CMSA Diploma in Ophthalmology Dip Ophth(SA) Practice Questions - Diploma in Ophthalmology of the College of Ophthalmologists of South Africa Dip Ophth(SA) Exam - CMSA Diploma in Ophthalmology Dip Ophth(SA) Practice Questions - Diploma in Ophthalmology of the College of Ophthalmologists of South Africa Dip Ophth(SA) Exam

Question 1

A 34-year-old contact lens wearer presents to a rural South African clinic with a 2-day history of intense left eye pain, photophobia, and purulent discharge. Slit-lamp examination reveals a 2.5 mm focal white corneal infiltrate with an overlying epithelial defect and a 1 mm hypopyon. What is the most appropriate immediate empirical management?

Topical fluoroquinolone monotherapy (e.g., ciprofloxacin 0.3% drops hourly) Topical corticosteroid drops (e.g., prednisolone acetate 1%) every 2 hours Oral amoxicillin-clavulanate 1 g twice daily for 7 days Pressure patching of the affected eye for 48 hours

Correct Answer:

Topical fluoroquinolone monotherapy (e.g., ciprofloxacin 0.3% drops hourly)

Question 2

A 45-year-old gardener presents with a painful right eye 5 days after being struck by a tree branch. Examination shows a feathery, grayish-white corneal infiltrate with satellite lesions and a hypopyon. Fluorescein staining confirms epithelial breakdown. Which pathogen is most likely responsible?

Staphylococcus aureus Fusarium or Aspergillus species Herpes simplex virus type 1 Acanthamoeba castellanii

Correct Answer:

Fusarium or Aspergillus species

Question 3

A 28-year-old female presents with recurrent right eye irritation, mild photophobia, and watering. Slit-lamp fluorescein examination demonstrates a branching corneal epithelial lesion with clear terminal bulbs that stains brightly with fluorescein. Corneal sensation is reduced in the right eye. What is the most appropriate first-line treatment?

Topical acyclovir 3% eye ointment 5 times daily Topical dexamethasone 0.1% drops 4 times daily Topical chloramphenicol 0.5% drops 4 times daily Oral fluconazole 200 mg daily for 14 days

Correct Answer:

Topical acyclovir 3% eye ointment 5 times daily

Question 4

A 52-year-old farm worker from the Eastern Cape presents with a triangular, vascularized wing of conjunctival tissue extending 3 mm onto the nasal cornea of his right eye. He reports foreign body sensation and intermittent blurriness. What is the definitive management for this lesion?

Surgical excision with conjunctival autografting Simple excision with bare sclera closure Long-term topical corticosteroid drops Laser photocoagulation of the lesion

Correct Answer:

Surgical excision with conjunctival autografting

Question 5

A 60-year-old postmenopausal woman complains of persistent bilateral eye burning, dryness, grittiness, and episodic tearing that worsens when reading. Tear breakup time (TBTT) is 4 seconds, and Schirmer I test shows 4 mm wetting in 5 minutes. What is the most appropriate initial therapeutic step?

Preservative-free artificial tears and warm eyelid compresses Topical tobramycin-dexamethasone combination drops Punctal occlusion with permanent silicone plugs Oral systemic prednisone 40 mg daily for 2 weeks

Correct Answer:

Preservative-free artificial tears and warm eyelid compresses

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Prepare with the CMSA Diploma in Ophthalmology Dip Ophth(SA) Practice Questions - Diploma in Ophthalmology of the College of Ophthalmologists of South Africa Dip Ophth(SA) Exam practice quiz. This question bank includes 100 questions covering year-old, presents, right, reveals, and lens. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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CMSA Diploma in Ophthalmology Dip Ophth(SA) Practice Questions - Diploma in Ophthalmology of the College of Ophthalmologists of South Africa Dip Ophth(SA) Exam

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

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CMSA Diploma in Ophthalmology Dip Ophth(SA) Practice Questions - Diploma in Ophthalmology of the College of Ophthalmologists of South Africa Dip Ophth(SA) Exam

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