Candidate 19 (FRCOphth Part 1 Oct 2012)

         


1. ANATOMY
Orbital bones
- Label the area marked (10m)
 

2. PATHOLOGY
2 Histology pictures of a lesion from the lower lid
- Describe the lesion.
- What is the diagnosis? (1m)
Another histology picture from a different patient. Lesion on the upper lid stained with Oil Red O
- What is stained by the oil red o?
- What is the diagnosis?
Another histology picture stained with GMS stain.
- What is stained?
- What is the diagnosis?
 

3. PATHOLOGY
Patient with headache, sore mouth. Histology picture of a right temporal artery biopsy.
- Describe the picture
- What is the likely diagnosis?
- What 2 blood test would you do?
- List 2 ocular complications
 

4. OPTICS
Simple magnifier (loupe)
- Draw the ray diagram
- What is the image formed?
- What are the advantages?
- What are the disadvantages?
 

5 . OPTICS
Compound microscope
- Draw the ray diagram (5m)
- What is the image formed? (1m)
- What ophthalmic instrument in-cooperates the compound microscope? Name 3
- What does the Porro Prism do?
 

6. OPTICS
Transposition
- Transpose (2m)
- What is the power of spherical lens that would cause a X4 magnification (1m)
 

7. OPTICS
Different pictures of aberrations. Name them and how to correct?
Includes spherical, chromatic, oblique.


8. IMAGING
OCT picture showing intraretinal and subretinal fluid
- What is the name of the instrument? (1m)
- What is the principle behind the instrument
- Describe the picture
- What is the likely diagnosis. CMO
- What other conditions is the instrument used to diagnose or monitor (3m)


9. IMAGING
Head CT scan. Area of decrease attenuation with an adjacent Increase attenuation in the Left occipital lobe
- What is the name of the investigation and what is the orientation? (2m)
- Describe what is seen?
- What is the likely diagnosis?
- What is the likely cause?
 

10. Biometry report
- Formula used?
- IOL used? Why?


11. VISUAL FIELDS
- Which eye is tested?
- What is the defect seen?
- Reliability?


12. STATISTICS
Instrument used to measure proposes.
- What is the statistical word used to describe its accuracy and precision?
- Mode, mean, median.
- What study would you carry out to confirm the accuracy and precision of the
instrument?

 

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