Date: Dec 2016
I am Dr Mona Abdelhafeez I took the FRCSED PARTB in Cairo November 2016. Thank God, I passed 6 out of 8 stations in this exam. The first difficulty I faced is how to prepare for the exam and what are the commonly asked questions and unfortunately I did not find any past candidates experience for FRCSED Cairo for any year and as IBELIEVE these exams need orientation more than knowledge itself am reporting whatever cases and questions asked to me hopefully it will be beneficial for the newly sitting candidates .
the exam divided into three parts
clinical stations they are3 stations
one anterior segment
one posterior segment
one neurology and motiliy
4 viva tables
one clinical ophalmoloy table
neurology and medicine
good medical pracise and ethics
TWO Egyptian examiners ,5 cases in the room
A 40 yrs old male examiner ASKED ME TO EXAMINE left eye in SL there was corneal tatooing eye is quite he asked what is this and why we did it
Then same pt examine the t eye ther was corneal graft with diffuse corneal opacity he asked what is the level of this opaciy how you can exmine the endothelium by SL isaid specular illumination he asked me to do it then he said ok do retro illumination then how can we mesuremesureT he AC depth by mm how you check for cells
Again bilateral corneal graft tell me your finding in AS
AGINdiffuse CORNEAL OPACIIES OU there are surgical and traumaic PI in one eye with scleral fiated IOL he asked me what are the indicaions for corneal grafting .
The straingest case in this exam young adult with bilateral blue sclera he said what is your finding by inspection ISAID bilateral blue sclera what else I did not say any thing he asked me to put the pt in SL and surprisingl the rtee was artifical blue eye then he said examine the othe eye there was blue sclera with corneal graf and surgical PI he asked what is the DD of BLUE SCLERA .
PSTERIOR SEGMENT STATION
Again 5 cases in one room with one indian examiner and one egyptian examiner
Examine this pt using indirect there was PRP marks flat retina under silicon with macular scar no disscusion only what is your findings how do you know this is silicon
Second case was myopia he asked o examine using direct opthalmoscope and it was difficult to see so he asked me if you face difficulty with direct what to do I said ndirect so he gave me the indirect there wastypical myopic fundus with multiple areas pfchorioretinal atrophies and fuchs spots with perpapillary atrophy again onl findings no questions
Third case was RP he asked me to examine by direct pthalmoscope there was typical picture of RP both eyes with macular edema I did not noticed the edema from te start only I mentioned waxy disc attenuated vesseles bone specules then he said wat about foveal reflex then Ioldes it is dim so most likely there is macular edema but ineed to confirm using 90 D Then he said can you just see by torch the anterior segment ther was pseudophakia he asked me is there any relation between all these findings I said es it is well known ocular associations of RP THEN HE SAID SO what are the other ocular associations isad glaucoma and KC .
Examine using 90 d there was superotemporal BRVO treated
with secoral PRP only asked what is ur findings. No more discussion
Clinical ophthalmology viva
Two Egyptian examiners
1- What is the DD of irities associated with retinitis he wants herpes virus
2- What is the effect of herpes virus in the eye
3- How you will manage epithelial keratitis
4- What is the pathophysiology of disciform keratitis
5- If the pt developed vitrifies what investigations you will do he want vitreous tap and pcr what drug you will give intraviteraly
Other question about complications of cataract sx started from retrobulberhge ok how you will manage how exactly you will do canthotomycantholysis
What is the effect of local anesthesia on CNS?