Free Practice Questions for Iran Ophthalmology Specialty Board
Exam-style questions and explanations by OpenExamPrep.
Loading practice questions...
Explore More Iran Medical Specialty Boards (دانشنامه تخصصی پزشکی / بورد تخصصی)
Continue into nearby exams from the same family. Each card keeps practice questions, study guides, flashcards, videos, and articles in one place.
Key Facts: Iran Ophthalmology Specialty Board Exam
150
Written MCQs
Sanjesh Pezeshki
210 min
Exam Duration
Sanjesh Pezeshki
70% (105/150)
Written Pass Mark
MOHME Council
No Penalty
Negative Marking
Sanjesh Pezeshki
AAO BCSC
Primary Reference
Board Syllabus
The Iranian Specialty Board in Ophthalmology is a high-stakes national certification exam administered by Sanjesh Pezeshki. Candidates must answer 152 MCQs in 240 minutes and achieve at least 70% (105 correct) without negative marking to advance to the oral/OSCE clinical board. This 100-question practice bank provides comprehensive, BCSC- and Kanski-referenced English-language clinical vignettes with exhaustive distractor rationales.
Sample Iran Ophthalmology Specialty Board Practice Questions
Try these sample questions to review concepts for the Iran Ophthalmology Specialty Board exam. Each question includes a detailed explanation. Start the interactive quiz above for the full 100+ question experience with AI tutoring.
1A 22-year-old soft contact lens wearer presents with severe left ocular pain, photophobia, and purulent discharge. Slit-lamp examination reveals a 2.5 mm central corneal stromal infiltrate with an overlying epithelial defect, ground-glass stromal haze, and a 1 mm sterile hypopyon. Corneal scraping reveals Gram-negative rods. Which antimicrobial regimen represents the standard empirical monotherapy for this condition?
2A 28-year-old female presents with excruciating right eye pain out of proportion to clinical signs after swimming while wearing disposable contact lenses. Slit-lamp evaluation demonstrates perineural infiltrates (radial keratoneuritis) and patchy anterior stromal haze. Which diagnostic culture medium is required to confirm the suspected amoebic pathogen?
3A 46-year-old agricultural worker presents with a dry, greyish-white corneal stromal infiltrate featuring feathery, indistinct margins, multiple satellite lesions, and an endothelial plaque following corneal trauma from a tree branch. Based on the Mycotic Keratitis International Trial (MUTT I), which topical therapy is the first-line treatment of choice for filamentous fungal keratitis?
4A 35-year-old patient with a prior history of recurrent dendritic epithelial keratitis presents with painless visual reduction. Examination reveals localized central stromal and epithelial edema in a circular pattern, with keratic precipitates strictly localized behind the edematous zone and an intact epithelium. According to the Herpetic Eye Disease Study (HEDS) guidelines, what is the most appropriate management strategy for this condition?
5A 64-year-old woman complains of bilateral blurry vision that is markedly worse upon awakening in the morning and improves during the day. Slit-lamp examination reveals beaten-metal endothelial changes (corneal guttae) and central epithelial microcysts. When comparing Descemet Membrane Endothelial Keratoplasty (DMEK) to Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) for this condition, which clinical advantage is consistently demonstrated by DMEK?
6A 19-year-old male with a history of vigorous eye rubbing and atopic eczema presents with progressive myopic astigmatism. Slit-lamp examination reveals fine vertical stress lines in the deep posterior stroma that disappear with gentle digital pressure on the globe. What are these characteristic clinical findings termed?
7An 18-year-old patient with documented progressive keratoconus undergoes epithelium-off corneal collagen cross-linking (CXL) according to the standard Dresden protocol. Which parameters define the ultraviolet-A (UVA) light irradiance and exposure duration in this protocol?
8Corneal dystrophies are classically differentiated by histopathological staining and genetic mutations. Which of the following correctly pairs the stromal corneal dystrophy with its inheritance pattern and distinctive histochemical stain?
9A 52-year-old male presents with severe pain and peripheral corneal thinning progressing circumferentially in an undermining leading edge with an overhanging lip. Scleral involvement is absent, and extensive laboratory evaluation fails to demonstrate any systemic autoimmune or vasculitic disorder. What is the most likely diagnosis?
10According to the Tear Film & Ocular Surface Society Dry Eye WorkShop II (TFOS DEWS II) criteria, which combination of diagnostic parameters confirms the presence of ocular surface disease consistent with dry eye syndrome?
