Ophthalmologie Preparation (Pr. Dou Seyha)

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1 / 50

1) រោគសញ្ញាខាងក្រោមនេះ មាននៅក្នុង Non Proliferative Diabetic Retinopathy ( NPDR), លើកលែងតែ:

a. Microaneurysm (MA)

b. Intraretinal hemorrhages

c. Hard exudates

d. Dot and blot hemorrhages

e. New vessels at the optic disc

2 / 50

2) ការបាត់បង់គំហើញភ្លាមៗ ហើយមានលក្ខណៈធ្ងន់ធ្ងរបំផុតបណ្ដាលមកពី

a. Optic neuritis

b. Central retinal venous occlusion

c. Central retina artery occlusion

d. Retinal detachment

e. Vitreous hemorrhage

3 / 50

3) Photo receptors: ជ្រើសរើសចម្លើយដែលមិនត្រឹមត្រូវ

a. Rod responsible for night and black and white vision

b. Rod had got more number than cone

c. Can capture image and convert to electric impulse

d. Photoreceptor seat on internal limiting membrane

e. Cone responsible for color and daytime vision

4 / 50

4) ផលវិបាកនៃ Branch Retinal Vein Occlusion មាន:

a. Vitreous Hemorrhage

b. All of above

c. Macula edema

d. Glaucoma

e. Sudden decrease vision

5 / 50

5) ការព្យាបាល ការរហែកស្រទាប (Retina Tear) គឺ

a. Laser Photocoagulation

b. Injection of Silicon oil

c. Scleral Buckle (ដាក់ក្រវ៉ាតគ្រាប់ភ្នែក)

d. Vitrectomy and Endo-Laser

e. Injection of C3F8 ophthalmic gas

6 / 50

6) នៅក្នុង Branch Retinal Vein Occlusion, កន្លែងដែលបង្កឲ្យស្ទះសរសៃឈាមភាគច្រើនស្ថិតនៅកន្លែង:

a. At optic disc

b. At superior temporal part

c. At Pars Plana

d. At Lamina Cribrosia of optic nerve

e. Aterio-Veinus Crossing

7 / 50

7) ការព្យាបាល Retinal Detachment គឺ

a. May Combine all of above

b. Vitrectomy and Endo-laser

c. Injection of C3F8 ophthalmic gas

d. Scleral Buckle

e. Injection of Silicon oil

8 / 50

8) ការព្យាបាលនៃ Branch Retinal Artery Occlusion គឺ:

a. C3F8 ophthalmic Gas injection

b. Avastin injection

c. Treat any underlying medical problem

d. Laser Photocoagulation

e. Treatment is mostly effective

9 / 50

9) ករណីបាត់បង់គំហើញភ្លាមៗ ហើយពុំមានការឈឺចាប់ភាគច្រើនបណ្ដាលមកពីជម្ងឺ:

a. Giant cell arteritis

b. Central Retinal Thrombosis

c. Herpes simplex keratitis (dendritic ulcer)

d. Primary open angle glaucoma

e. Acute anterior uveitis

10 / 50

10) រោគសញ្ញាខាងក្រោមនេះធ្វើឲ្យគំហើញថយចុះក្នុង Diabetic Retinopathy លើកលែងតែ :

a. Vitreous haemorrhage

b. Cotton-wool spots

c. Dot haemorrhages

d. Maculopathy

e. Tractional Retinal Detachement

11 / 50

11) ករណីមាន Peripheral Retinal Degeneration អាចបណ្ដាលឲ្យ

a. All of above

b. Branch Retinal Vein Occlusion

c. Retinal Detachment

d. Macula Edema

e. Branch Retinal Arteria Occlusion

12 / 50

12) នៅក្នុង Rhegmatogenous Retinal Detachment ការរហែកស្រទាបរ៉េទីន (retinal tear) ច្រើនប្រទះនៅផ្នែក :

a. Inferior Nasal

b. Superior Temporal

c. Superior Nasal

d. Macula area

e. Inferior Temporal

13 / 50

13) មូលហេតុជួបប្រទះញឹកញាប់ជាងគេនៃ Branch Retinal Vein Occlusion គឺបណ្ដាលមកពី

a. Diabetic Macula Edema

b. Hypertension

c. Sub Retinal Mass

d. Neovascular Glaucoma

e. Hypermature Cataract

14 / 50

14) លក្ខណៈខាងក្រោមជា Risk factor នៃជម្ងឺ Diabetic Retinopathy លើកលែងតែ:

