.. Was ok I thought it was easier than the twos..old ones did come
up may be 15 % ..
Clinical ophthalmology and neurology and medicine
Start off with picutre of swollen red eye ... differential diagnosis and
how to examine clinically, treat as pre-septal cellulitist, what IV antibiotics
Axial and non axial proptosis ,, differentials. what blood test, what imaging...
show CT scan next with extraconocal mass... again differential eventually
led up to Wegner's granulomatosis... what other organs does it affect ..
what medicines to give..
Then ask about what was Glascow coma scale !!!.. got a bit stuck... manage
to get thru
Next was shown ... fundus pictures of vasculitis and NVE and scattered
intraretinal hem, but vitreous was clear.. differential ... infective and
when I mentioned TB .. examiner asked whether I thought this case was infective
or not... said yes and roceed to investigations, when mentioned CXR ..
ask what I expect to see on CXR..then how to treat TB ...!
Then examiner said the patient was from Africa ...penny dropped I said
CMV retinitis also likely..Then ask about treatment ... not much detail
Next bilateral proliferative DM .. straight forward
Had a good feel about this one ... later found out I got 6.
Next viva bombed... surgery and pathology
Asked about squint.. types of surgery for squint..how to manage 4 yr old
eso.. first time in clinic.. I mentioned cycloplegic refraction and orthoptist
assessment.. examineer seemed unhappy when I said send the patient for
refraction... 'you mean you dont do it yourself ?" accomodative esotropias..
diagnosis and management.
Steps of phaco... easy Qs... but they expect a very smooth and fluent answer..
was unhappy if you cannotmake yourself sound like a tect book ... may be
question too easy ..
Next how to perform PRP, macular laser..different types of CSMO .. how
would you choosewhether to use focal laser or grid laser.. how does
FFA aid in treating CSME.. dangers of capillary drop out... difinition
Next papilloedema.. differentials.. examiner wanted GCA,how to differ between
GCA and other condition, the discs are white..
Blood tests.. investigations .. how to perform temp artery biopsy.. treatment
At the end I got a 5 for this one but was allow to proceeed
to the final 2 days of clinical...
Bilateral RD .. laser marks in one eye and explant seen in periphery
in the other , ask to use 78D..also myopic fundus..seem like a case of
bilateral RD secondary to pathological myopia..
?? anterior segment dysgenesis.. changes seen in both eyes .. seton
tube implant seen..
6th nerve palsy seen ..management for diplopia and what surgery for
Left pthisical eye with band K cant really tell why?
Bilateral psedophakic .. be superior limbal wound .. irregular pupils..
asked why the surgeries were difficult.. why the pupils were small, examiners
were looking for some type of anterior uveitis...
Didn't get through to the second clinical