OPTOMETRIST GR II – HEALTH SERVICES

PROVISIONAL ANSWER KEY
Question Paper Code: 24/2019/OL
Category Code: 217/2018
Exam: Optometrist Grade II
Medium of Question: English
Date of Test 04-07-2019
Department Health Services
Alphacode A
Question1:-Largest museum in India is
A:-National Museum New Delhi
B:-National Museum Bombay
C:-National Museum Calcutta
D:-National Museum Chennai
Correct Answer:- Option-A
Question2:-What was the first travelogue in Malayalam?
A:-Vartamana Pustakam
B:-Oru Deshathinte Katha
C:-Kappirikulude Nattil
D:-Pathira Suriante Nade
Correct Answer:- Option-A
Question3:-Who build Secretariate Building at Thiruvananthapuram?
A:-Sri Mulam Tirunal
B:-Ayiliam Tirunal
C:-Sri Chithira Tirunal
D:-Swathi Tirunal
Correct Answer:- Option-B
Question4:-Holand of kerala is
A:-Ernakulam
B:-Pathira Manal
C:-Kuttanad
D:-Cherai beech
Correct Answer:- Option-C
Question5:-Who was the first Indian who reached in Antartica?
A:-Lt Conel Rekesh Sharma
B:-Lt Ranbeer sing
C:-Lt Asthana
D:-Lt Ram Cheran
Correct Answer:- Option-D
Question6:-Which is the first cyber state in India?
A:-Kerala
B:-Karnataka
C:-Tamil nadu
D:-Andrapradesh
Correct Answer:- Option-D
Question7:-Which is the river in India that flows through desert?
A:-Ravi
B:-Bias
C:-Looni
D:-Saraswathi
Correct Answer:- Option-C
Question8:-What is sefolagy?
A:-Study about birds
B:-Study about election
C:-Study about flowers
D:-Study about fish
Correct Answer:- Option-B
Question9:-Who started ‘National Herald’ Daily?
A:-Jawaharlal Nehru
B:-Balagangathira Tilak
C:-Subash Bose
D:-M.K. Gandhi
Correct Answer:- Option-A
Question10:-Which is the port of India that functioned on High Tide?
A:-Mumbai
B:-New Mangalore
C:-Kandla
D:-Tutucorin
Correct Answer:- Option-C
Question11:-What was the first native state which started legislative council in India?
A:-Travancore
B:-Cochin
C:-Mysore
D:-Hyderabad
Correct Answer:- Option-C
Question12:-Dr. Palpu worked in the service of which native state
A:-Travancore
B:-Cochin
C:-Hyderabad
D:-Mysore
Correct Answer:- Option-D
Question13:-How many kilometers India have inland water service system?
A:-1400 km
B:-1200 km
C:-5865 km
D:-14500 km
Correct Answer:- Option-D
Question14:-Who was the Diwan of Cochin who introduced grand in aid system to private educational institutions?
A:-Sankunni Menon
B:-Govinda Menon
C:-Nanjappayya
D:-Sankara warrier
Correct Answer:- Option-B
Question15:-Which is the largest rice producing country in the world?
A:-Myanmar
B:-Bangladesh
C:-Taiwan
D:-China
Correct Answer:- Option-C
Question16:-Who is the first Kerala Lokayuktha Judge?
A:-Justice K. Balakrishnan
B:-Justice P. Ramachandran
C:-Justice Kamal Basha
D:-Justice Syric Joseph
Correct Answer:- Option-D
Question17:-The Novel ‘Navagraha Thadavara’ is written by two novalist
A:-Punathil and M.T. Vasudevan
B:-Sethu and Punathil
C:-Sethu and Meera
D:-Sakariya and Sethu
Correct Answer:- Option-B
Question18:-When did first Malayalam English Dictionary published by Rev. Baily?
A:-1872
B:-1846
C:-1826
D:-1813
Correct Answer:- Option-A
Question19:-First coir factory established in
A:-1858
B:-1853
C:-1868
D:-1860
Correct Answer:- Option-A
Question20:-What is the slogan of Red cross?
