PART 6: COMPREHENSIVE OPHTHALMOLOGY REVIEW: A MULTIPLE-CHOICE QUESTION AND ANSWERS APPROACH

which of the following is not true on the management of bacterial conjunctivitis
A. surgery
B. use of ofloxacine eye drop
C. use of tetracycline eye drop
D. option A&B

Which of the following nerve is responsible for vision
A. trigeminal nerve
B. optics nerves
C. olfactory nerve
D. occulomotor nerve

Which of the following is the common symptoms of cataract
A. redness of the eye
B. discharge in the eye
C. .severe pain in the eye
D. Blurred vision.

Hypermetropia is
A. the in inability of the lens to relax it normal position and focus on tiny object.
B. is a refractive error in which the picture of an object fall befor the retina.
C. is a refractive error in which the picture of an object fall after the retina
D. none of the above

The lens start reading at
A. 0.12
B. 0.5
C. 0.15
D. 0.1

All but one are pre disposing factors of Retinoblastoma
A. infections
B. genetics
C. family history
D. Exposure to cancerous substance during first trimester of pregnancy such as Asphalt

All the following are clinical features of Retinoblastoma Except
A. loss of vision
B. pains
C. Enlargements of the eye ball
D. none of the above

leucocorea is also refers to
A. cat eye
B. discharge from the eyess
C. pains in the eye
D. none of the above

Blephritis is
A. inflammation of the conjunctiva
B. inflammation of the of the choroids
C. inflammation of the of the sclera
D. inflammation of the of the lids margin

Cataract is
A. is an increase in intraocular pressure
B. absence of the eye brows
C. inflammation of the iris
D. is an opacity of the crystalline lens

Hypaema is
A. means pus in the anterior synacchis
B. blood in the anterior chamber
C. blood in the posterior chamber
D. means blood in the anterior and posterior chamber.

Cornea has
A. 5 layers
B. 4 layers
C. 3. layers
D. 2. layers.

Avoidable Blindness include all except
A. Trachoma
B. Xerophthalmia
C. Onchocerciasis
D. Sickle cell retinoparthy

Which of these is not a Concept of PHC
A. Availability
B. Affordability
C. Acceptability
D. Richability

Methods of Communication include all except
A. Demonstration
B. Verbal
C. Message
D. Role play

A client in the community complains of a gradual loss of vision which usually runs in the family gives an impression of
A. Amblyopia
B. Ophthalmoplegia
C. Low vision
D. Glaucoma

Vision 2020 is a
A. A joint initiative of LUTH and International Agency for blindness
B. WHO Initiative
C. Fred Hollow Foundation Initiative
D. National Initiative

The small, delicate and very specialized ophthalmic instruments are best sterilized with
A. Steam sterilization
B. Dry heat sterilization
C. Gamma ray sterilization
D. Ozone gas sterilization

Most enteral drugs are absorbed through the
A. Placenta barrier
B. Brain barrier
C. Gut wall
D. Site of action

Majority of topical ophthalmic drugs are absorbed by the process of
A. Osmosis
B. Filteration
C. Evaporation
D. Diffusion

The assessment phase of Nursing process include one of the following except
A. Analyze data
B. Validate data
C. Establish priority
D. Reassess client

The purpose of planning is to
A. Prioritize problems
B. Write Nursing orders
C. Develop an individual care plan with desire outcome
D. Promote client care

The following are the activities in outcome identification except
A. Prioritize problems and diagnosis
B. Determine the nurses need for assessment
C. Formulate client goals /Desired outcome
D. Establish client goals and outcome criteria

Stye is an acute suppurative inflammation of
A. Gland of Zeis
B. Gland of Moll
C. Meibomian gland
D. All of the above

Research process is
A. Step followed in carrying out a research
B. Analysis and presentation of results
C. Identification and description of research problem
D. Research design

Aseptic technique is the process
A. By which microorganisms are been destroyed
B. By which the growth of microorganisms are limited
C. By which contamination with microorganisms are prevented
D. By which microorganism are cultured.

Organisms capable of thriving well in the presence of oxygen are known as
A. Aerobes
B. Virons
C. Anaerobes
D. Parasites

Personality is defined as an individual characteristic pattern of behavior, thinking and feeling by
A. Sigmund Freud
B. Carver and Scheier
C. Maslow
D. Carl Roger

The rights of a hospitalized patient include the following except
A. Right to expect prompt treatment in an emergency
B. Right to obtain all relevant information about his/her therapy
C. Dictate to the doctor the drug to be prescribed
D. Right to confidentiality

Tear production is increased during the night
A. True
B. false
C. Both A and B
D. None of the Above

Ishihara test plates are used for near vision
A. True
B. false
C. Both A and B
D. None of the Above

In visual acuity recording 6/12 is equal to 20/60
A. True
B. False
C. Both A and B
D. None of the Above

