QUESTION BANK FINAL

401 32. In version the eyes move in the ………… A] same direction B] oppositedirection C] one eye movement Ans : A] same direction 33. Invergence is the eyes move in the ……….. A] same direction B] oppositedirection C] one eye movement Ans : B] oppositedirection 34. Ocular movement test done in …….movement first A] Horizontal B] vertical C] oblique Ans : A] Horizontal 35. While doing Ocular movement test, the target should be held at ........ cm A] 33 B] 40 C] 38 Ans : B] 40 36. The image of the fixation object falls on the......... A] Fovea B] macula C] pseudo Ans : A] Fovea 37. ....... gives a combined single image A] Fusion B] stereopsis C] convergence Ans : A] Fusion REFRACTION DEPARTMENT-CBE

402 38. ……..... is ability to join two images A] Fusion B] stereopsis C] convergence Ans : A] Fusion 39. Simultaneous perception is the ability to see the images projected from each eye at the ……….. A] same time B] after 1minute C] few seconds Ans : A] same time 40- ---------squint may have simultaneous perception but lack the ability to fuse A] Latent B] manifest C] intermittent Ans : B] manifest 41. ……is the measure ofthe amount ofvergence movement which can be maintained A] Fusionrange B] stereoscopic vision C] accommodative range Ans : A] Fusionrange 42. Thepositive fusion amplitude represent ……..…. A] Convergence B] divergence C] squint Ans : A] Convergence 43. Convergence is made up of ---------parts A] 4parts B] 3parts C] 5parts Ans : A] 4parts

403 44. ........is a ability to appreciate that the focused image is three dimensional A] Fusion B] stereopsis C] convergence Ans : B] stereopsis 45. Accommodative convergence is response to ......... A] Accommodation B] fusion C] accommodative convergence Ans : A] Accommodation 46. ....... Amplitude represents convergence A] Positive fusion B] negative fusion C] a & b Ans : A] Positive fusion 47. ...... Amplitude represents divergence A] Positive fusion B] negative fusion C] a & b Ans :B] Negative fusion 48. True stereopsis is obtained only when ……..... is present A] BSV B] convergence C] divergence Ans : A] BSV 49. The prism used in correcting exotropia will be .......... A) Base-in prism B) Base-out prism C) Base tilted towards the patient D) Base tilted away from the patient REFRACTION DEPARTMENT-CBE

404 Ans :A] Base-in prism 50. Convergence is well developed by..........Of age A] 2-3 month B] 3-4 month C] 1-2 month Ans : A] 2-3 month 51. .......... Convergence is absent when deeply asleep or unconscious, the eyes are normally divergent A] Fusion B] proximal C] tonic Ans : C] tonic 52. ...... Convergence bring the eyes from the position of rest to a straight position A] Fusion B] proximal C] tonic Ans : C] tonic 53. ..... Is the response to the individual’s knowledge of the nearness of the object? A] Fusional B] proximal C] tonic Ans : B] proximal 54. ........ Is induced by the desire for binocular single vision A] Fusional convergence B] proximal C] tonic Ans : A] Fusional convergence

405 55.Fusional convergence in responsible for maintaining BSV when ...….. is present A] Heterophoria B] heterotropia C] hypertropia Ans : A] Heterophoria 56. ....... Occur in response to accommodation A] Accommodative convergence B] fusion convergence c] a & b Ans : A] Accommodative convergence 57.NPC is measured in....... A] Millimeter B] centimeter C] meter Ans : B] centimeter 58. Accommodation develops in early childhood&is reasonably accurate at ----- A] 2-3months B] 3-4months C] 2-5months Ans : A] 2-3months 59. Tropia is--------- squint A] Manifestsquint B] latent squint C] pseudo strabismus Ans : A] Manifestsquint REFRACTION DEPARTMENT-CBE

406 60. ---------is the torsional squint A] Cyclotropia B] hypertropia C]hypotropic Ans : A] Cyclotropia 61. ….........squint is phoria A] Manifestsquint B] latent squint C] pseudo strabismus Ans : B] latent squint 62. Phoria is ……….. squint A]Latent B]manifest C]Divergent Ans :A]Latent 63. In cover test ,the eyes takes fixation from an outside position towards the nose this is............... A] Exotropia B] Esotropia C] Hypertropia Ans : A] Exotropia 64. If the eye moves from an inward position towards the ear to take up fixation it is ….......... A] Exotropia B] Esotropia C] Hypertropia Ans : B] Esotropia

