Ophthalmology MCQs 2026

Ophthalmology case 1: a eye clinic presenting with headache red flags requires the clinician to

1. A rule out raised intracranial pressure and subarachnoid hemorrhage ✓
2. B delay all investigations until next outpatient visit ✓
3. C discharge without vital sign monitoring ✓
4. D prescribe antibiotics without clinical indication ✓

Visual acuity in medicine refers to

1. A optic neuropathy often associated with raised intraocular pressure ✓
2. B myopia, hypermetropia or astigmatism ✓
3. C chlamydial eye infection leading to blindness if untreated ✓
4. D measurement of clarity of vision ✓

Tonometry in medicine refers to

1. A inflammation of conjunctiva ✓
2. B retinal microvascular damage from chronic hyperglycemia ✓
3. C measurement of intraocular pressure ✓
4. D loss of corneal epithelium with infection risk ✓

Cataract in medicine refers to

1. A myopia, hypermetropia or astigmatism ✓
2. B chlamydial eye infection leading to blindness if untreated ✓
3. C non-specific sign requiring systematic ophthalmic evaluation ✓
4. D opacity of the lens reducing vision ✓

Glaucoma in medicine refers to

1. A optic neuropathy often associated with raised intraocular pressure ✓
2. B retinal microvascular damage from chronic hyperglycemia ✓
3. C loss of corneal epithelium with infection risk ✓
4. D measurement of clarity of vision ✓

Conjunctivitis in medicine refers to

1. A chlamydial eye infection leading to blindness if untreated ✓
2. B inflammation of conjunctiva ✓
3. C non-specific sign requiring systematic ophthalmic evaluation ✓
4. D measurement of intraocular pressure ✓

Refractive error in medicine refers to

1. A loss of corneal epithelium with infection risk ✓
2. B myopia, hypermetropia or astigmatism ✓
3. C measurement of clarity of vision ✓
4. D opacity of the lens reducing vision ✓

Diabetic retinopathy in medicine refers to

1. A non-specific sign requiring systematic ophthalmic evaluation ✓
2. B measurement of intraocular pressure ✓
3. C optic neuropathy often associated with raised intraocular pressure ✓
4. D retinal microvascular damage from chronic hyperglycemia ✓

Trachoma in medicine refers to

1. A chlamydial eye infection leading to blindness if untreated ✓
2. B measurement of clarity of vision ✓
3. C opacity of the lens reducing vision ✓
4. D inflammation of conjunctiva ✓

Corneal ulcer in medicine refers to

1. A measurement of intraocular pressure ✓
2. B optic neuropathy often associated with raised intraocular pressure ✓
3. C myopia, hypermetropia or astigmatism ✓
4. D loss of corneal epithelium with infection risk ✓

Red eye in medicine refers to

1. A non-specific sign requiring systematic ophthalmic evaluation ✓
2. B opacity of the lens reducing vision ✓
3. C inflammation of conjunctiva ✓
4. D retinal microvascular damage from chronic hyperglycemia ✓

Ophthalmology case 18: a emergency red eye presenting with drug reaction requires the clinician to

1. A stop suspected agent and document allergy in patient record ✓
2. B delay all investigations until next outpatient visit ✓
3. C discharge without vital sign monitoring ✓
4. D prescribe antibiotics without clinical indication ✓

Ophthalmology case 20: a diabetic screening presenting with headache red flags requires the clinician to

1. A delay all investigations until next outpatient visit ✓
2. B discharge without vital sign monitoring ✓
3. C prescribe antibiotics without clinical indication ✓
4. D rule out raised intracranial pressure and subarachnoid hemorrhage ✓

Ophthalmology case 26: a diabetic screening presenting with drug reaction requires the clinician to

1. A delay all investigations until next outpatient visit ✓
2. B stop suspected agent and document allergy in patient record ✓
3. C discharge without vital sign monitoring ✓
4. D prescribe antibiotics without clinical indication ✓

Ophthalmology case 32: a diabetic screening presenting with referral decision requires the clinician to

1. A delay all investigations until next outpatient visit ✓
2. B discharge without vital sign monitoring ✓
3. C prescribe antibiotics without clinical indication ✓
4. D refer to appropriate specialist when care exceeds primary level capacity ✓

Ophthalmology case 39: a emergency red eye presenting with headache red flags requires the clinician to

1. A delay all investigations until next outpatient visit ✓
2. B discharge without vital sign monitoring ✓
3. C prescribe antibiotics without clinical indication ✓
4. D rule out raised intracranial pressure and subarachnoid hemorrhage ✓

Ophthalmology case 40: a eye clinic presenting with referral decision requires the clinician to

1. A delay all investigations until next outpatient visit ✓
2. B discharge without vital sign monitoring ✓
3. C refer to appropriate specialist when care exceeds primary level capacity ✓
4. D prescribe antibiotics without clinical indication ✓

Ophthalmology case 42: a emergency red eye presenting with referral decision requires the clinician to

1. A delay all investigations until next outpatient visit ✓
2. B refer to appropriate specialist when care exceeds primary level capacity ✓
3. C discharge without vital sign monitoring ✓
4. D prescribe antibiotics without clinical indication ✓

Ophthalmology case 52: a eye clinic presenting with drug reaction requires the clinician to

1. A delay all investigations until next outpatient visit ✓
2. B discharge without vital sign monitoring ✓
3. C stop suspected agent and document allergy in patient record ✓
4. D prescribe antibiotics without clinical indication ✓