I would like to share my experience in the recent MRCS exams in Singapore with others.

VIVA

Ophthalmology
1. Alkaline burn and complication, particularly related to IOP
2. BOV in a diabetic patient
3. Ocular hypertension
4. RA and its ocular complication

Neuroophthalmology
1. OD swelling and its differential diagnosis and further investigation/management
2. Unilateral small pupil - Go down towards Horners route
3. Vertical diplopia after recent trauma to the back of the head - discussed 4th n palsy

Pathology
1. Leukocoria-DD and discussed RB
2. Cornea - Dystrophies
3. Choroidal mass
4. BCC

CLINICAL
 

Neuro-ophthalmology

Case 1

3rd nerve palsy - investigation and follow up.

Case 2

Horizontal nystagmus - differentiate btw congenital and acquired form.
 

Case 3

Traumatic optic neuropathy - signs associated with ocular trauma.
 

Case 4

Myasthenia gravis.

 

Medical
 

Case 1

Recent cataract op - ECCE limbal wound and pale OD, not sure the actual diagnosis
 

Case 2

Clinically significant macular oedema and fresh PRP scar.
 

Case 3

Lisch nodule + gutatae - Discussed NF
Thought I did very badly in this station, and luckily they let me through.

 

Posterior segment
 

Case 1

ARMD/PCV - discussed investigation ICG/FFA.
 

Case 2

Epiretinal membrane and pseudohole.

Case 3

Bulls eye maculopathy with pigmentary retina changes.
 

Case 4

Full thickness macular hole with bony specules at mid periphery.

Ant segment
 

Case 1

Traumatic vitreous haemorrhage - discussed complications.
 

Case 2

Keratoconus in one eye + PK in the other.
 

Case 3

Congenital ptosis.

 

Cornea + Glaucoma
 

Case 1

Narrow angle with PI in 1 eye, then move to the other eye with tube, PAS, pseudophakia, PS. Was ask to tie other findings together.
 

Case 2

Trabs - Discussed low IOP post trab and its management.
 

Case 3

Pseudoexfoliation glaucoma.
 

Case 4

Trabs in a young patient with peak pupil and Haabs striae.

 

In general, examiners are very helpful and professional. They provided clues when I was stuck and moved on quickly to the next case once I got the findings and diagnosis that they want.

This is my first attempt in final MRCS and I Passed. I thought I did badly in some stations, but you never know what you get until the results are out.

I am very grateful to my family, my consultants and my fellow colleagues for all their support and help. I would also like to thank the editor of this website for providing useful resources for revision.