Schoitz tonometry is the most accurate and acceptable method of assessing Tension
A. True
B. False
C. Both A and B
D. None of the Above

The Crystalline lens, the capsule is thickest at the equator
A. True
B. False
C. Both A and B
D. None of the Above

The Cornea is highly resistant to perforation by a foreign body
A. True
B. False
C. Both A and B
D. None of the Above

Cutting of eyelashes is mandatory for all eye operations
A. True
B. False
C. Both A and B
D. None of the Above

The treatment for dry eye include
A. Artificial lens
B. Vitamin A
C. Gelatin plug
D. All of the Above

Buphthalmos means
A. Protrusion of the eyeball
B. Eye with increased Tension
C. Enlarged sclera
D. A cornea diameter more than 14mm

The scope of School Health Education Programme are all EXCEPT
A. Health services
B. Health Instruction
C. Health Environment
D. Physical Education

The Assessment Phase of Nursing process include one of the following
A. Analyse data
B. Validate data
C. Establish priority
D. Reassess patient

All are refractive media except:
A. Conjunctiva
B. Aqueous fluid
C. Vitreous
D. Lens

Epicanthus is present in most children of all races but it is more predominant characteristic of:
A. Asians
B. Americans
C. Africans
D. Europeans

The uveal tract consist of all except:
A. Iris
B. Ciliary body
C. Choriod
D. Cornea

The behavioural approach to management arose from the work of:
A. Fredrick W. Taylor
B. Elton John
C. Elton Mayo
D. Alfred Chardler

A major contributor to the scientific management thought was:
A. Fredrick Taylor
B. Douglas McGregor
C. Abraham Maslow
D. Alfred Chardler

Chalazion is treated by the following except
A. Heat application and incision
B. Incision and dilatation
C. Heat application, incision and curettage
D. Incision and curettage only.

In preventive ophthalmology, the ophthalmic nurse is involved in the;
A. Primary, Secondary and tertiary level
B. Primary and Secondary level
C. Primary level
D. Secondary level

In community ophthalmology:
A. Only patients with eye disorders are attended to
B. Only those without eye disorders are attended to
C. Both patients with or without eye disorders are attended to
D. All of the above

The anterior posterior diameter of an adults eyeball is about
A. 24mm
B. 23mm
C. 20mm
D. 25mm

Onchocerciasis mostly affects all of the following except
A. Blood
B. Cerebrospinal fluid
C. Eye
D. Skin

Opportunistic infections affecting the retina in a patient with AIDS are all these except
A. Toxoplasmosis
B. Tuberculosis
C. Pneumonia
D. Gonorrhoea

The organism that causes leprosy can be found in all these areas of the eye except
A. Eyelids
B. Retina
C. Iris
D. Cornea

The Cornea is made up of:
A. 4 layers
B. 5 layers
C. 6 layers
D. 7 layers

Nursing objective in nursing care plan is the
A. Fourth stage of care plan
B. Third stage of care plan
C. Fifth stage of care plan
D. Second stage of care plan

The goals of applying ointment to the eye is to ensure the followings except
A. Prolong duration action
B. Sustain the therapeutic effect
C. Prevent splash out of the drug
D. Prevent eye opening

Application of ocular drug (ointment) is contraindicated in
A. Cornea laceration
B. Corneal abrasion
C. Cornea ulcer
D. Cornea haziness

Primary health care (PHC) is related to primary eye care (PEC) in the following elements except
A. health education and eye health education
B. nutrition, food supply and nutrition for eye health
C. maternal and child health and maternal and child eye health
D. community mobilization, participation, and ownership

The destruction of external eye, cornea and its related structures by a chemical or thermal substances describes what condition of the eye?
A. lid laceration
B. foreign bodies
C. burns
D. trauma

The contents of the orbital cavity include the following except
A. Optic nerve
B. Eyeball
C. Blood vessels
D. Eyebrows

Near vision is not affected with
A. Atropine
B. Adrenaline
C. Homatropine
D. Pilocarpine

In a patient predisposed to glaucoma, the drug contraindicated is
A. Pilocarpine
B. Echothiopate
C. Timolol
D. None of the above

In atropine instillation , all the following effects are seen except except
A. Dilated pupil
B. Paralysis of accommodation
C. Increased water content to tear
D. Decreased water content to tear

Absolute indication for enucleation is
A. Intraocular retinoblastoma
B. Endophthalmitis
C. Mutilating ocular injury
D. All of the above

Steroid-induced complication in the eye is
A. Glaucoma
B. Papilloedema
C. Central retinal vein occlusion
D. All of the above

The antiviral drug used for treatment cytomegalovirus retinitis is
A. Acyclovir
B. Gancliclovir
C. Triflurotthymidine
D. All of the above

