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A 3 years girl carried by her mother to the Eye clinic.

Her mother said that since a


baby there was a yellow shadow in the center of her right eye. Especially at night.
Now, her left eye begin looked the same. On the examination of left eye, Light
Perception seems good, but when the doctor offered toy while covering her left
eye, there is no reaction. Funduscopy showed yellow reflex called ‘cat’s eye”.
Digitally eye pressure of the right eye was N+, the eye was harder than normal.

Which of the following is the most likely diagnosis?


1.Glaucoma
2.Retinoblastoma
3.Glioma
4.Adenoma
5.Cataract

Therapi of the disease above:


1.eviscerasi
2.enucleasi
3.eviscerasi + radiotherapy
4.enucleasi + radiotherapy
5.excenterasi

The most common early sign of the child suffering from that disease is:
1.red eye
2.leucokoria
3.pain
4.itchy
5.iop decreasing

A woman 60 years old complain that the vision of both eyes become blurred and
blurred slowly since 3 years ago. No pain, neither red, but feel
glare. Vod 6/30. Vos 6/60. Pin hole examination was negative. She wear reading
glasses S+3.00. IOP of the Right and Left eye were digitally normal. Lenses looks
hazy. Fundus reflex decreased, pupil looked leucokoria. Shadow test
examination : positif.

Which of the following is the most likely diagnosis ?


1.Refractif error
2.Corneal nebula.
3.Lens opacity
4.Vitreous opacity
5.retinal lesion.

Leucokoria in that patient ‘s pupil means:


1.wide pupil
2.small pupil
3.white pupil
4.pupil isocor
5.pupil anisocor

Positif Shadow test examination in that patient was positif, meaning the degree of:
1.incipience cataract
2.immature cataract
3.mature cataract
4.hypermature cataract
5.secondary cataract.

A 56 years man came to the eye doctor because of prolong headache. He often hit
something surround him while riding bycile.
Visus OD: 20/60 , corrected with S+2,50 => 20/25. Visus OS : 1/~ . In Fundus
examination with ophthalmoscopy found that
The Cupping Disc Ratio of the Right eye is 0,6 and Left eye is 0,9. Intra Oculer
Pressure OD : 25,8 mmHg, OS : 33,0 mmHg.
He brought some medicine from the last doctor he visited the month before, and it
was: Timolol Maleat ed and Azetazolamide tablet.

which is the following is most likely diagnosis?


1.refractif error
2.primary open angle glaucoma
3.primary closed angle glaucoma
4.low tension glaucoma
5.ocular hypertension

For that patient, what is further examination should be done , to know his visual
field ?
. 1.biometri
2.campimetri
3.tonometri
4.Funduscopy
5.goniometri

what other medication should be given to that patient ?


1.mydryaticum
2.myoticum
3.steroid eyedrop
4.anti biotic eyedrop
5.antibiotic+steroid eyedrop
A 16 years girl complain of blurred vision . She can not read the board in class. On
the examination you found :
Visual aquity of the Right Eye was 20/70, Left Eye was 20/100. her eyes were
quiet, no pain.

What further examination should be done to that patient ?


1.pin hole test
2.tonometrie test
3.confrontation test
4.shadow test
5.digital test

On the correction to that girl you found she needs S-1,75 D on the Right Eye and
S-2,25 D on the Left eye, to achieve vision 20/20. When you add
S+0,25 D over either eye, she said that 20/20 line become blurred.

What is the prescription you would order ?


1. OD : S-1,50 D and OS : S-2.00 D
2. OD : S-2.00 D and OS : S-2.50 D
3. OD : S-1.75 D and OS : S-2.25 D
4. OD : S-1,75 D and OS : S-2.25 D addition S+0,25

What is the Refraction of the patient ?


1.hypermetropie
2.myopie
3.presbyopie
4.astigmatisme
5.myop astigmatisme

In the patients screening of blindness eradication program, we found some people


have blurred vision but not suffering from cataract.
patient A. Man, 64 years old, fatty. VOD 1/300, VOS 4/60. Pin Hole test : not
improve. ODS quite. Fundus Reflex positif. Anamnestis
he got Diabetus Mellitus for more than 16 years.
patient X. A woman 52 years old VOD : 0 (no Light Perception). VOS 1/300. ODS
Quiet. Digitally palpation: OD : N++, OS: N++.
Funduscopy: Papil Atropy. She is suffering from severe headache for
many years.
patient Z : A woman 58 years old, prolong headache. Blurred vision . VOD :
1/300, VOS : 4/60. no correction could be done.
On Vital sign examination found that the Blood Pressure was 190/110
mmHg. not so compliance to go to the doctor.

Which of the following is the most likely Diagnosis for patient A ?


1. Glaucoma
2.Diabetic Retinopathy
3.Severe Refractive Anomali
4.Retinal Bleeding
5.Neuropathy

Which of the following is the most likely Diagnosis for patient X ?


1.Absolute Glaucoma
2.Acute Glaucoma
3.Retinal desease
4.Optic nerve desease
5.Mature Cataract

Which of the following is the most likely Diagnosis for the patient Z ?
1.Presbyop Myop
2.Papil Edema
3.Hypertensive Retinopathy
4.Retinal Bleeding
5.Glaucoma.

Why on those patients A,X,Z, could not be priority of the Vision 2020 Program ?
1.Preventable but not Curable
2.Not Preventable but Curable
3.Not Preventable and not Curable
4.Preventable and curable
5.The medication is too expensive.

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