My name's DR
MOHAMMAD ABU DAB'AT from Jordan, I've appeared for the FRCS
Glasgow in Muscat nov. 2009. Thanx God I've passed from the 1st
Personal thanks goes to my family and my lovely wife..
Many thanx to
Dr Mu'taz Shawar for his great help.
The Chua site
cannot be thanked enough for providing free valuable input to FRCS
Professor Muthu online
university http://www.mvupgo.com is a free online university that
provides lecture notes as well as training for answering the problem
solving paper, which also helps in the vivas and clinicals. He sends
you questions that you answer them and email it to them, which they
then assess and send you a detailed discussion of your answer. It
helps you to understand how the examiner thinks. His advices were
invaluable and it’s a completely volunteer work that’s helping people
attend the exam from all over the world. Words alone fall short to
thank these people. I would advice them to anyone attending the exams
My exam was as follows.
1- 1. A 6 month old baby girl is brought to u by her parents
complaining that her left upper lid is drooping. On examination the
infant appeared to have bilateral ptosis,more marked on the left, and
objecting to having the right eye occluded. The baby seems otherwise
well, although the mother was diagnosed with multiple sclerosis 2 yrs
earlier. What are the possible diagnoses with this patient and how
would u investigate and manage the case?
I put the differential
diagnosis of congenital ptosis, Diff. diagnosis of left amblyobia.
(which may be related to ptosis or may be not )
risk of steroid intake by the
mother during pregnancy (MS treatment) and based my management on
2- 2. A 35 y old lady presents to casuality with a 2 days Hx of
severe pain in the right eye which has kept her awake at night. On
examination the eye is grossly injected and there is a small corneal
ulcer just at the limbus. VA 6/12 rt, 6\6 lt. she also has a Hx of
rheumatoid arthritis. What is the DDx and how would u manage this
Most straightforward case , I
considered it as an infectious ulcer until proven otherwise.
risk of perforation,
complications of RA and its
medication on the eye.
3- 3. A 75 yr old retired accountant gives a 6
months Hx of recurrent severe headaches and for the last few weeks has
also been aware of episodes of transient loss of vision on the rt
side. His VA remained 6/6 bilaterally. He's life long smoker and has
mild pulmonary disease. How would you further investigate and manage
1st station was
neuro ophthalmology and emergency.
Questions about retinal
emboli ,risk factors, management ,
Visual pathway lesions and
effect on visual field.
3rd nerve palsy
Scenario of a patient with
chest pain in the ward, management…
management…if u don’t have a CT to confirm the Dx what will u do??i
said V/Q scan. If u don’t have V/Q scan also?? I said D dimmer. The
prof agreed .
Managenet of MI.
Management of cardiac arrest.
It was a station of photos
Hypopyon photo…diff dx. Then
management of endophthalmitis in details.
Ddx of endophthalmitis and
how to differentiate between them?
Endophthalmits post trab sx
photo. Most common organism?strp.
Outer retinal necrosis photo,
cause and management.
Mylenated nerve fiber layer.
Atypical, how to confirm? FA.
Dragged disc, Ddx.
Management of ROP. Staging of ROP.
DR.. when to treat DR by
FA of IRMA
Management of coats disease.
Gonioscopy photo with
pigmentation on angle Ddx.
Surgery and pathology
How u perform trab?
Post trab flat A/C management
If u dropped the
forceps during sx? Methods of sterilization.
Types of stitches used in
trab? In RD sx? In ECCE?
Types of absorbable sutures u
Types of non-absorbable
sutures u know?
Types of needles? Draw the
Management of rupture globe?
leak post op management?
Management of intraocular
Management of intralenticular
Magnification of 20 D
indirect lens?feild? which is better to examine in miosed pupil, 20
or 30 D?
Optics of indirect
Management of hyphema?
Iris dialysis ?
management for diplopia? Needles used to repair iris? ,suture
Fundal exam on slit lamp for
a young male patient showed bilateral optic atrophy.
A nice 4y old child with left
congenital ptosis. Detailed discussion about approach to ptosis and
Indirect ophthalmoscope for
DR with laser marks..i asked to check the macula on slit lamp.
Motility test on a young guy
with left alternating exotropia. Discussion about management of this
Slit lamp examination of ant
segment for a young adult with typical macular dystrophy.
DDx and management
Slit lamp exam of a young
adult shoed bilateral corneal opacification,Hudson stahli
line,corneal endothelial pigmentation. left eye showed PSCC,vit
degeneration.sheathing of bld vsls. macular hole. Retinal scars and
epiretinal membranes. Rt eye showed inferior
iridectomy, aphakia, silicon oil filling the vitreous. Sheathing of
Ddx of pan uveits.
Most common in this region?
My e mail address is firstname.lastname@example.org
I will be happy for any help.