a. Blood pressure

b. Pregnancy

c. Close relation with System Lupus Erythematous

d. Hyperglycemia

e. Duration of diabetes

15 / 50

15) ជ្រើសរើសចម្លើយដែលខុសអំពីសរសៃឈាមដុះថ្មី (Select the wrong answer about the News Vessels in retina):

a. May be present without obvious background change

b. Are fragile and may rupture to release blood

c. Grow in response to failure of the microcirculation in the retina

d. Cause pre-retinal hemorrhage if they rupture

e. Arise from the retina, not the optic disc

16 / 50

16) មូលហេតុ (Etiology) នៃ Central Retinal Artery Occlusion គឺ:

a. All of above

b. Embolus

c. Systemic Lupus Erythematous

d. Giant cell arteritis

e. Thrombosis

17 / 50

17) ចំពោះ Microvascular Occlusion in Diabetic Retinopathy: ជ្រើសរើសប្រយោគដែលមិនត្រឹមត្រូវ :

a. Deformation of Red blood Cells

b. High Blood sugar

c. Capillary changes

d. Changes in platelets

e. Retinal capillary non-perfusion & hypoxia

18 / 50

18) ជ្រើសរើសចម្លើយត្រឹមត្រូវ អំពីMacula:

a. Responsible for Central and distance vision

b. Disease of macula with cause night blindness

c. Responsible for blind spot in visual field

d. All of above

e. Rod has got the highest concentration

19 / 50

19) មូលហេតុ Etiology) នៃ Branch Retinal Artery Occlusion, មានដូចខាងក្រោម លើកលែងតែ:

a. Diabetic Retinopathy

b. Thrombosis

c. Embolus

d. Systemic lupus erythematosus

e. Giant cell arteritis

20 / 50

20) មូលហេតុនៃ Rhegmatogenous Retinal Detachment គឺបណ្ដាលមកពី

a. Retinal Tumor

b. Retinal Fibrosis

c. Sub Retinal mass

d. None of above

e. Retinal Hole/ Tear

21 / 50

21) Diabetic Retinopathy pathogenesis:

a. Breakdown of blood retinal barrier causes leakage of plasma constituents

b. Loss of vessel wall integrity

c. Distension of capillary wall and Causes Microaneurysms

d. Reduce number of endothel and pericytes

e. All of above

22 / 50

22) ហានិភ័យ (Risk Factor) នៃ Rhegmatogenous Retinal Detachment គឺបណ្ដាលមកពី :

a. High myopia

b. Lattice degeneration of Peripheral Retina

c. Cataract surgery complicated by vitreous loss

d. All of above

e. Vitreous detachment (vitreous traction)

23 / 50

23) ស្ដ្រីមានអាយុ ៥០ ឆ្នាំ មានជម្ងឺទឹកនោមផ្អែម ១០ឆ្នាំង មកហើយ។ តើអ្នកជម្ងឺនេះមាន Diabetic Retinopathy ប៉ុន្មានភាគរយ?

a. 65-85%

b. 35-50%

c. 75-90%

d. 55-65%

e. 15-30%

24 / 50

24) Photoreceptors : ជ្រើសរើសឃ្លាខាងក្រោមដែលមិនត្រឹមត្រូវ:

a. Cones responsible for color vision

b. Rods are more concentrated all part of retina

c. Rods responsible for night vision

d. Cones and got the same quantity as Rods

e. Cones are concentrated in fovea

25 / 50

25) មូលហេតុនៃ Exudative Retinal Detachment គឺបណ្ដាលមកពី

a. Sub Retinal mass

b. Retinal Fibrosis

c. None of above

d. Retinal Hole/ Tear

e. Diabetic Retinopathy

26 / 50

26) ជម្ងឺងងឹតព៍ណ (Color Blind/ Deficiency ) ភាគច្រើនកើតនៅលើ

a. Women

b. Diabetic patient

c. Obese person

d. Pregnant lady

e. Men

27 / 50

27) តើរោគសញ្ញាណាមួយដែលមិនត្រឹមត្រូវក្នុង Prolipherative Diabetic Retinopathy (PDR):

a. Tractional retinal detachment

b. Neovascularization elsewhere in the retina (NVE)

c. Neovascularization of the disc (NVD)

d. Optic Disc edema

e. Pre retinal or vitreous hemorrhages

28 / 50

28) តើ Symptom ណាមួយដែលមិនមាននៅក្នុង Rhegmatogenous Retinal Detachment?

