Ophthalmologie Test

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Ophthalmologie Test

1 / 60

មូលហេតុដែលជាឧបសគ្គជួបញឹកញាប់ជាងគេរបស់ Dacryocystitis?

a. Dacryoliths

b. Lacrimal sac tumor

c. Trauma

d. Diverticula of the lacrimal sac

e. Nasolacrimal duct obstruction

2 / 60

អ្វីទៅហៅថាភ្នែកប្រេសបាយអូបពា (prebyopia) លើកលែងតែ?

a. មើលជិតមិនច្បាស់

b. អាកុំម៉ូដេហ្សិន (Accommodation) ថយចុះ

c. កើតឡើងចាប់ពីអាយុ ៤០ឆ្នាំឡើងទៅ

d. មើលឆ្ងាយមិនច្បាស់

3 / 60

អ្វីទៅហៅថាភ្នែកអុីពែម៉េត្រូប (Hypermetropice) លើកលែងតែ?

a. រូបភាពនៅពីក្រោយសរសៃបាតភ្នែក

b. មើលជិតមិនច្បាស់

c. ភ្នែកខ្លីខុសពីធម្មតា

d. ទំហំគ្រាប់ភ្នែកធំខុសពីធម្មតា

4 / 60

កំរាស់របស់ Lipid layer

a. 1μm

b. 0.2μm

c. 0.1μm

d. 0.7μm

5 / 60

The best choice of treatment in acute angle closure glaucoma is:

a. Anti glaucoma

b. Anti glaucoma follow by peripheral iridectomy (PI)

c. Trabeculectomy

d. Anti glaucoma follow by Trabeculectomy

6 / 60

មួយណាដែលមិនមែនជាមូលហេតុបណ្ដាលអោយភ្នែកស្រលៀង:

a. Medication

b. Myasthenia gravis

c. Congenital

d. Trauma

e. Chronic progressive external ophthalmoplegia (CPEO)

7 / 60

ការព្យាបាលទឹកដក់ក្នុងភ្នែក លើកលែងតែ

a. វះកាត់ធ្វើផ្លូវទឹក

b. ព្យាបាលដោយឡែស័រ

c. បន្ដក់ថ្នាំភ្នែកបន្ថយសម្ពាធទឹក

d. បន្ដក់ថ្នាំភ្នែកអង់ទីប៊ីយ៉ូទិច

8 / 60

មូលហេតុអ្វីខ្លះដែលបណ្ដាលអោយភ្នែកឡើងបាយ លើកលែងតែ?

a. ការប្រើថ្នាំជាតិស្ទេរ៉យ (streoide) យូរពេក

b. ការប៉ះទង្គិចលើកែវភ្នែក

c. ពីកំណើតតំណរពូជ

d. ជម្ងឺសុីស្ទេមិច (systemic disease)

e. កង្វះវីតាមីន អា

9 / 60

មូលហេតុអ្វីខ្លះដែលបណ្ដាលអោយដំបៅកញ្ចក់ភ្នែក លើកលែងតែ?

a. ពាក់ contact lens មិនស្អាត

b. ការប៉ះទង្គិចលើកញ្ចក់ភ្នែក

c. ការប្រើថ្នាំអង់ទីប៊ីយូទិច (anti-biotique)

d. មេរោគទុំលើកញ្ចក់ភ្នែក

10 / 60

Presbyopia caused by:

a. Infection

b. Chemical burn

c. Eye trauma

d. Ageing change

11 / 60

តើមួយណាដែលមិនមែនជាកំរាស់ស្រទាប់ទឹកភ្នែក?

a. ស្រទាប់ Oily Layer

b. ស្រទាប់ Water Layer

c. ស្រទាប់ Mucin Layer

d. ស្រទាប់ Epithelium

12 / 60

Refractive errors

a. Corrected by contact lenses

b. Myopia corrected by plus lens

c. Hyperopia corrected by cylindrical lenses

d. Astigmatism corrected by minus lenses.

