Accurate & high-yield Conjunctivitis MCQs (31–60) for RRB Optometrist, Ophthalmic Officer, Ophthalmic Technician, NEET PG, NEXT & AIIMS. Practice smart at MCQZone. Accurate, Unique and Reference of A K Khurana.
Ophthalmic Technician MCQs For Govt exam
Q31. Which conjunctival reaction shows “velvety” appearance on tarsal plate?
A. Follicles
B. Papillae
C. Pseudo membrane
D. Chemosis
View Answer
B. Papillae ✅ Exp: Papillae give a velvety, red, granular appearance.
Q32. Conjunctival itching is the hallmark of:
A. Viral conjunctivitis
B. Bacterial conjunctivitis
C. Allergic conjunctivitis
D. Fungal conjunctivitis
View Answer
C. Allergic conjunctivitis ✅ Exp: Most important distinguishing feature of allergy.
Q33. Membrane formation mainly indicates:
A. Allergic cause
B. Severe bacterial or diphtheritic conjunctivitis
C. Simple viral conjunctivitis
D. Dry eye
View Answer
B. Severe bacterial or diphtheritic conjunctivitis ✅ Exp: True membrane = necrosis + bleeding on removal.
Q34. Staining pattern in conjunctivitis typically shows:
A. Central corneal staining
B. Peripheral infiltrates
C. Deep stromal staining
D. Superficial punctate keratitis (SPK) in viral cases
View Answer
D. Superficial punctate keratitis (SPK) in viral cases ✅ Exp: Adenovirus causes SPKs.
Q35. Most common symptom in all types of conjunctivitis is:
A. Pain
B. Redness
C. Photophobia
D. Diplopia
View Answer
B. Redness ✅ Exp: Universal presenting symptom.
Q36. “Sand-grain” follicles are typical of:
A. VKC
B. Bacterial infection
C. Trachoma (chlamydia)
D. Gonococcal infection
View Answer
C. Trachoma (chlamydia) ✅ Exp: Classic description for trachomatous conjunctivitis.
Q37. Mucopurulent discharge is commonly seen in:
A. Viral
B. Allergic
C. Bacterial conjunctivitis (non-gonococcal)
D. Toxic keratitis
View Answer
C. Bacterial conjunctivitis (non-gonococcal) ✅ Exp: Thick discharge from staph/strep.
Accurate & high-yield Conjunctivitis MCQs for Ophthalmic Technician
Q38. A subconjunctival hemorrhage is usually associated with:
A. Viral infection
B. Trauma or Valsalva maneuver
C. Allergy
D. Bacterial infection
View Answer
B. Trauma or Valsalva maneuver ✅ Exp: Common benign cause.
Q39. Most specific sign of viral conjunctivitis:
A. Papillae
B. Mucopurulent discharge
C. Preauricular lymphadenopathy
D. Membranes
View Answer
C. Preauricular lymphadenopathy ✅ Exp: Very high-yield for RRB and NEET.
Q40. Conjunctival chemosis indicates:
A. Necrosis
B. Infection
C. Edema of conjunctiva
D. Allergic absence
View Answer
C. Edema of conjunctiva ✅ Exp: Seen in allergy, infection, trauma.
Q41. Toxic conjunctivitis is most often due to:
A. Tears
B. Bacteria
C. Virus
D. Topical medication overuse (e.g., aminoglycosides)
View Answer
D. Topical medication overuse (e.g., aminoglycosides) ✅ Exp: Chronic topical use → toxic keratoconjunctivitis.
Q42. Which conjunctival finding is most painful?
A. Follicles
B. Papillae
C. Pseudomembrane
D. Membranous conjunctivitis (true membrane)
View Answer
D. Membranous conjunctivitis (true membrane) ✅ Exp: Pain due to epithelial necrosis.
Q43. Chronic conjunctivitis is defined as duration more than:
A. 3 days
B. 1 week
C. 2 weeks
D. 4 weeks
View Answer
D. 4 weeks ✅ Exp: Standard definition in ophthalmology.
Q44. Which bacteria cause “angular conjunctivitis”?
