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I appeared from
Muscat in Nov , 2009. & passed in first attempt. I am really thankful
to Chua website for my success. I also thank Prof Muthuswamy’s virtual
University for preparing me for the Problem solving paper.
Here is my experience in the exam.
Day 1-Problem solving paper
Q1- parents concerned about droopy lid LE of their 6m old kid. On
examination kid resists covering RE. you notice droop in BE . how will
you manage this case.
Q2 38 yr old female presemts with severe pain RE & you notice a small
ulcer near the limbus. The female is following treatment for
Rheumatoid arthritis. How will you manage the case.
Q3 72 year old
male presents with history of headache for few weeks and several
attacks of blurry vision since last week. His VA is 6/12 RE , 6/ 6
LEHe is having a history of recurrent chest infections. What is your
differential diagnosis? How wil you manage this case?
Day 2- viva
General medicine & neuroophthalmology
Examiner 1
-
Asked me
about causes of hypertension, how to treat & effect on eye,got stuck
on causes of renal artery stenosis.immediately told him that i
cannot recollect so as not to waste my time. he shifted to another
Q. effect of hypertension on EYE. difference Naion AIOn, management
field defects, sideeffects of steroids.
Examiner 2
-
Causes of
breathlesslessness.........he kept asking more causes. I gave him 10
causes, then he said stop thats enough i am confused.asked about
cardiogenic pulm edema, pulmonary embolism, CI of thromboembolism,
symptoms of MI, difference in presentation of bronchial asthma &
COPD. how will counsel a young patient of MI after recovery. how
will you treat old man with hypertension. got stuck on ... any other
benefecial effect of statin? effect of ACE inhibitor in cardiogenic
shock....he jumped with joy when i told him it decreases after load
which is very much required for decompensated heart.
Asked too many Q in 20 min
Ophthalmic surgery & pathology
Examiner1
-
Sutures &
needles esp focusing on vicryl, nylon spatulated needle, uses,
braided, non braided, mono/ multifilament.
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Hospital
sterilization- blunt sharp instruments, sutures , etc- how to
sterilize cryoprobe, tonometers, phaco handpiece, how do you wash
your hands before surgery.
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How to suture
lid margin injuries near to puncutum? How to manage shallow AC after
trabeculectomy. Indication of mitomycin in ophthalmology. How to do
Yag laser iridotomy.
Examiner 2
-
How to treat
Basal cell Ca, pathology/ Phaco parameters on my machine. How to
manage PC tear, nucleus drop. What is PCO? How to prevent it ? How
to do YAG capsulotomy, its complications. How to manage late onset
endophthalmitis. Types of IOL, which one to use in DR , Uveitis.
Which is second best?
Went well? All expected stuff.
Ophthalmic medicine
-
Examiner one-
rubeotic Glaucoma—causes treatment, how to manage Dretinopathy. How
to assesss medical control of Diabetes. Difference between
nonischaemic & ischemic CRVO, how to Manage.
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Examiner2-
how to treat throid ophthalmopathy, if patients vision is fine and
no movement restriction. Topo of with the rule astigmatism,
keratoconus.management. Field of superior quadrantanopia—causes .
management, fundus photo of BIH, management.
Again expected stuff…. I was lucky.
Day 3
-Clinical examination
Cases
1 Congenital ptosis—asked management, complications of ptosis surgery.
2 Thyroid ophthalmopathy- proptosis with muscle restriction- asked
management
3 Old BRVO -- management
4 Pseudophakos with PC tear, with NPDR- asked management
5 Filtering bleb with primary optic atrophy, with hard exudates at
macula--- could not tell diagnosis asked me causes of primary optic
atrophy.
Was ok……
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