OSCE (Objectively structured clinical examination)
Candidate one Date: November, 1999
Case oneExamination of the fundus with direct ophthalmoscope.
The patient had bilateral disc swelling.
Questions on the differential diagnosis including pseudo-papilloedema and the tests for optic nerve functions.
Case twoAnterior segment using a slit-lamp.
The patient had Krukenberg's spindle and iris trans-illumination.
The examiner wanted me to demonstrate the various slit-lamp techniques including scleral scattering and retro-illumination..
Questions on the differential diagnosis of iris trans-illumination.
Case threeExamination of the macula with an indirect ophthalmoscope (78D).
The patient had a macular haemorrhage in the right eye.
I was asked on the optics of indirect ophthalmoscope. The advantages and disadvantages of 78D vs 90D.
Questions on the differential diagnosis of macular haemorrhage.
Case fourPupil examination.
The patient had a left relative afferent pupillary defect.
Questions on the differential diagnosis and the anatomical pathway of light reflexes
Case fiveOcular motility examination.
The patient had a right fourth nerve palsy.
Questions on the functions of the various extra-ocular muscles and the sequelae of fourth nerve palsy.
Case sixVisual field examination.
The patient had a superior altitudinal defect in the right eye.
Questions on the differential diagnosis of this defect.
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