Page 1 of 18

MBBS THIRD PROFESSIONAL EXAMINATION

Ophthalmology (SEQs)

Model Paper

Marks 45 Time 2 hours

Five Minute 05

Q-1 A young boy of fourteen years presented with seasonal redness
and itching of both eyes typically occurring in hot weathers

1. What do you think is wrong with this boy (1)

2. Describe clinical features of the disease you have diagnose for
this boy (2)

3. How would you treat this condition (2)


Domain Clinical Ophthalmology
Topic Conjunctiva
Theme Ocular allergy
Ref Book Parsons Diseases of the Eye)
Level Application & analysis
Intellect Level C-2
Difficulty Level (1-5) 3
Difficulty Index To be labeled after the examination



















Page 2 of 18
MBBS THIRD PROFESSIONAL EXAMINATION
Ophthalmology (SEQs)

Model Paper

KEY of Q. No. 01

1. Vernal Conjunctivitis/Spring Catarrh also known as vernal
keratoconjunctivitis/allergic conjunctivitis (1)

2. Clinical Features

a. Bilateral Conjunctivitis in hot weathers
b. Presents in young subject particularly in boys
c. Family history of atopy often present
d. Type hypersensitivity reaction with large papillae
(2)
3. Treatment

a. Cold compresses
b. Anti histamines eye drops & systemically
c. Non steroidal anti inflammatory eye drops
d. Mast cells stabilizer eye drops
e. Steroid eye drops (with caution)
f. Cryotherapy
g. Cytotoxic agents
(2)
Domain Clinical Ophthalmology
Topic Conjunctiva
Theme Ocular allergy
Ref Book Parsons Diseases of the Eye)
Level Application & analysis
Intellect Level C-2
Difficulty Level (1-5) 3
Difficulty Index To be labeled after the examination












Page 3 of 18
MBBS THIRD PROFESSIONAL EXAMINATION
Ophthalmology (SEQs)

Model Paper

Five Minute 05

Q-2 While playing football a boy sustained finger nail injury to his
right eye cornea following which he developed sudden pain, redness
and photophobia with watering. Please answer the following
questions?

1. What in your opinion is the diagnosis (1)

2. How would you confirm your diagnosis (2)
3. What are your treatment plans for this patient (2)


Domain Clinical Ophthalmology
Topic Cornea
Theme Ocular Trauma
Ref Book Parsons Diseases of the Eye)
Level Application & analysis
Intellect Level C-2
Difficulty Level (1-5) 3
Difficulty Index To be labeled after the examination



















Page 4 of 18
MBBS THIRD PROFESSIONAL EXAMINATION
Ophthalmology (SEQs)

Model Paper

KEY of Q. No. 02


1. Traumatic corneal ulcers (1)

2. Slit Lamp examination
Corneal Loupe examination
Staining of the ulcer with Fluorescein dye (2)

3. Eye wash
Antibiotic eye drops/ointment
Patching of the eye (2)




Domain Clinical Ophthalmology
Topic Cornea
Theme Ocular Trauma
Ref Book Parsons Diseases of the Eye)
Level Application & analysis
Intellect Level C-2
Difficulty Level (1-5) 3
Difficulty Index To be labeled after the examination
















Page 5 of 18
MBBS THIRD PROFESSIONAL EXAMINATION
Ophthalmology (SEQs)

Model Paper

Five Minute 05

Q-3

(a) Discuss the aetiology of central retinal venous occlusion?
(3)
(b) How a patient with sudden central retinal venous occlusion
does presents in an ophthalmic clinic?
(2)


Domain Clinical Ophthalmology
Topic Retina
Theme Acute ophthalmic emergency
Ref Book Parsons Diseases of the Eye)
Level Application & analysis
Intellect Level C-2
Difficulty Level (1-5) 3
Difficulty Index To be labeled after the examination























Page 6 of 18
MBBS THIRD PROFESSIONAL EXAMINATION
Ophthalmology (SEQs)

Model Paper

KEY of Q. No. 03

(a) Aetiology of central retinal venous occlusion (3)
(1) Embolus
(2) Thrombosis
a. Arteriosclerosis
b. Hypertension
c. Buergers disease
d. Atheromatous disease
e. Aortic and Mitral valve disease
f. Venous stasis disease
g. Hyper viscosity syndrome (3)

(c) Presentations with
a. Acute monocular visual loss or severe visual depression of all of
its functions like acuity, contrast, colour vision and fields of
vision
b. The depression may stay of improve slowly over some time
c. There may be afferent pupillary defect (2)