A. Staphylococcus aureus
B. Pseudomonas
C. Moraxella lacunata
D. Klebsiella
View Answer
C. Moraxella lacunata ✅ Exp: Causes macerated fissures at canthi.
Q45. Tear film instability is especially seen in:
A. Viral conjunctivitis
B. Allergic conjunctivitis (itching → rubbing)
C. Acute bacterial conjunctivitis
D. Gonococcal conjunctivitis
View Answer
B. Allergic conjunctivitis (itching → rubbing) ✅ Exp: Histamine release affects tear stability.
Q46. A case with follicles + pseudomembrane suggests:
A. Bacterial conjunctivitis
B. VKC
C. Adenoviral conjunctivitis (EKC)
D. Trachoma
View Answer
C. Adenoviral conjunctivitis (EKC) ✅ Exp: Pseudomembrane highly associated with adenovirus.
Q47. Most common cause of chronic conjunctivitis:
A. Viral infection
B. Blepharitis-associated bacterial conjunctivitis
C. Allergy
D. Vitamin A deficiency
View Answer
B. Blepharitis-associated bacterial conjunctivitis ✅ Exp: Blepharitis perpetuates chronic irritation.
Q48. Limbal involvement (significant redness around limbus) suggests:
A. Simple conjunctivitis
B. Keratitis or iritis
C. Allergic conjunctivitis
D. Dry eye
Correct: B
View Answer
B. Keratitis or iritis ✅ Exp: Ciliary flush is NOT a sign of conjunctivitis.
Q49. Conjunctival follicles are not seen in:
A. Viral
B. Chlamydial
C. Toxic conjunctivitis
D. Simple bacterial conjunctivitis
View Answer
D. Simple bacterial conjunctivitis ✅ Exp: Follicles uncommon in bacterial disease.
Q50. Membrane formation is due to necrosis of:
A. Stroma
B. Goblet cells
C. Conjunctival epithelium
D. Endothelium
View Answer
C. Conjunctival epithelium ✅ Exp: Deep epithelial destruction leads to membrane.
Q51. The term “ophthalmia neonatorum” refers to conjunctivitis appearing within:
A. Birth–7 days
B. First 28 days of life
C. 2 months
D. 6 months
View Answer
B. First 28 days of life ✅ Exp: Broad neonatal definition.
Q52. Most common cause of red eye in children:
A. Allergy
B. Trauma
C. Viral conjunctivitis (adenovirus)
D. Fungal infection
View Answer
C. Viral conjunctivitis (adenovirus) ✅ Exp: Highly contagious in schools.
Q53. Conjunctivitis with membranes is most likely to cause:
A. Ptosis
B. Scarring & symblepharon
C. Dry eye
D. Proptosis
View Answer
B. Scarring & symblepharon ✅ Exp: Severe epithelial damage → scarring.
Practice Ophthalmic Technician MCQs
Q54. “Pseudoptosis” in conjunctivitis is due to:
A. Lid nerve palsy
B. Mechanical ptosis
C. Chemosis + swelling of lids
D. Levator muscle damage
View Answer
C. Chemosis + swelling of lids ✅ Exp: Heavy swollen lids mimic ptosis.
Q55. Conjunctival discharge in simple bacterial conjunctivitis is:
A. Purely watery
B. Mucopurulent (yellowish)
C. Mucoid only
D. Mixed with blood
View Answer
B. Mucopurulent (yellowish) ✅ Exp: Sticky purulent discharge typical.
Q56. Viral conjunctivitis typically resolves in:
A. 2–3 days
B. 4–5 days
C. 1–2 weeks
D. 4–6 weeks
View Answer
C. 1–2 weeks ✅ Correct: C (Most cases resolve in 10–14 days.)
Q57. Allergic conjunctivitis is commonly associated with:
A. Tonsillitis
B. Bacterial sinusitis
C. Atopy (eczema, asthma, allergic rhinitis)
D. Pneumonia
View Answer
C. Atopy (eczema, asthma, allergic rhinitis) ✅ Exp: Strong link to atopic background.
Q58. A “gritty sensation” in conjunctivitis is commonly due to:
A. Viral cause
B. Bacterial cause
C. Dry eye
D. All of the above
View Answer
D. All of the above ✅ Exp: Multiple etiologies cause foreign-body sensation.
Q59. Which discharge is characteristic of VKC?
A. Purulent
B. Watery
C. Thick ropy mucous
D. Serosanguineous
View Answer
Correct: C. Thick ropy mucous ✅
Q60. Which conjunctival sign suggests chronicity?
A. Watery discharge
B. Chemosis
C. Papillary hypertrophy
D. Hemorrhage
View Answer
Correct: C. Papillary hypertrophy ✅ Exp: Long-standing inflammation causes papillary reaction.
