MULTIPLE CHOICE QUESTIONS (MCQs)

Q. No. 1 1
Botulinum toxin A is used to;

a. Obtain BSV
b. Cosmetic purpose
c. Both A and B
d. None of these

Q. No. 2 1
For small degree of deviation prisms are used less than

a. 20 D
b. 30 D
c. 25 D
d. 24 D

Q. No. 3 1
Two muscles move eye in same direction are

a. agonist
b. antagonist
c. synergist
d. Yolk muscle
Q. No. 4 1
Stereopsis must be assess in

a. esophoria
b. cyclophoria
c. exophoria
d. all of the above

Q. No. 5 1
Ametropic amblyopia is due to

a.High refractive error

b.Squint
c.Astigmatism
d.Ptosis

Q. No. 6 1
Meridional amblyopia is due to

a. High refractive error

b. Squint
c. Astigmatism
d. Ptosis

Q. No. 7 1
Light deprivation can occur due to

a. High refractive error

b. Squint
c. Astigmatism
d. Ptosis

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Q. No. 8 1
In RAF rule The target slider should move towards the patient

a. Rapidly and briskly

b. Slowly and gradually
c. 2 to 3 cm per second
d. None of above
Q. No. 9 1
Strabismus amblyopia is due to

a. High refractive error

b. Squint
c. Astigmatism
d. Ptosis

Q. No. 10 1
Angle of deviation differ in different position is

a. Cyclophoria
b. Alternate hypophoria
c. Alternate hyperphoria
d. Incomitanat heterophoria

Q. No. 11 1
In convergence excess, esophoria is greater on

a. Near fixation
b. Distance fixation
c. All distance
d. Both A and B

Q. No. 12 1
The undercorrection of myopia will cause

a. Esotropia
b. Exotropia
c. Exophoria
d. Esophoria

Q. No. 13 1
At initial stages the phoria is;

a. Symptomatic
b. Asymptomatic
c. Both A and B
d. None of the above

Q. No. 14 1
Extortion, elevation, abduction are functions of;

a. SR
b. SO
c. IO
d. IR

Q. No. 15 1
LR move the eyeball in;

a. Adduction
b. Abduction
c. Elevation
d. Depression

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Q. No. 16 1
RAF rule stands for;

a. Royal air force rule

b. Royal air fort rule
c. Royal ais force rule
d. Rebel air force rule

Q. No. 17 1
From the posterior pole towards center of the cornea is called

a. Anatomical axis
b. Visual axis
c. Orbital axis
d. Anatomical axis

Q. No. 18 1
Phoria is;

a. Manifest
b. Latent
c. Both
d. None of above
Q. No. 19 1
Convergence insuffiency can be rule out accurately with

a. RAF rule
b. A pen push up method
c. With cover test
d. None is correct
Q. No. 20 1
Amplitude of accommodation can be rule out with

a. RAF rule
b. A pen push up method
c. With cover test
d. With auto refractor

Q. No. 21 1
If a person target at distance clear object and near object is blurred, this is
___________ diplopia

a. Crossed
b. Un crossed
c. Both
d. None of above

Q. No. 22 1
The point where dot on line will get single again is called

a. Break point
b. Recovery point
c. Near point
d. Far point
Q. No. 23 1
The standard target for the Near point of convergence is

a. Dot on the line

b. Reduced Near chart
c. Reduced snellen chart
d. GPO Telephone directory

Q. No. 24 1
With the passage of time normal person will also become

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 a. cyclophoric
b. hyperphoric
c. exophoric
d. none of the above

Q. No. 25 1
In exophthalmos patient may have

a. hyperphoria
b. hypophoria
c. cyclophoria
d. exophoria

Q. No. 26 1
Oblique astigmatism involve in

a. esophoria
b. cyclophoria
c. hyperphoria
d. hypophoria

Q. No. 27 1
Esophoria may be caused by

a. Divergence weakness
b. divergence excess
c. convergence weakness
d. none of the above

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Q 1
. Ocular symptoms will______ by occlusion during reading for at least 1 hour.
N
o a. Improve
. b. Not improve
2 c. Not change
8 d. None of above

Q 1
. Convergence excess is always greater on near fixation in
N
o a. Exophoria
. b. Hyperphoria
2 c. Hypophoria
9 d. Esophoria

Q 1
. During Esophoria, divergence weakness is ________ on distance fixation
N
o a. Same
. b. Smaller
3 c. Greater
0 d. None

