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CMSA Diploma in Ophthalmology Dip Ophth(SA) Practice Questions - Diploma in Ophthalmology of the College of Ophthalmologists of South Africa Dip Ophth(SA) Exam

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About this Exam

Prepare with the CMSA Diploma in Ophthalmology Dip Ophth(SA) Practice Questions - Diploma in Ophthalmology of the College of Ophthalmologists of South Africa Dip Ophth(SA) Exam practice quiz. This question bank includes 100 questions covering year-old, presents, right, reveals, and lens. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

Sample Questions

Question 1
A 34-year-old contact lens wearer presents to a rural South African clinic with a 2-day history of intense left eye pain, photophobia, and purulent discharge. Slit-lamp examination reveals a 2.5 mm focal white corneal infiltrate with an overlying epithelial defect and a 1 mm hypopyon. What is the most appropriate immediate empirical management?
Topical fluoroquinolone monotherapy (e.g., ciprofloxacin 0.3% drops hourly)
Topical corticosteroid drops (e.g., prednisolone acetate 1%) every 2 hours
Oral amoxicillin-clavulanate 1 g twice daily for 7 days
Pressure patching of the affected eye for 48 hours
Question 2
A 45-year-old gardener presents with a painful right eye 5 days after being struck by a tree branch. Examination shows a feathery, grayish-white corneal infiltrate with satellite lesions and a hypopyon. Fluorescein staining confirms epithelial breakdown. Which pathogen is most likely responsible?
Staphylococcus aureus
Fusarium or Aspergillus species
Herpes simplex virus type 1
Acanthamoeba castellanii
Question 3
A 28-year-old female presents with recurrent right eye irritation, mild photophobia, and watering. Slit-lamp fluorescein examination demonstrates a branching corneal epithelial lesion with clear terminal bulbs that stains brightly with fluorescein. Corneal sensation is reduced in the right eye. What is the most appropriate first-line treatment?
Topical acyclovir 3% eye ointment 5 times daily
Topical dexamethasone 0.1% drops 4 times daily
Topical chloramphenicol 0.5% drops 4 times daily
Oral fluconazole 200 mg daily for 14 days
Question 4
A 52-year-old farm worker from the Eastern Cape presents with a triangular, vascularized wing of conjunctival tissue extending 3 mm onto the nasal cornea of his right eye. He reports foreign body sensation and intermittent blurriness. What is the definitive management for this lesion?
Surgical excision with conjunctival autografting
Simple excision with bare sclera closure
Long-term topical corticosteroid drops
Laser photocoagulation of the lesion
Question 5
A 60-year-old postmenopausal woman complains of persistent bilateral eye burning, dryness, grittiness, and episodic tearing that worsens when reading. Tear breakup time (TBTT) is 4 seconds, and Schirmer I test shows 4 mm wetting in 5 minutes. What is the most appropriate initial therapeutic step?
Preservative-free artificial tears and warm eyelid compresses
Topical tobramycin-dexamethasone combination drops
Punctal occlusion with permanent silicone plugs
Oral systemic prednisone 40 mg daily for 2 weeks

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Additional Information

CMSA Diploma in Ophthalmology Dip Ophth(SA) Practice Questions - Diploma in Ophthalmology of the College of Ophthalmologists of South Africa Dip Ophth(SA) Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, right, reveals, and lens. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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Frequently Asked Questions

This quiz contains a total of 100 practice questions carefully selected to test your knowledge on this subject.
Yes, you will have exactly 0 minutes to complete the exam. A countdown timer will be visible once you start.
Yes, you can retake this practice test as many times as you need. The questions and options may be randomized on subsequent attempts to ensure comprehensive learning.

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