50-year old lady with Heterochromia Iridis. ( Pt. had ocular melanocytosis.......questions
on other clinical signs & importance of fundal examination)
25- year old with recurrent herpetic keratitis. ( Active & Long term
MOTILITY & NEURO-OPHTH.
20 yr old man with weakness of both legs & loss of balance since aged
( Take a short history & give D/D. )
67- yr old lady with hemiplegia. Homonymous Hemianopia (Take a short history.
Perform Confrontation , possible causes . Name one Investigation of choice
MEDICAL RETINA / ENDOCRINE
72- yr old lady with Loss of vision 5 years back ( Take history , summarize
yr findings . asked to examine the fundus. Pt. had CRVO treated with Laser?,
also asked to look for RAPD. Loads of questions on CRVO & Mx , Plan
answer carefully & say only those conditions about which u know as
a cause eg. factor v Leiden mutation )
Questions on TED
20- yr old girl , obese . (Asked to do indirect. she possibly had cone
dystrophy . Loads of questions on causes , examiners esp. wanted to hear
about bulls eye maculopathy, again speak only of those conditions that
you know something about, not just rattle out the names , did get into
some trouble over there. )
67- yr old man with burnt out Pigmentary Glaucoma. ( must prepare this
section very well , questions on drops , Mx. of AACG , Post-op Trab complications
, VF Changes )
59- yr old accountant with 2 episodes of transient monocular visual
Task was to take history for 7 minutes ( max. ) , summarize yr findings
& suggest a Diagnos.
Further given the clinical finginds suggestive of Hollenhorst plaques.
Discuss appropriate Mx.
( MOST CANDIDATES FELT THERE WAS SHORTAGE OF PATIENTS & HENCE MORE
OF TIME WAS SPENT ON VIVA IN EACH STATION , ESP HISTORY TAKING.)
Many repeat questions. Most will pass this section ''comfortably'' if
Some of the ones I remember;
1. The patient has a certain systemic syndrome associated with a Pituitary
2. 4 Photomicrographs of Exenteration specimen shown. Attention drawn to
4th one. Some diagnosed as sebaceous gland carcinoma with orbital extension
while others diagnosed it as malignant melanoma.
Cut section of Pituitary gland shown with a mass lesion. cut-off limit
of pituitary mass
Features of ''mass effect'' of pituitary lesions.
Endocrine effects of pituitary mass lesions in Males & Females.
3. Scenario of 25-yr old soft contact lens wearer with painful red eye.
4. Known pt. with AIDS , specimen is being transported to the LAB.
Types of ulcers ?
Appropriate investigations ?
Treatment of choice ?
Types of culture media ?
(Question was regarding P Aeruguinosa )
Precautions for the Porter ?
Precautions for the LAB staff ?
Common HIV related eye conditions ?
5. 77- yr old man with history of blurring of vision for 1 week. Coloured
Most diagnosed this one as Cilio-Retinal artery Occlusion ( i has my
doubts as the lesion shown was clearly subretinal yellowish plaque &
not the grey opacification )
6. VERY TRICKY.
61- yr old patient with Bilateral upper eyelid yellowish lesions
H/P micrograph was shown.
MOST diagnosed it as XANTHELASMA ( I looked & looked & looked
for TOTUTON GIANT CELLS but there were no clear cut ones , only FB-type
Giant cells & granuolma was present & hence i went for Sarcoidosis......................................)
I DON'T KNOW WHAT THE ANSWERS ARE BUT DOES NOT MATTER MUCH AS I HAVE
THANKS TO WEB EDITORS OF THIS SITE. GREAT CONTRIBUTION.