Candidate 18 (FRCOphth Part 1 Oct 2012)


1.Name 10 structures of the orbital bone.

2- 4 histologies of a biopsy from eye lid lesion,
1st picture shows a histology of squamous cell carcinoma & 2nd is a magnification of it

  • Name the labelled structures on the 2 pictures

The last 2 are from different patient, one with oil red o stain, & the second with GMS - Gomori methamine silver- stain which shows numerous black yeasts in a pale green background.

  • Describe & what is the organism? (Cryptococcus)

3- A women with temporal arteritis biopsy, asking about 2 ocular complications, 2 other investigations for diagnosis, & describe what you see in three pictures

4- Magnifying lens diagram , what power give +4 magnification , 2 advantages & 2 disadvantages .


5- Compound microscope diagram, name 2 instruments use it, describe the image formed by it, why porro prism is used, ..

6- Transpose Right +3.50/+1.50axis 80 ;  Left -0.50/+1.50axis 100

  • Into negative cylindrical lens

  • In which axis the photoemulsification will be done, what is the problem of prescribing this in a two year child& describe the steps.

7- Three photos for spherical , chromatic & coma, asking 3 question for each, describe & what is the feature, how to avoid in the sph & chromatic, & mention one pathology make the third (coma)

8- OCT picture elevated cystic lesion+ fundoscopy picture

  • What is the investigation?(OCT)

  • Describe the abnormality shown? & in which retinal layer?(cystic appearance/ outer plexiform layer)

  • Mention one possible diagnosis ?(cystoid macular oedema)
    Mention other three conditions can be diagnosed with this investigation?


9- Two Pictures of CT Scan of the head with a lesion may be the left occipital lobe, in one the image is brighter
Q: What is the investigation & what is the orientation of the image?
Describe the lesion? hypoattenuating defect in left occipital lobe, (2nd image same lesion but is hyperattenuating)
Why the difference between the 2 images?
What abnormalities of the visual field you expect? 4 marks
What the vascular lesion you expect? ( posterior cerebral artery)

10- Biometry but I think they said keratometry of person will undergo cataract surgery , just I remembered AL= 28.8

  • What is the cylinder of the right eye,

  • What is the myopia of the left eye &why

  • What you advice for this pt refractive state

  • Which is the steepest meridian

  • What formula you will use & why

11- Humphrey perimetry (The Esterman test-DVLA),

  • What is the investigation, & what is the programme used?

  • Which eye is ploted?

  • Is this patient passed the test & why?

  • Is this test is reliable &why?

12- you need to test a new instrument for measuring proptosis , to test validity & precision, those prototypes 12, 13, 12, 15, 15, 16, 15

  • What is the statistical name of the prototype to mean it valid & precise?

  • Calculate the mean , median & mode?

  • To study this instrument describe the way to test the reliability & validity of the prototype?

  • Which test you will use for each method you mentioned in the previous answer


Return to Main Page




Examination results invalid, Royal College of Ophthalmologists President apologized for causing distress to candidates. All funds repaid