407 65. Hirschberg test is estimating the............. A] Esotropia B] Exotropia C] angle of squint Ans : C] angle of squint 66. The normal near point of convergence............ A] 8cm B] 10cm C] 9 cm Ans : A] 8cm 67. If the reflex is at the edge of the pupil , the angle of squint is .......... A] 15degree B] 30 degree C]45 degrees Ans : A] 15degree 68. …........test is used for meaning the amount of squint A] Prism cover B] corneal reflex C] cover test Ans : A] Prism cover 69. Loose prism &prism bar is used for........... A] Covertest B] alternate cover test C] prism cover test Ans : C] prism cover test 70. Cover test is used to detect …....... A] Type of squint B] amount of squint C] angle of squint REFRACTION DEPARTMENT-CBE

408 Ans : A] Type of squint 71. …...... Of the prism is placed in the direction of the squint A] Apex B] base C] prism bar Ans : A] Apex 72. The Maddox wing consists of horizontal&vertical scale this is marked in .......... A] Centimeters B] degree C] prism diopter Ans : C] prism diopter 73. The Maddox rod is a...........method of measuring phoria or tropia A] Subjective B] objective C] approximate Ans : A] Subjective 74. The Maddox rod is generally used at .......distance A] 6m B] 40cm C] a, b Ans : A] 6m 75. …....... in esophoria it will be on the same side as the rod, in exophoria it will be on the opposite side as the rod A] Maddox rod B] Maddox wing C] prism bar Ans : A] Maddox rod

409 76. ReducedSnellen’s lettersused to measure accommodation ,this instrument is called ........ A] Maddoxrod B] Maddoxwing C] RAF-ruler Ans : C] RAF-ruler 77. ….......is both uniocular and binocular A] Accommodation B] convergence C] fusion Ans : A] Accommodation 78.Binocular single vision is present when convergence is sufficiently---- A] Good B] better C] worse Ans : A] Good 79. ---------- depends on the age A] Convergence B] fusion C] accommodation Ans : C] accommodation 80.The size of the retinal image of any object subtending a visual angle of 1 minute is ……….. A ) . 0.001 mm B). 0.003 mm C). 0.004 mm D). None of the above Ans : C ] 0.004 mm REFRACTION DEPARTMENT-CBE

410 81. WFDT is one of the investigations of …… A] Alternate vision B] Single vision C] Binocular vision Ans : C] Binocular vision 82. Red&green glass used for ……… A] Randot B] TNO book C] Titmus fly Ans : B] TNO book 83. The Polaroid glass used for …........ A] Binocular single vision B] Titmusfly C] TNO book Ans : B] Titmusfly 84. If 5 lights are seen in WFDT ,it represents …… A] BSVpresent B] Diplopia C] Alternate suppression Ans : B] Diplopia 85.Exophoria is common in ………. A) myopia B) hypermetropia C) aphkia D) presbyopia Ans :A] myopia

411 86. The cover test usual finding in convergence deficiency is slight ……. For near A] Esophoria B] Exophoria C] Cyclophoria Ans : B] Exophoria 87.Dot card consist a strip of stiff cardboard about ......cm long with a line drawn down the center of the card A] 50cm B] 35cm C] 30 cm Ans : C] 30 cm 88. Dot card is useful for patient with …..... insufficiency. A] Convergence B] divergence C] vergence Ans : A] Convergence 89. The patient hold the card resting on the middle of his.......... A] Forehead B] nose C] eyebrows Ans : B] nose 90. What are the clear instructions which must know about dot card exercise, if patient is doing excercise home.......... A] length of time B] no of times he practice day c] a, b Ans : A] length of time REFRACTION DEPARTMENT-CBE

412 91.Accommodative weakness causes ...........vision for all close work or after reading for sometime A] Blurred B] distance C] clear vision Ans : A] Blurred 92. What is the purpose squint surgery in adult…....… A] Cosmetic B] amblyopia C] vision Ans : A] Cosmetic 93. In Worth four dot test, if the patient sees, 3 red lights, it indicates.... A] Diplopia B]alternate suppression C] left eye suppression Ans : C] left eye suppression 94. When both eyes move up and to the right it is known as ………. A] Dextroelevation B]leavo elevation C]supra elevation Ans : A] Dextroelevation 95.In dextroelevation, both eyes move ………. A] to the right B]to the left C]up and to the right Ans : C]up and to the right 96.Lateral rectus main action is ……….. A]Abduction B] Adduction C] In torsion Ans : A]Abduction

