Past MRCOphth/MRCS questions: 9
1. Recognized side effects of cyclopsorin A include:
a. renal toxicity
b. cerebellar deficit
c. hirsutism
d. gingival hyperplasia
e. hepatotoxicity

2. Disc drusen:

a. are familial
b. show pseudofluorescence
c. usually cause central field loss
d. may be associated with disc haemorrhage
e. become less obvious with increasing age

3. The diagnosis of an orbital blow out fracture is suggested by:

a. enophthalmos
b. hypoanaethesia of the gum
c. restricted down-gaze
d. positive forced duction test
e. orbital margin tenderness

4. Multiple sclerosis can cause:

a. diplopia
b. abduction nystagmus
c. internuclear ophthalmoplegia
d. unilateral optic disc oedema
e. lateral rectus saccadic paresis during versions

5. Which of the following are true of lacrimal gland tumours:

a. benign mixed tumours (pleomorphic adenomas) 
    constitute 50% of all lacrimal gland swellings
b. adenoid cystic carcinoma is the commonest epithelial 
    tumour of the lacrimal gland
c. pleomorphic adenoma may undergo malignant change
d. pain is a predominant feature in malignant lesions
e. suspected benign mixed tumours need to be biopsied 
    for tissue diagnosis prior to a definitive treatment

6. Treatment of benign intracranial hypertension includes:

a. acetazolamide
b. weight reduction
c. steroids
d. limbo peritoneal shunt
e. anti-prostaglandins

7. Drusen of the optic nerve head are associated with:

a. refractile bodes
b. leakage of fluorescein on angiography
c. no filed defects
d. central serious retinopathy
e. peripaillary haemorrhages

8. Six months after resolution of an acute attack of retrobulbar 
    neuritis the following are often present:

a. defects of the nerve fibre layer
b. impaired colour vision
c. normal visual acuity
d. altitudinal field defects
e. Marcus Gunn pupil

9. Pigmentary retinopathy is a recognized feature of:

a. dystrophic myotonica
b. chloroquine toxicity
c. Duchenne muscular dystrophy
d. thioridazine toxicity
e. mitochonridal myopathies

10. True statements include:

a. the Steel-Richardon syndrome is associated with slow 
b. lesions in the posterior commissure cause abnormalities 
    in horizontal eye movements
c. the maximum velocity for pursuit movements is 400 
    degrees per second
d. frontal eye fields generate ipsilateral saccades
e. phenytoin may cause defective pursuit
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