1.
System which secretes and conducts tears:
Correct Answer
D. Lacrimal gland and ducts
Explanation
The lacrimal gland and ducts are responsible for secreting and conducting tears. The lacrimal gland produces tears, which are then carried through the lacrimal ducts to the surface of the eye. Tears help keep the eye lubricated and protect it from foreign particles. Therefore, the lacrimal gland and ducts play a crucial role in maintaining the health and function of the eye.
2.
The outer coat of the eye made up of transparent portion (cornea) and white:
Correct Answer
A. Sclera
Explanation
The outer coat of the eye is made up of two parts: the transparent portion called the cornea and the white portion called the sclera. The cornea is responsible for protecting the eye and helps to focus light onto the retina. The sclera, on the other hand, provides structural support to the eye and gives it its characteristic white appearance. Therefore, the correct answer is Sclera.
3.
Clear, jelly-like fluid in the posterior cavity of the eye which fills the vitreous body:
Correct Answer
D. Vitreous humor
Explanation
The clear, jelly-like fluid in the posterior cavity of the eye is called vitreous humor. It fills the vitreous body and helps maintain the shape of the eye. It also plays a role in transmitting light to the retina and providing support to the delicate structures within the eye. The vitreous humor is different from the aqueous humor, which is a watery fluid found in the anterior chamber of the eye. The other options, sensory receptors and lacrimal gland, are not related to the vitreous humor.
4.
Socket in the cranium in which the eyeball is partially sunk:
Correct Answer
A. Boney orbit
Explanation
The correct answer is "Boney orbit" because it refers to the socket in the cranium where the eyeball is partially sunk. The boney orbit provides protection and support for the eyeball and its associated structures.
5.
______ is performed to treat an intraocular malignancy such as retinoblastoma and melanoma.
Correct Answer
C. Enucleation
Explanation
Enucleation is the surgical procedure performed to treat intraocular malignancies such as retinoblastoma and melanoma. It involves the removal of the entire eye, including the eyeball, but leaving the eye muscles and remaining orbital tissues intact. This procedure is necessary when the tumor is confined within the eye and has not spread to surrounding tissues. Enucleation allows for the complete removal of the malignancy, reducing the risk of further spread and potentially saving the patient's life.
6.
Orbital decompression is most commonly indicated for:
Correct Answer
A. Hypothyroidism or Graves disease
Explanation
Orbital decompression is a surgical procedure that is most commonly indicated for patients with Hypothyroidism or Graves disease. These conditions can cause an enlargement of the eye muscles and fatty tissue behind the eyes, leading to proptosis (bulging of the eyes) and compression of the optic nerve. Orbital decompression helps to alleviate these symptoms by removing a portion of the bone from the eye socket, creating more space for the eye to move back into a normal position and relieving pressure on the optic nerve. It is not indicated for traumatic fracture, postoperative infection, or glaucoma.
7.
Ophthalmic muscle surgery is performed to correct deviation of the eye caused by:
Correct Answer
D. Strabismus
Explanation
Ophthalmic muscle surgery is performed to correct strabismus, which is a condition characterized by the misalignment of the eyes. Strabismus can cause the eyes to turn inward, outward, upward, or downward, leading to double vision and reduced depth perception. Surgery is often recommended when non-surgical treatments like eyeglasses or eye patches fail to correct the misalignment. During the surgery, the ophthalmic muscles are adjusted to improve the alignment of the eyes, allowing them to work together effectively. This helps to improve vision and prevent further complications associated with strabismus.
8.
Ectropion is the abnormal inversion of the:
Correct Answer
D. Lower eyelids
Explanation
Ectropion refers to the abnormal outward turning or sagging of the lower eyelids. This condition causes the eyelid to be unable to fully close, leading to exposure of the inner surface of the eyelid and potential eye dryness or irritation. The other options are incorrect as ectropion specifically pertains to the lower eyelids and not the upper eyelids or eyelashes.
9.
___ is performed to create a permanent opening in the tear duct for the drainage of tears.
Correct Answer
B. Dacryocystorhinostomy
Explanation
Dacryocystorhinostomy is performed to create a permanent opening in the tear duct for the drainage of tears. This procedure is typically done when there is a blockage or narrowing in the tear duct that prevents tears from draining properly. By creating a new opening between the tear duct and the nasal cavity, tears are able to flow freely and alleviate symptoms such as excessive tearing, recurrent eye infections, and swelling around the tear duct. Dacryocystorhinostomy is considered a more permanent solution compared to other procedures like lacrimal duct probing, which is a temporary measure to clear a blockage.
