MCQs for FRCOphth Part 2
Test Bank
, Abbreviations xiii
Contributors xix
Structure of the FRCOphth Part 2 Written Exam xxi
1 Clinical Ophthalmology 1
Questions 1
Answers 15
2 Clinical Ophthalmology 2
Questions 35
Answers 54
3 Clinical Ophthalmology 3
Questions 77
Answers 92
4 Pharmacology, Therapeutics, and Investigations
Questions 115
Answers 125
5 Basic Science and Miscellaneous
Questions 137
Answers 145
,6 Mock Exam
Questions 157
Answers 177
Index 205
, chapter CLINICAL OPHTHALMOLOGY 1
1 QUESTIONS
1. A 35-year-old man presented with a 2-day history of right painful
red eye. Examination revealed dendritic ulcer with no stromal
vascularization/oedema or keratic precipitates. Anterior chamber is
deep and quiet. He had two similar episodes of dendritic keratitis in the
past year. What is the best management plan for this patient?
A. Topical aciclovir 3% 5×/day for 2 weeks +/– epithelial debridement
B. Topical aciclovir 3% 5×/day for 2 weeks + topical prednisolone 1% QID for 2 weeks
C. Topical aciclovir 3% 5×/day for 2 weeks + oral aciclovir 400 mg BD for at least 6 months
D. Topical aciclovir 3% 5×/day for 2 weeks + oral aciclovir 400 mg 5×/day for 2 weeks then
BD for at least 6 months
2. Which of the following statements about ocular cicatricial pemphigoid
(OCP) is correct?
A. Identification of linear deposition of immunoglobulin G (IgG), IgE, and C3 complement
factors at the epithelial basement membrane zone using direct immunofluorescence (DIF)
test is diagnostic of OCP
B. Negative immunofluorescent test of conjunctival biopsy excludes the diagnosis of OCP
C. To achieve best diagnostic yield of OCP, it is best to obtain the conjunctival biopsy from
less inflamed areas
D. Conjunctival sample should be transported in a sterile pot containing formalin solution for
immunohistochemical analysis
3. Which of the following histopathological stains is MOST useful in the
diagnosis of Avellino corneal dystrophy?
A. Alcian blue stain
B. Congo red stain
C. Haematoxylin & eosin (H&E stain)
D. Oil-red-O stain
4. In addition to limbal ischaemia, which of the following signs has been
shown to have a poor prognostic value in chemical eye injury?
A. More than 2+ cells in anterior chamber
B. Central epithelial defect of > 80%
C. Raised intraocular pressure (IOP) of 28 mmHg or more
D. Severe conjunctival involvement of > 80%
Test Bank
, Abbreviations xiii
Contributors xix
Structure of the FRCOphth Part 2 Written Exam xxi
1 Clinical Ophthalmology 1
Questions 1
Answers 15
2 Clinical Ophthalmology 2
Questions 35
Answers 54
3 Clinical Ophthalmology 3
Questions 77
Answers 92
4 Pharmacology, Therapeutics, and Investigations
Questions 115
Answers 125
5 Basic Science and Miscellaneous
Questions 137
Answers 145
,6 Mock Exam
Questions 157
Answers 177
Index 205
, chapter CLINICAL OPHTHALMOLOGY 1
1 QUESTIONS
1. A 35-year-old man presented with a 2-day history of right painful
red eye. Examination revealed dendritic ulcer with no stromal
vascularization/oedema or keratic precipitates. Anterior chamber is
deep and quiet. He had two similar episodes of dendritic keratitis in the
past year. What is the best management plan for this patient?
A. Topical aciclovir 3% 5×/day for 2 weeks +/– epithelial debridement
B. Topical aciclovir 3% 5×/day for 2 weeks + topical prednisolone 1% QID for 2 weeks
C. Topical aciclovir 3% 5×/day for 2 weeks + oral aciclovir 400 mg BD for at least 6 months
D. Topical aciclovir 3% 5×/day for 2 weeks + oral aciclovir 400 mg 5×/day for 2 weeks then
BD for at least 6 months
2. Which of the following statements about ocular cicatricial pemphigoid
(OCP) is correct?
A. Identification of linear deposition of immunoglobulin G (IgG), IgE, and C3 complement
factors at the epithelial basement membrane zone using direct immunofluorescence (DIF)
test is diagnostic of OCP
B. Negative immunofluorescent test of conjunctival biopsy excludes the diagnosis of OCP
C. To achieve best diagnostic yield of OCP, it is best to obtain the conjunctival biopsy from
less inflamed areas
D. Conjunctival sample should be transported in a sterile pot containing formalin solution for
immunohistochemical analysis
3. Which of the following histopathological stains is MOST useful in the
diagnosis of Avellino corneal dystrophy?
A. Alcian blue stain
B. Congo red stain
C. Haematoxylin & eosin (H&E stain)
D. Oil-red-O stain
4. In addition to limbal ischaemia, which of the following signs has been
shown to have a poor prognostic value in chemical eye injury?
A. More than 2+ cells in anterior chamber
B. Central epithelial defect of > 80%
C. Raised intraocular pressure (IOP) of 28 mmHg or more
D. Severe conjunctival involvement of > 80%
