Candidate 26                                         Centre: Cambridge 
                                                              Date:   Sept, 2002
Pathology Viva:

Case 1: 
Histology photos of retinoblastoma. Was asked about the histological marker cells and the poor prognostic signs both clinically and on histological section.

Case 2: 
"Tell me all you know about Toxoplasmosis!" Asked about the common form of presentation in clinic.

Case 3: 
Histology of Lacrimal Gland Sarcoidosis. Describe what you see.

Case 4: 
Histology photo of basal cell carcinoma. Describe the features and classification.
 
 

Medical Cases:

Case 1: 
Ocular movements - Thyroid Eye Disease. Limitation in upgaze and management of people with diplopia in primary gaze and accommodation. 

Case 2:
Ophthalmic presentation of migraines

Case 3: 
Asked to take a history from a middle aged man. Described a central scotoma in his left eye. Thought it was going to be a CSR but actually had suffered with a posterior uveitis. 

Case 4: 
Asked about management of anaphylaxis. Asked about physiological and clinical differences between anaphylaxis, arrest and vasovagal.

Case 5: 
Examine optic disc with a direct ophthalmoscope. Patient was undilated. Discs looked pale in the right eye but normal in the left. Asked to check other optic nerve parameters. Visual fields showed some right hemispheric red desaturation. Asked what this signified about the location of the lesion.
 
 

Ophthalmic Cases:

Case 1: 
Woman who was bilateral pseudophake. She had some iris trauma and a PI in one eye only. Asked what type of surgery she had had done (ECCE) and the management steps during surgery should the iris prolapse.

Case 2: 
Asked to take a history from a 38 year old man. Described nyctalopia from age 20. No FH. Examination revealed RP. Asked about driving visual fields and legal requirements.

Case 3: 
Young woman with a pendular nystagmus. Asked to classify nystagmus and the likely cause of the nystagmus in this case (Sensory deprivation). Asked to make a general comment on appearance. Noted that the nystagmus was more evident on the right eye. Asked why this might be. Couldn't explain this neurologically. Therefore asked to examine her and she had an artificial left eye!!

Case 4: 
Middle aged lady with corneal scarring and pannus. No obvious other signs, but asked the causes for pannus.

Case 5: 
Woman with tilted disc in one eye and a glaucomatous disc in the other. Asked what i may expect the VF to appear like for each eye. Then shown some VF and asked to comment on them.
 

More candidates' experience