10.
Clear, watery fluid that fills the anterior and posterior chambers in the front of the eye is called:
Correct Answer
C. Aqueous humor
Explanation
The clear, watery fluid that fills the anterior and posterior chambers in the front of the eye is called aqueous humor. It is produced by the ciliary body and helps maintain the shape of the eye, nourish the cornea and lens, and regulate intraocular pressure. Aqueous humor is constantly being produced and drained out of the eye to maintain a balance.
11.
A pigmented contractile membrane composed mainly of muscle tissue is known as the
Correct Answer
D. Iris
Explanation
The iris is a pigmented contractile membrane composed mainly of muscle tissue. It is responsible for controlling the size of the pupil, which regulates the amount of light that enters the eye. The iris also gives the eye its color and helps protect the internal structures of the eye.
12.
A process in which the lens continually changes shape to maintain the focus of an image on the retina
Correct Answer
C. Accommodation
Explanation
Accommodation refers to the process in which the lens of the eye adjusts its shape to maintain focus on an image as it moves closer or farther away from the eye. This is important for clear vision at different distances. The lens becomes thicker or thinner, allowing it to refract light and bring it to a point of focus on the retina. This ability of the lens to change shape is necessary for the eye to adjust its focus and see objects clearly at varying distances.
13.
The removal of the redundant folds of the skin of the eyelid and any herniated pockets of fat for cosmetic reasons
Correct Answer
C. BlepHaroplasty
Explanation
Blepharoplasty is a surgical procedure that involves removing excess skin and fat from the eyelid to improve its appearance. It is commonly performed for cosmetic reasons to eliminate redundant folds of skin and correct herniated pockets of fat. This procedure can help rejuvenate the eyelids, making them appear smoother and more youthful. Keratoplasty, iridectomy, and cyclodialysis are unrelated to the removal of redundant folds of skin and herniated fat in the eyelid.
14.
Which of the following statements regarding ophthalmic sutures is true?
Correct Answer
C. Sutures should be handled as little as possible
Explanation
It is important to handle ophthalmic sutures as little as possible to minimize the risk of contamination and damage to the delicate eye tissues. Excessive handling can introduce bacteria or cause the suture to fray, which can lead to infection or poor wound healing. Therefore, it is crucial to minimize handling and ensure proper aseptic technique when using ophthalmic sutures.
15.
An example if an anti-inflammatory agent is:
Correct Answer
D. Depo-medrol
Explanation
Depo-medrol is an example of an anti-inflammatory agent because it contains the active ingredient methylprednisolone, which belongs to the class of corticosteroids. Corticosteroids have potent anti-inflammatory properties and are commonly used to reduce inflammation and relieve symptoms in various conditions such as arthritis, allergies, and asthma. Depo-medrol is administered by injection and works by suppressing the immune system's response to inflammation, thereby reducing swelling, pain, and other associated symptoms.
16.
The drug given to prevent or treat infection
Correct Answer
B. Garamycin
Explanation
Garamycin is the correct answer because it is an antibiotic medication that is commonly used to prevent or treat infections. It belongs to the aminoglycoside class of antibiotics and is effective against a wide range of bacteria. Garamycin works by inhibiting the synthesis of proteins in bacteria, thereby preventing their growth and replication. It is commonly used in the treatment of various types of infections, including respiratory tract infections, skin and soft tissue infections, urinary tract infections, and more.
17.
The drug that should not be used on a patient with glaucoma
Correct Answer
A. Atropine
Explanation
Atropine should not be used on a patient with glaucoma because it is a medication that dilates the pupil and can increase intraocular pressure. Glaucoma is a condition characterized by increased pressure within the eye, and using atropine can further elevate the pressure, potentially worsening the symptoms and causing damage to the optic nerve. Therefore, it is contraindicated in patients with glaucoma. Garamycin, Miochol, and pilocarpine are not specifically contraindicated in glaucoma patients, making them safer options.
18.
