Candidate 177

FRCS Glasgow

Centre:   New Delhi

   Date:    September 2013

Dear sir , 

 I have cleared the exams in first attempt .I was helped immensely by this site and also by prof .muttuswamy  through his virtual university . The medicine question was a bit quirky but i guess I Passed as I had  written most of the points . 

 

A. An adult bus  driver  had a assault related injury 5 yrs ago and was  well after treatment  he had loss of vision in the right eye . He is now referred to you for cataract  You notice that he has diffuse cataract and IOP of 34 Re and 28 LE . He also has pseudoexfoliation in both eyes .phacodonesis  is present in the RE .

 

1.What are the points that you look for in the examination ?

 

2.What  is your first step in management ?

 

3.what are the complications that you expect in the catarctsurgery ?

 

4.what are precautions you take in preventing the complications ?

 

5.What will you council the patient about the visual recovery after surgery ?

 

Emergency medicine question.

A elderly lady is seen by you for the review 3 months after  cataract surgery . She is delighted by the results of cataract surgery . How ever she has been unwell for the past few days by mild fever and severe itching .you also notice that she has  jaundice . Her notes indicate that she has had flucloxacillin for mild cellulitis 1 month back for a week.  Her diabetes is under control and she has never traveled outside UK. 

What specific history you ask for to make a dignosis  ?

what are the specific signs you look for to make a diagnosis ?

What is the differential diagnosis ?

What are the investigations you do to make a diagnosis?

 

I will also send the  other 2 questions . 

 

Thanks once again .

regards,

Dr.Srilakshmi.S

Consultant medila Retina and uvea ,

Bangalore West Lions Eye Hospital Bangalore .

 

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