Invictus

Sem7

MTF (10)
1. Visual field and its causes

bitemporal hemianopia -> pituitary adenoma

central scotoma -> optic neuritis

enlarged blind spot -> pappiloedema

right homonymous inferior quadrantanopia -> left frontal lobe infarct

tunnel vision -> advanced glaucoma

2.Ahmed Abdulmajeed M Alharthi

3. Regarding chemical injury to the eye

A More common in male

B Acid causes more severe ocular injury than alkali

C Tap water is contraindicated for irrigation

D Copious eye irrigation is started immediately

E Corneal opacity is a complication

4. Preseptal cellulitis

A. an infection of subcutaneous tissue anterior to orbital septum

B. typically in child

C. present with conjunctival chemosis

 D. cause mechanical ptosis

E. treated with topical antibiotic

5. Features of glaucomatous optic nerve include

A Blurred disc margin

B Increase optic disc ratio

C Notching

D Optic disc pallor

E Thinning of neuroretinal rim

6. Regarding ECCE

A It is a small incision surgery

B It is performed in hypermature cataract

C It requires suturing of the limbal wound

D Wound healing is faster than phacoemulsification surgery

E It results in high postoperative astigmatism

7. Ocular manifestations of HIV/AIDs includes

A Cytomegalovirus retinitis

B Kaposi sarcoma

C Molluscum contagiosum

D Orbital cellulitis

E Viral keratitis

8. Tertulis mtf orl, maaf

9.

10.Judith Clare Stanley

SBA (10)
1.Lohe Mithren A/L Vasanthan

2.Maisarah Binti Mohamed Khan

3.Muhammad Aizat Bin Nooruddin

4. 14 year old boy right eye poor vision, presence of floaters, history of recent fights punched to
the right eye. Anterior segment eye normal, red reflex absent. Probable diagnosis?
A lens dislocate to vitreous

B traumatic optic neuropathy

C vitreous hemorrhage

5. 25 years old, painful blurring of right eye for 2 days, purulent discharge and is a contact lens
wearer. Ocular examination of right eye shows injected conjunctiva, central corneal opacity,
hypopyon in anterior chamber with clear vitreous. Left eye was normal.
Most likely diagnosis? Gudluck ;)

A. Corneal abrasion

B. Corneal ulcer

C. Endophthalmitis

6. A 9 years old boy referred to screening team due to poor vision in the Left eye. Corrected
Visual Acquity on left eye was 6/60 (with pinhole 6/36) and 6/6 on the right eye. Refraction was
normal. No abnormality on anterior segment and fundus examination. Constant left exotropia
was noticed. Extraoccular motility was normal bilaterally.

What type of the poor vision does the child experienced ?

A. Amblyopia

B. Anisotropia

C. Astigmatism

7. An 8 years old boy, presented with recurrent bilateral eye redness for 3 months. It was
associated with itchiness and mucoid discharge. There were no symptoms of upper respiratory
tract infection. He has a history of allergic rhinitis.
Examination showed bilateral conjunctival injection and chemosis with presence of papillae.
Other ocular examinations were unremarkable. Preauricular lymph nodes were not palpable.
Which of the following is the most likely diagnosis?

A Adenoviral conjunctivitis

B Allergic conjunctivitis

C Bacterial conjunctivitis

8.Nor Kholimi Choo Bin Nor Khalid

9. 25 years old man allegedly fell into drain with left sided on his face hitting drain edge,
presented to ED 2 days later with binocular diplopia and dizziness. No loss of consciousness.
Visual acuity both eyes 6/6
Left eyes- minimal periorbital hematoma
Ocular movement limited on elevation
Conjunctival white
Anterior chamber and fundus normal both eyes
What is the diagnosis?

A. Blow out fracture

B. Intracranial hemorrhage

C. Retro orbital hematoma

10. A 64 years old woman presented with redness and swelling of left eye for the past 10 days.
It was associated with eye pain, blurring of vision, and eye discharge. The symptoms were
progressively worsening. She had poorly controlled diabetes.
VA: RE 6/12 (pinhole 6/7.5) , LE 6/60 (not improved with pinhole).
Proptosis on left eye with extensive conjunctival chemosis.
EOM is limited in all gazes in the left eye.
RAPD +ve in left eye.
What is the most likely diagnosis?

A. Bacterial conjuctivitis
 B. Orbital cellulitis

C. Preseptal cellulitis

OSCE () - Dont know how many station

Station 3

(tak jumpa similar photos kat google, tapi dia ada vitreous prolapse and upper eyelid laceration)
1. an 18 year old girl was brought to ED after a car accident.
a. List 4 abnormalities
b. State 1 important investigation and give reason
c. 4 immediate treatment

2. a 2 year old boy presented with white reflex of right eye. There is no history of trauma
a. List 3 abnormalities on exhibit a and b
b. List 3 important history
c. What are the important investigation
3. .
4. .
5. (a) A 60 years old woman with history of diabetes mellitus came due to painless,
progressive blurring of vision. Below is the finding of the funduscopy of the right eye. The
left eye shows similar finding.
 A. State 3 abnormalities of found
B. What is the diagnosis
C. What is the cause of the blurring of vision
D. What is the management

(b) A 28 years old man presented with a painful left eye associated with sudden onset of
blurring of vision.

A. State 2 abnormalities (2 marks)

B. Provisional diagnosis
C. Investigation (4 marks)
D. 2 immediate treatment