2 Hi everyone Here are some instructions you should know :- The OSCE exam was nice and easy you just have to concentrate- You have 20 slides each has 2 questions on it and you have 2 mins for each slideThere is 2 mins rest after the 10th slide and at the end also, so you can complete your answersPlease make sure all the answers are correct from the book cause this is just our answersGood luck and la tensoona min da3watkom
3 1This was a bilateral finding in a young obese woman with 120/80 BP. CT scan imaging was negative.Q. What is the most likely diagnosis?A. Pseudotumor cerebri (some students said that we were asked for the finding not the diagnosis and therefore wrote papilledema).Q. How would you manage her?A. 1.Medical: weight reduction and carbonic-anhydrase inhibitors (e.g. acetazolamide)2.Surgical: CSF shunt.
4 A 2 year old child presented with this condition Q. What is this sign?A. Leucokoria in the right eye.Q. Mention 2 differential diagnoses.A. Congenital cataract, retinoblastoma.
5 A patient with a history of wearing contact lenses 3A patient with a history of wearing contact lensesQ. What is the diagnosis?A. Corneal ulcer.Q. How would you manage this patient?A. Remove the contact lenses and swab and culture and topical antibiotics.
6 4 Q. What is the diagnosis? A. Herpitic keratitis (dendritic ulcer) Q. What is the name of the stain that was used?A. Fluorescein dye.
7 A 60 year old patient with a history of blurred vision 5A 60 year old patient with a history of blurred visionQ. What is the diagnosis?A. Senile cataract.Q. Mention 2 postoperative complications for this condition.A. Endophthalmitis, hemorrhage.
8 A patient with a history of an operation done in the iris 6A patient with a history of an operation done in the irisQ. What is this procedure called?A. Peripheral iridotomy.Q. What is the indication of this procedure?.A. Acute closed angle glaucoma, narrow angle glaucoma.
9 A 25 year old patient with a history of sinusitis and fever 7A 25 year old patient with a history of sinusitis and feverQ. What is the diagnosis?A. Orbital cellulites in left eyeQ. Name three complications is this is left untreated ??Cerebral abscess , meningitis, cavernous sinus thromboses, permanent vision loss, optic neuritis
10 20 year old female with this coetaneous manifestation 820 year old female with this coetaneous manifestationQ. Name the diagnosis for this condition ??SLE causing butterfly rashQ. Name one ocular manifestation associated with this disease ??Retinopathy & Keratitis (make sure of the answer plz)lupus retinopathy consists of cotton–wool spots, perivascular hard exudates, retinal haemorrhages and vascular tortuosity
11 9 Pt complaining of redness and itch and foreign body sensation since one weekQ. What is the diagnosis ??Acute belphyritisQ. What is your management ??1) Lid hygiene.2) Antibiotic ointment.3) Hot compressors
12 2 year old child that has fever and pain 102 year old child that has fever and painQ. What’s your diagnosis ??A. Acute dacryocystitis in left eyeQ. What’s your management ??A. Systemic antibiotics & Stab incision (drain)
13 11Patient came to E.R complaining of pain and red eyes and gave history of trauma to the eye by his finger nailQ. what’s your diagnosis ??Corneal abrasionQ. what’s the complication mention one ??A. Corneal scarring
14 Patient came to the E.R with history of blunt trauma 12Patient came to the E.R with history of blunt traumaQ. what’s your diagnosis ??Hyphema (anterior chamber hemorrhage)Q. What is your management??Bed rest to prevent rebleedingtopical steroids & topical cycloplegicssystemic antifibrinolytic agents
15 13 Q. what’s your diagnosis ?? Sub-conjunctival hemorrhage in right eyeQ. Name 2 causes for this condition ??Trauma – bleeding disorder – old age – spontaneous
16 This is a 30 year old patient's visual field 14This is a 30 year old patient's visual fieldQ. what’s the name of this visual field ??Bitemporal hemianopainQ. Name one cause for this condition ??Optic chiasm defectfor example pituitary adenoma or meningioma
17 15 Q. Describe the kind of defect in the right picture ?? Tunnel visionQ. Name the condition that causes this field ??A. chronic open angle glaucoma
18 16Q. What is this sign ??We didn’t know the name of the sign but this is a vitreous hemorrhageBut I got this from a web site saying : Vitreous hemorrhage within the Berger space tends to settle and form a crescent-shaped pool overlying the hyaloideocapsular ligament.Q. Name three causes for this ??A. DM – HPT – age related macular degeneration (make sure of the answers plz)
19 17 Q. Name the sign in this picture ?? Cupping of the optic disk (increase disk to cup ratio)Q. What is the cause of this condition and mention the visual field defect??A. Chronic open angle Glaucoma – peripheral field visual loass + arcaute scotoma
20 2 years old boy with this defect since birth 182 years old boy with this defect since birthQ. What is you diagnosis ??Congenital ptosis in right eyeQ. Name one complication if left untreated ??A. Amblyopia
21 6 moths year old boy with this defect since birth 196 moths year old boy with this defect since birthQ. What’s your diagnosis ??Congenital capillary hemangioma in upper left lidQ. what’s your management ??A. Intralesional steroid injection
22 20 Q. Identify structure 2 ?? Optic chiasm Q. Identify structure 6 ?? A. Left visual cortex