MCQ Picture Quiz

Retina – 1

The majority of vision loss in diabetic patients is due to which one of the following?

A Cataract

B Macular oedema

C Vitreous haemorrhage

D Tractional retinal detachment

1. Diabetic retinopathy

Which of the following is NOT associated with an increased risk of developing proliferative diabetic retinopathy?

A Intraretinal hemorrhages in 4 quadrants

B Nerve fiber layer infarcts in 2 or more quadrants

C Venous beading in 2 quadrants

D Intraretinal microvascular abnormalities in 1 quadrant

2. Diabetic retinopathy

3. Pre-proliferative diabetic retinopathy

Which of the following features is not associated with pre-proliferative diabetic retinopathy?

A Definite intraretinal microvascular abnormalities

B Venous beading in 2 or more quadrants

C Blot or larger haemorrhages in 4 quadrants

D Neovascularistion

4. Hypertensive retinopathy

Which of the following statements regarding hypertensive retinopathy is false?

A Hypertensive retinopathy produces microaneurysms in the early stages

B Hypertensive retinopathy is associated with the formation of cotton wool spots and hard exudates

C Hypertensive retinopathy may cause AV nipping

D Hypertensive retinopathy affects the nerve fibre layer capillaries

5. Branch retinal vein occlusion (BRVO)

Which of the following is not a cause of BRVO?

A Carotid embolism

B Advancing age

C Hypertension

D Obesity

6. Central retinal vein occlusion (CRVO)

Which of the following is not associated with causing CRVO?

A Systemic hypertension

B Atherosclerosis

C Ocular hypotony

D Abnormal plasma proteins

7. Central retinal artery occlusion (CRAO)

Which of the following statements regarding CRAO is false?

A CRAO is most commonly due to giant cell arteritis

B CRAO is associated with the appearance of a cherry red spot

C CRAO presents with sudden and profound loss of vision

D CRAO may result in rubeosis iridis

8. Central serous chorioretinopathy (CSR)

Which of the following statements regarding CSR is true?

A CSR typically affects young females

B CSR results from a localised detachment of the sensory retina

C CSR is usually treated with systemic steroids

D CSR usually results in a permanent impairment of visual acuity

Photograph used with permission

9. Rhegmatogenous retinal detachment

Which of the following statements regarding rhegmatogenous retinal detachment is true?

A Rhegmatogenous retinal detachment is the separation of the sensory retina from the pigment epithelium by sub- retinal fluid

B The majority of breaks occur in the inferio-nasal quadrant

C The location of photopsia helps to predict the location of the primary break

D An inferior retinal detachment in which the subretinal fluid is higher on the temporal side points to a primary break on the nasal side

10. Geographic atrophy associated with age-related macular degeneration

Which of the following is not associated with ‘dry’ AMD?

A Drusen

B Atrophy of the photoreceptors

C Retinal pigment epithelial detachment

D Choroidal neovascularisation

11. Neovascular age-related macular degeneration

Which of the following statements regarding neovascular AMD is true?

A Neovascular AMD is more common than Atrophic AMD B Atrophic AMD is more devastating to vision than Neovascular AMD

C Neovascular AMD is characterised by the formation of retinal neovascularisation

D Metamorphopsia is a presenting symptom

12. Chloroquine retinopathy

Which one of the following is not a typical feature of chloquine retinopathy?

A Bull’s eye maculopathy

B Enlarged A wave and depressed B wave on ERG

C Paracentral scotoma

D Delayed dark adaption