13 / 60

Hypermetropia or Hyperopia:

a. Distant object is clearer than near

b. Minus lenses correct hyperopia

c. Axial length is longer than normal

d. Cornea is steeper than normal

14 / 60

ក្មេងកើតមកមាន Dacryostenosis តើមួយណាជាចំលើយខុស?

a. រយៈពេល 6 ខែចាប់ផ្ដើមធ្វើ Probing

b. រយៈពេល 5 ឆ្នាំឡើងទៅអាចធ្វើ DCR បាន

c. ត្រូវធ្វើ DCR តែម្ដងជាការស្រេច

d. ធ្វើ Massage of Lacrymal Sac មុនគេ

15 / 60

ជំងឺភ្នែកឡើងបាយទារកបណ្ដាលមកពី

a. ជំងឺទឹកនោមផ្អែម

b. ការប៉ះទង្គិច

c. ម្ដាយមានជំងឺស្អូចនៅពេលមានផ្ទៃពោះ

d. ត្រូវរបួសចំគ្រាប់ភ្នែក

e. ទាំងអស់ខាងលើ

16 / 60

ការព្យាបាលភ្នែកកំហុសកំណុំរូបភាពមានអ្វីខ្លះលើកលែងតែ?

a. ព្យាបាលដោយថ្នាំបន្ដក់ភ្នែក

b. ពាក់កុងតាក់លែង

c. បាញ់កាំរស្មីឡែស័រ

d. ពាក់វ៉ែនតា

17 / 60

Lowenstein Jensen medium use for:

a. Neisseria

b. Moraxaella

c. Nocardia

d. Acanthamoeba

e. Fungi

18 / 60

The strongest bone of the orbit is:

a. Lacrimal bone

b. Sphenoid bone

c. Palatine bone

d. Ethmoid bone

e. Zygomatic bone

19 / 60

A 25-year-old man had many episodes of bacterial conjunctivitis on the right eye about 2 months ago. He is on treatment topical antibiotic and a lubricant eye drop. What is the common cause of recurrent bacterial conjunctivitis for this patient?

a. Canaliculus obstruction

b. Pumtum stenosis

c. Nasolacrimal duct obstruction

d. Inflammation of lacrimal sac

e. Obstruction of valve of Hasner

20 / 60

The inner layer of the eye is:

a. Retina

b. Cornea

c. Sclera

d. Pupil

e. Uvea

21 / 60

How many millimeters from limbus to the insertion of lateral rectus?

a. 5.9 mm

b. 6.5 mm

c. 7.7 mm

d. 6.9 mm

e. 5.5 mm

22 / 60

What is the most common pathogen(s) responsible for corneal ulcer in contact lens wearers?

a. Pseudomonas aeruginosa

b. Fungi

c. Streptococcal species

d. Staphylococcal species

23 / 60

The young lady had chemical injury with acid on both eyes about 3 months ago then she develop severe dry eye. What is the common cause of severe dry eye for this patient?

a. Corneal scarring

b. Pterygium

c. Allergy with substance injury

d. Lacrimal gland injury

e. Conjunctiva scarring and fibrosis

24 / 60

A 7 months baby boy comes to ophthalmology departement because his mother concern about the pressure inside the eyes. The doctor said the pressure inside the eye was normal . What is the possible intraocular pressure of the baby?

a. 17 mm Hg

b. 4 mm Hg

c. 22mm Hg

d. 10 mm Hg

e. 15 mm Hg

25 / 60

Most inner layer of the cornea is:

a. Endothelium

b. Stroma

c. Descemet membrane

d. Epithelium

e. Bowman membrane

26 / 60

Cause of follicular conjunctivitis:

a. Fungus

b. Conjunctiva foreign body

c. Allergy

d. Bacteria

e. Virus

27 / 60

Which one is gram negative bacterial infection of the cornea?

a. Listeria

b. Pseudomanas

c. Staphylococci

d. Nocardia

e. Enterococci

28 / 60

The outer most layer of the retina is:

a. Choroid

b. Outer segment of photoreceptor cell layer

c. Retinal pigmented epithelium

d. External limiting membrane

e. Bruch membrane

29 / 60

Which statement is true about Myopia?

a. Advice not to wear glasses

b. Correct with Concave lens

c. Cannot correct with laser vision correction

d. Correct with Cylinder lens

e. Correct with Convex lens

30 / 60

Optic nerve has:

a. 4 parts

b. 6 parts

c. 2 parts

d. 3 parts

e. 5 parts

31 / 60

What is the optimal procedure for analysis of the bony orbit?

