In response to considerable discussion the Examinations Committee
of the College has decided to update the format of the Part 3 MRCOphth
Examination from April, 2003.
An extended matching paper will replace the existing MCQs and
they will be no negative marking. The test will probably be easier than
the previous format. To familiarize the candidates with the new formats,
test 34 and onward will follow the new style as described below by the
|40 questions over a 3-hour period.
The questions will be divided as follows.
Extended matching questions are multiple choice items organized into sets
that use one list of items in the set. The extended matching set includes
5 pathology questions
5 microbiology questions
15 general ophthalmology questions
15 Medicine and Neurology in relation to ophthalmology
This will involve 40 questions (probably 200 stems) over a period of 3
2.an option list
3.a lead in statement
4.at least four item stems, as illustrated below
1. Match the stem questions (a-d) with the options (A-N) listed
|A. Leber's congenital amaurosis
B. myotonic dystrophy
C. Kearn-Sayre syndrome
D. Wagner's syndrome
E. Stickler's syndrome
F. Bardet-Biedl syndrome
G. Refsum's disease
|H. Friedreich's ataxia
I. Bassen-Kornzweig syndrome
J. Usher's syndrome
K. gyrate atrophy
L. birdshot retinopathy
M. punctate inner choriopathy
N. Stargardt's disease
||A 30 year old man has cerebellar sign,
deafness, elevated phytanic acid and
||A 15 year old girl has absence of low-density
plasma lipoproteins with abnormal
shape red blood cells and pigmentary retinopathy.
||A 30 year old man has empty vitreous with
myopia of -11.00D. He also has
mid-facial hypoplasia and peripheral arthropathy.
||A 19 year old woman has been wheel-chair
bound since the age of 12 with
kyphoscoliosis, cerebellar signs and pigmentary retinopathy.
2. Match the stem questions (a-d) with the options (A-N) listed
|A. Oguchi's disease
B. Chediak-Higashi syndrome
C. Hermansky-Pudlak syndrome
D. Nettleship-Falls albinism
E. Stargardt's disease
F. Leber's congenital amaurosis
G. congenital rubella
I. gyrate atrophy
J. retinopathy of prematurity
K. Coat's disease
M. vitamin A defiency
N. Norrie's disease.
||A 20 year old man has poor vision for the past few years. Fundoscopy
reveals white flecks in both eyes. Fluorescein angiography shows reduced
fluorescence from the choroidal circulation..
||A 17 year old boy has white hair and nystagmus.
Ocular examination pink iris and
blond fundus. He is prone to recurrent infection.
||A 25 year old man has poor vision at night.
The ERG shows normal full-field
ERG. The fundi show colour changes during dark adaptation.
||A 2 year old boy has poor vision since
the age of 5 months old with absent ERG and
poor pupillary reaction to light. He also has the tendency to rub his
eyes with his