Candidate 101                                           Centre: Singapore
Final MRCS                                                               Date: April, 2007

DAY 1

 

MCQs

I thought it was more difficult that previous ones.

Questions from this websites were only moderately helpful.

VIVAS
Again rather difficult. Studying the website should help. Know your percentages of complications of common operations.

Pathology
Question on choroidal melanoma and different types of giant cells.

Medicine and ophthalmology
aids, 3rd n, 6th n, swollwn disc, lots more ...

General ophthalmology
Questions on intraocular pressures and the factors that may affect it. Normal tension glaucoma and investigations.
Management of a ruptured globe.
Management of chemical injury


Pass mark for MCQs is set at 75%. No negative marking. The vivas pass mark is 50%  but any marks above 50 can be used to compensate for poor MCQs mark. If you get through Day 1 you don't have to repeat this part any more should you fail the second day.

 

DAY 2

Neuro-ophthalmology

  • Ocular movement in a patient with combined 3rd and 4th cranial nerves palsies.

  • Pupil examination. The patient has an unilateral Adie's pupil.

  • Fundoscopy of a patient with swollen disc.
     

External eye diseases

  • Slit-lamp examination showed keratoconus, a straight forward case.

  • A case of PKP and bilateral pseudophakic. Possible causes for the PKP.
     

Medicine and ophthalmology

  • A patient with bilateral aphakia with physical signs of Marfans.

  • A case of retinitis pigmentosa but not sure what syndromic condition the examiner was
    trying to get at.

  • A case of optic neuritis with subtle RAPD.


Posterior segment

  • A difficult station.

  • Direct ophthalmoscopy showing optic disc pit.

  • Indirect ophthalmology in a patient with retinitis pigmentosa.

  • Slit-lamp examination showing yellowish lesions in the macula, the diagnosis was Best's disease.

  • A case optic disc collaterals diagnosed with direct ophthalmoloscopy need to use direct ophthalmoscope lots of times


Communications

  • Managing a dropped nucleus in an angry patient.


Glaucoma and cataract

  • Shallow anterior chamber with PI. The opposite eye had trabeculectomy.

  • Iridoplasty scars in a pseudophakic eye, the other eye had no PI but a large incision cataract surgery done.

  • Plateau iris with 'volcano' configuration