Candidate 141



   Date:    June 2010


I would like to share my unique experience of clearing both final MRCS Ed and FRCS 
Glasgow part 3 in June 2010. At the beginning I would summarize the key differences 
between both colleges (MRCS Ed is already replaced by FRCS Ed, which is basically 
the same but 4 parts instead of 3, but according to the college the MRCS exams will 
continue in Cairo and Hong Kong).

 In Edinburg there is no minus marketing in MCQ

 In Edinburg there is no problem solving Paper

 In Edinburg the is no General Medicine Viva

 In Edinburg, if you pass MCQ + Viva you do not have to repeat them

 In Edinburg you only have to repeat the clinical station you fail

 In Glasgow there is no clinical refraction station

 In Edinburg, the viva is easier but the clinical stations in more meticulous and also 
more objective and examiners are much supportive

 In Glasgow the clinical stations are easier but the viva are more tough and need a 
solid knowledge.


Part 3 FRCS in Glasgow June 2010

A- Viva:

1- Ophthalmic Medicine: 2 examiners, a lady and a gentleman

 Color photo of unilateral proptosis + Lid retraction: 
DD, Thyroid Eye Disease Manifestations, and Optic neuropathy 
Management in TED, Role of Radiotherapy and How does it Work?

 Color photo of Optic disc swelling: DD and Stress on systemic causes ( need 
Hypertension and you should ask the physician to reduce the BL Pressure 
gradually not rapidly)

 Color photo of PUK in RA: Treatment

 Amblyopia in children: everything; types, methods of vision assessment in 
children, Treatment ( need cut-off age, there is no cut-off age, any age 
deserve a trial)

2- Ophthalmic Surgery: 2 gentlemen examiners

 3 months infant with epiphora: DD and management of NLD obstruction

 4 months infant with upper lid mass: DD and capillary hemangioma management

 13 years old child with traumatic cataract and iridodialysis: Management (What is 
the Phaco Power in this case? No need for power as there is not hard nucleus.

 Indication of Surgical Management of POAG

 Management of Post-Operative endophthalmitis and role of vitrectomy

 25 old man with sudden eyestrain and head tilt ( need 4th CN)

3- Medicine and Neurology: ( most difficult unpredictable station)

 Sarcoidosis: Manifestations ocular and systemic, Investigations, Steroid treatment 
(need peptic ulcer and osteoporosis prophylaxis)

 DD of Ptosis ( need everything about Mysthenia Gravis)

 Atrial Fibrillations: Cardiac Causes!, Systemic Causes (need Thyrotoxicosis), 

 Postoperative Chest Pain: Need Pneumonia (clinical diagnosis and Investigations) 
and Pulmonary Embolism (need everything, clinical diagnosis, investigations with stress 
on CT Angiography, ECG signs, Heart sounds and treatment)

 Complications of warfarin!!

B- Clinical Stations

1- Anterior Segment: 2 ladies, one with both superficial Lattice-like and deeper Granular-like 
dystrophies in her R eye and only Granular-like dystrophy in L eye (most probably Avilino 
Dystrophy). Other Lady with unilateral R aphakia with deep AC and L intumescent cataract 
with shallow AC

2- Posterior Segment: 2 young men, one with Retinitis Pimentosa + Polydactyly ( be careful 
the extra finger was removed surgically) so this was Bardiet-Beadel Syndrome. Other man 
with bilateral advanced Glaucomatous cupping and asked for possible AC manifestations 
(need PEX, Pigmentary, Neovascularization,.)

3- Oculoplastics: One gentleman with bilateral senile ptosis (need to measure the Levator 
function and plan for surgery). A Lady with TED examination systemic and orbital and 
management of exposure keratopathy. There was extra time for a third case with L Artificial 
eye, possible aetiologies.

4- Neuro-ophthalmology + EOM motility: One lady with bilateral papilledema, DD. Another for 
EOM has limited L Abduction. Then asked to do blind spot examination for her!

Mr Mohamad Abdullah

Ophthalmic & Oculoplastic Surgeon

Zagazig University Hospitals, Egypt

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