Domain Clinical Ophthalmology
Topic Retina
Theme Acute ophthalmic emergency
Ref Book Parsons Diseases of the Eye)
Level Application & analysis
Intellect Level C-2
Difficulty Level (1-5) 3
Difficulty Index To be labeled after the examination

Page 7 of 18
MBBS THIRD PROFESSIONAL EXAMINATION
Ophthalmology (SEQs)

Model Paper

Five Minute 05

Q4- Write short notes on
(1) Acquired colour vision defects (1.5)

(2) Retinitis Pigmentosa (2.0)

(3) Leucoria due retinal causes (1.5)


Domain Clinical Ophthalmology
Topic Retina/hereditary retinal disease
Theme Pharmacology/Hereditary etinal disorders
Ref Book Parsons Diseases of the Eye)
Level Application & analysis
Intellect Level C-1
Difficulty Level (1-5) 3
Difficulty Index To be labeled after the examination

























Page 8 of 18
MBBS THIRD PROFESSIONAL EXAMINATION
Ophthalmology (SEQs)

Model Paper

KEY of Q. No. 04

(1) Acquired colour vision defects
(a) Extensive retinal damage due to degeneration and disease
(b) Drug Toxicity due to
i. Ethambutol
ii. Plaquanil
iii. Amidarone (1.5)

(2) Retinitis Pigmentosa
a. Presents with progressive night blindness generally
manifesting middle and late age unless
(2.0)
(3) Leucoria due retinal causes
a. PHPV
b. RLF
c. Coats disease
d. Retinoblastoma
(1.5)
Domain Clinical Ophthalmology
Topic Retina/hereditary retinal disease
Theme Pharmacology/Hereditary etinal disorders
Ref Book Parsons Diseases of the Eye)
Level Application & analysis
Intellect Level C-1
Difficulty Level (1-5) 3
Difficulty Index To be labeled after the examination

Page 9 of 18
MBBS THIRD PROFESSIONAL EXAMINATION
Ophthalmology (SEQs)

Model Paper

Five Minute 05

Q-5 A young boy of nine years presented with painful Proptosis of
acute onset following upper respiratory tract infection and sinusitis.
The lids and the eye ball congested and there was pain upon
movement of the eye ball.

1. What is your diagnosis? (1)

2. What relevant investigations would you like to advise to support
your diagnosis? (4)



Domain Clinical Ophthalmology
Topic Orbit
Theme Acute orbital conditions
Ref Book Frank W Newell
Level Application & analysis
Intellect Level C-1
Difficulty Level (1-5) 3
Difficulty Index To be labeled after the examination




















Page 10 of 18
MBBS THIRD PROFESSIONAL EXAMINATION
Ophthalmology (SEQs)

Model Paper

KEY of Q. No. 05

1. Orbital Cellulitis
(1)

2. Relevant Investigations
a. Blood CBC
b. X Ray PNS-Orbit
c. CT scan
d. Ultra sound B scan
(4)



Domain Clinical Ophthalmology
Topic Orbit
Theme Acute orbital conditions
Ref Book Frank W Newell
Level Application & analysis
Intellect Level C-1
Difficulty Level (1-5) 3
Difficulty Index To be labeled after the examination



















Page 11 of 18
MBBS THIRD PROFESSIONAL EXAMINATION
Ophthalmology (SEQs)

Model Paper

Five Minute 05


Q-6 How would you define the following eye lids condition? Please
give one cause for each pathology mention below?

1. Entropion &

2. Ectropion &

3. Symblepharon &

4. Ankyloblepharon &

5. Triachiasis &

Domain Clinical Ophthalmology
Topic Lids and Adnexa
Theme Common Lids conditions
Ref Book Frank W Newell
Level Application & analysis
Intellect Level C-1
Difficulty Level (1-5) 3
Difficulty Index To be labeled after the examination



















Page 12 of 18
MBBS THIRD PROFESSIONAL EXAMINATION
Ophthalmology (SEQs)

Model Paper

KEY of Q. No. 06



1. Entropion &

2. Ectropion &

3. Symblepharon &

4. Ankyloblepharon &

5. Triachiasis &



Domain Clinical Ophthalmology
Topic Lids and Adnexa
Theme Common Lids conditions
Ref Book Frank W Newell
Level Application & analysis
Intellect Level C-1
Difficulty Level (1-5) 3
Difficulty Index To be labeled after the examination
















Page 13 of 18
MBBS THIRD PROFESSIONAL EXAMINATION
Ophthalmology (SEQs)

