PXF - describe what you see. What is the material histologically. How does it
Visual Fields: What do the reliability indices mean. What is MD, PSD, GHT etc
Trabeculectomy. Why do it and what are pros/cons of fornix vs limbal based
Fuchs Uveitis syndrome
Posterior Polymorphous Dystrophy: also asked about all the other dystrophies
(inheritance, histological details)
Patient had gross atrophic AMD but no obvious streaks. Asked to examine skin.
Neck changes were very apparent.
Visual field exam in a patient with junctional scotoma. Also asked to examine
disc with direct (undilated). Asked about Pituitary pathology and eventually
AMD: describe clinical
features, basics of FFA (and "interpret this angiogram"). New Lucentis
Indirect on patient with raised posterior polar lesion. Differentials.
Discussion on Melanoma features, treatment and referral.
Lady with flash/floaters. Discussed PVD. Then told she had a RD and needed
surgery. Discussed surgery. Concerns re: father went blind from "tumour" which I
felt was what I needed to elicit and reassure about. Also discussion on flying
and RD surgery. Finished in 8 mins. Sat outside for 7 mins thinking of things i
could have said more and not knowing if finishing early was a good thing (but
passed station easily so just shows don't be too analytical)
Passed. My tips are:
Buy Wong: read from cover
Buy Chua's clinical exam
book (£15 BMJ bookshop online)
Path wasn't as hard as
expected: just learn corneal dystrophies, giant cell arteritis,
retinoblastoma, melanoma and granulomatous inflammation.