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
1. a theme
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 physical signs (a-d ) with the most likely diagnoses
(A-N) listed below:
|A. Anton's syndrome
B. Kennedy-Foster's syndrome
C. Waadenburg's syndrome
D. Wallenberg's syndrome
E. Millard-Gubler's syndrome
F. Gradenigo's syndrome
G. Weber's syndrome
|H. Raymond's syndrome
I. Benedikt's syndrome
J. Parinaud's syndrome
K. Nothnagel's syndrome
L. Tolosa-Hunt's syndrome
M. Foville's syndrome
N. Möebius's syndrome
||A 50 year-old hypertensive man developed
a sudden onset slurring of speech,
vomiting and a right Horner's syndrome. He also had problem with standing
straight. Ocular examination also revealed a horizontal jerky nystagmus.
||A 60 year-old hypertensive man developed a sudden onset right complete
third nerve palsy and a left hemiplegia.
||A 30 year-old man developed a right sixth nerve palsy and facial pain.
CT scan revealed opacity of the mastoid air cells.
||A 65 year-old diabetic woman developed a sudden-onset right facial
palsy and a contralateral hemiplegia. Examination revealed a right abduction
2. Match the following findings (a-d) with the most likely cause
or site of lesion (A-N) listed
|A. orbital apex
B. dilatation of the third ventricle
C. dilatation of the fourth ventricle
D. cavernous sinus
E. red nucleus
F. cerebral peduncle
G.superior orbital fissure
|H. inferior orbital fissure
I. cervicomedullary junction
J. ventral pons
K. dorsal pons
L. occipital lobe
M. pituitary gland
||A 24 year-old girl developed morning headache and a bitemporal
CT scan revealed dilated lateral ventricles and a space-occupying lesion
brain stem. No lesions were seen in the pituitary or the hypothalamus
What may be responsible for the visual field defect?
||A 75 year-old woman developed a sudden
onset right third nerve. In addition, she also
developed a left involuntary tremor.
||A 80 year-old man developed a right facial
palsy and a right horizontal gaze palsy.
In addition, he had a right Horner's syndrome and loss of sensation
to the right face.
||A 32 year-old woman developed a painful
right eye and proptosis. Examination
revealed normal vision but the movement of the right eye is restricted
right forehead had decreased sensation to touch and pain. The left