Candidate 176

FRCS Glasgow

Centre:   New Delhi

   Date:    September 2013

I am dr.kavitha.i have cleared my FRCS -3 in first shot in delhi. I would like to share my experience which may be of some use to other candidates.i would like to thank my son and my mother for their cooperation.i am dedicating this to them.i would like to thank my teachers DR.SRINIVAS K RAO, DR.P.J.RAMANA KUMAR, DR.KAUSHIK.

 

 

EMERGENCY MEDICINE:

 

26 yrs female, raised ict, papilledema, BMI-31.

-diagnosis- benign intracranial hypertension

-what to do

-history-obese, steroid, ocp,vit-a.

-how to diagnose- dande’s criteria

-treatment

-surgery for obesity

 

Manifestation of TB in eye in detail

-investigations for TB

-risk factors for TB

-CSF analysis in TB

-complications of treatment of TB

-neuro imaging finding in TB

 

Immunosuppressives

-classification

  

Old man with chest pain on exertion

-diagnosis-angina

-types of angina

-EGG finding of angina

 

DD for granulomatous inflammation

-causes of decreased vn in TB.

 

 

GENERAL MEDICINE & NEUROLOGY:

 

Picture with one large and one small pupil

-diagnosis

-anisocoria in dark-DD

-anisocoria in light-DD

-how to look for wormiform movement

-how to diagnose horner’s-pharmacology

-features of horner

-why emergency

 

3rd nerve palsy

-what will you do

-history-trauma,dm ,ht, headache

-why reference to neurologist

 

4th nerve palsy

-imaging

-etiology-congenital, acquired

 

64 yrs lady with diplopia

-diag -Myasthenia gravis:

-how to diagnose

-ice pack test details

-fatiquability test details

-cogan lid twitch sign

-edrophonium test elaborately

-treatment of myasthenia

 

Rheumatoid arthritis and eye

What will you do

 

 

OPHTHALMIC SURGERY

 

DR.MANTRY

 

4 days post cat sx, pain, defective vision, hypopyon.

-diagnosis

-causes of decreased vision following cat sx

-treatment

-how to do vit tap

-antibiotic choices

-what to do if not better with 1st tap

 

Optic nerve glioma picture

-what is the diagnosis

-presentationog optic nerve glioma

-NF features

-treatment

 

Limbal dermoid

-elevated or not

-surface irregularity is due to what

 

Congenital 4th nerve palsy in adult

-why now

-investigation

-treatment-prism

 

DR.BATTACHARIYA

 

Complications of trab

-lowiop with shallow AC

-highiop with shallow AC

-malignant glaucoma- mechanism & treatment, atropine why

            Treatment in phakic patient

-causes of post trabhyphema, treatment

-DD for hemocornea

 

How to do surgical PI

-with what instrument

-difference between vannas and de wecker’s

-systemiciop lowering agents

-mechanism of CAI

 

Bleb failure

-causes, treatment

 

Antimetabolites during trab

Surgical modulation of trab

 

 

 

 

OPHTHALMIC MEDICINE

 

DR.BHATRA

 

Describe photo of herpetic dendritic ulcer

-why dendritic

-treatment

-how to isolate virus

-treatment for epithelial keratitis &disciform keratitis

-

 

Arcuate field defect

-how to say its reliable

-HFA is static or kinetic

-differencebtn kinetic and static

-how to check fixation loss

-strategies in HFA-sita standard and fast

-how the sita tests points

-sita fast-when , standard –when

-1 st test-field defect present, in next visit defect is not there- interpret

 

 

Papilledema

-describe the photo

-causes of PE

-DD

-field defect

 

Malignant hypertension

-what will you do-send to physycian

-what to tell to physician

 

 

DR.GUPTA

 

Acetazolamide

-mechanism

-adverse effect

-drug interaction in eye-steven Johnson syn

-treatment of stven Johnson-AMG, MMG

 

Myasthenia gravis

-DD

-treatment

-how to diagnose

 

4th nerve palsy

-history

-investigations

-treatment-occlusion,prism, Sx.

 

Paurinaud syn

-features

 

 

 

CLINICALS:

 

NEURO OPHTHAL & SQUINT

1.OS-type 1 Duane

-do EOM

-how do you say

-treatment

-what will be the vision

 

2.complete 3rd nerve palsy involving pupil

-do EOM and PUPIL EXAM

-everything about 3 rd nerve-course, lesions, fibre arrangement

-history

 

3.high myopia with nystagmus

-examine the pt

-thick myopic glass and nystagmusexami revealed congenital nys.

-I said I would like to have a look at retina for myopic fundus.

-what will be the vision of the pt- I said 6/60.

 

 

OCULOPLASTY

1.Cicatricial medial lower lid ectropion.

-observe the pt

-diagnosis

-medicalTx

-Sx-partial thickness skin graft

-sites of skin graft

-disadvantages of partial skin graft

-other types of ectropion

 

2.bilateral ptosis in 65 year old man

-types of ptosis

-all about ptosis-mechanism, etio

-systemic examination importance- heart dis in CPEO

-all about myasthenia

-ptosis surgery-sling materials

-how to harvest fascia lata

-ptosis measurements and its relevance

-other findings to look for

 

 

ANTERIOR SEGMENT

1. PSEUDOPHAKIC BULLOUS KERATOPATHY with mole in upper lid

-Tx-medical and surgical

-what to do with the mole-observe

-when to intervene in that mole

 

2. adherent leucoma with cor thinning in the central cor(pupil area covered with scar0

-I asked problem since when- examiner said since birth

-etio

-Tx- I said I would like to refract the patient to rule out amblyopia.then will decide about PKP

 

3.Marfan with b/l lens subluxation

-Tx

-refraction first, them will evaluate for 369 degzonule

 

 

POSTERIOR SEGMENT

 

1.Gross vascular sheathing with macular involvement-old CRVO

-investigations

-eyeinvesti-FFA.OCT

- Tx

 

2.high myopic fundus with myopic CNVM

-diagnosis

-other fundus finding

-pt wants to remove glasses-refractive surgery.

-other available options-ICL,

-ifpt power is -32D- clear lens extraction

-will you prefer this option to yourself- I said definitely not-he just smiled at me

 

3.Bilateral dot and blot haemorrhage with macular edema

-diagnosis

-investigations

-eye investigations

-treatment-PRP+ GRID.  But grid first

-anyother Tx- anti VEGF

 

4.RP

-have a quick look at the fundus and tell the diagnosis

 

ALL THE BEST .

 

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