1) A 20 year old man presented in trauma centre after a fight.He has a leg fracture.Ophthalmology is called to assess the left eye which is prominently bruised.Closer examination also reveals a skin laceration at inner corner.Globe position,eye movements, pupils and fundus are grossly ok however the eye is hard to open due to swelling.Imaging reveals intact bony orbit.

What would be the ideal next step?

2) Lower motor neuron seventh nerve palsy produces the following signs

3) Canthotomy and Cantholysis refer to:

4) Treatment of choice for ptosis with marcus gunn jaw winking phenomenon is

5) A 68-year-old male presents to the ophthalmology clinic with a history of recurrent epiphora and discharge from the left eye for the past 6 months. He has a history of multiple surgeries for eyelid malignancy in the past. On examination, there is a moderate amount of mucopurulent discharge from the left eye. The punctum is not identifiable. What is the most appropriate management for this patient?

6) A 60-year-old female presents to the ophthalmology clinic with complaints of tearing, redness, and discharge from her right eye for the past few weeks.She reports a history of recurrent infections and allergies. On examination, there is swelling and tenderness of the right lower lid, and a mucopurulent discharge is expressed from the punctum. Fluorescein dye is negative, and the cornea is clear. What is the most likely diagnosis?

7) A 60-year-old male presents to the ophthalmology clinic with a small, pink, nodule on the upper eyelid. The patient reports that the lesion has been present for several months and has not changed in size. Biopsy confirms the diagnosis of squamous cell carcinoma. Which of the following histologic findings is most characteristic of basal cell carcinoma of the eyelid?

8) A 25-year-old male presents to the emergency department with a history of blunt trauma to the left eye. On examination, there is swelling and ecchymosis of the left orbit, and a step deformity is noted in the left infraorbital rim. No proptosis or enophthalmos is present clinically. There is no diplopia on gaze in any direction. Intraocular examination is normal. What is the most likely diagnosis?

9) A 75 years old female patient presents with complaints of watering, soreness and redness in her R eye for 6 months which is gradually worsening. On examination the R lower lid appeared lax with lid margin rolled outwards. The tarsal conjunctiva was exposed with significant horizontal lid laxity and the punctum was also visible facing outwards. Which of the following surgeries would be of benefit to this patient?

10) Dacryocystorhinostomy is the surgery of choice in

11) What is the clinical test to evaluate macular function in a patient with a dense cataract?

12) Which of the following is the best treatment option for proliferative diabetic retinopathy?

13) With regards to tumours of eyelid,which is false :

14) Schirmer’s test is used to diagnose :

15) According to WHO a person is blind when

16) Pupil in acute anterior uveitis is

17) A patient presents with red eye, decreased visual acuity, raised intraocular pressure & shallow anterior chamber. The likely diagnosis is:

18) The commonest painless lid swelling is:

19) Irrespective of the etiology of a corneal ulcer, the drug always indicated is:

20) Incision at upper lid crease passes from the following structures from outside to inside?

21) Synonym of Enigma is

22) Synonym of Incredulous is

23) Synonym of Vituperate is

24) Synonym of BRIEF is

25) Synonym of WARRIOR is _____________?

26) Look at this series: 53, 53, 40, 40, 27, 27, ... What number should come next?

27) Look at this series: 36, 34, 30, 28, 24, ... What number should come next?

28) Introducing a boy, a girl said, "He is the son of the daughter of the father of my uncle." How is the boy related to the girl?

29) Mr. Shahid has to teach students three Biology lessons, A, B, C and four Physic lessons D, E, F, G. The following conditions must be met.

• No Physic lesson can be taught immediately after another Physic lesson.
• C must be taught earlier than F
• E and F must be separated from each other by at least one lesson.
• E must be taught immediately before or after A
• A must be taught immediately after D, but not if B is taught earlier than D

Choose the correct sequence of lessons.

30) Aslam has to study four books (English, Physics, Chemistry, and Biology) on four different days from Thursday to Sunday. The order of books is as follows:

• Chemistry is studied on the day before the day of English.
• Biology is studied on day after the day of Physics

Which of the following is the correct order of books?