Ophthalmology Practice Questions
Ophthalmology is small but classic exam fodder — diabetic retinopathy staging, orbital fractures, arteritic vision loss, and narrow-angle glaucoma. These four sample questions come from MediLingo's bank of 3,900+ questions across 21 specialties.
Sample questions
Question 1
Microaneurysms, dot-blot hemorrhages, and hard exudates without neovascularization indicate which stage of diabetic retinopathy?
a) Proliferative diabetic retinopathy
b) Diabetic macular edema
c) Non-proliferative diabetic retinopathy ✓ Correct
d) Hypertensive retinopathy
Key teaching point: Microaneurysms + dot-blot hemorrhages + hard exudates = non-proliferative diabetic retinopathy.
Question 2
Diplopia on upgaze, enophthalmos, and infraorbital numbness after blunt eye trauma indicate which injury?
a) Globe rupture
b) Hyphema
c) Orbital floor blowout fracture with muscle entrapment ✓ Correct
d) Corneal abrasion
Key teaching point: Upgaze diplopia + enophthalmos after blunt trauma = orbital blowout fracture - check for entrapment.
Question 3
A 74-year-old woman with jaw claudication, scalp tenderness, and transient vision loss now has sudden painless vision loss with pale disc edema. What is the next step?
a) Aspirin and outpatient follow-up
b) Temporal artery biopsy first, then treat
c) High-dose corticosteroids immediately ✓ Correct
d) Heparin infusion
Key teaching point: GCA with visual symptoms - start high-dose steroids at once; do not wait for biopsy.
Question 4
Which medication should be avoided in a patient with narrow anterior chamber angles?
a) Oxybutynin (anticholinergic) ✓ Correct
b) Acetazolamide
c) Pilocarpine
d) Latanoprost
Key teaching point: Avoid mydriatics/anticholinergics in narrow angles - they can precipitate acute closure.
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