MBBS Ophthalmology

Final Examination
OSCE
Instructions:
Observe and read carefully
Answer relevantly and to the point

Total 10 questions (Full mark = 20)

Each OSCE = 2 marks; 2 minutes for each question
At the end of 20 minutes, 2 more minutes for revision
Question 1:
1. What is the probable
diagnosis of this patient
who presented with
pustular rashes over his
left forehead, left upper
eyelid and left side of
the nose? (0.5)
2. List two other
ophthalmic findings that
are likely to be present
in such patient. (0.75)
3. Name the topical
ophthalmic drug of
choice and it’s
concentration. (0.75)
Question 2:
A 3 years old boy presented
with sudden unset of LE)
diminution of vision, pain
and redness.
1. What is the abnormal
finding do you observe
in this clinical
photograph? (0.5)
2. What is the possible two
differential diagnosis?
(1)
3. What further
investigation do you like
to do for managing this
patient? (0.5)
Question 3:
This is an antiglaucoma
drug.
1. Which group does
this drug belongs
to?(0.5)
2. What is the
concentration of this
drug?(0.5)
3. Write two
contraindications of
this drug?(1)
Question 4 :
1. Name the instrument.
(0.5)
2. List its two ophthalmic
uses. (1)
3. Name surgical
procedure for
managing Congenital
Nasolacrimal Duct
Obstruction (CNLDO)
with epiphora. (0.5)
Question 5 :
1. What is the possible
diagnosis looking at
the cornea? (0.5)
2. Name two
microorganisms that
lead to such findings.
(1)
3. Name the dye that is
used to stain corneal
lesion. (0.5)
 1
Question 6 :
A 35 years old man
presented to Eye OPD with
the complaints of RE pain,
redness, discharge with
diminution of vision for 1
week.
1. What is the clinical
diagnosis? (0.5)
2. List the predisposing
factors for such
condition. (0.5)
3. List out two groups of
drugs used for managing
this disease. (1)
Question 7 :
1. Name the instrument.
(0.5)
2. What is the surgical
procedure where it is
used is called? (0.5)
3. how does it help with
the procedure?(1)
Question 8 :
A 20 years old male sustained
injury in his right eye while
playing football. He presented
to emergency department
with painful diminution of
vision.
1. What is the finding you see
on this clinical picture? (1)
2. What could be the possible
two complications in his
eye with this finding? (0.5)
3. What could be other two
causes for this finding
beside trauma? (0.5)
Question 9 :

1. Which group this drug

belongs to?(0.5)
2. What are the 2
conditions where you
can use this drug?(1)
3. What are the important
2 ocular side
effects(0.5)
Question 10 :
1. Which type of glaucoma
is commonly seen in
b myopics? (0.5)

a
2. Asthamatic patient is
diagnosed as a case of
glaucoma, which
antiglaucoma drug is safe
for him? (0.5)
c
3. Label the structures in the
photograph: (1)
• a
• b
• c
MBBS Ophthalmology
Final Examination
OSCE
Instructions:
Observe and read carefully
Answer relevantly and to the point

Total 10 questions (Full mark = 20)

Each OSCE = 2 marks; 2 minutes for each question
At the end of 20 minutes, 2 more minutes for revision
Question 1:
1. Name the clinical
finding. (O.5)
2. Name two common
causes for such
finding. (0.5)
3. Name two surgical
treatment modalities.
(1)
Question 2:
1. Name the instrument.
(0.5)
2. List two ophthalmic
procedures where it is
used. (1)
3. Name surgical
procedure for
managing Congenital
Nasolacrimal Duct
Obstruction (CNLDO)
with epiphora. (0.5)
Question 3:
A 50 years old man
presented to MOPD where he
was found to have
accelerated hypertension and
was asked to consult eye OPD
for ophthalmic evaluation.
This is his optic disc picture.
1. What is your diagnosis ?
(0.5)
2. Give two differential
diagnoses. (0.5)
3. List two other ophthalmic
findings that may be found
in hypertensive patient. (1)
4. What is the visual field
defect found in this case?
Question 4 :
A 2 years old boy was
brought to the hospital
for excessive watering,
enlarged eye balls and
photophobia.
1. What is the likely
diagnosis? (0.5)
2. Write two corneal
findings in this
patient. (1)
3. What is the definitive
treatment? (0.5)
Question 5 :
This is a photograph of a
topical ophthalmic drug.
1. Name the
pharmacological group
to which it belongs. (1)
2. List it’s two ocular
indications. (0.5)
3. List it’s two side-
effects. (0.5)
4. What is the duration
of action of this drug?
Question 6 :
This 50 years lady
presented with the history
of trauma to right side of
her face one year ago.
1. What type of ectropion
is seen on her right
lower eyelid? (0.5)
2. List out other types of
ectropion. (1)
3. What is the treatment of
choice for her problem?
(0.5)
Question 7 :
1. Name the instrument.
(0.5)
2. Mention the eyelids
(right / left; upper /
lower) where it can be
used. (0.5)
3. How does it help in the
surgery? (0.5)
4. List the potential
complications of it’s
use for prolonged
period of time. (0.5)
Question 8 :
1. What is the diagnosis?
(0.5)
2. Name one clinical
procedure to confirm
the diagnosis. (0.5)
3. Name two treatment
modalities for such
disorder. (1)
Question 9 :
This is a photograph of
Latanoprost Eye Drops
which is the preferred drug
for most Glaucoma.
1. Name the
pharmacological group
which it belongs to. (0.5)
2. What is the
concentration of this
drug?(0.5)
3. How many times a day is
it used for Glaucoma?
(0.5)
4. Write it’s 2 side effects.
(0.5)
Question 10 :
A 70 years gentleman
presented with the complaint
of BE) gradually progressive
painless diminution of vision.
1. What is the clinical
diagnosis? (0.5)
2. What are the two
complications can this
patient develop if left
untreated? (1)
3. Write 2 intra operative
complications if he
undergoes surgical
treatment for this
condition. (0.5)