SOAL-SOAL UJIAN BOARD UNSRI 2009

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SOAL-SOAL UJIAN BOARD UNSRI 2009

1. Fourty years old female came to polyclinic ophthalmology with complain of watery eyes, conjunctiva hyperemi and with the Slit lamp we found irregular cornea surface and debris in tear film. The break-up time test was normal and the schirmer test was 10 mm. The patient was diagnosed with dry eye syndrome. Which one of the tear film layers had the deficiency?

a. Mucin

b. Mucous

c. Aquous

d. Lipid

e. Mucin and Lipid

Answer : C, Source AAO Sec 2, 2008-2009, p 294-296

2. A Thirty years old patient come to the emergency room with hematom in the right eye. The rontgen of cranium shows a fracture of the orbital floor.

Which one of the following bones orbita that contain of orbital floor?

a. Frontal, maxilla, orbital plate of zygomatic

b. Frontal, maxilla, palatine

c. Sphenoid, frontal, maxilla

d. Maxilla, palatine, orbital plate of zygomatic

e. Ethmoidal, maxilla, palatine

Answer D (AAO 2008-2009 P. 8, section 2)3. A twenty years old patient came to emergency with Palpebra Superior Rupture Full Thickness. As Ophthalmologist should be understand the anatomy normal palpebra.

Base on The systematic structure of palpebra are

A. Skin, preaponeurotic fat, septum, M. orbicularis, aponeurosis levator, M. Mullers, conjungtiva

B. Skin, M orbicularis, preaponeurotic fat, septum, M Mullers, aponeurosis levator, conjungtiva

C. Skin, preaponeurotic fat, M orbicularis, septum, aponeurosis levator, M Mullers, conjungtiva

D. Skin, M orbicularis, septum, preaponeurotic fat, aponeurosis levator, M Mullers, conjungtiva

E. Skin, M orbicularis,preaponeurotic fat, septum, aponeurosis levator, M Mullers, conjungtiva

Jawab : D (AAO 2008 -2009 section 7, hal 141)

4. A patient, fifty years old male, was complaining of pain around the eyes, nausea, red eyes and headache . The intraocular pressure was 38 mmHg. From the perimeter examination, there was a decrease in field vision at the nasal region. The anterior chamber angle needs to be determined. Which of the following are not the structures of anterior chamber angle?

A. Scwalbes line

B. Schlemms canal

C. Internal Limiting membrane

D. Scleral spur

E. Trabecular meshwork

Answer : C, AAO 2008-2009,Section 2, p.525. A sixty year old woman presents in your Reconstructive and Tumour Polyclinic with chief complaint disability in opening the right eyelid. After examination, the diagnosis of this patient is ptosis.

Which of the following muscle is the most elevates the upper eye lid?

a. M. Orbicularis Oculi

b. M. Rectus superior

c. M. Obliqus superior

d. M. Sfingter pupillae

e. M. Levator palpebra

Answer E (AAO 2008-2009, section 2 P. 26 )

6.A baby brought by her mother came to hospital. The mother said that her baby had a small eye and cant deny a thing whose come to her. When did the optic primordium appears ion neural folds ?

A. 22 days

B. 25 days

C. 28 days

D. 2 bulan

E. 3 bulan

AAO 2008-2009 sec. 2 p 139

7.After traffic accident, a man gets disability in opening the left eyelid. Which the following nerve is innervated the muscle that we suggest involve :

A. CN II

B. CN III

C. CN IV

D. CN VII

E. CN VI

AAO 2008-2009 sec. 2 p 26 8.A 45-years-old farmer come to eye policlinic with symptom burning and itching in both eyes. The doctor said there is problem with tear film. Which the following thickness of human tear film :

A. 8.5-9.5 m

B. 7.5-8.5 m

C. 6.5-7.5 m

D. 5.5-6.5 m

E. < 5.5 m

AAO 2008-2009 sec. 2 p 288

9.The human cornea has a rich afferent innervations. In the peripheral, how many branches exist ?

