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Ophthalmology Question Paper
Ophthalmology
Course:Bachelor Of Science In Nursing And Public Health
Institution: Kenyatta University question papers
Exam Year:2009
KENYATTA UNIVERSITY
UNIVERSITY EXAMINATIONS 2009/2010
FIRST SEMESTER EXAMINATION FOR THE DEGREE OF BACHELOR OF
SCIENCE IN NURSING AND PUBLIC HEALTH
HNS 400: OPHTHALMOLOGY
DATE: MONDAY, 21ST DECEMBER 2009
TIME: 2.00 P.M. - 4.00 P.M.
INSTRUCTIONS:
1)
Answer all questions
2)
Part I: MCQs - Answer in the question paper
3)
Part II & III: Answer in the answer booklet provided.
PART I: MCQs
1.
Which one of the following is a complication of pathological myopia.
a)
Headache
b)
Cortical
cataract
c)
Nuclear
cataract
d)
Posterior subcapsular opacity
2.
The symptoms of gonococcal conjunctivitis include:
a)
Rapid onset, copius discharge and chemosis
b)
Rapid
onset,
mucopurulent discharge and chemosis
c)
Progressive
onset,
mucopurelent discharge and chemosis
d)
Progressive
onset,
copius discharge and chemosis
3.
The following are orbital fractures except
a)
Ethmoidal
b)
Maxillary
c)
Blowout
d)
Zygomatic
Page 1 of 5
4.
In managing foreign bodies in the eye, the nurse should:
a)
Administer
corticosteroids
topically
b)
Administer topical anesthetics and give patient to take home
c)
Administer topical antibiotics
d)
Avoid
administration
of topical antibiotics
5.
A patient with corneal abrasion may present with;
a)
Photophobia
b)
Redness
c)
Floaters
d)
Blepharospasm
6.
Which one of the following combinations, comprises benign tumours of the eyelids
a)
Papilloma, naevus and malignant melanoma
b)
papilloma,
naevus and verruca vulgaris
c)
Verruca vulgaris, xanthelasma and malignant mellanoma
d)
Xanthelasma, malignant melanoma and naevus
7.
The following predispose to the development of blepharitis except:
a)
Picking of eye lashes
b)
Systemic
diseases
c)
Continued eye strain
d)
Eye
make-up
8.
Which one of the following conditions can cause retinal vascular disorders
a)
Deep venous thrombosis
b)
Diabetes
Inspidus
c)
Atherosclerosis
d)
Cetamegalovirus
infection
Page 2 of 5
9.
One of the following conditions causes visual loss
a)
Onchocerciasis
b)
conjunctivitis
c)
Blepharitis
d)
Uveitis
10.
The primary goal of nursing management of a patient with visual loss is to:
a)
Restore
vision
b)
Link to available support system
c)
Promote coping efforts
d)
Link patient to people with similar problem
For questions 11 to 13 state whether the statements are TRUE or FALSE ( 1 mark each)
2
11.
a)
Cold compresses are indicated for the management of hordeolum ____________
b)
Internal hordeolum affects the sebaceous glands ____________
12.
a)
A newborn baby is hypermetropic _________________
b)
Cylindrical lenses are used for correction of hypermetropia _____________
13.
a)
In acute angle-closure glaucoma, the anterior angle is blocked by the base of the
iris
_______________________
b)
Prostaglandins are used in treatment of glaucoma to reduce acqueous humour
production
_________________
14.
Intermediate uveitis involves
a)
the ciliary body
b)
the anterior segment of the eye
c)
the
choroids
d)
the ciliary body and the choroids
Page 3 of 5
15.
In managing herpes simplex keratitis, the nurse should instill the eye drops every;
a)
5
minutes
b)
10
minutes
c)
15
minutes
d)
20
minutes
16.
The indications for keratoplasty include
a)
Uveitis
b)
Corneal
abrasions
c)
Ititis
d)
Corneal
dystrophy
17.
Age related changes in the eye include the following EXCEPT
a)
Age related macular degeneration
b)
Entropion
c)
Ectropion
d)
Myopia
18.
The oculomotor nerve supplies
a)
The lateral rectus muscle
b)
The
pupil
c)
The superior oblique
d)
The lower lid
For questions 19 match the statement in column A with the correct statement in column B
( 1 mark each).
2
Column A Column
B
19. a) Central Retinal vein occlusion
i) Hole in the sensory retina
b) Central retinal artery occlusion
ii) Tension or pulling force
c) Exudative retinal detachment
iii) Serous fluid
d) Rhegmatogenous retinal detachment
iv Thrombosis
v Results in Infarction of the retina
vi) Macular oedema
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