SEGMENT ANTERIOR EXAMINATION EXAM

A 24 years old woman came to eye polyclinic with red eye on her right eye after got hit
by rice paddy. She felt pain on her right eye, watery, yellowish discharge and white
spot on her right eye. She felt a bit blurry on her right eye than before. History of
spectacle was denied. On the physical examination Visual Acuity on her right eye was
1/60.
1. What is the eye examination that suggest to corneal ulcer?
a. Corneal Sensibility test
b. Fluorescein test
c. Visual acuity
d. Intra Ocular pressure test
e. Ophthalmoscopy
2. What is the procedure to do the fluorescein test?
a. Check the intra Ocular pressure
b. We see under the cobalt blue light
c. Put Anesthesia eye drop
d. Do not wash the fluorescein staining
e. Put Antibiotic eye drop after examination
3. How to interpret the result of fluorescein test?
a. The cornea stained turn to green under cobalt blue light
b. The cornea stained turn to yellow under cobalt blue light
c. The cornea stained turn to blue under cobalt blue light
d. The cornea stained to colorless under cobalt blue light
e. The cornea doesn’t stained under cobalt blue light
4. If there’s inflammation in the anterior chamber, what will you see on the slit lamp?
a. Cells
b. hyphema
c. flare
d. a + b correct
e. a + c correct
5.

If this red spot appear along with the diagnosis above, what we called of this symptom?
a. Subconjunctival haemorrhage
b. Chemosis
c. Telangiectasia
d. Simblepharon
e. Membrane
A 17 years old woman came to eye polyclinic complaining about palpebral mass in her
right upper eye lid since 5 days ago. If she’s diagnosed with Right Eye External
Hordeolum.
6. What is the clinical finding that will be found in the physical examination?
a. VAS 1/10
b. Mass in the palpebral conjunctiva
c. Hyperaemia mass
d. Conjunctival Injection
e. Epiphora

7. What is not the differential diagnosis of this case?

a. Blepharitis
b. Internal Hordeolum
c. Chalazion
d. Folliculitis
e. Xanthelasma
8. How to do the upper lid Eversion?
a. Put Anaesthesia eye drop
b. Ask patient to look down then grasp the lashes and the index finger must be free
to reach over and evert the inner most part of their lid.
c. Put fluorescein eye drop then grasp the lashes and the index finger must be free to
reach over and evert the inner most part of their lid.
d. Ask patient to look up then grasp the lashes and the index finger must be free to
reach over and evert the inner most part of their lid.
e. Ask patient to close the eye then grasp the lashes and the index finger must be free
to reach over and evert the inner most part of their lid.
9. What is the grading of Meibomian Gland Dysfunction, except?
a. Grade 0 : No secretion after pinching
b. Grade 1 : Clear to mild milky secretion after pinching
c. Grade 2 : Milky to pasty secretion after pinching
d. Grade 3 : Thick, pasty to very little secretion after pinching\
e. Grade 4 : Very little to no secretion
10. How can we interpret the consensual pupillary reflex positive?
a. Constriction of the contra lateral eye
b. Constriction of the ipsi lateral eye
c. Dilatation of the contra lateral eye
d. Dilatation of the ipsi lateral eye
e. No movement of the pupil