A:-Peace in war
B:-Charity in war
C:-Save humanity
D:-Help the mankind
Correct Answer:- Option-B
Question21:-In Marfans’ syndrome the lens is displaced
A:-into the anterior chamber
B:-downwards and outwards
C:-upwards and outwards
D:-downwards and inwards
Correct Answer:- Option-C
Question22:-The wave length of Nd-YAG laser is
A:-532 nm
B:-1064 nm
C:-840 nm
D:-647 nm
Correct Answer:- Option-B
Question23:-Which is not an ocular feature of Down’s syndrome?
A:-Mongoloid slant
B:-Iris hypoplasia
C:-Cataract
D:-Aniridia
Correct Answer:- Option-D
Question24:-Features of Crouzon’s syndrome are all except
A:-Syndactyly
B:-Mutation in FGFR2 gene
C:-Proptosis
D:-V Pattern exotropia
Correct Answer:- Option-A
Question25:-Naevus Flammeus is associated with
A:-Von Recklinghausen’s disease
B:-tuberous sclerosis
C:-Sturge Weber syndrome
D:-Coats disease
Correct Answer:- Option-C
Question26:-The commonest primary orbital tumour in children is
A:-optic nerve glioma
B:-rhabdomyosarcoma
C:-orbital lymphoma
D:-optic nerve sheath meningioma
Correct Answer:- Option-B
Question27:-When a small target oscillated in front of a patient with binocular vision is seen to move in an elliptical rather
than to and fro path, the phenomenon is called
A:-Oppenheim phenomenon
B:-Pulfrich phenomenon
C:-Uthoff phenomenon
D:-Paroxysmal convergence spasm
Correct Answer:- Option-B
Question28:-Which of these is found in excess of aqueous humour compared to blood
A:-Ascorbic acid
B:-Lactic acid
C:-Glutathione
D:-Sorbitol
Correct Answer:- Option-B
Question29:-Which structure does not develop from neural ectoderm
A:-tarsal gland
B:-retina
C:-smooth muscle of iris
D:-optic cup
Correct Answer:- Option-A
Question30:-An inert intra ocular foreign body is
A:-Copper
B:-Iron
C:-Nickel
D:-Platinum
Correct Answer:- Option-D
Question31:-A 75 year old diabetic presented with sudden loss of vision in one eye. Fundus examination showed multiple
flame shaped haemorrhages in retina. Probable diagnosis is
A:-Central retinal vein occlusion
B:-retinal detachment
C:-Proliferative retinopathy
D:-Cystoid macular oedema
Correct Answer:- Option-A
Question32:-Photostress test is performed to diagnose
A:-Macular diseases
B:-Optic nerve diseases
C:-Glaucoma
D:-Nerve conduction
Correct Answer:- Option-A
Question33:-The refractive index of cornea is
A:-1.333
B:-1.376
C:-1.342
D:-1.420
Correct Answer:- Option-B
Question34:-Prominent corneal nerves are a feature of all except
A:-acanthamoeba keratitis
B:-keratoconus
C:-fuchs endothelial dystrophy
D:-mycotic keratitis
Correct Answer:- Option-D
Question35:-Which of the following is a dystrophy involving bowman’s layer of cornea?
A:-granular dystrophy of groenouwe
B:-meesman corneal dystrophy
C:-ThielBehnke corneal dystrophy
D:-gelatinous drop like corneal dystrophy
Correct Answer:- Option-C
Question36:-Following are associations of Golden Har syndrome except
A:-limbaldermoid
B:-mandibular hypoplasia
C:-microtia
D:-tower skull
Correct Answer:- Option-D
Question37:-The optic nerve head in the region of lamina cribrosa is supplied by
A:-branches from recurranticiliary arteries
B:-Cilioretinal artery
C:-branches of posterior ciliary artery
D:-(1) and (2)
Correct Answer:- Option-C
Question38:-Paralysis of lateral rectus,ipsilateral facial palsy and contralateral hemiplegia is seen in
A:-foville syndrome
B:-benedicts syndrome
C:-millardgubler syndrome
D:-webers syndrome
Correct Answer:- Option-C
Question39:-The thin elastic membrane lining the inner side of choroid is
A:-epiretinal membrane
B:-lamina vitrea
C:-lamina fusca
D:-lamina papyracea
Correct Answer:- Option-B
Question40:-A child with retinitis pigmentosa has a bird shaped head and normal pressure hydrocephalus, probable
diagnosis is
A:-Kearne Sayre syndrome
B:-Usher syndrome
C:-Cockayne syndrome
D:-Bassen-Kornzewig syndrome
Correct Answer:- Option-C
Question41:-Approximate number of retinal photoreceptors is
A:-1 million
B:-25 million
C:-10 million
D:-125 million
Correct Answer:- Option-D
Question42:-Which is not true of the parvocellular type of retinal ganglion cells?
