Candidate 65                                                 Centre: Tripoli, Libya
Final FRCS (Glasgow)                                                     Date: April, 2005
This was the part that I feared most.

Ophthalmology pathology.

Q1. A picture on the laptop showing a child with convergent squint. Asked about management of the case. The choice of suture and types of needle for squint surgery.

Q2. A picture of brown cataract with mid-dilated pupil. The examiner said the patient is for cataract surgery which led to the management of small pupil in cataract surgery; causes of small pupil. Complications that may be encountered in cataract surgery on pseudoexfoliation syndrome.

Q3. A picture showing a penetrating injury limbus to limbus. Questions on management.

Q4. A picture of dropped nucleus and asked about management.

Medical ophthalmology

Q1. Causes of sudden visual loss in a 25 yr old. I gave 4 possible causes, the examiner picked optic neuritis and discussion went on along this line including the optic neuritis studies trials, differential diagnosis of papilloedema, pseudo papilloedema. Clinical features of papilloedema.

Q2. Latest treatment of wet age-related macular degeneration (Photodynamic therapy).

Q3. Ocular complications of herpetic ophthalmic ophthalmicus.

Q4. Possible causes of decreased vision in a  myope.

Q5. Unilaterally dilated pupil in a young women and the management. (my favorite question so far).

Q6. Contents of anterior chamber.

Q7. Causes of retinal pigmentation.

Medicine and neuro-ophthalmology

Q1 Altitudinal field defect differential diagnosis, management causes it went to cad ,cf, complication, management.

Q2. Ocular complications of ischaemic heart disease and atrial fibrillation. A lot of questions on medicine including pulmonary embolism luckily time ended and I was saved.


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