Final FRCS

Centre:   Jordan

   Date:    June 2010

My name is JAVED IQBAL. I am from Pakistan and working in Saudi Arabia. ALHAMDOLILLAH, I have passed FRCS (Glasgow) part 3, in June 2010, in Jordan. This was my third attempt. In 1st attempt I failed in assay and viva. In 2nd I passed clinical but droped a single mark in medicine n neurology viva, resulting in failure of whole exam.
 

This big achievement was by the grace of almighty ALLAH. Afterwards I devote my success to: 1) My wife, who encouraged me all the time and gave me abig moral support.,2) My childrens, my parents, who prayed a lot for me.3) My friends and relatives, who had their best wishes and prays for me.4) Special mention for my supervisor- DR Sohail Ahmed Siddiqui( fcps,pak; frcs,glsg ), who supervised me and guided me and gave me a lot of precious tips.5) My friend Dr Sayad Babar, mrcp,u.k., who helped me in general medicine.6) My colleague and friend- Dr Zahid Choudhry whith whom I had combined preparation for this exam, and I wish him success in near future. He was the person who first informed n congratulated me on my success.
BOOKS:
1) Kanski is the core book
2) Wills eye manual
3) Oxford handbook of ophth
4) Wong’s book for exam
5) Chua’s website(www,mrcopth.com) for last 2-3 months before exam
6) AAO- General Medicine
7) AAO- pathology
8) Oxford handbook of general medicine (emergency management section)
9) Discussion whith colleagues in ophthalmology n gen medicineis vital. Keep on discussing all the time, as if u are telling to ur examiner.
10) May practice in front of a mirror make u confident.
11) While routinely examining patients, do it systematically n keep on doing commentary all the time, as if the examiner is watching
12) Examine patient systematically( may use chua book)
13) Make d/d , keep important first
14) Relevant discussion
15) Don’t jump to diagnosis, rather tell the positive findings
16) U may visit other hospitals to find cases not available in ur hosp.
17) DON’T LOOSE YOUR HEART- ONE DAY, IT WILL BE YOURS!
 

ORALS: DAY-1
First viva was of ophth medicine.

One Indian n one british examiner. They gave me a fundus picture showing prp lazer marks- asked what do u see n d/d. , d.r, studies, management. Another picture of p. pole- asked what do u see. It was not clear to me, I described , that it is a fundus photograph showing a membrane with surface drusens. Asked if it could be ARMD. I told yes. Discussion went on armd- TYPES, studies, management, exudative, non-exudative. Asked other questions which I don’t remember- I was satisfied the way I discussed.

Second Viva: ophth surg and ophth pathology.

one Indian and one Jordanian examiner- gave me a refraction showing ~ +5.0 DS + 1.5 DC TOLD THIS IS OF APTIENT WITHIN FIRST WEEK after cataract surgery. What is the cause. I mentioned error in biometry especially axial lenghth. Asked what other causes. I didn’t remember, may be wrong IOL. Asked u will manage. I told I will reassure patient. Refr correction by contact lenses, refractive surgery and lastly change in IOL. Asked what will be complic. Of another surger.. I explained again compl of cat surg, esp. CMO, R.D., ENDOPHTH.. types of anesth.n complic.- I told, s/yenon which I forget., adv/disadv of s/tenon’s. showed picture of severe pterygium cov vis axis, asked type, how to manage. I told I will council patient. Tell him about recur, asked percentage- I told more than 50%. Types of surg;cong autograft, allogr, amniot membr, beta rad, he rem me about mitomycin-c, asked how to do surg , I explained. Showed me fundus pict of pigm lesion- I told malign melanoma,
Asked management.
 

3rd viva- gen med n neurology:

one British neuroophth – asked about sudden unil ptosis in old patient, asked horner synd. In detail. Arab physician asked schogren’s synd, ; a nurse tell u that one of ur pat in clinic whith D.M. suddenly become irritable n sweaty- what is cause and how manage. Asked ketoacidosis. Hypoglycemic coma,; showed picture of PUK- nose n chest features- told WEGENER’s

CLINICALS:
 

STATION-1
OCULOPLASTIC N ORBIT- 1ST CASE- OCP and discussion. 2nd case- congenital ptosis n discussion
 

STATION-2
ANT SEGMENT: 1ST CASE- pkp n discussion; 2nd case- SUBLUXATED IOL n discussion
 

STATION-3
POST SEGMENT: 1ST CASE- BIL OPT ATROPHY( G.C.A.- ? POST ISCH OPT N); 2ND CASE- one eye- PRP, other eye- hyphema-d/d prolif. D.r., crvo. Vasculitis
 

STATION-4
STRABISMUS N N.OPHTH: 1ST CASE- 5YR GIRL WITH PARTIAL ACCOM ET, 2ND CASE- 30 YR OLD LADY WITH L EXT, 3RD CASE-MPUZZLING, I DESCRIBED IT N TOLD BIL; DUANES, But may be this was bil INO, or bil PARTIAL 3N PALSY.
 

If anyone wants my suggestions or assistance, please don’t hesitate. My e.mail: djiwazeer70@yahoo.com