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Ocular Physiology — Aqueous, IOP & Accommodation
Ocular Physiology — Aqueous, IOP & Accommodation Quiz with a certificate.
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1. Corneal transparency is maintained primarily by:
Corneal endothelium maintains dehydration (deturgescence) via active ion pumping — essential for transparency.
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2. The main route of aqueous humor outflow is:
~85–90% of aqueous flows via the conventional trabecular (pressure-dependent) route into Schlemm’s canal.
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3. The Helmholtz theory of accommodation states:
Helmholtz: during accommodation, ciliary muscle contracts → zonules relax → lens becomes more spherical (increases power).
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4. The pupillary light reflex involves which cranial nerves?
The light reflex: afferent via CN II (optic), efferent via CN III (oculomotor) to sphincter pupillae.
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5. The amplitude of accommodation is defined as:
Amplitude of accommodation = the difference between the far point vergence and near point vergence.
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6. Intraocular pressure is measured clinically using:
Goldmann applanation tonometry is the gold standard for IOP measurement.
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7. Presbyopia is caused primarily by:
Presbyopia results from progressive hardening (loss of elasticity) of the crystalline lens with age.
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8. The near triad (near response) consists of:
The near triad: accommodation (ciliary muscle), convergence (medial recti), and miosis (sphincter pupillae).
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9. The resting membrane potential of a neuron is approximately:
The resting membrane potential is approximately −70 mV due to differential distribution of ions and selective permeability.
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10. Which type of drug reduces IOP by decreasing aqueous production?
Beta-blockers (e.g., timolol) reduce IOP by blocking beta-2 receptors on the ciliary body, decreasing aqueous production.
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