Important Clinical & Non-Clinical Questions in Ophthalmology for NEET PG/FMGE

Clinical Questions

Q1. A 45-year-old male presents to an ophthalmologist with complaints of difficulty distinguishing between red and green colors. He reports that he has had this problem since childhood. His visual acuity is normal, and there are no other significant findings on the examination. Which of the following is the most likely diagnosis?

1. Protanopia

2. Tritanopia

3. Deuteranomaly

4. Cyanopia 

Ans. 1) Protanopia

Also read: NEET PG/FMGE Ophthalmology Important Questions With Answers

Q2. A 40-year-old patient presents with blurred vision and difficulty with peripheral vision in both eyes. On examination, there are bilateral, symmetric, peripheral retinal abnormalities with splitting of the neurosensory retina. Fluorescein angiography shows no leakage. What is the most likely diagnosis?

1. Retinal detachment

2. Diabetic retinopathy

3. Retinitis pigmentosa

4. Retinoschisis 

Ans. 4) Retinoschisis

Q3. A 60-year-old patient presents with a sudden onset of a painless red patch on the white part of the eye. On examination, there is no associated visual impairment or discharge. The patient denies any recent trauma or eye rubbing. What is the most likely diagnosis? 

1. Subconjunctival hemorrhage

2. Conjunctivitis

3. Episcleritis

4. Scleritis 

Ans. 1) Subconjunctival hemorrhage

Q4. A 25-year-old sexually active male presents with a painless genital ulcer and inguinal lymphadenopathy. The patient reports recent sexual contact with multiple partners. Which of the following is the most likely diagnosis? 

1. Syphilis

2. Herpes simplex virus (HSV) infection

3. Lymphogranuloma venereum (LGV)

4. Chancroid 

Ans. 3) Lymphogranuloma venereum (LGV)

Also read: Important One-Liners in Ophthalmology

Q5. A 35-year-old female presents with fluctuating double vision and drooping of the eyelids. She experiences worsening of symptoms with repetitive eye movements or prolonged use of ocular muscles. On examination, she has ptosis and fatigable extraocular muscle weakness. Tensilon test shows an improvement in symptoms. What is the most likely diagnosis?

1. Multiple sclerosis

2. Ocular myasthenia gravis

3. Thyroid eye disease

4. Chronic progressive external ophthalmoplegia

Ans. 2) Ocular myasthenia gravis

Q6. A 42-year-old patient presents to you with a complaint of redness of eyes with irritation from the past 3 weeks. He also noticed that his lower eyelid turned outwards. The patient also complains that he has excessive watery eyes, which was not before. Which of the following is a type of surgery done for the above-mentioned condition?

1. Wheeler Procedure

2. Quickert Procedure

3. Kuhnt surgery

4. Lateral tarsal split procedure

Ans. 3) Kuhnt surgery

Non-clinical Questions

Q7. What is the preferred surgical procedure for the treatment of primary congenital glaucoma?

1. Trabeculectomy

2. Ahmed valve implantation

3. Goniotomy

4. Cyclophotocoagulation

Ans. 3) Goniotomy

Also read: Guide to Cataracts: Types, Causes, and Treatments

Q8. Which surgical procedure is the preferred treatment option for Ptosis (drooping of the upper eyelid) when levator palpebrae superioris (LPS) function is severely compromised? 

1. Excision of LPS

2. Frontalis sling surgery

3. Levator resection

4. Müllerectomy

Ans. 2) Frontalis sling surgery 

Q9. Which laser treatment method is commonly used to vaporize lymphangiomas and capillary hemangiomas?

1. Nd:YAG laser

2. CO2 laser

3. Argon laser

4. Excimer laser 

Ans. 2) CO2 laser 

Q10. Which of the following is a characteristic feature of keratoconus?

1. Irregular astigmatism

2. Central corneal scarring

3. Peripheral corneal thinning

4. Pigment deposition in the cornea

Ans. 3) Peripheral corneal thinning

Also read: Understanding Visual Pathway & Visual Field Defects

Q11. Which diagnostic tool is commonly used to assess and diagnose cystoid macular edema?

1. Snellen chart

2. Fluorescein angiography

3. Ishihara color vision test

4. Amsler's grid 

Ans. 4) Amsler's grid

Q12. What is the drug of choice for the treatment of acute anterior uveitis to alleviate pain and prevent the formation of posterior synechiae?

1. Topical corticosteroids

2. Cycloplegics

3. Nonsteroidal anti-inflammatory drugs (NSAIDs)

4. Immunomodulatory agents 

Ans. 2) Cycloplegics

Q13. Which class of medications is the drug of choice for the treatment of episcleritis?

1. Topical corticosteroids

2. Topical antibiotics

3. Topical or oral nonsteroidal anti-inflammatory drugs (NSAIDs)

4. Topical lubricants

Ans. 3) Topical or oral nonsteroidal anti-inflammatory drugs (NSAIDs)

Also read: NEET PG 2025: High-Yield Topics for Ophthalmology

Q14. What is the drug of choice for the treatment of filamentous keratitis?

1. Tobramycin

2. Moxifloxacin

3. Natamycin

4. Fluconazole 

Ans. 3) Natamycin

Q15. Which medication is commonly prescribed for the treatment of posterior Meibomian gland disease?

1. Topical corticosteroids

2. Artificial tears

3. Oral doxycycline

4. Lubricating ointment 

Ans. 3) Oral doxycycline

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