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) A 55 year old is brought to the eye opd by her daughter who is concerned about a mole on her mother’s eye lid.You take history from the patient herself and she has had no pain,discharge or even noted the lesion.Closer examination reveals a pigmented 2mm into 1mm plaque at the lid margin.An excisional biopsy is planned by the senior.

What features would indicate suspicion?

3) In myopic eye image on direct ophthalmoscopy is

4) 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?

5) 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?

6) A 45-year-old poorly controlled diabetic female with a known history of Graves' disease presents to the ophthalmology clinic with complaints of progressive proptosis, diplopia, and eyelid retraction in both eyes. On examination, there is bilateral proptosis, lid lag, and limited ocular motility in all directions. Orbital imaging reveals moderate enlargement of the extraocular muscles. What is the most appropriate treatment for this patient?

7) 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?

8) A 15 year old girl presents with red ,thickened stain extending over her right lid and forehead.Skimming through her notes you find the diagnosis of birthmark written.She was lost to followup for years and has now reported with increase of the lesion.
What would be your plan as an ophthalmologist?

9) What contributes classic clinical triad of primary congenital glaucoma?

10) The most common malignant tumour of the eyelid is?

11) In case of a chemical injury to the eye what should be the immediate measure you should take in the emergency department?

12) Eye lid crease is formed by?

13) Which of the following is not a refractive disorder?

14) Which is the best to visualize corneal endothelium?

15) According to WHO a person is blind when

16) Chronic simple glaucoma, is a generally bilateral, but not always symmetrical disease, characterized by:

17) Following are the features of orbital floor fracture:

18) Which of the following organism can penetrate intact corneal epithelium?

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 Vituperate is

23) Synonym of ALERT is

24) Synonym of ARROGANT is

25) Synonym of VENT is _____________?

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

27) Find the number of triangles in the given figure.

28) Find the number of triangles in the given figure.

29) Find the number of triangles in the given figure.

30) Mrs. Green wishes to renovate her cottage. She hires the services of a plumber, a carpenter, a painter, an electrician, and an interior decorator. The renovation is to completed in a period of one working week i.e. Monday to Friday. Every worker will be taking one complete day to do his job. Mrs. Green will allow just one person to work per day.

• The painter can do his work only after the plumber and the carpenter have completed their jobs.
• The interior decorator has to complete his job before that of the electrician.
• The carpenter cannot work on Monday or Tuesday.

In case the painter works on Thursday, which among the following alternatives is possible?