About the Iran Ophthalmology Specialty Board Exam
The Iranian Medical Specialty Board Examination in Ophthalmology (آزمون دانشنامه تخصصی چشمپزشکی) is the definitive terminal credential required for subspecialty fellowship qualification, clinical consultant privileges, and academic university appointments across the Islamic Republic of Iran. Conducted annually in late summer by the National Center for Health Assessment (مرکز سنجش آموزش پزشکی - Sanjesh Pezeshki) under the Secretariat of the Council for Medical and Specialized Education, this examination tests comprehensive mastery across Cornea & Refractive Surgery, Glaucoma, Vitreoretinal Diseases & Uveitis, Cataract & Anterior Segment Reconstruction, Neuro-Ophthalmology & Oculoplastics, and Pediatric Ophthalmology & Strabismus. The official curriculum is anchored to the American Academy of Ophthalmology (AAO) Basic and Clinical Science Course (BCSC) series and Kanski's Clinical Ophthalmology. Candidates who achieve 70% (105/150) on the written examination qualify to sit for the multi-station clinical OSCE, surgical decision-making, and oral board evaluation. Please note that this resource is an independent English-language MCQ study adaptation authored by OpenExamPrep to assist clinicians and ophthalmology residents in mastering the core syllabus.
Exam sponsor: National Center for Health Assessment (Sanjesh Pezeshki) & Council for Medical and Specialized Education, Ministry of Health and Medical Education (MOHME). The requirements and fees below concern the certification or admission exam, separate from our free practice resources.
Assessment
The national certification process comprises two sequential stages: Stage 1 Written Examination (152 single-best-answer MCQs, 240 minutes, testing comprehensive medical and surgical ophthalmology based on the AAO Basic and Clinical Science Course [BCSC] and Kanski's Clinical Ophthalmology) and Stage 2 Clinical/Practical Examination (Objective Structured Clinical Examination [OSCE], Patient Management Problems [PMPs], surgical video evaluations, ophthalmic imaging and slide interpretation, and structured oral vivas).
Time Limit
240 minutes
Passing Score
70% of the written total (105 of 150 points)
Exam / Certification Fees
Official annual registration fee published on the Sanjesh Pezeshki portal (sanjeshp.ir) during the registration window.
Exam sponsor websiteFees, eligibility, and exam policies can change. Confirm them with the exam sponsor before applying or paying.
Our practice resources: topics covered
We aim to reflect publicly available exam outlines and topic information in our study resources. Coverage, format, and difficulty may differ from the actual exam, and we cannot guarantee that every detail is accurate or current. Confirm exam requirements, fees, and policies with the official exam sponsor.
Cornea, External Disease, Refractive Surgery & Anterior Segment
Diagnosis and management of bacterial, fungal, viral (HSV, VZV, CMV), and Acanthamoeba keratitis; corneal dystrophies (TGFBI dystrophies, Fuchs endothelial dystrophy); keratoconus grading and corneal collagen cross-linking; modern keratoplasty (PKP, deep anterior lamellar keratoplasty [DALK], Descemet stripping automated endothelial keratoplasty [DSAEK], Descemet membrane endothelial keratoplasty [DMEK]); ocular surface reconstruction (amniotic membrane, limbal stem cell transplantation); and refractive surgery principles (surface ablation, LASIK, small incision lenticule extraction [SMILE], phakic IOLs).
Glaucoma & Intraocular Pressure Regulation
Physiology of aqueous humor production and trabecular/uveoscleral outflow; diagnostic modalities (Goldmann applanation, gonioscopy, optical coherence tomography of the retinal nerve fiber layer and ganglion cell complex, standard automated perimetry); primary open-angle glaucoma; primary angle-closure spectrum (PACS, PAC, PACG) and laser peripheral iridotomy; secondary open-angle glaucomas (pseudoexfoliation, pigmentary, steroid-induced); secondary angle-closure glaucomas (neovascular, phacomorphic, malignant glaucoma); medical pharmacotherapy; laser trabeculoplasty (ALT, SLT); and surgical interventions (trabeculectomy with mitomycin C, glaucoma drainage devices/valves, minimally invasive glaucoma surgery [MIGS], cyclodestruction).
Retina, Vitreous & Uveitis
Classification, staging, and evidence-based management of diabetic retinopathy (ETDRS, Protocol T/S/V) and diabetic macular edema; neovascular and non-neovascular age-related macular degeneration (anti-VEGF regimens, geographic atrophy); retinal vascular occlusions (CRVO, BRVO, CRAO); rhegmatogenous, tractional, and exudative retinal detachments; pneumatic retinopexy, scleral buckling, and pars plana vitrectomy; uveitis syndromes (anterior, intermediate, posterior, panuveitis) including HLA-B27, Behcet disease, sarcoidosis, toxoplasmosis, acute retinal necrosis, CMV retinitis, and Vogt-Koyanagi-Harada (VKH) disease; and acute postoperative and endogenous endophthalmitis protocols.
Cataract, Lens & Intraocular Lenses
Cataract pathology and morphology (nuclear sclerotic, cortical, posterior subcapsular); optical biometry formulas (third-generation, fourth-generation, post-refractive surgery formulas like Haigis-L, Barrett True-K); phacoemulsification dynamics (fluidics, vacuum, ultrasound power, torsional phaco); surgical techniques in complex cases (small pupil, pseudoexfoliation, zonular laxity, mature white cataract); management of intraoperative capsular tears, anterior vitrectomy, and sulcus vs. scleral-fixated secondary IOL implantation; and postoperative endophthalmitis prophylaxis.