Model Paper

Five Minute 05


Q-7 (a) Classify Squint (3)

(b) How would you treat Left Divergent squint due to sixth
nerve palsy
(2)



Domain Clinical Ophthalmology
Topic Squint/Neurophthalmology
Theme Differentiate Incomitant/concomitant
Ref Book Frank W Newell
Level Application & analysis
Intellect Level C-1
Difficulty Level (1-5) 3
Difficulty Index To be labeled after the examination























Page 14 of 18
MBBS THIRD PROFESSIONAL EXAMINATION
Ophthalmology (SEQs)

Model Paper

KEY of Q. No. 07
Classification of squints
1. Concomitant squint
a. Phoria & Tropia
b. Esophoria or Esotropia
c. Exophoria or Exotropia
d. Hyper or Hypo Phoria & Tropia
e. Accommodative and non accommodative
2. Non concomitant or Incomitant squint
a. 3
rd
nerve palsy
b. 4
th
nerve palsy
c. 6
th
nerve palsy
(3)
Treatment of 6
th
nerve palsy
1. Occlusion
2. Use of prism
3. Surgery on the extra ocular muscles
(2)


Domain Clinical Ophthalmology
Topic Squint/Neurophthalmology
Theme Differentiate Incomitant/concomitant
Ref Book Frank W Newell
Level Application & analysis
Intellect Level C-1
Difficulty Level (1-5) 3
Difficulty Index To be labeled after the examination













Page 15 of 18
MBBS THIRD PROFESSIONAL EXAMINATION
Ophthalmology (SEQs)

Model Paper

Five Minute 05


Q-8 (a) What is papilledema? (1.5)

(b) Enlist causes of papilledema (3.5)



Domain Clinical Ophthalmology
Topic Neuro Ophthalmology
Theme Differentiate Incomitant/concomitant
Ref Book Frank W Newell/Parsons diseases eye
Level Application & analysis
Intellect Level C-2/C3
Difficulty Level (1-5) 3
Difficulty Index To be labeled after the examination























Page 16 of 18
MBBS THIRD PROFESSIONAL EXAMINATION
Ophthalmology (SEQs)

Model Paper

KEY of Q. No. 08

1. Papilledema:
Bilateral swelling of the optic disc head due to raised intra
cranial pressure due to number of causes
(1.5)
2. Causes of papilledema
Space occupying lesion including tumours
Benign intra cranial hypertension
Accelerated hypertension
Encephalitis
Intra cranial hemorrhage due to number of causes
Etc
(3.5)




Domain Clinical Ophthalmology
Topic Neuro Ophthalmology
Theme Differentiate Incomitant/concomitant
Ref Book Frank W Newell/Parsons diseases eye
Level Application & analysis
Intellect Level C-2/C3
Difficulty Level (1-5) 3
Difficulty Index To be labeled after the examination















Page 17 of 18
MBBS THIRD PROFESSIONAL EXAMINATION
Ophthalmology (SEQs)

Model Paper

Five Minute 05


Q-9 A sixty years old male had cataract surgery by extra cellular
cataract extraction and IOL implantation under local anesthesia.
There was history of vitreous loss during the surgery. On second post
operative post operative day, the eye was congested, cornea was
edematous and there was intense inflammatory cellular and flare
response in the anterior chamber?

1. What is your diagnosis 1

2. Describe the management plan 4


Domain Clinical Ophthalmology
Topic Cataract
Theme Post operative infection of eye
Ref Book Parsons diseases of eye
Level Application & analysis
Intellect Level C-2/C3
Difficulty Level (1-5) 3
Difficulty Index To be labeled after the examination



















Page 18 of 18
MBBS THIRD PROFESSIONAL EXAMINATION
Ophthalmology (SEQs)

Model Paper

KEY of Q. No. 09

1. Post operative infective endophthalmitis
(1)

2. Diagnosis both clinically and diagnostic support
a. Anterior chamber and vitreous aspirate
3. Treatment with antibiotic via
a. Fortified antibiotic eye drops
b. Sub conjunctival antibiotic injection
c. Intra Vitreal antibiotic injection
d. Systemic antibiotic if needed
e. Use of steroid if indicated
f. Pars plana Vitrectomy
(4)




Domain Clinical Ophthalmology
Topic Cataract
Theme Post operative infection of eye
Ref Book Parsons diseases of eye
Level Application & analysis
Intellect Level C-2/C3
Difficulty Level (1-5) 3
Difficulty Index To be labeled after the examination