1) A 6 year old child is brought by her mother for a swelling on her brow since birth.It was noted to have increased in size after she banged her head on the wall. On examination,it is nontender,noninflamed,mobile 1cm into 1.5cm over the outer corner of her brow.The size does not alter on valsalvas maneuver

What would be your plan:

2) A 65 year old female presented in outpatients with history of right incomplete closure of lids and watering .On examination of the ,lid there is a foreign body palpable ,close to lash margin ,mobile subcutaneously.Patient is unable to give history ,however the attendants recall an eye surgery years ago.A working diagnosis of gold plate extrusion is made.

What is the most likely cause leading to this surgery?

3) DISTICHIASIS is

4) An 80-year-old female presents to the ophthalmology clinic with a raised, warty lesion on the upper eyelid. On examination, the lesion is yellowish-brown, rough, and appears to be stuck to the skin. The patient reports that the lesion has been slowly growing in size over the past several months. What is the most likely diagnosis?

5) 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?

6) Which of the following is a congenital cause of ptosis?

7) 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?

8) What is not true of congenital cataract?

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

10) Levator palpebrae superioris originate from?

11) Which is the ideal type of tonometry :

12) Specific sign of glaucomatous damage is

13) On gonioscopy following structures are visible:

14) A recurrent bilateral conjunctivitis occurring with the onset of hot weather in young boys with symptoms of burning, itching, and lacrimation with large flat topped cobble stone papillae raised areas in the palpebral conjunctiva is:

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

16) A 19 year old girl presents with right, red eye with intense watering. On examination there is prominent inferior scleral show. There is loss of lashes and no discharge. She gives a history of acid burn 12 months ago. On examination there is corneal exposure, with staining. Working diagnosis of cicatricial ectropion is made.

What would be your plan of action?

17) 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?

18) A 70 year old lady presents with complaints of watery eye and grittiness. Examination reveals a viable punctum, satisfactory lid position and no regurgitation. Conjunctiva appears fine. Corneal staining is also negative.

What would be your next step?

19) An 80 year old male complains of watery eyes, irritation for last 6 months. He has been using tear substitutes, lubricating ointment at night and warm compresses but the symptoms persist. On examination you find hypermeic eyes with slight oil capping and froth at inner canthi. There is no discharge but Corneal staining shows punctate erosions and a tear film breakup time of 3S.

What would you add to this regimen?

20) Lower motor neuron seventh nerve palsy produces the following signs?

21) Synonym of CIRCUITOUS is

22) Synonym of Incredulous 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) Look at this series: 36, 34, 30, 28, 24, ... What number should come next?

28) Count the number of squares in the given figure.

29) 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?

30) In a small inn, one or more of the chefs have to perform duty during dinner every day. The chefs are Nicholas, Antonio, and Jeremy. None of them can be assigned to dinner duty two or more days in a row.

In case Antonio and Jeremy share the dinner duty thrice over a five-day period, which among the following would be true?