413 97.Vertical squint in which the squinting eye is lower is called........... A] exotropia B]cyclotropia C] hypotropia Ans : C] Hypotropia 98. Depression and adduction are the main actions of …...... A] Inferior rectus B] lateral rectus C] Superior rectus Ans : A] Inferior rectus 99. The parent of a 3-year-old child notices that the child’s eyes are crossing during near activities. Cover test reveals 3∆ esophoria at distance, 12∆ esotropia at near. Manifest refraction yields RE +3.00 SPH 6/6p, LE +4.50 SPH 6/12.Cycloplegic refraction is RE +4.00 SPH, LE +5.50 SPH. Which of the following options is the appropriate treatment for this patient?........... A] No treatment at this time.Recheck in one year. B] Rx RE +3.00 SPH, LE +4.50 SPH. Patch RE 2 hours per day. C] Rx RE +4.00 SPH, LE +5.50 SPH. Patch RE 2 hours per day. Ans : C] Rx RE +4.00 SPH, LE +5.50 SPH. Patch RE 2 hours per day. 100. When both eyes move up and to the right it is known as......... A] Dextro elevation B] Laevo version C]Laevo elevation Ans : A] Dextro elevation REFRACTION DEPARTMENT-CBE

414 101.Hypermetropiacauses ……… A) Divergent squint B) convergent squint C) Both of the above D) none of the above Ans : B ] convergent squint 102.Prisms are used in ophthalmology to measure and to treat …….. A) hetrophoria B) hetrotropia C) Both Ans : C] Both 103.The sensory nerve supply of the eye is by the ………… A) Optic nerve b) third cranial nerve C )Fifth nerve cranial ner Ans : C ] Fifth nerve cranial nerve 104.Superior oblique muscle is supplied by the …………. A) Optic nerve B) third cranial nerve C) Fourth cranial nerve Ans :C] Fourth cranial nerve 105.Oculomotor nerve palsy features include all except …….. A) Facial weakness B) divergent squint C )Dilated fixed pupil Ans : A] Facial weakness

415 106.Concomitant squint is distinguished from paralytic squint by all of the following except ………… A) there is no limitations of ocular movement B ) head tilting is rare C)the angle of deviation depends upon which eye is fixing Ans : C] the angle of deviation depends upon which eye is fixing 107.In paralytic squint deviation of the eye is variable ………… A) upwards b) inward C) in different directions of gaze Ans : C] in different directions of gaze 108.Alternating divergent squint is a form of ………. A) concomitant B) paralytic squint C)apparent squint Ans : A]concomitant 109.Concomitant squint has a better prognosis if the onset is ……… A) very early in life B) childhood C) late in life Ans : C] late in life 110.Treatment of esophoria includes ……….. A) correction of error of refraction B) convergence exercises C) general improvement of health Ans :A] correction of error of refraction REFRACTION DEPARTMENT-CBE

416 111.The type of miner’s nystagmus is ……….. A) rotatory B) lateral C)vertical Ans : A ] rotatory 112.The vertical recti form an angle with the optical axis ……… A) 45° B) 23° C) 51° Ans : B] 23° 113.Synergist muscles are the extraocular muscles in the same eye which act........... A) Together B) suffer inhibition C) both D) none Ans : A] Together 114.Binocular single vision requires all factors for its development except ..…… A)clear vision in both eyes B)ability of the brain to cause fusion of two images C) defective efferent pathway Ans : C] defective efferent pathway 115.Hess screen records ……….. A) primary and secondary deviation B ) heterophoria C ) fusion Ans : A] primary and secondary deviation

417 116.In concomitant squint ………. A) thecentre and afferent pathways are intact B) the efferent pathway is intact C) the efferent pathway is defective Ans : B ] The efferent pathway is intact 117.Ptosis is typically caused in the paralysis of ………. A) 3rd nerve B) 4th nerve C) 6th nerve Ans : A] 3rd nerve 118.Different grades of binocular vision include all except …….. A) stereopsis B) SMP C) divergence Ans : C] divergence III. FILL IN THE BLANKS : 1. Under action means a……….. movement 2. Over action means a ………… movement Ans : limitation 3. How to document the limitation of movement ….......... Ans : excessive Ans : plus REFRACTION DEPARTMENT-CBE

