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OSCE Ophthalmology

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?A. What is the diagnosis


? B. What is the type of refractive error
A. Accomidative esotropia
B. Hyperopia
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? A. What is the type of refractive error


?B. How would you correct it
A. Hyperopia
B. Convex lenses
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? A. Name this sign


?B. Give 2 Differential diagnosis
A. leukocoria
B. Cataract, reitnoblastoma
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? A. Name this device


?B. What is the value of it

A. pinhole testing device


B. determine if a problem with acuity is the result of refractive error
.or due to another process( and thus correctable with glasses)
explanation : In testing distant visual acuity, looking through a ]
. pinhole is useful for patients with blurred vision
.Vision can be improved if the defective vision is due to refractive error
It cannot be improved if it is due to
.[ organic eye disease
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A. Lesion on 2 what visual field


? defect
?B. Give one most common cause
A. Bitemporal hemianopia
B. Pitutary adenoma

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? A. identify 3
?B. identify 5

A. Optic tract
B. Optic radiation

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A. A 30 year old obese female , with normal BP


the presentation is bilateral whats the diagnosis
?B. How would you manage this patient

A.Papilledema
B.Ask the patient to reduce her weight
Decrease the intracranial pressure
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A. What is the diagnosis


?B. Give 2 post surgical complications
A. cataract
, B. 1- endophthalmitis
inflammation , hemorrhage , ... etc- 2
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? A. identify 1
?B. identify 2
1

A. choroid
B. Ciliary body

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?A. Describe what do you see


?B. Name the disease which cause this
A. Tunnel vision
B. glaucoma
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A. Patient with sinusitis and


?fever what is your diagnosis
?B. How would u manage her

A. Orbital cellulitis
B. Admission and give her IV
antibiotic

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?A. Patient has Hx of iris operation, name this operation


?B. What is the indication for this operation
A. Laser Peripheral Iridotomy
B. Acute closed angle glaucoma
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?A. Diabetic patient, what is u diagnosis


?B. How would you manage this patient
A. Proliferative diabetic retinopathy
B. Control the blood pressure and do PRP
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A. Patient came to the ER with Hx of finger nail trauma


(cant remember the exact question but it was something
?like that) how would you manage this patient
?B. What is the complication ( write only one)
A. Topical antibiotic , NEVER patch this lesion
B. scarring, secondary iritis
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?A. Identify this lesion


?B. What is the name of the dye
A. Herpetic ulcer (dendritic ulcer)
B. Fluorescein dye
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A. This patient has Hx of wearing contact lenses, what is


?your diagnosis
?B. How would you manage this patient
A. Corneal ulcer
B. Remove the lenses and culture first then topical
antibiotics every hour
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?A. What is the diagnosis


?B. What are the visual field defects
A. Optic disc cupping
B. Arcuate scotoma , paracentral scotoma, and nasal step
. defect
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A. Patient came with sudden painless redness, What is the


?diagnosis
?B. Give me 3 or 2 causes ( cant remember)
A. subconjunctival hemorrhage
B. 1- Anticouglants (OCP ) 2- Trauma , 3-Old age
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?A. What is the diagnosis


B. Give me 3 or 2 causes ( cant remember) << Im not
?sure of this Q
A. Preretinal hemorrhage or BRVO <<< Im not sure of it
.B
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