- A. seen in elderly
- B. lipoid infiltration in corneal epithelium
- C. seen in the corneal stroma
- D. clear area between limbus and arcus
80. **Most common type of corneal dystrophy is**
- A. Meesman
- B. Microcystic
- C. Macular
- D. Granular