Neuro-Ophthalmology Practice Questions

Question 1

Which type of visual defects are caused by a tumor of the pituitary gland pressing upon the optic chiasm?

Accepted Answer

Bitemporal hemianopia

Answer

Homonymous hemianopia

Answer

Heteronymous hemianopia

Answer

Binasal hemianopia

Question 2

Keyhole-shaped visual field defect is seen in a lesion involving which of the following regions?

Accepted Answer

Lesion of the optic disk

Answer

Lesion of the lateral geniculate body

Answer

Lesion of the optic chiasma

Answer

Lesion of the occipital lobe

Question 3

Ptosis results from trauma to which nerve?

Accepted Answer

III

Answer

VII

Answer

VIII

Answer

VI

Question 4

The parvocellular pathway, from the lateral geniculate nucleus to the visual cortex, carries signals for the detection of

Accepted Answer

Color vision, shape and fine details

Answer

Luminance contrast

Answer

Temporal frequency

Answer

Movement, depth and flicker

Question 5

A 25-year-old male gets into a brawl outside a bar. During the altercation, someone pulls out a gun and shoots him in the head. The bullet enters the man's temple and severes his right optic nerve completely. He is quickly transported to a nearby emergency room and an emergency physician tests his pupillary response by shining a light in the right eye. What will the physician most likely find?

Accepted Answer

No pupillary constriction in the right eye, and no pupillary constriction in the left eye

Answer

Pupillary constriction followed by pupillary dilatation in both eyes

Answer

Pupillary constriction in the right eye, and no pupillary constriction in the left eye

Answer

No pupillary constriction in the right eye, but pupillary constriction in the left eye

Question 6

Which of the following best predicts the need for lumbar puncture in a patient with syphilis?

Accepted Answer

Neurological or ophthalmic signs

Answer

Presence of genital ulcers

Answer

History of prior treatment

Answer

Positive VDRL test

Question 7

A 70-year-old woman is seen by her physician for evaluation of severe headaches. She noted these several weeks ago, and they have been getting worse. Although she has not had any visual aura but she has been intermittently losing vision in her left eye for the last few days. She denies new weakness or numbness, but she does reports jaw pain with eating. Her past medical history includes coronary artery disease requiring a bypass grafting 10 years prior, diabetes mellitus, hyperlipidaemia, and mild depression. Full review of symptoms is notable for night sweats and mild low back pain particularly prominent in the morning. Which of the following is the next most appropriate step?

Accepted Answer

Immediate initiation of glucocorticoid

Answer

Aspirin 975 mg orally daily

Answer

Measurement of erythrocyte sedimentation rate

Answer

Referral for temporal artery biopsy

Question 8

All are ophthalmological emergencies except -

Accepted Answer

CRVO

Answer

Endophthalmitis

Answer

Acute congestive glaucoma

Answer

CRAO

Question 9

Isolated painful third nerve palsy is a feature of aneurysms of:

Accepted Answer

Aneurysm of the posterior communicating artery

Answer

Aneurysm of the anterior communicating artery

Answer

Aneurysm of the vertebrobasillary artery

Answer

Aneurysm of the ophthalmic artery

Question 10

Campimetry is used to measure:

Accepted Answer

Field of Vision

Answer

Squint

Answer

Pattern of retina

Answer

Malignant melanoma

Neuro-Ophthalmology

Study Resources

Lessons

Questions

Flashcards

Lessons

Anatomy of Visual Pathways

Pupillary Disorders

Optic Neuritis

Ischemic Optic Neuropathies

Other Optic Neuropathies

Papilledema

Cranial Nerve Palsies

Nystagmus

Visual Field Defects

Neuro-ophthalmic Manifestations of Intracranial Lesions

Functional Visual Disorders

Migraine and the Eye

Practice Questions

Flashcards

About Neuro-Ophthalmology for NEET-PG

Lessons in Neuro-Ophthalmology

Master Neuro-Ophthalmology