Q 1
. Prisms are ____________ in commitant deviation
N
o a. Usually Preferred
. b. Usually Avoided
3 c. Some times preferred and some times not
1 d. None of above

Q 1
. Phoria which can’t be managed with fusional reserves is called
N
o a. De-compensated
. b. Compensated
3 c. Both
2 d. None

Q 1
. During Esophoria, divergence weakness is ________ on distance fixation
N
o a. Same
. b. Smaller
3 c. Greater
3 d. None

Q 1
. Which of the following refractive error is most likely to develop amblyopia?
N
o a. Simple hyperopic astigmatism
. b. Compound hyperopic astigmatism
3 c. Mixed astigmatism
4 d. Compound myopic astigmatism

Q 1
. Deviation at far ------- in divergence weakness in case of esophoria.
N
o a. Increase
. b. Decrease
3 c. Remain same
5 d. vary with the passage of time

Q 1
. Latent tendency of the eye ball to deviate is called
N
o a. Strabismus
. b. Heterophoria
3 c. Heterotropia
6 d. Orthophoria

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Q 1
. Atropin is an example of
N
o a. Cycloplegics
. b. Mydriatics
3 c. Both a and b
7 d. Beta blokers

Q 1
. In hirschberg test when light reflex falls on pupillary margin amount of deviation is
N
o a. 15 degree
. b. 10 degree
3 c. 25 degree
8 d. 45 degree

Q 1
. Paresis of inferior oblique muscle will give rise to
N
o a. Face turn
. b. Chin elevation
3 c. Head tilt
9 d. All of the above

Q 1
. Central scotoma and periphral fusion is a cherecteristic feature of
N a. Esotropia
o b. Hypertropia
. c. Microtropia
4 d. Esophoria
0

Q 1
. Optical penalization is a treatment option of
N a. Amblyopia
o b. Exophoria
. c. Esotropia
4 d. Convegence insufficiency
1
Q 1
. If worth 4 dot test is done in a ptient with squint and patient see 4 dots ( 2 green, 1 red and
N1 amber) the probable diagnosis is;
o
. a. Amblyooia
4 b. Dissociated vertical deviation
2 c. Harmonious ARC
d. None of the above
Q 1
. In which test red green googles are not used?
N
o a. Hess test
. b. Worth 4 dot test
4 c. Diplopia charting test
3 d. Duochrome test

Q 1
. Uncover test is done to evaluate
N
o a. Exophoria
. b. Exotropia
4 c. Hypertropia
4 d. All of the above
1
Q For prism cover test in Convergent squint apex of the prism is directed:-
.
N a. Medially
o b. Laterally
. c. Up
4 d. Down
5
QFixation of visual reflex is accomplished by;
. a. 6 months
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N b. 1 year
o c. 2 year
. d. 3 year
4
6
QThe following are grades of BSV except;
. a. Simultaneous perception
N b. Fusion
o c. Retinal correspondence
. d. stereopsis
4
7
QAll of the following are associated with squint except;
. a. Diplopia
N b. Stereopsis
o c. Confusion
. d. Deviation
4
8
QAll are used for macular function test except;
. a. Maddox rod test
N b. Two point discrimination test
o c. Electro retinogram
. d. Laser inferometry
4
9
QUncrossed diplopia is seen in:
. a. Exotropia
N b. Exophoria
o c. Esophoria
. d. Exotropia
5
0
QWhich one of the following is not a cause of binocular diplopia?
. a. Concomitant squint
N b. 3rd nerve palsy
o c. INO
. d. Orbital floor fracture
5
1
QIn paralytic squint false projection is:
. a. Absent
N b. Negative
o c. Positive
. d. Hidden
5
2
QPrimary action of the inferior rectus is:
. a. Adduction
N b. Abduction
o c. Infraduction(depression)
. d. Supraduction
5
3
QSecondary action of the inferior rectus is:
. a. Intorsion
N b. Extorsion
o c. Adduction
. d. Abduction
5
4
QSynergist muscle of inferior rectus is
. a. Superior rectus
N b. Superior oblique
o c. Inferior oblique
. d. Lateral rectus
5
5
QThe contralateral antagonist of the right lateral rectus is:
. a. Rt medial rectus
N b. Lt medial rectus
o c. Lt lateral rectus