A. 50-60 branches

B. 60-70 branches

C. 70-80 branches

D. 80-90 branches

E. > 90 branches

AAO 2008-2009 sec. 2 p 297

10.A 39 years-old mother had a rupture in the sentral of cornea when she get work. From the wound enter a fluid like gel. Which the following major structural component arrange that gel :

A. Soluble proteins

B. Collagen

C. Hyaluronan

D. Collagen and Hyaluronan

E. Collagen and water

AAO 2008-2009 sec. 2 p 33311.A 37-year-old patient come to hospital after got accident when he worked. His left eyes struck with corrosive-acid. The doctor make irrigation soon and he take a ph-meter. Which the following normal ph of human tear film :

A. 5.5-6.6

B. 6.5-7.6

C. 7.5-8.6

D. 8.5-9.6

E. > 9.6

AAO 2008-2009 sec. 2 p 288

12.A patient, 41 years old female, was complaining of headache and pain around the eyes. The intraocular pressure was 39 mmHg. From the perimeter An 48 years-old woman was complaining of headache and pain around the eyes. The intraocular pressure was 39 mmHg. From the perimeter examination, there was a decrease in field vision at the nasal region. The anterior chamber angle needs to be determined. Which of the following structure that is a circular spongework of connective tissue exist in anterior chamber angle?

A. Scwalbes line

B. Schlemms canal

C. Sclera spur

D. Trabecular meshwork

E. Peripheral iris

AAO 2008-2009 sec. 2, p.54

13.Based on the case above, which of the following structure arise approximately 25-30 collector channels :

A. Scwalbes line

B. Schlemms canal

C. Sclera spur

D. Trabecular meshwork

E. Peripheral iris

AAO 2008-2009 sec. 2, p.58

14.A 18 years old girl come to ophthalmologist after her right eyes hit with stone by her-neighbour. She gets blurred and pain. The ophthalmologist found cornea clear, subconjuctival bleeding exist, and blood in COA. which the following layers of cornea face with blood :

A. Epithelium

B. Bowmans Layer

C. Stroma

D. Descemets membraneE. Endothelium AAO 2008-2009 sec. 2 p 297

15.Based on the case above, which of the following layers of cornea makes up 90% of the corneal thickness :

A. Epithelium

B. Bowmans Layer

C. Stroma

D. Descemets membrane

E. Endothelium

AAO 2008-2009 sec. 2 p 300

16.A 40-year-old man presents with sudden onset of drooping left eyelid. When he lifts the lid with his finger he notices that he has double vision. He has a severe headache. He is otherwise fit and well with no past ophthalmic history. He is on no regular medication. The is no family history of medical problems. Examination reveals normal visual acuity in both eyes. A left ptosis is present. So, the old man has nerve palsy. What muscles that innervated it

1. superior rectus

2. medial rectus

3. inferior rectus

4. levator palpebra superioris

AAO (2008-2009), section 2, page 18

17.Normally, the palpebra fissure is the exposed zone between the upper and the lower eyelids. The upper eyelid more mobile than the lower. The important changes in the palpebra fissure can occur at the following diseases, except :

A. Grave opthalmopaty

B. Levator disinsertion

C. Congenital ptosis

D. Horner syndrome

E. Sixth nerve palsy

AAO (2008-2009), section 2, page 21

18. A baby, 8 months old, has had a persistenly watery eye since birth. Intermittenly there is a yellow discharge surrounding the eye. The white of the eye has never been red. The baby is otherwise healthy. Examination reveals a white, quiet, normal eye; slight pressure over the lacrimal sac produces a yellowish discharge from the normal puncta. It possibility to exist obstruction of :

A. Lacrimal sac

B. Nasolacrimal duct

C. Canaliculi

D. Punctum

E. Lacrimal gland

AAO (2008-2009), section 2, page 35

19. The stroma constitutes approximately 90% of the total corneal thickness in human. It is composed of collagens. The stromas collagen types are, except :

A. Type I

B. Type III

C. Type IV

D. Type V

E. Type VI

AAO (2008-2009), section 2, page 46-47

20.A 27-year-old man presents with a 2-day history of painful red right red right eye; the vision is slightly blurred and he dislikes bright lights. He is otherwise fit and well, but complains of some backache. He wears no glasses. He possibility has problem at the anterior chamber. The anterior chamber angle consists of the following structures, except

a.Schwalbes line

b.Trabecular meshwork

c.Schlemms canal

d.Iris

e.Bruchs membrane

AAO (2008-2009), section 2, page 52

21.A young man came hospital with his chief complain discomfort on his eyes, he has a dry mouth and history of remathoid arthritis. In minor glandula salivary biopsy found inflamatory infiltrate. What is the classification caused damage to the ocular surface for this patient?a. SLE

b. Scleroderma

c. Aqueous tear deficiency

d. Polymyositis

e. Evaporative tear dysfunction

Answer: C

AAO2008-2009 sect 8, p 7822.A teenager 17 years old came to hospital with his father with main complain blured vision in the right eye, red eye (+), pain (+). He has trauma 2 weeks ago, in examination VOD 6/60, VOS 6/6 injectie conjunctiva (+), blood COA. What is the major concern that for this cases?