a. Curtain or shadow moving over the field of vision,

b. Floaters,

c. Transient visual loss ( Amaurosis fugax)

d. Peripheral or central visual loss or both.

e. Flashes of light,

29 / 50

29) ការប្រើ Laser Photocoagulation: ចម្លើយខាងក្រោមត្រឹមត្រូវលើកលែងតែ :

a. Will reduce the risk of Neovascularization of retina

b. It is safe for eyes with Macula edema

c. Will destroy retina tissues

d. Will be mostly used for treatment of long standing Vitreous Hemorrhage

e. Can use for both NPDR and PDR

30 / 50

30) តើកោសិកាណាដែលមានចំនួនច្រើនជាងគេនៅក្នុងរ៉េទីន?

a. Rod

b. Horizontal

c. Cone

d. Ganglion

e. Bipolar

31 / 50

31) ជ្រើសរើសចម្លើយដែលមិនមែនជាផលវិបាកនៃជម្ងឺទឹកនោមផ្អែមទៅលើភ្នែក:

a. Cataract

b. Posterior Vitreous Detachment

c. Glaucoma

d. Neovasculaization on iris

e. Vitreou Hemorhage

32 / 50

32) តើកោសិកាប្រសាទណាដែលមិនមាននៅក្នុងរ៉េទីន?

a. Photoreceptors

b. Horizontal

c. Ganglion

d. Müllers

e. Bipolar

33 / 50

33) ឧបករណ៍ទាំងអស់ត្រូវបានប្រើប្រាស់ដើម្បីពិនិត្យរ៉េទីណា លើកលែងតែ :

a. Retinoscope

b. Direct Ophthalmoscope

c. Slit Lamp with Bi-spheric Lens ( + 78D, +90D )

d. Indirect Ophthalmoscope

e. Fundus Camera

34 / 50

34) ថ្នាំប្រឆាំងសរសៃឈាមដុះថ្មីត្រូវបានប្រើប្រាស់សម្រាប់ព្យាបាលជម្ងឺរ៉េទីនខាងក្រោមលើលលែងតែ ( Anti-Vascular Growing Factor ( Anti-VGF) medication):

a. Diabetic Macula edema

b. Macular Edema from Branch Retinal Vein Occlusion

c. Central Retina Arterial Occlusion

d. Non Prolipherative Diabetic Retinopathy (NPDR)

e. Prolipherative Diabetic Retinopathy (PDR)

35 / 50

35) នៅក្នុង Central Retinal Vein Occlusion, កន្លែងដែលបង្កឲ្យស្ទះសរសៃឈាមភាគច្រើនស្ថិតនៅកន្លែង:

a. At Ora Serrata

b. Aterio-Veinus Crossing

c. At superior temporal part

d. At Pars Plana

e. At Lamina Cribrosia of optic nerve

36 / 50

36) មូលហេតុ (Etiology) នៃ Central Retinal Vein Occlusion

a. All of above

b. Optic disc edema.

c. Atherosclerosis of the adjacent central retinal artery

d. Drugs: e.g., oral contraceptives, diuretics.

e. Hypertension.

37 / 50

37) មូលហេតុនៃ Tractional Retinal Detachment គឺបណ្ដាលមកពី

a. Sub Retinal mass

b. Retinal Hole/ Tear

c. None of above

d. Retinal Tumor

e. Retinal Fibrosis

38 / 50

38) តើកោសិកាណាមួយដែលមានតួនាទីសម្រាប់មើលឆ្ងាយ

a. Horizontal cell

b. Cone

c. Bipolar cell

d. Ganglion cell

e. Rod

39 / 50

39) ចូរជ្រើសរើសចម្លើយដែលមិនមាននៅក្នុងប្រព័ន្ធ the Visual Sensory system

a. Mid Brain stem

b. Optic Nerve

c. Optic Chiasm

d. Occipital Cortex

e. Optic Tracts

40 / 50

40) តើរោគសញ្ញាណាមួយដែលមិនមាននៅក្នុង Central Retinal Artery Occlusion

a. Whitening of the retina in the posterior pole

b. Intra Retina Hemorrhage

c. Narrowed retinal arterioles

d. A cherry-red spot in the center of the macula

e. May have a history of transient visual loss (Amaurosis Fugax)