418 4. How to document the over action of movement.......... Ans : minus 5. The negative fusion amplitude represents ….............. Ans : divergence 6. …..........is the appreciation of depth Ans : stereopsis 7. ….........is obtained only when BSV is present Ans : True stereopsis 8. What is purpose of convergence............... Ans : bi foveal fixation 9. When accommodation is diminished due to old age............. still occurs in response to the stimulus of blurred vision Ans : accommodative convergence 10. ….....is the ability of the lens to adjust its convexity according to the distance of the fixation Ans : Accommodation 11. Near point of accommodation is the point , closest to the eyes at which................can be obtained Ans : clear vision

419 12. ….......can be used for near point of accommodation measurement Ans : RAF ruler 13. The RAF ruler other name is............ Ans : near point ruler 14. ..……… is consists of a square metal rod with 60 cm long Ans : near point ruler 15. BSV information is important when planning treatment for ….......... Ans : Squint 16 .…….. Can be tested with other instrument like synoptophore&bagolini striated glass Ans : BSV 17. ….......is the total amount of accommodation which can be exerted, expressed in diopters Ans : amplitude of accommodation 18. ….....is the convergent squint Ans :Esotropia 19. ….......is the divergent squint Ans : Exotropia REFRACTION DEPARTMENT-CBE

420 20. …........is the vertical squint in which the squinting eye is higher Ans :Hypertropia 21. …......is the vertical squint in which the squinting eye is lower Ans :Hypotropia 22. The eye moves from up to down is............& down to up movement is............ Ans :Hypertropia&Hypotropia 23. ..............is the main method of detecting manifest &latent squint Ans : cover test / Uncover test 24. …......is used in two ways the cover/uncover test &the alternate cover test Ans : cover test 25. Thereflection on the squinting eye will be displaced, nasally in.............&temporally in........... Ans :Exotropia&Esotropia 26. …...........is used to measure heterophoria at33cm Ans : Maddox wing 27. Accommodative problem should always be suspected if the main symptoms are blurred vision for near in person under ….........age Ans : presbyopia 28. Heterophoria should be detected by ….......test and measured Ans : cover

421 29. ….......amplitude will be decreased in convergence deficiency Ans : positive 30. Convergence deficiency is usually treated successfully by …....... Ans : exercise 31. Accommodative weakness give rise to.......... Ans : head ache, eye strain, blurred vision 32.Phoria is called ........... Ans : latent squint 33. …........is used for detecting manifest and latent squint Ans : cover test 34.The cover test is used in two ways....... , …..... Ans : cover /uncover test, alternative cover test 35. The corneal reflection on the squinting will be displaced, nasally in …...... , …....and temporally in Ans : exotropia, esotropia 36. …........test cover is changed from one eye to the other back & forth several times Ans : Alternate cover test REFRACTION DEPARTMENT-CBE

422 37. ….........is a method of estimating the angle of manifest squint Ans : Hirschberg test 38. ……….. of the prism is placed in the direction of the squint Ans : apex 39. Prism is placed in base in for..........base out for …...... Ans :Exodeviation, Esodeviation 40. Dot card is use to improve...........vergence Ans : convergence 41. …........weakness gives rise to symptoms, especially if patient does lots of close work Ans : accommodative 42. Poor convergence is sometimes associated with poor …......... Ans : accommodation 43. In accommodation weakness ….........should be reassessed after the glasses worn for few weeks Ans : near point 44. Temporary …........lens is prescribed even if there is no refractive error in accommodation insufficiency Ans : convex

423 45.When both eyes move up &to the right it is known as ……….. Ans :dextro elevation 46. ….......... muscle is supplied by third nerve Ans : medial rectus 47. …...........is the measure of the amount of vergence movement which can be maintained Ans : fusion amplitude 48. Maddox rod is used to detect the presence of …........ Ans :Tropia 49. …......... Ratio is adopted in full time occlusion. Ans : 3:1 50. Amblyopia patient have a better prognosis when treated before …… of age. Ans : 5 years 51. Stereopsis is the appreciation of ….......... Ans : depth 52. A child with squint in one of the eyes develops …… Ans : amblyopia REFRACTION DEPARTMENT-CBE