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. d. None
5
6
QUpward movement of the eye is caused by:
. a. Superior rectus
N b. Inferior rectus
o c. Both A and B
. d. Only B
5
7
Q………….. is also known as infraduction.
. a. Depression
N b. Intorsion
o c. Adduction
. d. Abduction
5
8
QBielschowsky’s head tilt test is used to diagnose paralysis of:
. a. Medial rectus
N b. Superior oblique
o c. Lateral rectus
. d. Inferior oblique
5
9
QIn patient with abnormal retinal correspondence during worth 4 dot test the patient see
.………………….. dots
N a. 4
o b. 5
. c. 3 and 2
6 d. 6
0
QMovement caused by superior oblique muscle is;
. a. Depression
N b. Intorsion
o c. Lateral rotation
. d. All of the above
6
1
QNerve supply of lateral rectus muscle is………. Nerve;
. a. 3rd
N b. 4th
O c. 6th
. d. 7th
6
2
QEsophoria is a type of:
. a. Apparent squint
N b. Latent squint
O c. Manifest squint
. d. Paralytic squint
6
3
QGrade 2 binacular single vision stands for;
. a. Abnormal retinal correspondence
N b. Simultaneous perception
O c. Stereopsis
. d. Fusion
6
4
QThere are ………….. cardinal positions of gaze;
. a. 9
N b. 6
O c. 4
. d. 8
6
5
QFunction of suoerior oblique are the following except;
. a. Intorsion
N b. Abduction
O c. Elevation
. d. Depression
6

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6
QLateral rectus palsy is characterized by ;
. a. Crossed diplopia
N b. Uncrossed diplopia
O c. Suppression of eyeball
. d. Upward rotated eyeball
6
7
QIn worth 4 dot test the patient has diplopia if he sees ;
. a. Only two red lights
N b. Only 2 green lights
O c. Green and red lights alternatively
. d. Two red and 3 green lights
6
8
QExophoria is common in ;
. a. Myopia
N b. Hypermetropia
O c. Presbyopia
. d. Astigmatism
6
9
QWhich of the following muscle insert farthest from limbus;
. a. Superior rectus
N b. Inferior rectus
O c. Superior oblique
. d. Inferior oblique
7
0
QThe 3rd nerve supplies all muscles except;
. a. Inferior oblique
N b. Inferior rectus
O c. Superior oblique
. d. Superior rectus
7
1
QThe only extraocular movement that does not arises from the apex of the orbit is;
. a. Superior rectus
N b. Superior oblique
O c. Inferior oblique
. d. Inferior rectus
7
2
QThe 3rd cranial nerve innervates all of the following except
. a. Superior oblique muscle
N b. Levater palpebrae muscle
O c. Inferior oblique muscle
. d. Medial rectus muscle
7
3
QAll are the causes of Uniocular diplopia except;
. a. Sublaxated lens
N b. Paralytic squint
O c. Incipient cataract
. d. keretoconus
7
4
QAccamudative squint is correted by all except;
. a. orthoptic exercise
N b. spectacles
O c. contact lens
. d. surgery
7
5
QIn grades of BSV grade 2 is;
. a. fusion
N b. stereopsis
O c. simultaneous retinal correspondence
. d. convergence
7
6
QThe tendons of all EOMs are attached to;

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. a. choroid
N b. sclera
O c. conjunctiva
. d. limbus
7
7
QFollowing are the features of paralytic squint except;
. a. AHP
N b. Amblyopia
O c. Diplopia
. d. Restricted eye movement
7
8
QCrossed diplopia is associated with
. a. Eso deviation
N b. Exodeviation
O c. Cyclodeviation
. d. All
7
9
QThird nerve palsy is associated with
. a. Crossed diplopia
N b. Uncrossed diplopia
O c. Uniocular diplopia
. d. Amblyopia
8
0
QOculomotor nerve palsy features include all except
. a. Facial weakness
N b. Divergent squint
O c. Dilated fixed pupil
. d. Absence of accamudation
8
1
QSuperior oblique muscle is supplied by the;
. a. Optic nerve
N b. 3rd cranial nerve
O c. Fourth cranial nerve
. d. Sixth cranial nerve
8
2
QFunction of the superior oblique muscle are the following except;
. a. Intorsion
N b. Abduction
O c. Elevation
. d. Depression
8
3
QLateral rectus palsy is cherecterized by
. a. Crossed diplopia
N b. Uncrossed diplopia
O c. Suppression of eye ball
. d. Upward rotated eye ball
8
4
QPatient is not able to look downward which ocular muscle is affected;
. a. Superior oblique
N b. Inferior oblique
O c. Superior rectus
. d. Inferior rectus
8
5
QNormal range of convergence is;
. a. 5-10 PD
N b. 15-25 PD
O c. 30-40 PD
. d. 50-60 PD
8
6
QOculomotor nerve palsy affects all the following except;
. a. Superior rectus
N b. Lateral rectus

