OSEs
Station 1
MRI
a) what test is shown?
b) describe abnormality?
c) how will pt present?
answer: thickened extraocular
muscles both eyes, diff dx=TED
Station 2
FFA
a) what test is shown?
b) principles?
c) describe abnormality?
answer: CSR
Station 3
Hess chart
a) what test is this?
b) describe abnormality?
answer: bilateral overaction
superiorly and inferiorly ?cause
Station 4
prismatic effect
a) calculate prismatic effect
of bifocal lens where near add centre is 8mm infero & 2mm nasal to
DVP
b) can't quite remember,
think is what kind of problem pt will encounter?
Station 5
synoptophore
a) what slide is shown?
b) draw ray diagram of synoptophore
answer: maddox slide
Station 6
ray diagram
a) draw ray diagram for
convex mirror
Station 7
B-scan
a) what test?
b) principles
c) describe anormality
answer: RD
Station 8
HVF
a) what test? reliable?
b) describe abnormality
c) locate lesion
answer: left central field
loss & right inf field loss ?lesion
OSCEs
Station 1
pupils- right RAPD
a) show how to exam pupils
b) diff dx for RAPD
Station 2
EOMs-limitations in left,
left & up gazes in left eye
a) diff dx
b) forced duction test
Station 3
anterior segment
right ?pthisical eye
left band K, aphakic
a) describe what you see
b) different techniques
of using slitlamp
Station 4
confrontation VF-bitemporal
hemianopia
a) exam pt's VF
b) locate lesion
c) why use red pin for central
field exam
station 5
Keratometer-B&L type
a) do keratometry on pt
b) which is steepest meridian
c) with/against the rule
astig?
station 6
Focimeter
a) determine power of lens
b) optics of focimeter
Station 7
Direct ophthalmoscopy
a) exam optic disc
b) describe what you see
?cupped discs ?pale discs
c) what's pt's refractive
status?
Station 8
Indirect
a) describe what you see
left mac scar and tilted
disc
b) Differential diagnosis
c) If pt is aphakic, what'll
image & field of view be?
Refraction
-
Nice middle age man
-
Diabetic, had lasers done before
-
Unaided VA: 6/12, pinhole to
6/9
-
Low minus one eye, low plus
the other
-
Straight forward refraction
and near add
-
Didn't have time to do muscle
balancing
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