The drug that should never be injected
Correct Answer
B. Cocaine
Explanation
Cocaine is a drug that should never be injected because of its highly addictive nature and dangerous health effects. Injecting cocaine can lead to severe cardiovascular problems, such as heart attack or stroke, as well as damage to the respiratory system. Additionally, injecting cocaine increases the risk of contracting bloodborne diseases like HIV or hepatitis due to sharing contaminated needles. The use of cocaine can also have detrimental effects on mental health, leading to paranoia, anxiety, and psychosis. Therefore, injecting cocaine is extremely hazardous and should be avoided at all costs.
19.
Used to stain the cornea for detecting corneal abrasions and foreign bodies
Correct Answer
C. Fluorescein-sodium
Explanation
Fluorescein-sodium is used to stain the cornea for detecting corneal abrasions and foreign bodies. When applied to the eye, it binds to damaged corneal tissue and highlights any scratches or foreign objects present. This staining helps healthcare professionals identify and diagnose corneal injuries, allowing for appropriate treatment to be administered. BSS, neo-synephrine, and cocaine do not have the specific staining properties of fluorescein-sodium and are not commonly used for this purpose.
20.
The suture most common to ophthalmology
Correct Answer
A. 4-0 to 10-0
Explanation
The correct answer is 4-0 to 10-0. In ophthalmology, sutures of varying sizes are used depending on the specific procedure and the delicate nature of the eye. The range of 4-0 to 10-0 refers to the size of the suture thread, with 4-0 being thicker and 10-0 being thinner. These sutures are used for different purposes, such as closing incisions, repairing tissues, and securing implants. The smaller the number, the thinner the suture, allowing for more precise and delicate work in ophthalmic surgeries.
21.
The piece of machinery that will almost always be in the OR for eye surgery:
Correct Answer
C. Microscope
Explanation
A microscope is an essential piece of equipment in the operating room for eye surgery. It allows surgeons to magnify and visualize the delicate structures of the eye, enabling precise and accurate surgical interventions. By providing a clear view of the surgical site, the microscope helps surgeons perform procedures such as cataract removal, corneal transplant, and retinal surgeries with high precision and success rates. Without a microscope, it would be extremely challenging for surgeons to perform intricate eye surgeries effectively.
22.
When the surgeon is looking away from the field, the surgeon:
Correct Answer
B. Can lose concentration and the focus of the surgery
Explanation
When the surgeon is looking away from the field, they can lose concentration and the focus of the surgery. This is because the surgeon needs to maintain a constant focus on the surgical field to ensure accuracy and precision during the procedure. Any distractions or loss of focus can potentially lead to errors or complications during the surgery. Therefore, it is important for the surgeon to remain fully engaged and attentive to the task at hand.
23.
Aqueous humor is found in the:
Correct Answer
C. Anterior chamber
Explanation
The aqueous humor is a clear fluid that fills the anterior chamber of the eye, which is the space between the cornea and the iris. It provides nourishment to the cornea and lens, helps maintain the shape of the eye, and regulates intraocular pressure. The posterior chamber is located behind the iris and in front of the lens, and it contains a different fluid called vitreous humor. The crystalline lens is a transparent structure located behind the iris and is responsible for focusing light onto the retina. The pupil is the opening in the center of the iris that allows light to enter the eye.
24.
The mucous membrane which line the eyelid and covers the anterior surface of the eye is:
Correct Answer
A. Conjunctiva
Explanation
The correct answer is conjunctiva. The conjunctiva is a thin, transparent mucous membrane that lines the inside of the eyelids and covers the anterior surface of the eye. It helps to protect the eye from foreign particles and lubricates the surface of the eye, allowing for smooth movement of the eyelids.
25.
A procedure used to strengthen a weak muscle by excising a portion of the muscle and reattaching the remainder is:
Correct Answer
C. Resection
Explanation
Resection is a procedure used to strengthen a weak muscle by removing a portion of the muscle and then reattaching the remaining part. This helps to improve the overall function and strength of the muscle. Myectomy involves the removal of a muscle, which is not the correct procedure for strengthening a weak muscle. Recession refers to the surgical lengthening of a muscle, which is also not the correct procedure. Tucking is not a medical term related to muscle strengthening procedures.
26.
Which of the following statements about ophthalmic surgery is FALSE?