a. Computerized tomography

b. Magnetic resonance imaging

c. Ultrasound

d. Contrast enhanced plain X-ray films

32 / 60

A 10-month old, full-term gestation, and previously healthy child, presents for further evaluation of leukocoria (white pupil) in his left eye, which was first noted by the child’s parents in a recent photograph. A CT scan shows evidence of a mass with localized calcification in the left eye. Which of the following is the most likely cause of the patient’s condition?

a. Organized vitreous hemorrhage

b. Coats disease

c. Retinopathy of prematurity

d. Congenital cataract

e. Retinoblastoma

33 / 60

What is this type of medium for culture in bacterial corneal ulcer?

a. Saboraude dextrose agar

b. Blood agar

c. Chocolate agar

d. MacConkey

e. Lowenstein Jensen medium

34 / 60

Corneal glue is indicated in case of corneal perforation:

a. Smaller then 5 mm

b. Smaller then 4 mm

c. Smaller then 3 mm

d. Smaller then 6 mm

e. Smaller then 2 mm

35 / 60

Corneal scraping is not indicated in corneal ulcer:

a. atypical infected organism is suspected

b. Large ulcer

c. Small infiltrate and Peripherally located ulcer

d. not responding to current treatment

e. central ulcer

36 / 60

Infection with Chlamydia trachomatis serotypes A-C results in which one of the following?

a. Lymphogranuloma venereum

b. Adult inclusion conjunctivitis

c. Neonatal inclusion conjunctivitis

d. Trachoma

37 / 60

Side effect of topical steroid to eye ?

a. Decrease intraocular pressure

b. Decrease risk of cornea ulcer

c. Increase intraocular and cataract

d. Conjunctivitis

e. Increase intraocular inflammation

38 / 60

ការព្យាបាល ការរហែកស្រទាប (Retina Tear) គឺ

a. Injection of C3F8 ophthalmic gas

b. Vitrectomy and Endo-Laser

c. Laser Photocoagulation

d. Scleral Buckle (ដាក់ក្រវ៉ាតគ្រាប់ភ្នែក)

e. Injection of Silicon oil

39 / 60

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

a. Are fragile and may rupture to release blood

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

c. Arise from the retina, not the optic disc

d. Cause pre-retinal hemorrhage if they rupture

e. May be present without obvious background change

40 / 60

មូលហេតុនៃ Exudative Retinal Detachment គឺបណ្ដាលមកពី

a. Diabetic Retinopathy

b. Retinal Hole/ Tear

c. Sub Retinal mass

d. Retinal Fibrosis

e. None of above

41 / 60

រោគសញ្ញានៃ Non Prolipherative Diabetic Retinopathy (NPDR) មានដូចខាងក្រោមលើកលែងតែ:

a. Microaneurysm (MA)

b. Dot and blot hemorrhages

c. Intraretinal hemorrhages

d. Hard exudates

e. Macula dystrophy

42 / 60

ឃ្លាខាងក្រោមត្រឹមត្រូវ លើកលែងតែ (All statement below are correct except) :

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

b. The retina reflects most of the light

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

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

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

43 / 60

តើរោគសញ្ញាណាមួយដែលមិនមាននៅក្នុង Central Retinal Artery Occlusion

a. Intra Retina Hemorrhage

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

c. Narrowed retinal arterioles

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

e. Whitening of the retina in the posterior pole

44 / 60

តើរោគសញ្ញាណាមួយដែលមិនត្រឹមត្រូវក្នុង Prolipherative Diabetic Retinopathy (PDR):

a. Pre retinal or vitreous hemorrhages

b. Neovascularization of the disc (NVD)

c. Tractional retinal detachment

d. Neovascularization elsewhere in the retina (NVE)

