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OSCE
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Direct: used my own scope,
BE Pseudopahakic, PRP ? hazy view in RE ??Vit haem , asked about filters on
scope, and magnification in myope v hyperope. seemed to go well.
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In-Direct: asked to look at
left eye - inferior PRP, asked to look at post pole and then saw disc
collaterals. asked about mag of 20D v 30D! then asked "what is this" given a
indenter, then asked to demonstrate how i would use it to see an inf temp
tear in patients RE.
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Motility: Dont have a clue,
pt was a middle aged male with walking stick! had horizontal diplopia in all
positions of gaze, was stopped before i could do cover test in other
positions ?eso with left 6th but others said totally different things (
didnt think a 6th could be that difficult).
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Pupils Left dilated pupil
?Pharmacologically dilated, asked about differential, talked about Adies,
then asked where is the lesion in Holmes Aide and asked to test knee
reflexes of patient! (they had a tendon hammer there) Also asked about
pharmacology of Horners.
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S/L asked to examine left
anterior segment = band keratopathy, neovascularisation & dense cataract,
was then stopped and asked about the filters and sclerotic scatter, was
shown the calibration checking tool for tonometer "what is this used for?"
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Fields: left homonymous
heminopia, stopped whilst doing white pin and asked where is the lesion.
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Keratometry new J/S, took a
min to get used to as knobs slightly different. Usual stuff about principles
what my measurement meant.
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Fociemter had plain plus
lens (no reader segment) asked to focimter right lens only, it had a little
atigmatism, asked about priciples, why back vertex, measuring prisms.
Refraction
45yo Myope
unfortunately sent too much time on ret and had to rush my subjective did get
patiet to 6/4 BE but in such a rush, almost forgot to test near VA, cant
remember if i wrote correct prescription. (will find out soon!)
MCQs fair questions - some of the ones I remember
forced duction tests
Hruby lens couple of q's
tonmeter AREA = 3.06mm!!!
panfundascope image properties
concave lens image properties
OSE (as above)
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