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O c. Inferior oblique
. d. Inferior rectus
8
7
QAngle of squint is measured by;
. a. Gonioscopy
N b. Prism
O c. Retinoscopy
. d. Keratometry
8
8
QVergence is;
. a. Conjugate movement
N b. Disjugate movement
O c. Uniocular movement
. d. None
8
9
QWhich of the following is not a feature of concomitant squint;
. a. Normal ocular movements
N b. Diplopia
O c. Normal head posture
. d. None
9
0
QLatent strabismus is called;
. a. Tropia
N b. Phoria
O c. Pseudoesotropia
. d. Pseudoexotropia
9
1
QLight deprivation can occur due to
. a. High refractive error
N
O
b. Squint
. c. Astigmatism
9 d. Ptosis
2
QThe standard target for the Near point of accommodation is
. a. Dot on the line
N
O
b. Reduced Near chart
. c. Reduced snellen chart
9 d. GPO Telephone directory
3
QIn muscle sequelae primary under action of one muscle causes under action
.of its
N
O
a. Contra lateral synergist
. b. Ipsilateral antagonist
9 c. Contra lateral antagonist
4 d. Yoke muscle
Q The yoke muscle of SR of Right eye
N a. SR of left eye
O
.
b. IO of left eye
9 c. SO of left eye
5 d. IR of left eye
QElevation, Intorsion and adduction
. a. SR
N
O
b. SO
. c. IO
9 d. MR
6
QJust abduction
. a. LR
N
O
b. MR
. c. IR
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9 d. SR
7
QJust Adduction
. a. MR
N
O
b. IR
. c. SR
9 d. LR
8
QMonocular movements are
. a. Ductions
N
O
b. Versions
. c. Vergence
9 d. None of above
9
QThe muscle which is innervated by the 3rd nerve
. a. MR
N
O
b. IR
. c. SR
1 d. All of above
0
0
QAxis passes from the fovea and through the nodal point and intersect at
.fixationpoint is called
N
O
a. Anatomical axis
. b. Visual axis
1 c. Orbital axis
0 d. All of above
1
QBinocular, simultaneous and conjugate movement
. a. Ductions
N
O
b. Versions
. c. Vergence
1 d. Saccades
0
2
QDextroversion means
. a. Right gays
N
O
b. Left gaze
. c. Up gaze
1 d. Down gaze
0
3
QLaevoversion means
. a. Right gays
N
O
b. Left gaze
. c. Up gaze
1 d. Down gaze
0
4
QFrom the posterior pole towards center of the cornea is called
. a. Anatomical axis
N
O
b. Visual axis
. c. Orbital axis
1 d. Anatomical axis
0
5
QAngle subtended by visual and anatomical axis
. a. Angle kappa
N
O
b. Angle of least confusion
. c. Angle of least diffusion
1 d. Listing angle
0
6
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QThe tendinous ring is formed in surrounding of the
. a. Superior orbital fissure
N
O
b. Inferior orbital fissure
. c. Optic foramen
1 d. Cribriform plate
0
7
QThe origin of the SO muscle is from ________________ periostium of the
.optic foramen
N
O
a. Superior
. b. Medial
1 c. Superior and medial
0 d. Superior and lateral
8
QIntorsion, depression and abduction are functions of
. a. SO
N
O
b. IO
. c. SR
1 d. IR
0
9
QThe point where dot on line will get double is called
. a. Break point
N
O
b. Recovery point
. c. Near point
1 d. Far point
1
0
QConvergence insuffiency can be rule out accurately with
. a. RAF rule
N
O
b. A pen push up method
. c. With cover test
1 d. None is correct
1
1
QIpsilatertal antagonist of right MR is
. a. Left LR
N
O
b. Right LR
. c. Left MR
1 d. None of above
1
2
QThe contra lateral antagonist of Right MR
. a. Right LR
N
O
b. Left MR
. c. Left LR
1 d. None of above
1
3
QThe normal range of NPC is
. a. 5 cm
N
O
b. 8 cm
. c. 10 cm
1 d. 12 cm
1
4

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