Correct Answer
C. Sutures sizes range from 0 to 20-0
Explanation
The statement "sutures sizes range from 0 to 20-0" is false. Suture sizes used in ophthalmic surgery typically range from 9-0 to 12-0, with smaller numbers indicating finer sutures. The range mentioned in the statement is incorrect.
27.
The most common benign eyelid tumor is:
Correct Answer
A. Chalazion
Explanation
A chalazion is a common benign eyelid tumor characterized by a painless, slow-growing lump on the eyelid. It occurs when the oil glands in the eyelid become blocked, leading to the formation of a cyst. Chalazions are typically not painful and can be treated with warm compresses, gentle massage, and sometimes antibiotic ointments or steroid injections. Unlike hordeolum (also known as a stye), which is an infection of the eyelid glands and causes a painful, red bump, a chalazion is usually painless and more chronic in nature. Pteryglum is a growth on the conjunctiva, not the eyelid, making it an incorrect option.
28.
The only prep that can be instilled in the eye is:
Correct Answer
B. 5% sterile betaine solution
Explanation
The correct answer is 5% sterile betaine solution because it is the only option that can be safely instilled in the eye. Green soap and alcohol are not suitable for use in the eye as they can cause irritation and damage to the delicate tissues. Betadine soap is also not recommended for use in the eye as it is too strong and can be harmful. Betaine solution, on the other hand, is a mild and sterile solution that is commonly used for eye irrigation and cleansing.
29.
A drug used to dilate the pupil is:
Correct Answer
D. Mydriatic
Explanation
A drug used to dilate the pupil is called a mydriatic. Mydriatics work by relaxing the muscles in the iris, which allows the pupil to expand and let more light into the eye. This can be helpful in certain medical procedures or examinations, such as eye exams or surgery. Alpha-chymotrypsin is an enzyme used in ophthalmology, but it does not specifically dilate the pupil. Epinephrine is a medication that can constrict the pupil, so it is not the correct answer. Miotic drugs, on the other hand, are used to constrict the pupil, so they have the opposite effect of what is being asked in the question.
30.
What is function of the iris?
Correct Answer
B. To regulate the amount of light entering the eye through the pupil
Explanation
The iris is responsible for regulating the amount of light entering the eye through the pupil. It acts like a camera aperture, adjusting the size of the pupil to control the amount of light that reaches the retina. In bright light, the iris contracts, making the pupil smaller to reduce the amount of light entering the eye. In dim light, the iris expands, making the pupil larger to allow more light to enter. This helps to protect the sensitive retina from excessive light and optimize visual clarity in different lighting conditions.
31.
Recession/resection is the surgical treatment for:
Correct Answer
C. Strabismus
Explanation
Recession/resection is a surgical treatment for strabismus. Strabismus is a condition where the eyes are not properly aligned and do not work together. Recession refers to the surgical procedure of weakening an eye muscle, while resection involves strengthening an eye muscle. These procedures are performed to correct the imbalance in eye muscle strength and alignment, allowing the eyes to work together and improve binocular vision. Cataract, glaucoma, and retinal detachment are different eye conditions that require different surgical treatments.
32.
Which of the following uses heat to coagulate or destroy tissue?
Correct Answer
D. Diathermy
Explanation
Diathermy is a medical technique that uses heat to coagulate or destroy tissue. It involves the use of high-frequency electrical currents to generate heat, which is then applied to the targeted area. This heat can be used to coagulate blood vessels, cauterize tissue, or destroy abnormal growths. Diathermy is commonly used in various surgical procedures, such as cutting or sealing blood vessels, removing tumors, or treating conditions like hemorrhoids. It provides a precise and controlled way to coagulate or destroy tissue, making it an effective tool in medical interventions.
33.
Phacoemulsification is one method of:
Correct Answer
A. Removing an opaque lens
Explanation
Phacoemulsification is a surgical technique used to remove an opaque lens. This method involves using ultrasound energy to break up the lens into tiny fragments, which are then suctioned out through a small incision. By removing the opaque lens, vision can be restored in patients with conditions such as cataracts, where the lens becomes cloudy and obstructs vision.
34.
What instrument is used to remove the recipient cornea during keratoplasty?
