| OSCE Stations
Anterior Segment
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50-year old lady with Heterochromia Iridis. ( Pt. had ocular melanocytosis.......questions
on other clinical signs & importance of fundal examination)
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25- year old with recurrent herpetic keratitis. ( Active & Long term
Mx.)
MOTILITY & NEURO-OPHTH.
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20 yr old man with weakness of both legs & loss of balance since aged
8 years.
( Take a short history & give D/D. )
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67- yr old lady with hemiplegia. Homonymous Hemianopia (Take a short history.
Perform Confrontation , possible causes . Name one Investigation of choice
)
MEDICAL RETINA / ENDOCRINE
72- yr old lady with Loss of vision 5 years back ( Take history , summarize
yr findings . asked to examine the fundus. Pt. had CRVO treated with Laser?,
also asked to look for RAPD. Loads of questions on CRVO & Mx , Plan
answer carefully & say only those conditions about which u know as
a cause eg. factor v Leiden mutation )
Questions on TED
POSTERIOR SEGMENT
20- yr old girl , obese . (Asked to do indirect. she possibly had cone
dystrophy . Loads of questions on causes , examiners esp. wanted to hear
about bulls eye maculopathy, again speak only of those conditions that
you know something about, not just rattle out the names , did get into
some trouble over there. )
GLAUCOMA
67- yr old man with burnt out Pigmentary Glaucoma. ( must prepare this
section very well , questions on drops , Mx. of AACG , Post-op Trab complications
, VF Changes )
Communication Skills
59- yr old accountant with 2 episodes of transient monocular visual
loss.
Task was to take history for 7 minutes ( max. ) , summarize yr findings
& suggest a Diagnos.
Further given the clinical finginds suggestive of Hollenhorst plaques.
Discuss appropriate Mx.
( MOST CANDIDATES FELT THERE WAS SHORTAGE OF PATIENTS & HENCE MORE
OF TIME WAS SPENT ON VIVA IN EACH STATION , ESP HISTORY TAKING.)
EMQ'S
Many repeat questions. Most will pass this section ''comfortably'' if
''adequately prepared''.
PATHOLOGY OSE
Some of the ones I remember;
1. The patient has a certain systemic syndrome associated with a Pituitary
mass.
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Cut section of Pituitary gland shown with a mass lesion. cut-off limit
of pituitary mass
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Features of ''mass effect'' of pituitary lesions.
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Endocrine effects of pituitary mass lesions in Males & Females.
2. 4 Photomicrographs of Exenteration specimen shown. Attention drawn to
4th one. Some diagnosed as sebaceous gland carcinoma with orbital extension
while others diagnosed it as malignant melanoma.
3. Scenario of 25-yr old soft contact lens wearer with painful red eye.
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Types of ulcers ?
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Appropriate investigations ?
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Treatment of choice ?
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Types of culture media ?
(Question was regarding P Aeruguinosa )
4. Known pt. with AIDS , specimen is being transported to the LAB.
Precautions for the Porter ?
Precautions for the LAB staff ?
Common HIV related eye conditions ?
5. 77- yr old man with history of blurring of vision for 1 week. Coloured
photograph shown.
Most diagnosed this one as Cilio-Retinal artery Occlusion ( i has my
doubts as the lesion shown was clearly subretinal yellowish plaque &
not the grey opacification )
6. VERY TRICKY.
61- yr old patient with Bilateral upper eyelid yellowish lesions
H/P micrograph was shown.
MOST diagnosed it as XANTHELASMA ( I looked & looked & looked
for TOTUTON GIANT CELLS but there were no clear cut ones , only FB-type
Giant cells & granuolma was present & hence i went for Sarcoidosis......................................)
I DON'T KNOW WHAT THE ANSWERS ARE BUT DOES NOT MATTER MUCH AS I HAVE
PASSED.?
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