424 53. When a patient sees only two red lights in Worth four dot test , it indicates ……eye suppression Ans : left 54. The cover test is the main method of detection of ........ Ans :Heterotropia 55. Cyclopentolate is an example of ……… eye drop Ans :cycloplegic 56. When the two eyes are pointing in different directions, it is known as ………… Ans : squint 57. In the prism cover test, the patient must look through the …….. of each prism Ans : center 58.Patients with accommodation infacility can be given …………exercises Ans : Flipper 59. Appreciation of the depth of an image is known as …..……vision Ans : stereoscopic 60. Worth four dot test is used to assess …………vision Ans : binocular

425 61.Action of the Superior Oblique muscle are depression and ………. 62. Vergence of parallel rays is ………… Ans :abduction 63.Latent squint is called as……….. Ans :zero Ans :Heterophoria 64.Third nerve is also called......... Ans : Oculomotor nerve 65. …..............test is used for measurement of binocular vision Ans : worth four dot test 66.Base in prisms are used to shift the image towards the …...... Ans : nasal side 67.In …..........the angle of manifest squint is estimated from the position of the corneal reflection in the squinting eye Ans : Hirschberg test 68. For one prism ….............the displacement at a distance of 1m is 1cm Ans : Diopter 69.Vertical squint in which the squinting eye is higher is called …....... Ans :hypertropia REFRACTION DEPARTMENT-CBE

426 70. In Hirschberg test, each mm of displacement from the center of the cornea equals approximately …………diopters of squint Ans : 15 71.Paralysis of superior oblique muscle leads to....... palsy. Ans : 4th nerve 72.Langsstereo is used to check stereo acuity in children below...........years Ans : 5 73.Elevation, adduction and depression of the eye is the action of ….............. Ans : oculomotor nerve 74.The action of extra ocular muscle in Inferior Oblique is............ Ans : Elevation and abduction 75.The normal value of Divergence is ........... Ans : 12-14 ∆ 76.Maddoxrod is used to find out distance........... Ans :Phorias / Tropias 77.Outward deviation of the eye is called …… Ans : Exotropia

427 78.Inward deviation of the eye is called ……… Ans :Esotropia 79.Manifest squint is called …….. Ans :Tropia 80.Latent squint is called……… Ans :Phoria 81.Secondary action of superior rectus is …… Ans : Adduction &Intortion 82.Primary action of superior oblique is …….. Ans :Intorsion 83.Adduction is ……… Ans : inward movement 84.Convergence brought about by…… Ans : contraction of both medial rectus 85.The fusion amplitude is measure for…….. Ans : amount of vergence movement 86.Stereopsis is the appreciation of……… Ans : depth REFRACTION DEPARTMENT-CBE

428 87.Convergence well developed by ……… Ans : 2-3months of age 88.Types of heterotropiais……… Ans :Exotropia,Esotropia,Hypertropia,Hypotropia.Cyclotropia 89.…… is main method of detecting Manifest & latent squint. Ans : Cover test 90.Types of constant exotropia are…….... Ans : Primary, secondary, Consecutive 91. ……… is corrected fully by correcting Hypermetropia Ans : Fully accommodative esotropia 92.The normal AC/A ratio is …….. Ans : 4:1 93. Cyclotropia is a ……. Ans : torsional squint 94. Normal stereopsis …….. Ans : 60° of arc 95.The range of disparity is approximately ……….. at the testing distance. Ans : 3000 seconds – 40 seconds

429 96.The dot card is used to improve …… Ans : convergence 97.Three grades of BSV is …….. Ans : Simultaneous perception, Fusion ,Stereopsis 98. Fusion has two parts ……. 99. Normal positive fusion with near is ……. Ans : Sensory & motor 100.Normal negative fusion with near is ……. Ans : 35 -40ΔD 101.Normal positive fusion with distance is ……. Ans : 15ΔD 102.Normal negative fusion with distance is…….. Ans : 15ΔD Ans : 5-7ΔD 103...........reveals manifest squint. Ans : Corneal reflection or Hirschberg test 104.30° = ………….. Ans : 60Δ REFRACTION DEPARTMENT-CBE

430 105.Prism reflection test also called……… Ans :Krimsky test 106.Maddox wing is used to measure ………. Ans :Heterophoria 107.BSV is checked by ……… Ans : worth four dot test 108.Medial rectus muscle is supplied by ……. Ans : III rd nerve 109.Testing accommodation is purely…… Ans : subjective 110.Dextro elevation using the muscle …….. Ans : Right superior rectus, Left inferior oblique 111.Leavo version using the muscle ……. Ans : Left lateral rectus, Right medial rectus 112.Primary position using the muscle ……. Ans : all muscles 113.Secondary action of lateral rectus is……… Ans : nil

