Arab Board Ophthalmology Final Written Practice Questions - Arab Board Ophthalmology Final Written Examination Exam - Arab Board Ophthalmology Final Written Practice Questions - Arab Board Ophthalmology Final Written Examination Exam

Question 1

A 24-year-old soft contact lens wearer presents with excruciating right eye pain out of proportion to clinical signs, photophobia, and blurred vision after rinsing lenses with tap water. Slit-lamp biomicroscopy reveals radial perineural infiltrates and patchy stromal opacities. In vivo confocal microscopy identifies double-walled hyperreflective polygonal cystic structures. What is the first-line topical antimicrobial therapy for this condition?

Topical natamycin 5% suspension alone Topical polyhexamethylene biguanide (PHMB 0.02%) or chlorhexidine 0.02% Topical ganciclovir 0.15% gel alone Topical moxifloxacin 0.5% monotherapy

Correct Answer:

Topical polyhexamethylene biguanide (PHMB 0.02%) or chlorhexidine 0.02%

Question 2

A 45-year-old agricultural worker presents with a painful red left eye 5 days after trauma from a tree branch. Slit-lamp examination demonstrates a dense central corneal infiltrate with feathery, indistinct margins, multiple satellite lesions, and a 1.5-mm hypopyon. Corneal scraping reveals septate hyphae. What is the initial topical treatment of choice?

Topical natamycin 5% suspension Topical acyclovir 3% ointment Topical dexamethasone 0.1% drops Topical levofloxacin 0.5% drops

Correct Answer:

Topical natamycin 5% suspension

Question 3

A 32-year-old patient presents with ocular redness, photophobia, and foreign body sensation in the right eye. Slit-lamp examination demonstrates a linear branching epithelial ulcer with terminal bulbs that stains brightly with fluorescein centrally and with rose bengal at the swollen margins. Corneal sensation is reduced. What is the most appropriate management, and which medication is strictly contraindicated?

Initiate topical ganciclovir 0.15% gel; topical corticosteroids are strictly contraindicated Initiate topical prednisolone acetate 1%; topical antivirals are contraindicated Initiate topical polymyxin B/trimethoprim; bandage contact lens is contraindicated Initiate topical cyclosporine 0.05%; oral acyclovir is contraindicated

Correct Answer:

Initiate topical ganciclovir 0.15% gel; topical corticosteroids are strictly contraindicated

Question 4

An 18-year-old male with progressive irregular myopic astigmatism shows inferior corneal steepening on Scheimpflug tomography with maximum keratometry (Kmax) progressing by 1.5 D over 6 months. Slit-lamp examination reveals a Fleischer ring and fine vertical Vogt striae. Corneal pachymetry at the thinnest point is 430 micrometers. What is the definitive treatment to arrest disease progression?

Conductive keratoplasty Corneal collagen cross-linking (CXL) Topical latanoprost once daily Deep anterior lamellar keratoplasty

Correct Answer:

Corneal collagen cross-linking (CXL)

Question 5

A 66-year-old female presents with bilateral blurred vision that is worse upon waking and improves gradually throughout the day. Slit-lamp examination reveals confluent central endothelial guttata with a 'beaten metal' appearance and early central stromal haze with microcystic epithelial edema. Endothelial cell density on specular microscopy is 650 cells/mm2. What is the surgical procedure of choice that replaces exclusively the diseased host layer while minimizing rejection risk?

Deep anterior lamellar keratoplasty (DALK) Descemet membrane endothelial keratoplasty (DMEK) Phototherapeutic keratectomy (PTK) Penetrating keratoplasty (PK)

Correct Answer:

Descemet membrane endothelial keratoplasty (DMEK)

Question 1

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Prepare with the Arab Board Ophthalmology Final Written Practice Questions - Arab Board Ophthalmology Final Written Examination Exam practice quiz. This question bank includes 100 questions covering year-old, presents, examination, reveals, and patient. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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Arab Board Ophthalmology Final Written Practice Questions - Arab Board Ophthalmology Final Written Examination Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, examination, reveals, and patient. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

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Arab Board Ophthalmology Final Written Practice Questions - Arab Board Ophthalmology Final Written Examination Exam

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