Correct Answer
C. TrepHine
Explanation
A trephine is a surgical instrument that is commonly used in keratoplasty to remove the recipient cornea. It is a circular blade that is used to create a precise and uniform circular cut in the cornea, allowing for the transplantation of a donor cornea. The trephine ensures that the donor cornea fits properly and securely in the recipient's eye, promoting successful healing and visual outcomes. The other options, clotting punch, oscillating knife, and keratose, are not typically used in this procedure.
35.
Which of the following is NOT a bone of the orbit?
Correct Answer
C. Mandible
Explanation
The mandible is not a bone of the orbit. The orbit is the bony socket that houses the eyeball, and it is formed by several bones including the ethmoid, sphenoid, and maxilla. The mandible, also known as the jawbone, is not part of the orbit. It is a separate bone that forms the lower jaw and is responsible for movements such as chewing and talking.
36.
An operation that is performed when the sensory layer of the retina and the pigment epithelium layer become separated from each other is called:
Correct Answer
A. Scleral buckling
Explanation
Scleral buckling is a surgical procedure performed when the sensory layer of the retina and the pigment epithelium layer become separated from each other. This procedure involves placing a silicone or plastic band around the outer wall of the eye (sclera) to push the retina back into its normal position and reattach it to the underlying tissue. This helps to restore vision and prevent further damage to the retina. Cataract extraction, vitreous replacement, and keratoplasty are unrelated procedures and do not address the separation of these retinal layers.
37.
Eye sponges made of lint-free _____ or similar material.
Correct Answer
A. Cellulose
Explanation
Eye sponges made of lint-free cellulose or similar material are used because cellulose is a highly absorbent and soft material. It is able to effectively absorb fluids and debris from the eye without leaving any lint or fibers behind. This makes it safe and suitable for use in delicate areas such as the eye. Cellulose is also biodegradable, making it an environmentally friendly option for eye sponges.
38.
Most ophthalmic surgery is performed using a regional anesthetic with monitored sedation.
Correct Answer
A. True
Explanation
Most ophthalmic surgeries, such as cataract surgery or glaucoma surgery, are performed using a regional anesthetic with monitored sedation. Regional anesthesia involves numbing a specific area of the body, in this case, the eye and surrounding tissues, to block pain signals. Monitored sedation is used to keep the patient relaxed and comfortable during the procedure. This combination of regional anesthesia and monitored sedation allows for a safer and more controlled surgical experience for the patient. Therefore, the statement "Most ophthalmic surgery is performed using a regional anesthetic with monitored sedation" is true.
39.
Cryotherapy involves the utilization of:
Correct Answer
C. Cold
Explanation
Cryotherapy involves the utilization of cold temperatures to treat various conditions. It is a therapeutic technique that uses extreme cold to freeze and destroy abnormal tissues or cells. This can be done through the application of ice packs, ice baths, or specialized equipment that delivers controlled cold temperatures to specific areas of the body. Cold therapy helps to reduce inflammation, numb pain, and promote healing by constricting blood vessels and slowing down cellular metabolism. It is commonly used in sports medicine, dermatology, and other medical fields for its analgesic and anti-inflammatory effects.
40.
A soft dressing or hard ____ may be used to protect the eye after surgery.
Correct Answer
A. Shield
Explanation
After eye surgery, it is important to protect the eye from any external damage or pressure. A soft dressing or a hard shield can be used for this purpose. A shield is a protective device that covers and safeguards the eye, preventing any accidental contact or injury. It acts as a barrier between the eye and the external environment, ensuring proper healing and recovery after surgery. Therefore, a shield is the most suitable option for protecting the eye post-surgery.
41.
The ______ is performed to remove diseased portions of the astral wall, evacuate the sinus contents, and establish drainage throughout the nose.
Correct Answer
A. Caldwell-luc
Explanation
The Caldwell-Luc procedure is performed to remove diseased portions of the astral wall, evacuate the sinus contents, and establish drainage throughout the nose. This procedure involves making an incision in the upper jaw and creating a pathway to the maxillary sinus. It is commonly used to treat chronic sinusitis or to remove tumors or cysts from the sinus cavity. By creating drainage, the procedure helps to relieve symptoms and prevent further complications.
42.
At what age is a cochlear implant contraindicated in children?
Correct Answer
B. Under 2 years old
Explanation
A cochlear implant is contraindicated in children under 2 years old. This means that it is not recommended or advised to perform a cochlear implant surgery on children who are younger than 2 years old. This could be due to various factors such as the child's developmental stage, the potential risks involved, or the effectiveness of the implant at such a young age.