431 114.Treatment of alternate esotropia is …… Ans : Surgery 115.Fully accommodative esotropia treatment …….. Ans : glass 116.Intermittent exotropia types…….. Ans : Convergence weakness, divergence excess 117.AC/A ratio measured by…….. Ans : Gradient method 118.The normal stereo acuity is approximately.................. Ans : 50- 400 arc sec 119.Lateral rectus……… supply. Ans : 6th nerve 120.Superior oblique ………. supply. Ans : 4th nerve 121.III rd nerve palsy patient which nerve affected ………. Ans : Superior rectus, Inferior rectus,Medial rectus and Levatorpalpebraesuperioris REFRACTION DEPARTMENT-CBE

432 122.Exotropia patient says ……….. Ans : Crossed Diplopia 123.Esotropia patient says………. Ans : Uncrossed Diplopia 124.Patient says Right lateral rectus palsy. So which side face turns is there.......... Ans : Right side 125.Abduction is………… Ans : Outward movement 126.How many rectus muscles are there in each eye ……. Ans : 4 127.How many oblique muscles are there in each eye ……. Ans : 2 128.Name of the shortest ....... 129.Name of the EOM ……… Ans :EOM - Inferior oblique 130.Name of the strongest EOM ……….. Ans :Superior rectus Ans :Medial rectus

433 131.The four recti muscles originate in …… Ans :Common Tendinous ring 132.Which muscle is supplied by VI nerve ……. Ans :Lateral rectus 133.Name Fourth nerve…….. Ans :Trochlear nerve 134.Which muscles does third nerve supply………… Ans :Inferior oblique , Medial rectus, Superior rectus , inferior rectus 135.Name of third nerve ……… Ans :Oculomotor nerve 136.Which muscles supplied in IV nerve …… Ans :Superior oblique 137.Main action of lateral rectus………. 138.Secondary action of superior rectus………. Ans : Abduction 139.Primary action inferior oblique………. Ans : Adduction Ans :Extorsion REFRACTION DEPARTMENT-CBE

434 Ans :Abduction 140.Tertiary action superior oblique …… 141.Primary action inferior rectus ………. Ans : Depression 142.Primary action of medial rectus……… Ans :Adduction 143.How many cardinal positions………. Ans :9 gaze 144.Secondary action of LR …… Ans : None 145.Primary action of SO ……… Ans :Intorsion 146.Primary action of SR ………. Ans : Elevation 147.Which muscles supplied by VI nerve ….. Ans : Lateral rectus 148.How to measure the angle of deviation ………. Ans :Prism cover test , Krimsky method

435 149.BSV test ……… Ans :Worth four dot test . Bagolini Striated glass, TNO book 150.Stereopsis tests ………. Ans :Titmus , stero book ,TNO book , Randot stereo test 151.How to detect phoria …… Ans :Cover test , Uncover test 152.Loose prism used in ………. Ans :Squint evaluation 153.Vertical fusion normal value………. Ans : 2-3^ 154.Hess chart is done at ……….. Ans :50cm -distance 155.Convergence is measured in terms of.................. Ans : Prism diopter 156.Compensatory head postures in EOM paralysis ? ………. Ans :Head tilt , Face turn , Chin lift 157.Pseudo squint ………. Ans : Epicanthus , telecanthus REFRACTION DEPARTMENT-CBE

436 158. …......test is reliable test in infants Ans : Fixation behavior 159. 1 degree angle ……….. Ans :2prism 160. Fusion weakness exercise ……… Ans : 2pen , cat card , Synoptophore 161.Covergenceweaknesss exercise..…… Ans :1pen, Dot card ,Diploscope 162.With PG near and distant - 4 prism Eso, without PG -35 prism Eso,this case..............type of Esotropia. Ans :Partially accommodative 163. Near - 10 prism Exo, dist -40 prism ext, this case...........Exotropia Ans :exo with Divergence excess. 164.Patient can see RE 3light & LE 2 light on WFDT ………. Ans :Diplopia 165.Bifocal glass advised Acc.Esotropia............... Ans :Executive

