Candidate 24
Date: June, 2003
Centre: Leeds
Result: Passed
 
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OSCE

Case 1 
Focimeter a pair of single vision specs (both lenses). Explain the optics of the focimeter

Case 2
Javal Schiotz K readings on one eye of a patient. Then explain the principles behind keratometry with
reference to the different types of machine.

Case 3
Pupils: RAPD. Asked about different diagnosis of this and about the different pupil tests (Pharmacological)

Case 4
Slit lamp: describe the different features of the slit lamp from top to bottom . Examine a patient with
descemetocele and demonstrate the different methods of examining the anterior segment.

Case 5 
Direct: examine the eyes (ie anterior segment and fundus).
Patient was not brilliantly dilated but they asked me to concentrate on the discs and describe them in
detail. Questions about filters on the direct.

Case 6
Indirect: not v well dilated but I was allowed to use the 28D. Choroidal naevus and I was not asked to
examine both eyes. I was asked about the optics of the indirect and when you would use a 28D.

Case 7 
Ocular motility: Lateral rectus palsy or possible Duanes. Asked to do near and distant cover tests and ocular mot exam and describe my findings. 

Case 8
Fields (confrontational): generalized peripheral constriction both eyes. Asked differential diagnosis..
 

Refraction
Refraction: 53 year old taxi driver approximately -0.75/+2.00@90 both eyes. one eye scissors
reflex.

The examiners were all really helpful and you did not feel too rushed. 

More candidate experience