e. Optic Disc edema

45 / 60

មូលហេតុនៃ Rhegmatogenous Retinal Detachment គឺបណ្ដាលមកពី

a. Retinal Fibrosis

b. None of above

c. Retinal Hole/ Tear

d. Retinal Tumor

e. Sub Retinal mass

46 / 60

តើកោសិកាណាមួយដែលមានតួនាទីសម្រាប់មើលឆ្ងាយ

a. Horizontal cell

b. Rod

c. Ganglion cell

d. Cone

e. Bipolar cell

47 / 60

ការព្យាបាល Retinal Detachment គឺ

a. Vitrectomy and Endo-laser

b. Scleral Buckle

c. Injection of C3F8 ophthalmic gas

d. May Combine all of above

e. Injection of Silicon oil

48 / 60

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

a. 35-50%

b. 75-90%

c. 55-65%

d. 15-30%

e. 65-85%

49 / 60

ការព្យាបាលនៃ Diabetic Retinopathy/ Maculopathy ដែលល្អជាងគេ :

a. All of above

b. Laser photocoagulation

c. Control of Blood pressure

d. Control of Blood sugar

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

50 / 60

តើកោសិកាណាដែលមានចំនួនច្រើនជាងគេនៅក្នុងរ៉េទីន?

a. Bipolar

b. Rod

c. Cone

d. Horizontal

e. Ganglion

51 / 60

ជ្រើសរើសចម្លើយដែលមិនមែនជាផលវិបាកនៃជម្ងឺទឹកនោមផ្អែមទៅលើភ្នែក:

a. Glaucoma

b. Cataract

c. Posterior Vitreous Detachment

d. Vitreou Hemorhage

e. Neovasculaization on iris

52 / 60

តើ Symptom ណាមួយដែលមិនមាននៅក្នុង Rhegmatogenous Retinal Detachment?

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

b. Floaters,

c. Peripheral or central visual loss or both.

d. Transient visual loss ( Amaurosis fugax)

e. Flashes of light,

53 / 60

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

a. < 4/60

b. < 2/60

c. < 1/60

d. < 6/60

e. < 3/60

54 / 60

ហានិភ័យ (Risk Factor) នៃ Rhegmatogenous Retinal Detachment គឺបណ្ដាលមកពី :

a. All of above

b. Lattice degeneration of Peripheral Retina

c. High myopia

d. Vitreous detachment (vitreous traction)

e. Cataract surgery complicated by vitreous loss

55 / 60

មូលហេតុជួបប្រទះញឹកញាប់ជាងគេនៃ Branch Retinal Vein Occlusion គឺបណ្ដាលមកពី

a. Hypertension

b. Diabetic Macula Edema

c. Neovascular Glaucoma

d. Sub Retinal Mass

e. Hypermature Cataract

56 / 60

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

a. New vessels at the optic disc

b. Hard exudates

c. Intraretinal hemorrhages

d. Dot and blot hemorrhages

e. Microaneurysm (MA)

57 / 60

នៅក្នុង Rhegmatogenous Retinal Detachment ការរហែកស្រទាបរ៉េទីន (retinal tear) ច្រើនប្រទះនៅផ្នែក :

a. Macula area

b. Superior Nasal

c. Superior Temporal

d. Inferior Nasal

e. Inferior Temporal

58 / 60

ការព្យាបាលនៃ Branch Retinal Artery Occlusion គឺ:

a. Laser Photocoagulation

b. Treatment is mostly effective

c. Avastin injection

d. Treat any underlying medical problem

e. C3F8 ophthalmic Gas injection

59 / 60

Photo receptors: ជ្រើសរើសចម្លើយដែលមិនត្រឹមត្រូវ

a. Can capture image and convert to electric impulse

b. Rod responsible for night and black and white vision

c. Photoreceptor seat on internal limiting membrane

d. Rod had got more number than cone

e. Cone responsible for color and daytime vision

60 / 60

មូលហេតុ (Etiology) នៃ Central Retinal Vein Occlusion

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

b. Atherosclerosis of the adjacent central retinal artery

c. Hypertension.

d. Optic disc edema.

e. All of above

Your score is

The average score is 88%

Any comments?

Any problems/errors or mistakes found while testing, please let us know for modification!

និស្សិតអាចប្រាប់មកកាន់ពួកយើងបានដើម្បីកែកំហុស ឬអំពីបញ្ហាដោយអចេតនាណាមួយដែលកើតមានកំឡុងពេលធ្វើតេស្ត