Vitamin A (Retinol) is a fat soluble vitamin its deficiency causes the following conditions except
A. Retinaemia
B. Keratomalacia
C. Stunted growth
D. Xerophothalmia

Intensive penicillin, therapy to the eye is best given in
A. Ophthalmia neonatarium
B. Glaucoma
C. Trachoma
D. Cataract

One of the side effect the Nurse should watch out for when using TERRACORTRIL 1% is
A. Increased intraocular pressure
B. Vomiting
C. Sweating
D. Bleeding into the conjunctiva

Dexamethasone 0.1% is a corticosteroid that should not be used in patient with
A. Uveitis
B. Scleritis
C. Inflammation
D. Glaucoma

Spersallerg is a group of
A. Anti-allergic eye drop
B. Glaucoma eye drop
C. Cataract eye drop
D. Len dilator

Another name for Gentamycin is
A. Auromycin
B. Genticin
C. Ciprofloxacin
D. Albucid

The Alma-Ata declaration of WHO on PHC was in the year
A. 1988
B. 1975
C. 1978
D. 2000

The component of primary health care include the following except
A. Provision of essential drugs
B. Integrated childhood management
C. Food and nutrition
D. Health education

The following are advantages of PHC services except
A. Brings health care services to the step of the people
B. It is less expensive to run
C. It requires highly qualified personnel
D. It requires health extension workers

Factors preventing PHC from reaching the masses are the following except
A. It is funded by the community
B. It is based on wrong assumption
C. Inadequate record keeping in health providing sector
D. It does not satisfy the needs of the society

The basic reasons for referral are as follows except
A. For expert and good management
B. For continuity of care
C. At patients/relative’s request
D. To reduce cost of management

According to Henry Fayol Espirit De Corps means
A. Delegation of duty
B. Team equity
C. Co-operation unit and team work
D. Stability of tenure

Aesthetic need is crave for beautiful things, arranging things in order, value for beautiful things and strong aversion to ugliness.
A. True
B. False
C. None of the above
D. All of the above

Division of labour will
A. Enhance the workers to go early
B. Enhance going to work quickly
C. Expose lazy ones
D. Make your know your bit excellently

The causative parasite in Onchocerciansis is
A. Onchocercomata
B. Wucherria bancrodti
C. Onchocerca danwuche
D. Onchocerca Vovulus

In primary health care vitamin supplements are given to children during immunization to help good eye sight such as
A. Vitamin B Complex
B. Vitamin A
C. 2Vitamin F
D. Vitamin K

Problem solving as a tool in nursing involves identification of
A. Many solution and selecting two
B. Possible solutions and utilizing all
C. Single solution and utilizing it
D. Possible solution and selecting the best

Best treatment for a tuberculosis patient is
A. Broad spectrum anti-tuberculosis
B. Haematenics
C. Single drug therapy
D. Multi-drug therapy

The adaptation model of Nursing is synonymous with
A. Virginia Henderson
B. Florence Nightingale
C. Sister Calista Roy
D. Dorothea Orem

Nursing diagnoses mostly differs from medical diagnoses, in that they are:
A. dependent upon medical diagnoses for the direction of appropriate interventions.
B. concerned with caring, while medical diagnoses are primarily concerned with curing.
C. concerned with human responses, while medical diagnoses are primarily concerned with pathology
D. concerned with psychosocial parameters, while medical diagnoses are concerned with physiologic parameters.

Which action occurs primarily during the evaluation phase of the nursing process?
A. Data collection.
B. Decision-making and judgment.
C. Priority-setting and expected outcomes.
D. Reassessment and audit

Which action best describes a sentinel event alert?
A. Documenting the breakdown in communication during a shift report.
B. Indicating that a community or institution is unsafe.
C. Recording the harm done when a medication error occurs.
D. Signaling the need for immediate investigation and response

A nursing department in an acute care setting decides to redesign its nursing practice based on a theoretical framework. The feedback from patients, families, and staff reflects that caring is a key element. Which theorist best supports this concept?
A. Erikson.
B. Maslow.
C. Rogers.
D. Watson

After completing a thorough neurological and physical assessment of a patient who is admitted for a suspected stroke, the ophthalmic nurse anticipates the next step in the immediate care of this patient to include:
A. administering tissue plasminogen activator.
B. obtaining a computed tomography scan of the head without contrast.
C. obtaining a neurosurgical consultation.
D. preparing for carotid Doppler ultrasonography.

The first step in applying the quality improvement process to an activity in a clinical setting is to:
A. assemble a team to review and revise the activity.
B. collect data to measure the status of the activity.
C. select an activity for improvement
D. set a measurable standard for the activity

Unity of command means that employee should receive order or instructions from
A. One superior only
B. Ten superiors only
C. One adviser only
D. Four supervisors only

Toxoplasmosis is a………………infection
A. Bacterial
B. Viral
C. Fungal
D. parasitic