43.
The _____ transmits the vibrations of the TM and the other ossicles to the inner ear via the oval window.
Correct Answer
D. Stapes
Explanation
The stapes is the correct answer because it is the third bone in the middle ear, also known as the stirrup. Its main function is to transmit the vibrations received from the tympanic membrane and the other ossicles (malleus and incus) to the inner ear through the oval window. This transmission of vibrations is crucial for the process of hearing.
44.
A suction device is used to remove the morcellated tissue.
Correct Answer
B. #11 frazier
Explanation
The correct answer is #11 frazier. A Frazier suction device is commonly used in surgical procedures to remove small fragments of tissue, including morcellated tissue. This device has a narrow, tapered tip that allows for precise suctioning and is often used in neurosurgery and other delicate procedures. The other options, such as the Poole suction, Yankauer suction, and Taylor suction, are different types of suction devices that may be used for other purposes in surgery.
45.
Myringoplasty is performed to close a small, nonhealing hole in the _____
Correct Answer
D. TM
Explanation
Myringoplasty is a surgical procedure performed to close a small, nonhealing hole in the tympanic membrane (TM), which is also known as the eardrum. The eardrum is a thin membrane that separates the outer ear from the middle ear. A hole in the eardrum can result from various causes such as trauma, infection, or chronic ear infections. Myringoplasty aims to repair the eardrum, improve hearing, and prevent further complications such as recurrent infections.
46.
The thread gland is located in the mid neck and overlies the trachea below the larynx, has two cones which are connected by a control band of thyroid tissue called the _____
Correct Answer
A. Ishthmus
Explanation
The thread gland, also known as the thyroid gland, is located in the mid neck and overlies the trachea below the larynx. It consists of two cones, and these cones are connected by a control band of thyroid tissue called the isthmus.
47.
Earwax is known as ____
Correct Answer
A. Cerumen
Explanation
Earwax is known as cerumen. Cerumen is a waxy substance produced by the ear canal to protect the ear from dust, dirt, and bacteria. It helps to lubricate the ear canal and prevent it from drying out. Cerumen also acts as a natural barrier against insects and water, preventing them from entering the ear. It is a normal and necessary substance for the health and function of the ears.
48.
The primary reason for performing an adeniodectomy are ____ infection and obstruction caused by hypertrophy of the tissue.
Correct Answer
A. Chronic
Explanation
An adenoidectomy is performed primarily for chronic infection and obstruction caused by hypertrophy of the tissue. Chronic infection refers to a long-lasting or recurring infection, which can lead to symptoms such as difficulty breathing, snoring, and recurrent ear infections. Hypertrophy of the adenoid tissue refers to an abnormal enlargement of the adenoids, which can also cause obstruction and breathing difficulties. Therefore, chronic infection and obstruction caused by hypertrophy are the main reasons for performing an adenoidectomy.
49.
Cholesteatoma, eustachian tube dysfunction, neoplasm, or congenital malformation of the middle ear may block airflow to the mastoid and cause chronic _____
Correct Answer
A. Mastoiditis
Explanation
Cholesteatoma, eustachian tube dysfunction, neoplasm, or congenital malformation of the middle ear can all obstruct the airflow to the mastoid, leading to a chronic condition known as mastoiditis. This inflammation of the mastoid bone can cause symptoms such as pain, swelling, and discharge from the ear. It is typically associated with a previous or ongoing infection of the middle ear, known as otitis media. Labyrinthitis refers to inflammation of the inner ear, which is a separate condition. Senioritis is not a medical term and is unrelated to the given context.
50.
The middle ear extends from the TM to the medial wall of the middle ear cleft. It includes the TM _____, ______, ______.
Correct Answer
B. Malleus, stapes, incus
Explanation
The middle ear extends from the TM (tympanic membrane) to the medial wall of the middle ear cleft. It includes the malleus, stapes, and incus. These are the three small bones in the middle ear known as the ossicles. The malleus is attached to the TM and transmits sound vibrations to the incus. The incus then passes the vibrations to the stapes, which in turn sends them to the inner ear. These three bones work together to amplify and transmit sound from the outer ear to the inner ear.