A:-they are colour sensitive
B:-predominantly seen in macular region
C:-transmit motion related information
D:-cells have thinner axons of small calibre
Correct Answer:- Option-C
Question43:-The normal resolution visual acuity level of 6/6 is attained at the age of
A:-6 years
B:-4 years
C:-3 years
D:-8 years
Correct Answer:- Option-A
Question44:-Weber’s syndrome is
A:-ipsilateral 3rd nerve palsy and jerky movements of contralateral side
B:-ipsilateral 6th and 7th nerve palsy and contralateral hemiplegia
C:-ipsilateral 6th nerve palsy, tinnitus, deafness and nystagmus
D:-ipsilateral 3rd nerve palsy, contralateral hemiplegia and UMN facial palsy
Correct Answer:- Option-D
Question45:-Which is not a viscoelastic?
A:-1% sodium hyaluronate
B:-3% methyl cellulose
C:-5% acetyl cysteine
D:-2% hypermellose
Correct Answer:- Option-C
Question46:-Contrast sensitivity is affected in
A:-diabetic retinopathy
B:-optic neuritis
C:-myopia
D:-astigmatism
Correct Answer:- Option-B
Question47:-The average corneal endothelial cell count is
A:-2000/`”mm^2″`
B:-1800/`”mm^2″`
C:-3500/`”mm^2″`
D:-2800/`”mm^2″`
Correct Answer:- Option-D
Question48:-Adies’ tonic pupil
A:-is smaller than its fellow
B:-does not dilate with atropine
C:-constricts with 0.1% pilocarpine drops
D:-does not react to light
Correct Answer:- Option-C
Question49:-Which of these help in visualisation of corneal cells?
A:-Confocal microscope
B:-Optical coherence tomography
C:-Pachymeter
D:-Slit lamp biomicroscope
Correct Answer:- Option-A
Question50:-All are features of Behcet’s disease except
A:-significant association with HLA B 27 antigen
B:-orogenital ulceration
C:-obliterative retinal vasculitis
D:-hypopyon uveitis
Correct Answer:- Option-A
Question51:-Conjunctival mucous is deficient in all these conditions except
A:-Old trachoma
B:-Steven Johnson syndrome
C:-Ocular pemphigoid
D:-Sjogrens syndrome
Correct Answer:- Option-D
Question52:-Following are examples of direct goniolenses except
A:-Koeppe
B:-Barkan
C:-Zeiss
D:-Swan Jacob
Correct Answer:- Option-C
Question53:-Which is not a feature of Keratomalacia?
A:-Necrosis and melting of cornea
B:-Inflammed eye
C:-is a cause of childhood blindness
D:-seen in protein energy malnutrition
Correct Answer:- Option-B
Question54:-To maintain a normal transparency of cornea, the endothelial cell count should be atleast
A:-`”1000 mm^2″`
B:-`”2300/mm^2″`
C:-`”500/mm^2″`
D:-`”2000/mm^2″`
Correct Answer:- Option-C
Question55:-Which is not a feature of Stargardts’ disease?
A:-progressive tapetoretinal dystrophy
B:-beaten bronze appearance of fovea
C:-dark adaptation affected
D:-leakage of dye on fluorescein angiography
Correct Answer:- Option-D
Question56:-Acute retinal necrosis is caused mainly by
A:-Varizella zoster
B:-cytomegalo virus
C:-syplilis
D:-leptospira
Correct Answer:- Option-A
Question57:-Which holds true for congenitalretinoschisis?
A:-splitting of retina at outer plexiform layer
B:-sparing of fovea
C:-splitting of retina in the nerve fibre layer
D:-extends uptooraserrata
Correct Answer:- Option-C
Question58:-Which of these materials is deposited in the neurons in Taysachs’ disease ?
A:-Lipofuscin
B:-Sphingomyelin
C:-Ceroid
D:-Ganglioside Gm2
Correct Answer:- Option-D
Question59:-Which does not hold true for central serous chroidopathy?
