الرحيم الرحمن الله بسم

• This is the exam of the second batch of the year 2006

• The exam was somewhat easy ;)

• Kanski is a real waste of time.

• If u walk through ALL what I wrote in “read me file” I can guaranty that u will have no problem in answering 80-90% of the questions.

Q1

• This young guy came to the ER with a hx of trauma by a fist, what is ur dx?

• 4th nerve paralysis in the R.eye

• 4th nerve paralysis in the L.eye

• Blow out fracture in the R.eye

• 3rd nerve palsy in the R.eye The same exact pic.

Q2

• A worker came to the ER with this eye, the most likely dx is?

• Cataract• Foreign body• Nevus• Blod clut

The magical word “workerworker”The same exact pic.

Q3

• This condition is most likely associated with?

• DM• HTN• Marfan • SLE

The same exact pic.

Q4

• According to this condition, which is correct?

• This lesion is in the bulbar conj.

• Rx is AB• Caused by staph.aures• Redness, pain, photophobia

are ass. Symp.

It was this exact pic. It was taken from KANSKI p.22 but the quality of the pic in the exam was so bad that most of us had a problem in answering this Q, hopefully this wont happen 2 u

BTW this is a gaint papilae (VKC)

Q5

• According 2 this condition, what is the right answer?

• This is a geographic ulcer• Rx is AB• It could be recurrent • U need 2 patch the eye

Some students picked the first choice which is wrong, cuz geographic ulcer although it has the same appearance but it’s much bigger

This is a good pic and the pic we had in the exam was even BETTER

Q6

• After this surgery, the ptn. will be?

• Aphakia• Psudophakia• Eiophakia• Myope

Not the same pic but a very close one

Q7

• According 2 this condition, all true EXCEPT :

• The light reflex is central• The L. eye is deviated

inward • He has a prominent canthal

fold• He will be okay when he

grows up

Not the same pic but a very close one

This is a psuedostrabismus, so the light reflex is always central and there is no deviation in the eyes as in the true strabismus

Q8

• This child has?

• Esophoria• Accommodative esotropia• Cover un cover test will be

normal• Non commitant esotropia

The same exact pic.

Q9

• This ptn is?

• Apkaia • Myope• Spherophakia• Psuedophakia

They gave us a pic of an old man wearing a huge glasses (a really thick one) I didn’t find it in KANKSKI or in the other exams, I even searched in the internet but I couldn’t find any thing sorry

Q10

• According 2 this condition?

• This is a non-proliferative DRP

• This is central retinal artery occlusion

• This is central retinal vein occlusion

• Refer 2 ophthalmologist immediately

This is a clear proliferative DRP.

Mind the new vascularisation

Q11

• All true EXCEPT

• This is a rhegmatogenous retinal detachment

• Can be caused by a trauma • U don’t have 2 treat because

the macula is intact

• Ass. with lattice degeneration

The same exact pic.

Q12

• This is?

• Central retinal artery occlusion

• Central retinal vein occlusion• Branch retinal artery

occlusion• NPDRP

The same exact pic. Or a very close one

Q13

• According 2 this condition, all true EXCEPT

• This is an anterior uveitis• Ass. with post. synechiae• IOP is normal all the time• Rx is steroid

The same exact pic.

Q14

• This condition is commonly associated with

• DM • HTN

If u see a Bilateral optic disc swelling, it is a papilodema oo ent m3’ame9’

•RA

•SLE

Q15

• This ptn is a 50 ys old in a regular check up, u have to examine all ex:

•Refraction.

•gonioscopy.

•tonometry.

•flurocene angiogram

The same exact pic.

Surely u can appreciate the optic disc cupping which indicate glucoma

Q16

• According 2 this condition, all true EXCEPT

• This is a cataract• Rx is surgery• Red reflex will be absent or

dark• IOP will be normal even

without Rx

The same exact pic. Or a very close one

Q17

• According 2 this condition, all true EXCEPT

• Ass. with itching• Rx by cold compresses • Rx is AB• … I can’t recall it

• It is very clear cuz we always use WARM compresses

The same exact pic.

Q18

• According 2 this condition, all true EXCEPT

• He is having esotropia in the right eye

• Can be corrected by glasses• Surgery can be done after

amblyopis is corrected• Usually associated with

myopia

The same exact pic.

Esotropia is usually ass with hypermetropia

Q19

• This drug is?

• Muscrinic agonist• Muscrinic blocker• Nicotinic agonist• Nicotinic blocker• Non of the above

They put an atropineatropine eye drops on the table.

The name of the drug was written on the back of the pack

والله دعائكم صالح من تنسونا وال...يوفقكم

~¤< MSK >¤~