Convergence anomalies

Question 1

17. NPC greater than 10 cm indicates:
    A. Convergence spasm
    B. Convergence insufficiency
    C. Convergence paralysis
    D. Accommodative insufficiency

Answer 1

B

Question 2

18. Which of the following best differentiates convergence spasm from VI nerve palsy?
    A. Limitation of abduction
    B. Miosis with excessive convergence
    C. Constant diplopia
    D. Head tilt to unaffected side

Answer 2

B

Question 3

19. First-line management for primary convergence insufficiency:
    A. Base-out prism
    B. Orthoptic exercises
    C. Cycloplegia
    D. Surgery

Answer 3

B

Question 4

20. Convergence paralysis is commonly associated with:
    A. Parkinson’s disease
    B. Parinaud’s syndrome
    C. Myasthenia gravis
    D. Thyroid eye disease

Answer 4

B