A:-smoke stack appearance of FFA
B:-ink blot appearance on FFA
C:-flower petal appearance on FFA
D:-vision correctable by convex lenses
Correct Answer:- Option-C
Question60:-All statements hold true for retinal tamponade using silicon oil except
A:-produces secondary galucoma
B:-expands with changing atmospheric pressure
C:-to be removed after 8-12 weeks
D:-reduces tendency for proliferative vitreoretinopathy
Correct Answer:- Option-B
Question61:-Which is the false statement regarding Lebers congenital amaurosis?
A:-blindness in early infancy
B:-mutation in RPE65 gene
C:-coarsenystagmus
D:-autosomal dominant inheritance
Correct Answer:- Option-D
Question62:-All are true of homocystinuria except
A:-disorder of methionine metabolism
B:-severe myopia
C:-ectopialentis
D:-autosomal dominant inheritance
Correct Answer:- Option-D
Question63:-Lisch nodule in iris is seen in
A:-syphilis
B:-sturge weber syndrome
C:-vonhippellindau syndrome
D:-neurofibromatosis
Correct Answer:- Option-D
Question64:-Which of these statements hold true for basal cell carcinoma of the lids?
A:-spreads to local lymph nodes
B:-commonest malignant tumour of the lids
C:-predilection for the lower lid
D:-cryotherapy is the treatment of choice
Correct Answer:- Option-B
Question65:-The most common cause for Anton’s syndrome is
A:-bilateral occipital lobe infarction
B:-head injury
C:-falcotentorial meningioma
D:-multiple metastasis
Correct Answer:- Option-A
Question66:-The primary action of superior oblique is
A:-abduction
B:-intorsion
C:-depression
D:-adduction
Correct Answer:- Option-B
Question67:-Which of the following pairs are yolk muscles?
A:-RSR and LIR
B:-RSR and LSO
C:-LSR and RIO
D:-LSO and RIO
Correct Answer:- Option-C
Question68:-The cell type commonly seen in the most malignant form of choroidal melanoma is
A:-Spindle A
B:-Spindle B
C:-Epitheloid
D:-Mixed
Correct Answer:- Option-C
Question69:-Which is not true for Lebersheriditary optic neuropathy?
A:-commences around 20 years of age
B:-it is a retrobulbar neuropathy
C:-females affected more
D:-transmission is by mutations in mitochondrial DNA
Correct Answer:- Option-C
Question70:-Induction movements, which muscle help in elevation
A:-SO in adduction
B:-IO in adduction
C:-SR in adduction
D:-SO in abduction
Correct Answer:- Option-B
Question71:-While doing retinoscopy, red reflex moves in opposite direction to the mirror in
A:-hypermetropia
B:-myopia greater than ID
C:-myopia of ID
D:-myopia lesser than ID
Correct Answer:- Option-B
Question72:-The number of blind people in India is approximately
A:-37 million
B:-45 million
C:-20 million
D:-9 million
Correct Answer:- Option-D
Question73:-The near point of convergence is approximately
A:-70 cm
B:-100 cm
C:-50 cm
D:-25 cm
Correct Answer:- Option-A
Question74:-Steroid drop with the greatest anti inflammatory action is
A:-loteprednol 0.2%
B:-fluromethalone 0.1%
C:-medrysone 1.0%
D:-prednisolone acetate 1.0%
Correct Answer:- Option-D
Question75:-Image formed by a prism is
A:-virtual, erect, displaced towards its apex
B:-inverted, real, displaced towards apex
C:-virtual, inverted displaced towards apex
D:-real, erect, displaced towards apex
Correct Answer:- Option-A
Question76:-Which of these statements is false regarding retinoblastoma?
A:-mutation in the RBI gene
B:-lactase dehydrogenase higher within aqueous than serum
C:-Flexner wintersteiner rosettes indicative of poorly differentiated tumour
D:-Lactase dehydrogenase activity higher in aqueous than serum
Correct Answer:- Option-C
Question77:-Which is not true about Vogt Koyanagi Harada syndrome?
A:-Chronic granulomatous uveitis
B:-involves parotid glands
C:-commoner in Asians
D:-auto immune response against melanocytes
Correct Answer:- Option-B
Question78:-Average endothelial cell loss following a normal cataract surgery is
A:-2-10%
B:-8-15%
C:-12-16%
D:-16-20%
Correct Answer:- Option-A
Question79:-Neurotrophickeratopathy is caused by
A:-symblepharon
B:-herpetic keratitis
C:-deep coma
D:-paralysis of orbicularis oculi
Correct Answer:- Option-B
Question80:-Which statement is not true about cornea verticillata?