437 166.A ,V pattern means ………………. Ans :The difference between upgaze and down gaze is at least 10^-15^ 167.4^ test is used to diagnose ………. Ans :Microtropia 168.Which pt say the Crossed&uncrroseddiplopia,…........... Ans :Crossed –MR palsy ; Uncrossed –LR palsy 169.BSV 3 grades……… Ans :Simulatanous perception , fusion , stereopsis 170.Types of Exotropia ……….. Ans :Constant exotropia , Intermittent exotropia 171.Constant exotropia types ………. Ans : Primary , secondry ,consecutive exotropia 172.Primary exotropia is developed by……… Ans :6 month of age 173.Consecutive exotropia means ……… Ans :Surgical overcorrection for esotropia REFRACTION DEPARTMENT-CBE

438 174.Convergence weakness means ……………. Ans : Exotropia at near fixation with full optical correction in place due to weak covergence 175.Synoptophore other name ………. Ans :Amblyoscope 176.Eso deviation......................diplopia Ans :uncrosssed 177..................can be given for diplopia correction Ans :Fresnel prism 178.Exo deviation......................diplopia Ans :crossed 179.Microtropia other name …….. Ans :Mono fixation syndrome , Retinal slip , fusion disparity, squint ,Retinal fliker 180.Ocular alignment test …………. Ans :Cover test , Uncover test , Alternative cover test 181.Reason for doing the Krimsky test one ……..Vn is very low Ans : ex poor fixation

182.Double maddox rod test used for ………. 439 183.Which instrument used for diplopia chart……… 184.Normal stereopsis............................. Ans :SO parasis 185.30 degree = …...........prism Ans :slit torch , goggles Ans :60 sec of arc Ans :60 186.How many degrees does inner and outer square of Hess chart represent Ans : Inner -15 degree , Outer – 30 degree 187.Which muscles used for leavo depression………. Ans :RE SO,LE IR 188.R/R means………… Ans : Resection, Recession 189. ........is used for medical treatment of diplopia Ans :Fresenl prism 190.Orthoptic instrument………. Ans :Loose prism,,synotophore , bagolini glass , occluder,target REFRACTION DEPARTMENT-CBE

440 Ans :Strabismus 191.Squint other name ……….. 192.Squint means ………… Ans :Misalignment of muscles 193.Synotophore use………… Ans :Fusion exercise, squint evaluation 194.Synoptophore eye piece power …… Ans : +6.00ds 195.Squint types…………. Ans :Phoria , tropia 196.Phoria means ……….. Ans :Latent squint 197.Tropia types …… Ans :Exotropia , Esotropia, hypertropia, hypotropia 198.What is infantile esotropia………. Ans :Congentialesotropia 199.Which squint is fully corrected by glasses …… Ans :Accommodative esotropia

441 200.Every time check the diplopia chart and Hess chart variable in ..................case Ans : myasthenia 201.Incommitant squint means …………. Ans :Restrictive squint 202.Which reason is common for sensory exotropia ........ Ans : mature cataract 203.Treatment of squint……….. Ans :Corrective with Glasses , orthoptic exercise , Surgery 204.Squint is most common in …………. Ans :Children 205.Hering's law means…………. Ans :Equal and Simultaneous innervations of yoke muscles 206.Sherrington's law means………. Ans :Increased innervations of one muscle is accompanied by decreased innervations to its antagonist 207. ….......is brought about by contraction of both medial rectus Ans :Convergence REFRACTION DEPARTMENT-CBE

442 208. ….....is brought about by contraction of both lateral rectus Ans : Divergence 209.Types of esotropia ………… Ans :Refractive esotropia 210.AC/A normal ……….. Ans :4 : 1 or 5 : 1 211.Which age accommodative eostropia developed…... Ans :Onset -2-3Yrs 212.Which type of glass is adviced in accommodative esotropia ………. Ans :Bifocals –Executive 213.Which lens is corrective for accommodative esotropia………. Ans :Convex lens 214.Concommitant squint means ……….. Ans :Non Paralyatic squint 215. Hess chart is used for ……….. Ans :Nerve palsy 216.Which muscles used for dextro elevation………. Ans :RE SR, LE IO

443 217.Accommodation weakness.................. Ans :+ correction 218.Cover test for near is done at …............ Ans :33cm 219. Cover test for distance is done at …........... Ans : 6m 220.Ocular movements should be checked in …................positions Ans :nine cardinal 221.Vth nerve name ................ Ans :Trigeminal nerve 222.IVth nerve name.................... Ans :Trochlear nerve 223 .IIIrd nerve name................. Ans :Oculomotor nerve 224.VI th nerve muscle name .................... Ans :Abducent nerve REFRACTION DEPARTMENT-CBE

