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I am dr.kavitha.i have cleared my FRCS -3 in first shot in delhi.
I would like to share my experience which may be of some use to other
candidates.i would like to thank my son and my mother for their
cooperation.i am dedicating this to them.i would like to thank my
teachers DR.SRINIVAS K RAO, DR.P.J.RAMANA KUMAR, DR.KAUSHIK.
EMERGENCY MEDICINE:
26 yrs female, raised ict, papilledema, BMI-31.
-diagnosis- benign intracranial hypertension
-what to do
-history-obese, steroid, ocp,vit-a.
-how to diagnose- dande’s criteria
-treatment
-surgery for obesity
Manifestation of TB in eye in detail
-investigations for TB
-risk factors for TB
-CSF analysis in TB
-complications of treatment of TB
-neuro imaging finding in TB
Immunosuppressives
-classification
Old man with chest pain on exertion
-diagnosis-angina
-types of angina
-EGG finding of angina
DD for granulomatous inflammation
-causes of decreased vn in TB.
GENERAL MEDICINE & NEUROLOGY:
Picture with one large and one small pupil
-diagnosis
-anisocoria in dark-DD
-anisocoria in light-DD
-how to look for wormiform movement
-how to diagnose horner’s-pharmacology
-features of horner
-why emergency
3rd nerve palsy
-what will you do
-history-trauma,dm ,ht, headache
-why reference to neurologist
4th nerve palsy
-imaging
-etiology-congenital, acquired
64 yrs lady with diplopia
-diag -Myasthenia gravis:
-how to diagnose
-ice pack test details
-fatiquability test details
-cogan lid twitch sign
-edrophonium test elaborately
-treatment of myasthenia
Rheumatoid arthritis and eye
What will you do
OPHTHALMIC SURGERY
DR.MANTRY
4 days post cat sx, pain, defective vision, hypopyon.
-diagnosis
-causes of decreased vision following cat sx
-treatment
-how to do vit tap
-antibiotic choices
-what to do if not better with 1st tap
Optic nerve glioma picture
-what is the diagnosis
-presentationog optic nerve glioma
-NF features
-treatment
Limbal dermoid
-elevated or not
-surface irregularity is due to what
Congenital 4th nerve palsy in adult
-why now
-investigation
-treatment-prism
DR.BATTACHARIYA
Complications of trab
-lowiop with shallow AC
-highiop with shallow AC
-malignant glaucoma- mechanism & treatment, atropine why
Treatment in phakic patient
-causes of post trabhyphema, treatment
-DD for hemocornea
How to do surgical PI
-with what instrument
-difference between vannas and de wecker’s
-systemiciop lowering agents
-mechanism of CAI
Bleb failure
-causes, treatment
Antimetabolites during trab
Surgical modulation of trab
OPHTHALMIC MEDICINE
DR.BHATRA
Describe photo of herpetic dendritic ulcer
-why dendritic
-treatment
-how to isolate virus
-treatment for epithelial keratitis &disciform keratitis
-
Arcuate field defect
-how to say its reliable
-HFA is static or kinetic
-differencebtn kinetic and static
-how to check fixation loss
-strategies in HFA-sita standard and fast
-how the sita tests points
-sita fast-when , standard –when
-1 st test-field defect present, in next visit defect is not
there- interpret
Papilledema
-describe the photo
-causes of PE
-DD
-field defect
Malignant hypertension
-what will you do-send to physycian
-what to tell to physician
DR.GUPTA
Acetazolamide
-mechanism
-adverse effect
-drug interaction in eye-steven Johnson syn
-treatment of stven Johnson-AMG, MMG
Myasthenia gravis
-DD
-treatment
-how to diagnose
4th nerve palsy
-history
-investigations
-treatment-occlusion,prism, Sx.
Paurinaud syn
-features
CLINICALS:
NEURO OPHTHAL & SQUINT
1.OS-type 1 Duane
-do EOM
-how do you say
-treatment
-what will be the vision
2.complete 3rd nerve palsy involving pupil
-do EOM and PUPIL EXAM
-everything about 3 rd nerve-course, lesions, fibre arrangement
-history
3.high myopia with nystagmus
-examine the pt
-thick myopic glass and nystagmusexami revealed congenital nys.
-I said I would like to have a look at retina for myopic fundus.
-what will be the vision of the pt- I said 6/60.
OCULOPLASTY
1.Cicatricial medial lower lid ectropion.
-observe the pt
-diagnosis
-medicalTx
-Sx-partial thickness skin graft
-sites of skin graft
-disadvantages of partial skin graft
-other types of ectropion
2.bilateral ptosis in 65 year old man
-types of ptosis
-all about ptosis-mechanism, etio
-systemic examination importance- heart dis in CPEO
-all about myasthenia
-ptosis surgery-sling materials
-how to harvest fascia lata
-ptosis measurements and its relevance
-other findings to look for
ANTERIOR SEGMENT
1. PSEUDOPHAKIC BULLOUS KERATOPATHY with mole in upper lid
-Tx-medical and surgical
-what to do with the mole-observe
-when to intervene in that mole
2. adherent leucoma with cor thinning in the central cor(pupil
area covered with scar0
-I asked problem since when- examiner said since birth
-etio
-Tx- I said I would like to refract the patient to rule out
amblyopia.then will decide about PKP
3.Marfan with b/l lens subluxation
-Tx
-refraction first, them will evaluate for 369 degzonule
POSTERIOR SEGMENT
1.Gross vascular sheathing with macular involvement-old CRVO
-investigations
-eyeinvesti-FFA.OCT
- Tx
2.high myopic fundus with myopic CNVM
-diagnosis
-other fundus finding
-pt wants to remove glasses-refractive surgery.
-other available options-ICL,
-ifpt power is -32D- clear lens extraction
-will you prefer this option to yourself- I said definitely
not-he just smiled at me
3.Bilateral dot and blot haemorrhage with macular edema
-diagnosis
-investigations
-eye investigations
-treatment-PRP+ GRID. But grid first
-anyother Tx- anti VEGF
4.RP
-have a quick look at the fundus and tell the diagnosis
ALL THE BEST . |