a. Glaucoma

b. Corneal blood staining

c. Optic athrophy

d. Iridodialysis

e. Rebleeding

Answer: E

AAO2008-2009 sect 8,p 399

23.A patient hospitalized because his ulcer at the central cornea have a diameter 7mm, with the main complain fotophobia, pain and red eye at his let eye. From the laboratory finding, found that the caused of this ulcer is Pseudomonas aeruginosa and heve got treatment. At the 2nd days, found a damage with Seidel test (+). What have we done for this patient?

a. conjunctival flap

b. bandage contact lens

c. amnion graft

d. cyanoacrylate adhesive

e. evisceration

Answer :D

AAO2008-2009 sect 8,p 44124.A man came to the ophthalmologist with the main complain immediate pain, foreign-body sensation, tearing, and discomfort when blinking at left eye. A day ago he got trauma with the sand when he go to the beach. Hes ever washed his left eye with mineral water, but the complain was not decreased. From the examination found that the VA right eye: 6/6, VA left eye 6/9. The FT (+). How many times the corneal epithelial cells are replaced?

a. two weeks

b. weekly

c. minutely

d. hourly

e. daily

Answer :B

AAO2008-2009 sect 8,p 150

25.A sixty yo man came to the ophthalmologist with main complain foreign body sensation , light sensitivity, redness and blurred vision at the left eye. There was no history of trauma. From the examination found that the VA of right eye is 6/60, VA LE is 1/60, shadow test was (+) at both eye. At the left eye found that the fluoresein test is (+), with dendritic staining. The pain is moderate, and there was no neuralgia. What was the diagnoses for this patient?

a. Herpes zoster ophthalmica

b. Herpes simplex diseases

c. Eipstein barr keratitis

d. Corneal foreign body

e. Marginal ulcers

Answer: B

AAO2008-2009 sect 8,, p 152 26.A man 22 yo came to the RSMH with chief complain pain at the right eye.There was previous history of a trauma, with the cuka para water. From the examination, weve found that the VA RE 2/60 PH (-), VA LE 6/6. pH strip was 10 at the RE. FT was (+) at the clock 3-9. There was corneal opacification. What we have to do first to this patient?

a. irrigating with soda pop

b. irrigating with Ringer Lactate

c. irrigating with normal saline solution

d. take the EDTA eye drop

e. do some parasintesis

Answer: C

AAO2008-2009 sect 8,, p 391

27. A 65 yo woman came to the ophthalmologist with the complain, blurred vision at the left eye. At examination found that many vesicle at left face, including the orbital region.VA RE 2/60 PH (-), VA LE 1/300. FT was (+) on the LE, with dendritic shape, RE was (-). A dermatoblefaritis was occurs. On cornea found edema and ciliar injection. What the drug weve to gave?

a. Famcyclovir 2x500mg

b. Valacyclovir 2x1000mg ?

c. Valacyclovir 3x1000mg ?d. Acyclovir 5x500mg

e. Famcyclovir 2x250mg

Answer : C

AAO2008-2009 sect 8,p 14228.A women, 24 yo, with previous history of ulcer at the RE, came to the ophthalmologist with laboratory result gram negative rods. What drug that selected?

a. cefazolin

b. tobramycin

c. vancomycin

d. ceftriaxon

e. chloramfenicol

Answer : B

AAO2008-2009 sect 8,, p 182

29. A woman, 55 yo, with the previosus history corneal graft 5 months ago at the LE. At this time, found that ath the LE the VA 1/~ with good light perception, corneal neovascularitation (+), descemetocele (+) central. What the tipe of hypersensitivity for this case?

a. Type 1

b. Type 2

c. Type 3

d. Type 4

e. Immediate hipersensitivity

Answer : D AAO2008-2009 sect 8,p 19930.

A teenager, 17 yo came with history of trauma of chloride liquid of both eye, at the examination found that the VA at both eye is