444 IV. TRUE OR FALSE : 1.Version Is Conjugate or Parallel Eye Movement Ans : True 2.Esotropia Is a Vertical Deviation of Eye Ans : False 3.Normal Positive Fusional Range Is 25-40 Prisms Ans : True 4.Lateral Rectus Muscle Is Supplied By 3rd Nerve Ans : False 5. Latent squint may have simultaneous perception but lack the ability to fuse Ans : False 6.HetrophoriaOccurs If the Patient Is Unable To Control the Tropia Easily Ans : False 7.Near point of convergence is the point closest to eyes at which divergence can be maintained 8.Near point of convergence measured in diopter Ans : False Ans : False

445 9.Corneal reflex test is assessed by 33cm at the temporal position Ans : False 10.The normal near point is 8D Ans : False 11.The prism should be kept tilted position Ans : False 12.The patient must look through the center of each prism Ans : True 13.TNO Test Uses Red And Green Glasses, the Test Is Done At 3m Ans : False 14.Worth Four Dot Test ,normal 1 White , 3 Green , 1 Red Ans : False 15.Normal positive Fusion Amplitude For Near and Distance in Prism Diopter 35/40 And Distance 15 Ans : True 16.Exotropia is the latent squint Ans : False REFRACTION DEPARTMENT-CBE

446 17.The Convergence Is a Conjugate Movement Ans : False 18.Convergence Is Well Developed By 3-4 Months of Age Ans : False 19.Stereoscopic Vision Is Ability to Appreciate That the Fused Image Is Three Dimensional Ans : True 20.The Maddox Wing Is Used To Measure Heterophorias at 33cm Ans : True 21.Ductionis Movement of One Eye Ans : True 22.The Extra Ocular Muscles Are Supplied By the Cranial Nerve Ans : True 23.A Vergence Is a Disconjugate movement Ans : True 24.Lateral Rectus Main Action Adduction Ans : False

447 25.Superior Rectus Main Action Elevation and Adduction Ans : True 26.Cover test can be done near only Ans : True 27.The near point ruler provides a convenient method of measuring convergence only Ans : False 28.Squint is the misalignment of the eye , where the two eyes are pointed in same direction Ans : False 29.Fusion is the ability to see the images projected from each eye at the same time Ans : False 30.Stereoscopic vision is the ability to appreciate that the fused image is three dimensional Ans : True 31.Convergence is brought about by contraction of both medial rectus muscle Ans : True REFRACTION DEPARTMENT-CBE

448 32.Divergence is brought about by contraction of both medial rectus muscle Ans : False 33.Over action means a limitation of movement Ans : False 34.Under action means a limitation of movement Ans : True 35.Leavodepression both eyes move down to the left Ans : True 36.The fusion amplitude is the measure of the amount of vergence movement Ans : True 37.Convergence is a disconjugate movement Ans : True 38.Convergence is well developed by 2-3years of age Ans : False 39.Tonic convergence brings the eye from the eye position of rest to a straight position Ans : True

449 40.Maddox rod is a subjective method of measuring latent and manifest squint Ans : True 41.Proximalconvergence in response to accommodation Ans : False 42. The Bsv Is the Simultaneous Use of the One Eye to Give a Single Mental Impression In Ordinary Seeing Condition Ans : False 43.2 only Red light on WFDT indicating left suppression Ans : True 44.5 lights on WFDT indicating normal Ans : False 45.The Normal positive fusion amplitude for near in prism diopters 14/16D Ans : False 46.TNO test is done at 40cm Ans : True 47.TNO test normal range of disparity 30 sec of arc Ans : True REFRACTION DEPARTMENT-CBE

450 48.Esotropia patient have crossed diplopia Ans : False 49.Exotropia patient have uncrossed diplopia Ans : False 50.Fusional convergence is responsible for maintaining BSV Ans : True 51.The Cover Test Is the Main Method of Detecting Manifest and Latents Squint Ans : True 52.Tropia is a constant squint Ans : True 53.The dot card is used to improve convergence Ans : True 54.Polaroid glass used for WFDT examination Ans : False 55.BSV tested without refractive correction Ans : False 56.Dot card cannot be easily made in clinics Ans : False