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My name
is DR ChinmayNakhwa. I have cleared the FRCS part 2 exam held in march
2014. I am sending you the questions which can be posted to your
website.
1. A 40 year oldasthamatic is referred to you by his primary care
physician for having a hemorrhage at his disc margin. RE IOP is 13 mm
Hg and LE IOP 19 mm Hg. He is hypertensive and diabetic.
What are the specific pints in history that you would ask the
patient?
What findings and observations would you elicit and note in this
patient?
What would be your treatment in this patient , if required?
Same patient presents to you 6 months later with further deterioration
in the left eye visual fields. IOP RE 13 mm hg, LE 16 mm Hg.
What would be your management?
2. A 43 year old woman is referred to you for Right eye staring look
by her primary care physician. As she walks inside your room you note
that she has vitiligo.
What are the signs that can present with a staring look?
What specific points in history would you ask the patient?
How would you evaluate and investigate the patient?
Same patient presnts to you with complaints of difficulty in
swallowing , 6 months later
How would you investigate and manage the patient?
3. A 78 year old diabetic lady underwent RE phaco+ IOL. After 4 weeks
the vision in the right eye cannot be improved beyond 6/12 with
refraction.
What is your differential diagnosis?
How would you investigate and manage the patient?
What precautions would you take before doing left eye cataract
surgery?
4. A 65 year old lady posted for phacoemulsification, for posterior
subcapsular cataract. ECG reveals ST elevation consistent with
myocardial infarction of unspecified duration. She is diabetic and
hypertensive. Pulse 87/min, BP 150/90 mm hg.
How will you investigate and manage this patient?
Same patient presents to your OPD six months later. You are called to
see her as she has collapsed in the waiting area and become
unresponsive.
How will you manage ?
Regards
Dr. ChinmayNakhwa
M. S . FMRF
Vitreo-Retina Consultant
Aravind eye hospital and Post Graduate Teaching Institute
Pondicherry
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