Neuro-Ophthalmology, Orbit & Oculoplastics
Differential diagnosis of optic disc edema (papilledema, idiopathic intracranial hypertension, non-arteritic vs. arteritic anterior ischemic optic neuropathy, optic neuritis / MS / MOGAD / NMOSD); pupillary abnormalities (Horner syndrome, Adie tonic pupil, relative afferent pupillary defect, Argyll Robertson pupil); cranial nerve palsies (III, IV, VI, VII); myasthenia gravis; thyroid eye disease (EUGOGO guidelines, CAS scoring, orbital decompression); orbital tumors and inflammatory disease (idiopathic orbital inflammation, IgG4-related disease, lymphoproliferative disorders); eyelid malpositions (involutional, neurogenic, and congenital ptosis, ectropion, entropion); and lacrimal disorders (dacryocystitis, external vs. endonasal DCR).
Pediatric Ophthalmology & Strabismus
Visual development, critical period, amblyopia therapy (patching, optical penalization); sensory adaptations (anomalous retinal correspondence, suppression); horizontal strabismus (infantile esotropia, accommodative esotropia, sensory esotropia, intermittent and constant exotropia); pattern strabismus (A and V patterns) and oblique muscle overactions; cyclovertical strabismus (superior oblique palsy, Parks-Bielschowsky 3-step test); special strabismus syndromes (Duane retraction syndrome, Brown syndrome); congenital cataract surgical timing; infantile glaucoma (goniotomy, trabeculotomy); and retinopathy of prematurity (ICROP-3 staging, laser and anti-VEGF indications).
Preparing for the Iran Ophthalmology Specialty Board Exam
What You Need to Know
- Passing score: 70% of the written total (105 of 150 points)
- Assessment: The national certification process comprises two sequential stages: Stage 1 Written Examination (152 single-best-answer MCQs, 240 minutes, testing comprehensive medical and surgical ophthalmology based on the AAO Basic and Clinical Science Course [BCSC] and Kanski's Clinical Ophthalmology) and Stage 2 Clinical/Practical Examination (Objective Structured Clinical Examination [OSCE], Patient Management Problems [PMPs], surgical video evaluations, ophthalmic imaging and slide interpretation, and structured oral vivas).
- Time limit: 240 minutes
- Exam / certification fees: Official annual registration fee published on the Sanjesh Pezeshki portal (sanjeshp.ir) during the registration window. Official sources
Using Our Practice Resources
- Work through all 100 available questions
- Review every answer and explanation
- Track weak areas and revisit them
- Use our AI tutor for tough concepts
Iran Ophthalmology Specialty Board: Suggested Study Strategy
Frequently Asked Questions
What is the format, structure, and time limit of the Iranian Ophthalmology Written Board Exam?
The written examination consists of 152 single-best-answer multiple-choice questions (four choices per item) administered over a single 240-minute (4 hours) session. There is no negative marking for incorrect answers.
What is the passing score required to advance to the clinical and oral examination?
Candidates must achieve at least 70% in the written stage, equivalent to scoring 105 points out of a written total of 150. Meeting this minimum cutoff is mandatory to qualify for the practical OSCE, PMP, and oral examination boards.
What are the primary reference textbooks for the Iranian Ophthalmology Board Exam?
The official national curriculum set by the Ministry of Health and Medical Education (MOHME) is primarily anchored to the complete American Academy of Ophthalmology (AAO) Basic and Clinical Science Course (BCSC) series, alongside Kanski's Clinical Ophthalmology and designated subspecialty guidelines.
What does the Stage 2 Practical / OSCE examination include?
The practical phase evaluates clinical and surgical decision-making across objective stations, including Objective Structured Clinical Examinations (OSCE), Patient Management Problems (PMPs), microscopic and slit-lamp photography, fundus fluorescein angiography (FFA) and OCT interpretation, surgical instrument and complication recognition, and structured oral viva voce stations with academic board examiners.
Who is eligible to take the Iranian Specialty Board Examination in Ophthalmology?
Ophthalmology residents who have completed their certified four-year residency program at an accredited Iranian university of medical sciences and successfully passed their annual in-service and pre-board (Ertegha/Gonavi) examinations are eligible to sit for the National Board Examination administered by Sanjesh Pezeshki.
Is this OpenExamPrep question bank an official examination from Sanjesh Pezeshki?
No. This question bank is an independent English-language educational study adaptation developed by OpenExamPrep. It is specifically designed to assist residents, fellows, and international candidates in reviewing high-yield clinical ophthalmology concepts based on the official BCSC and Kanski board syllabus.