AMC MCQ Ophthalmology and ENT

Question 1

A 65-year-old presents with gradual painless vision loss. Fundoscopy shows a cup-to-disc ratio of 0.8 and intraocular pressure is 28 mmHg bilaterally. What is the most likely diagnosis?

Accepted Answer

Primary open-angle glaucoma

Answer

Cataracts

Answer

Age-related macular degeneration

Answer

Central retinal vein occlusion

Question 2

A 50-year-old presents with sudden severe eye pain, nausea, vomiting, and halos around lights. The eye is red with a mid-dilated fixed pupil and corneal haze. What is the immediate first-line management?

Accepted Answer

Oral acetazolamide and topical beta-blockers

Answer

Topical antibiotics and eye patching

Answer

Systemic corticosteroids

Answer

Topical antihistamines

Question 3

A 72-year-old complains of central vision distortion and sees straight lines as wavy (metamorphopsia). Fundoscopy reveals drusen deposits and pigmentary changes in the macula. What is the most likely diagnosis?

Accepted Answer

Age-related macular degeneration

Answer

Diabetic maculopathy

Answer

Optic neuritis

Answer

Retinal detachment

Question 4

A 38-year-old with recurrent sinusitis presents with nasal polyps, bronchial asthma, and develops bronchospasm after taking aspirin for a headache. What is this triad called?

Accepted Answer

Samter's triad (aspirin-exacerbated respiratory disease)

Answer

Kartagener syndrome

Answer

Churg-Strauss syndrome

Answer

Wegener's granulomatosis

Question 5

A 2-year-old presents with fever, ear pain, and a bulging erythematous tympanic membrane. There is no perforation. What is the most appropriate first-line management?

Accepted Answer

Amoxicillin for 10 days

Answer

Observation alone for 48-72 hours

Answer

Ciprofloxacin ear drops

Answer

Urgent myringotomy

Question 6

A 55-year-old presents with sudden painless monocular vision loss described as a 'curtain descending from above.' There is no pain or redness. What is the most likely diagnosis?

Accepted Answer

Retinal detachment

Answer

Central retinal vein occlusion

Answer

Vitreous haemorrhage

Answer

Optic neuritis

Question 7

A 28-year-old presents with unilateral progressive sensorineural hearing loss, constant tinnitus, and mild vertigo. MRI reveals an enhancing lesion at the right cerebellopontine angle. What is the most likely diagnosis?

Accepted Answer

Vestibular schwannoma (acoustic neuroma)

Answer

Meniere's disease

Answer

Labyrinthitis

Answer

Cholesteatoma