Alpha Higher Institute of Biomedical and Technological Sciences Douala

Course: Medico-Surgical Specialty

HND 300 Evening Session
Academic Year: 2022/2023
Facilitator: EYONG Roustan
INSTRUCTIONS: Answer all questions
SECTION A: MCQs (30 marks)
1-The refractive structures of the eye arranged in the right order:
a. Sclera, cornea, lens, retina, choroid
b. Cornea, aqueous humour, lens, vitreous humour
c. Cornea, pupil, iris, lens, retina, humour
d. Cornea, humour, lens, humour
2- The conscious awareness of those stimuli
a. Sensations
b. Senses
c. Perception
d. Reception
3- Provides sensory information about the body and the environment.
a. Somatic senses
b. Visceral senses
c. Receptors
d. Effectors
4-When the Pacinian corpuscles are stimulated all of the following is felt except;
a. Touch
b. Pressure
c. Vibration
d. Itch
5-Clinically, the eyes is subdivided into ____ segments to ease clinical assessment
a. 3 layers (inner, middle, outer)
b. 4 planes (medial, lateral, transverse, oblique)
c. 2 portions (anterior, posterior)

1
 d. 3 chambers
6-The three ocular fluids include;
a. Aqueous, vitreous, lymph
b. Blood, aqueous, lymph
c. Vitreous, aqueous, blood
d. Aqueous, vitreous, CSF
7-The Optic nerve is also known as the;
a. Cranial nerve I
b. Cranial nerve II
c. Cranial Nerve III
d. Cranial nerve IV
8-In examining the eye, the confrontation test is used to;
a. Test visual acuity
b. Test visual field
c. Diagnose presbyopia
d. None of the above
9-WHO implemented the SAFE strategy to manage which of the following eye pathology?
a. Onchocerciasis
b. Trachoma
c. Chalazion and stye
d. None of the above
10-Which drug of choice is used for treatment of Onchocerciasis?
a. Diethylcarbamazine
b. Ivermectin
c. Tetracycline ointment
d. Gentamycin eye drop
11-Which of the following persons are at risk of developing cataract?
a. Old people
b. Diabetic patients
c. Exposure to sun rays
d. All of the above

2
12-Glaucoma caused by the slow clogging of the drainage canals, when it is occluded;
a. Open angle glaucoma
b. Closed angle glaucoma
c. Secondary glaucoma
d. Pigmented glaucoma
13-Strabismus formed when one eye is deviated inwards is called?
a. Hypertropia
b. Exotropia
c. Esotropia
d. Hypotropia
14-Another name for amblyopia is
a. Squint eyes
b. Sensitive eye
c. Lazy eye
d. Weak eye
15- Otorrhea means
a. Purulent ear discharge
b. Ear infection
c. Abnormal hardening of ear bones
d. Ear pain
16-Presbycusis
a. Hearing loss
b. Blindness
c. Otorrhea in infants
d. Age associated hearing loss
17-In ear assessment, when do we employ audiology test?
a. When hearing loss is suspected
b. When patient request for it
c. When patient complained of ear pain
d. It hardly employed

3
18-A severe complication of otitis media is
a. Acoustic trauma
b. Mastoiditis
c. No complication
d. Ear drum rupture
19-How can tinnitus be treated?
a. Give antibiotics
b. Give ear plugs
c. Nurse client in quiet room
d. Identify the etiology
20-A specialist concerned with ENT is called?
a. Audiologist
b. Stomatologist
c. Laryngologist
d. Otorhinolaryngologist
21-The following have an ototoxic effect except
a. Gentamycin
b. Frusemide
c. Amoxicilline
d. Quinine
22-Which of the following is an inherited eye disorder?
a. Night blindness
b. River blindness
c. Color blindness
d. Daylight blindness
23-A Rosenbaum pocket screener is used to screen for;
a. Near vision
b. Far vision
c. Color vision
d. Peripheral vision

4
24-The average human can detect sounds ranging
a. From 400nm to 700nm
b. Between 20 and 20,000 Hz
c. Any range possible
d. I don’t know
25-Vertigo is defined as?
a. Subjective feeling of imbalance
b. Objective sense of imbalance
c. Both subjective and objective feeling of imbalance
d. Round involvement
26-Most common complication of acute otitis media is?
a. Deafness
b. Cholesteatoma
c. Mastoiditis
d. facial nerve palsy
27-The adnexa of the eye include the following except;
a. the lacrimal apparatus
b. the eye muscles
c. the eyelids
d. the sclera
28-Consequences of undiagnosed hearing loss in children include all except;
a. language development
b. cognitive development
c. social development
d. None of the above
29-Consequences of undiagnosed hearing loss in adults except;
a. Social withdrawal
b. Depression
c. Decreased quality of life
d. Death

5
30-The semicircular canals of the ear have as main function in;
a. Hearing
b. Balance
c. Stamina
d. All of the above
SECTION B: SHORT ANSWERS (20 MARKS)
B-1: Answer TRUE or FALSE (5 marks)
1-Audiometry is a screening assessment only
2-Tympanometry is not a hearing test
3-Outer hair cells of the ear transmit sounds to the brain
4-During air conduction test, the headset is placed over the ear with red on the right ear and blue
on the left
5-Conductive hearing loss is usually permanent
B-2 Match the following in column B to those in column A (8 marks)
Column A Column B
1-Glaucoma A-Inflammation of the eyelid
2-Cataract B-Conjunctivitis of preschool children
3-Trachoma C-Blurred vision + opacity of lens
4-Blepharitis D-Impaired vision + high intra-ocular pressure
5-Audiometry E-Chronic contagious viral conjunctivitis
6-Tympanometry F-Examination of the inner ear
7-Otoacoustic Emissions G-Examination of the entire auditory system
8-Enamel H-Examination of the middle ear
I-Hardest part of a tooth

B-3 Write short notes on (2 marks each = 6marks)

1-Conductive hearing loss
2-Sensorineural hearing loss
3-Mixed hearing loss

6
SECTION C: LONG ANSWER QUESTIONS (5 MARKS EACH = 20 MARKS)

Briefly discuss on the following pathologies under the headings;

1-Otitis Media (5 marks)
 Definition
 Causes and risk factors
 Signs and symptoms
 Diagnosis
 Management
2-Conjunctivitis (5 marks)
 Definition
 Causes and risk factors
 Signs and symptoms
 Diagnosis
 Management
3-Xerostomia (5 marks)
 Definition
 Causes and risk factors
 Signs and symptoms
 Diagnosis
 Management
4-Periodontitis (5 marks)
 Definition
 Causes and risk factors
 Signs and symptoms
 Diagnosis
 Management

“BEST WISHES”

7
8