41 / 50

41) ជ្រើសរើសចម្លើយត្រឹមត្រូវ ចំពោះ “ សរសៃប្រសាទ Opticបង្កើតឡើងដោយ” :

a. Axon of Ganglion Cells

b. Axon of Bipolar Cells

c. All of above

d. Axon of Photoreceptor Cells

e. Axon of Horizontal cells

42 / 50

42) ការព្យាបាលនៃ Diabetic Retinopathy/ Maculopathy ដែលល្អជាងគេ :

a. Laser photocoagulation

b. All of above

c. Control of Blood pressure

d. Injection of Anti VGF medication ( eg: Avastin)

e. Control of Blood sugar

43 / 50

43) ជ្រើសរើសចម្លើត្រឹមត្រូវអំពីភាពពិការភ្នែក របស់អង្គការសុខភាពពិភពលោកគឺគំហើញល្អបំផុតរបស់ភ្នែក : (Select the most right answer for Blindness of WHO : Best Corrected Visual Acuity ) :

a. < 2/60

b. < 4/60

c. < 3/60

d. < 6/60

e. < 1/60

44 / 50

44) អ្នកជម្ងឺទឹកនោមផ្អែមម្នាក់មានគំហើញថយចុះភ្លាមៗ។ ការពិនិត្យខាងក្រោមត្រូវបានធ្វើឡើងបន្ដបន្ទាប់លើកលែងតែ

a. Examination with triple mirror

b. Direct ophthalmoscopy

c. Indirect ophthalmoscopy

d. Retinoscopy

e. Slit lamp examination

45 / 50

45) ឃ្លាខាងក្រោមត្រឹមត្រូវ លើកលែងតែ (All statement below are correct except) :

a. When looking into the distance the lens is pulled into a ‘thin’ shape

b. The fovea is at the center of the macula region

c. The cornea helps the lens to focus light on the retina

d. The normal ratio of diameters of veins to arteries is 3 : 2

e. The retina reflects most of the light

46 / 50

46) រោគសញ្ញានៃ Non Prolipherative Diabetic Retinopathy (NPDR) មានដូចខាងក្រោមលើកលែងតែ:

a. Microaneurysm (MA)

b. Hard exudates

c. Macula dystrophy

d. Dot and blot hemorrhages

e. Intraretinal hemorrhages

47 / 50

47) នៅក្នុង Diabetic Retinopathy សរសៃឈាមថ្មី (new vessel )កកើតឡើងបណ្ដាលមកពី

a. Retinal breaks

b. Retinal oedema

c. Vitreous hemorrhage

d. Retinal ischemia

e. Retinal hemorrhage

48 / 50

48) ជម្ងឺភ្នែកផ្សេងៗបណ្ដាលមកពីជម្ងឺទឹកនោមផ្អែមគឺ (Ocular Manifestation in patient with Diabetic is/ are) :

a. Glaucoma

b. Retinopathy

c. All of above

d. Vitreous Hemorrhage

e. Cataract

49 / 50

49) ជ្រើសរើសចម្លើយដែលត្រឹមត្រូវចំពោះគោលការណ៍សំខាន់នៃការព្យាបាល Diabetic Retinopathy” :

a. Intra Vitreal Injection of Anti-VGF, Steroid

b. Laser photocoagulation

c. Surgery for Vitreous Hemorrhage

d. Tight control of blood glucose

e. All of above

50 / 50

50) តើផលវិបាកណាមួយមិនមាននៅក្នុង Central Retinal Vein Occlusion

a. Sudden painless decrease vision

b. Diffuse retinal hemorrhages in all four quadrants of the retina

c. Vitreous Hemorrhage

d. All of above

e. Optic disc edema

Your score is

The average score is 89%

Any comments?

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និស្សិតអាចប្រាប់មកកាន់ពួកយើងបានដើម្បីកែកំហុស ឬអំពីបញ្ហាដោយអចេតនាណាមួយដែលកើតមានកំឡុងពេលធ្វើតេស្ត