A:-seen in fabry disease
B:-caused by long term use of chloroquine
C:-involves corneal endothelium
D:-reversible condition
Correct Answer:- Option-C
Question81:-True about adenoviral conjunctivitis
A:-genome is a linear double stranded DNA
B:-incubation period of 3 weeks
C:-formation of true membrane
D:-ganciclovir only modality of treatment
Correct Answer:- Option-B
Question82:-All are branches of ophthalmic artery except
A:-central retinal artery
B:-anterior choroidal artery
C:-anteriorciliary artery
D:-short posterior ciliary artery
Correct Answer:- Option-B
Question83:-Causes of decreased corneal sensation are all except
A:-herpes simplex keratitis
B:-acanthamoeba keratitis
C:-post keratoplasty
D:-acoustic neuroma
Correct Answer:- Option-C
Question84:-Unilateral mydriasis is seen in
A:-Adie’s tonic pupil
B:-Argyl Robertson pupil
C:-Horner syndrome
D:-Pontine bleed
Correct Answer:- Option-A
Question85:-Thinnest part of retina is
A:-macula
B:-around optic disc
C:-equator
D:-oraserrata
Correct Answer:- Option-D
Question86:-Capacity of the orbit is
A:-15 cc
B:-18 cc
C:-30 cc
D:-45 cc
Correct Answer:- Option-C
Question87:-Refractive index of vitreous humour is
A:-1.42
B:-1.37
C:-1.39
D:-1.33
Correct Answer:- Option-D
Question88:-Which is not true for sympathetic ophthalmitis?
A:-never seen within a week of injury
B:-retrolental flare is an early sign
C:-non granulomatous panuveitis
D:-auto immune aetiology
Correct Answer:- Option-C
Question89:-Extra ocular muscles develops from
A:-neural crest
B:-neural ectoderm
C:-surface ectoderm
D:-mesoderm
Correct Answer:- Option-D
Question90:-Which of these developmental cataracts is not genetically inherited?
A:-zonular cataract
B:-cataractacoerulea
C:-cataratacentralispulverulenta
D:-coralliform cataract
Correct Answer:- Option-B
Question91:-All these conditions cause a salt and pepper fundus picture except
A:-rubella
B:-lebers congenital amaurosis
C:-cytomegalo virus
D:-syphilis
Correct Answer:- Option-C
Question92:-Depth perception in an infant develops by the age of
A:-3 months
B:-8 weeks
C:-12 months
D:-6 months
Correct Answer:- Option-D
Question93:-Which of this is a photo disruptive laser?
A:-Nd YAG laser
B:-frequency doubled Nd YAG laser
C:-diode laser
D:-argon laser
Correct Answer:- Option-A
Question94:-Rate of formation of aqueous humour is
A:-3.2 μ1/minute
B:-3.4 μ1/minute
C:-2.9 μ1/minute
D:-2.3 μ1/minute
Correct Answer:- Option-D
Question95:-The instrument generally used to measure intraocular pressure in a scarred cornea is
A:-Pulse air
B:-Airpuff
C:-Tonopen
D:-Perkins
Correct Answer:- Option-C
Question96:-Which of these anti glaucoma drugs are contra indicated in patients with sulpha allergy?
A:-bimatoprost
B:-brinzolamide
C:-timolol maleate
D:-travoprost
Correct Answer:- Option-B
Question97:-Which of these bacteria can penetrate an intact corneal epithelium?
A:-listeriamonocytogenes
B:-Ecoli
C:-Klebsiella
D:-Pseudomonas
Correct Answer:- Option-A
Question98:-In contact lens users the most common cause of infection is
A:-Pneumococcus
B:-Streptococcus
C:-Pseudomonas
D:-Staphylococcus
Correct Answer:- Option-C
Question99:-All are true about arcussenilis except
A:-seen in elderly
B:-lipoid infiltration in corneal epithelium
C:-seen in the corneal stroma
D:-clear area between limbus and arcus
Correct Answer:- Option-B
Question100:-Most common type of corneal dystrophy is
A:-Meesman
B:-Microcystic
C:-Macular
D:-Granular
Correct Answer:- Option-B

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