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UHS 4th Year MBBS Eye Supply Paper 2017

UHS 4th Year MBBS Eye Supply Paper 2017. The official Opthalmology paper of 4th Year MBBS Supply Exam held in 2017. The Annual and Supply Papers of Eye are given below.

4th Year MBBS Eye Supply Paper 2017

Third Professional MBBS Eye Supply Paper 2016-17

 Eye (Supply 2016 held in 2017).

A 2 year old child is brought by his mother with a complaint of deviation of eyes. On examination, there is alternate ET (Esotropia) of 40A. Cycloplegic refraction reveals hypermetropia of +6.0 DS (Dioptric Spherical) both eyes. Fundi are within normal limits. With +5.0 DS glasses, the patient becomes orthophoric.       (Supply 2016 held in 2017).

  1. What is the diagnosis?                                              2
  2. What is the differential diagnosis?     1
  3. How you will manage this case?   2

A 12 year old boy complains of intense irritation in his both eyes and stringy mucus discharge for the last 4 years. He tells that these symptoms decrease in winter and aggravate in summer.

  1. What is your diagnosis? 1                  (Supply 2016 held in 2017).
  2. Enumerate the classification. 2
  3. Write down its treatment 2

  4. a) Write the classification of Diabetic Retinopathy. 3 (Supply 2016 held in 2017).
    b) What are the treatment options in case of Proliferative Diabetic Retinopathy?       2

A 60 year old male present to you with history of severe pain in his right eye and loss of vision. On examination, there is hyper-mature Cataract and anterior chamber is shallow. Intra-Ocular Pressure (IOP) is 48mmHg.                   (Supply 2016 held in 2017).

  1. What is the diagnosis? 2
  2. How will you manage this case? 3

A 19 year old boy presents to the OPD with a complaint of night blindness. On fundal examination, bony spicules were present in all four quadrants. He gave similar history of night blindness in other
siblings.                     
(Supply 2016 held in 2017).
a) What is your diagnosis?         2
b) What are the other associations of this condition?      2
c) How will you counsel the patient?          1

 

A 65 year old diabetic female presents with history of ptosis of right eye for the last 3 days. On opening of eye lid, eyeball was deviated outward and downwards Right pupil was dilated and non-reactive to light.     (Supply 2016 held in 2017).

  1. a) What-is your-diagnosis? 2
    b) How will you manage this case?               3

 

 

 

A 30 year old male presents with redness, pain and decreased vision in the right eye. On examination, (VA) is 6/18 in right eye and 6/6 in the left eye. On slit lamp examination, there are 4+ cells in the anterior chamber. IOP is 16mmHg.           (Supply 2016 held in 2017).

  1. What is the likely diagnosis? 01
  2. What other clinical signs will you look for Slit Lamp Examination?  02
  3. What treatment options are available? 02

 

A 45 year old female presents with a medial canthal swelling and epiphora. The regurgitation test is positive.                      (Supply 2016 held in 2017).

  1. What is the diagnosis? 2
  2. What investigations can you perform? 2
  3. What complications can result if untreated? 1

A 20 year old girl presents with decreased vision in both eyes. There is history of frequent change in refraction. On examination, VA is 6/60 in right eye and Finger Count (FC) at 2 meters in left eye There is a positive Munson sign and decreased thickness Of cornez on both sides. (Supply 2016 held in 2017).
a) What is the most probable diagnosis?      01
b) What is the pathophysiology?                    02
c) What investigations will you perform?     02

 

 

 

 

(annual 2016)

Young man has reported in Eye OPD with a painless swelling on his right upper eye lid for the last three months, The size of the swelling has now increased and he has noticed blurring of vision in that eye(annual 2016)
a) What is the diagnosis?            1
b) Write down the complications of this disease.              1
d) How will you treat this patient? Write details of the treatment.                    3

A girl is a known case of Myopia She is not comfortable with her contact lenses as well as glasses, She also gives the history of frequent change in the power of her glasses, on Retinoscopy, there is scissor reflex. (annual 2016)

  1. What is the diagnosis? 1
  2. Write down FOUR signs of this disease, 2
  3. What is the acute complication of this disease? 2

A 60 Year old man gives the history of painless, gradual blurred vision in his right eye. He feels difficulty in driving. He does not have refractive error. Surgery has been offered          (annual 2016)

  1. What is the diagnosis? 1
  2. Write down the detail clinical work up of your patient? 5
  3. What are the complications if surgery is done 5

Write short note on:         (annual 2016)

  1. Diabetic Retinopathy 2
  2. Age related Macular Degeneration 2
  3. Non-Rhegmatogenous Retinal Detachment      1

3 year old child is brought to you with mixed Follicular/ Papillary Conjunctivitis with mucopurulent discharge and superior Pannus formation (annual 2016)

  1. What is the most likely diagnosis? 1
  2. What are the sequelae of this disease? 2
  3. How will you treat this patient? 2

A 30 year old Insulin Dependent Diabetic presents with decreased vision in both eyes. His best corrected Visual Acuity is 6/24 in both eyes. On examination, there are few hard exudates on the posterior
pole with scattered microaneurysms. There are fine arborizing vessels on the optic disc and a crescent shaped pre-retinal hemorrhage along the inferior Temporal vessels.              
(annual 2016)

 

  1. Name the risk factors which aggravate this condition. 2
  2. Name the stage of disease seen in this patient. 1
  3. How will you treat this patient? 2

 

30 year old male presents with a Visual Acuity of 6/60 in both yes. On examination, there are pigmentary bone corpuscles in the peripheral Retina. His vision is markedly reduced at night and he has
a Ring Scotoma on visual field examination.         
(annual 2016)

  1. What is the most likely diagnosis in this patient? 1
  2. Name other features seen in the posterior segment in this patient. 2
  3. How are you going to counsel this patient? 2

A 6 year old child has come in eye OPD with history of headache mostly while doing his homework. The mother has noticed that the boy has difficulty in watching TV from a proper distance along with occasional misalignment of his eyes.       (Annual 2016)

  1. Write down detail clinical examination. 3
  2. What is your diagnosis on the basis of your clinical work up? 1
  3. What is the treatment? 1

A 20 year old boy comes to you with decreased vision in the right eye after trauma. His Cornea is clear and Fundus examination is within normal limits. There is tremulousness of the Iris and Iridodialysis in the superior quadrant. He complains of Uniocuiar Diplopia on the right side. (annual 2016)
a) What can be the cause of this condition?        1
b) What other complications of trauma can be seen in this patient?              2
c) How will you manage this patient?                          2