Past MRCOphth/MRCS questions: 23
1. Visible enlarged corneal nerves can occur in:
a. keratoconus
b. ichthyosis
c. endocrine neurofibromatosis
d. Hansen's disease
e. Refsum's syndrome


2. Regarding corneal grafting:

a. congenital rubella is a contra-indication for taking graft 
    material
b. infant donor tissue is a good graft material
c. tissue culture medium can store donor corneas viably 
    for up to 3 months
d. glycerin preserved corneal tissue may be useful for 
    lamellar keratoplasty
e. cryopreservation allows corneal storage for up to a year


3. Pertaining to cranial nerves:

a. trochlear nerve paralysis may be idiopathic in 1/3 
    of cases
b. trochlear nerve paralysis is commonly caused by 
    diabetes mellitus
c. abducens nerve paralysis is frequently caused by 
    diabetes mellitus
d. the trochlear nerve is more frequently damaged by 
    neoplasms than the abducens nerve
e. trochlear nerve paralysis can be caused by intracranial 
   aneurysm


4. Temporal lobe tumours:

a. cause homonymous hemianopia
b. are associated with formed visual hallucinations
c. may present with psychomotor epilepsy
d. may cause Foster-Kennedy Syndrome
e. may cause ataxic nystagmus


5. Parinaud's syndrome consist of:

a. ataxia
b. vertical gaze paralysis
c. pupillary areflexia to light
d. optic atrophy
e. convergence weakness


6. The following may be causes of unilateral oculomotor palsy 
    with pupil involvement:

a. migraine
b. herpes zoster
c. myasthenia gravis
d. diabetes mellitus
e. posterior communicating artery aneurysm


7. Multiple sclerosis can cause:

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


8. The following are complications of LASIK:

a. epithelial downgrowth
b. corneal perforation
c. reduced visual acuity
d. stromal opacity
e. reduced contrast sensitivity


9. The following conditions are associated with retinal 
    artery occlusion:

a. Behcet's disease
b. Wegener granulomatosis
c. pancreatitis
d. syphilis
e. sickle cell trait


10. The following are advantages of Moh's micrographic 
      excision of skin tumour:

a. tissue conservation
b. differentiating squamous cell carcinoma from basal 
    cell carcinoma
c. useful in the diagnosis of basal cell carcinoma
d. reduced incidence of tumour recurrence
e. faster tissue healing
 
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