Saturday, January 8, 2011

optal..

Posted by azim On Saturday, January 08, 2011 63 comments

Assalamu’alaikum
Hanya post ringkas
Sempena peperiksaan end round
Beberapa perkara berkenaan dengan tentang ophthalmology

10 marks for slide
10 marks for elicit signs
20 marks for oral
Total marks for end round exam 40 marks
Final exam 160 marks
Total marks for ophthalmology 200 marks

Group 12
-10hb Januari

Group 14
-13hb Januari

Flow of the event during examination day;
1)Slide

Venue :Journal Club(mudarrag gam'iah
Time : 8 a.m

p/s : 10 slides each slides 2 questions.

2)Eliciting signs

Venue :Department 12
Time :after slide examination

p/s : Every student will examined by one doctor but there are 4 stations to save the time.The question is

depending on the the doctor regarding no of question etc...
3)Oral

Venue :Department 12
Time :after eliciting signs examination

p/s :All of the topics are included..

(quote from group 12 coordinator, haslina’s)

m/g---mungkin ada perkarayang tak sama untuk group 14..akan dimaklumkan kemudian

sedikit peringatan kepada shbt2
1-minta shbt2 dtg awl pd hari exam (paling lewat 7.30pg)
2-jgn lupa bawa kerneh
3-etika pemakaian
---umum.
>pakai labcoat n kasut
---ikhwah
>pakai kemeja n seluar slack (nk exam oral n jumpa patient)
4-baca doa n surah al-mulk

Selamat menunaikan hak sebagai pelajar
Bittaufiq wannajah
Wassalam

-Ketua Batch Gen 07 10/11










63 comments:

Oral Question

(Eyelid)
Entropion and its type ( at what part? -conjunctival), Complications, treatment

(Conjunctiva)
-MPC (Causative organism, clinical picture, treatment)
-Ophthalmia neonatorum


(Lens)
Congenital cataract (rubella)

(retina )
neovascularization (VEGF)

Soalan slides soalan itu jgk utk oral. Tapi dr tanya detail.
-CRVO
-hypermetrope
-Management for DR
-1ry and 2ry angle of deviation
-Types of optic atrophy
Elicit sign: ant chamber depth and regurge test

Oral:
-DD acute red eye
(compare acute glaucoma n iridocyclitis, mainly pupil)
-Spring catarrh
-Intumescent cataract
-Blepharitis: Types, organism cause Angular Blepharoconjunctivitis
-Diabetic retinopathy, Types.

Elicit sign: ocular motility, cornea

oral
binocular diplopia and monocular diplopia
dendritic ulcer
fundus picture of CRAO plus ttt and DD of cherry red spot
tretament of corneal ulcer
difference of ciliary and conjuctival injection
dose2 dan timing ubat pun kena ingat
purulent conjuctivitis

elicit sign
cek cornea plus diagnose penyakit apa dia ada + munson sign

cek lens plus diagnose= kena bg tau dia ada mature/immature cataract tak kat doctor tuh

cek ocular motility

slide:

bnyakkan tgk gambar dalam dept cd plus study common slides in end round exam.. Insya Allah kheir..

bittaufik wannajah..

Oral:
Ptosis
-Definition and causes
-Treatment esp. 3rd nerve palsy(Frontalis suspension:why?)
Optic atrophy
-Types&examples
-Retinitis Pigmentosa(Defintion&Ophthalmoscopy)
Paralytic Squint
-Diagnosis
2ry Glaucoma
-Lens induced(Both:Open&Close)

Elicit sign:
Diagnose:Mature cataract
Visual acuity test
Sunken globe
Dermatochalasis
Ocular Motility

penting juga utk sebolehnya dptkan markah yg tinggi utk slide.good impression doktor bila tgok markah kita.nk katanya,slide sgt pnting sbb terkesan utk oral kita selepas tu.bykkn ulgkaji slide jg k.all da best!

oral:
ptosis:causes,treatment

eye trauma:retina,lens

corneal ulcer

elicit:

cornel reflex,ocular motility,

diagnose pon kene jugak!-hypermature cataract-

Elicit sign
-pupillary light reflex
-regurge test
-test utk lagopthalmos
-ocular motility

Oral
-spring catarr-def,type,treatment
-optic atrophy
-dendritic ulcer
-astigmatism

Elicit sign:

1. Regurge test
- why we do medially, upward and backward?

2. Orbicularis oculis muscle function?

* oral je, sbb patient dah penat kot


[ORAL]

[Conjunctiva]
1. What is Spring Catarrhal?
2. What is the main symptoms of this disease? - ITCHING and others
3. How to diagnose it?
4. Treatment?

[Cornea]
1. Case- [a person always changes his eyeglasses. What is your impression?]- Keratoconus
2. What is keratoconus?
3. Signs and symptoms?
4. Management?

[Retina]
1. What is the stages of diabetic retinopathy and characters for each stage?
2. Treatment for neovascularization? -PRP laser
3. What other types of laser and its uses?

* Do you know what is commotio retinae?
* Why there is cherry red spots?

itu je, All the best sume!
be well prepared, insyaAllah tak susah :D

Ein:

ptosis-def,types,treatment

keratoconus: sign & symptoms.treatment

Retinal detchment: types,cause

myopic degeneration fundus picture

squint:abducent nerve palsy.sign.

saya dapat patient cataract dengan aphakia.regurge test n orbucularis muscle test

slide yang korang bese nampak insyaallah..

oral :

1.spring catarrh (CP paling penting~itching)
2.retinitis pigmentosa
3.acute congestive glaucoma
4.intumescent cataract
5.leucocoria

*baca secara mendalam, doc muhammad shalash mmg tanya semua benda ttg topic2 di atas. eg; kalau ada 5 DD of leucocoria, kena sebutkan semua.selagi tak lengkap kelima-lima, takkan move to the next question.

elicit sign :

1.diagnose right eye ~immature catarct..at first, mcm x confirm..alhamdulillah, patient & dr(HO) tolong bg jawapan waktu dr yg suruh diagnose g sembang dgn dr laen :)
-why did u say it is immature cataract? ~bcoz there is still black colour, not totally white&opaque
-what is that balck colour? ~iris shadow
2.diagnose left eye (post IOL~patient dah bgtau yg dia wat operation utk remove catarat 3 years ago)
3.light reflex
-the iris is reactive or not? ~no
-why? ~bcoz of the midriatic given to the patient
4.lagophthalmus
5.munson's sign
6.ocular motility
7.levator function test
8.lens: pandai2 fikir, memandagkn patient ada immature cataract, so, buat counting test.

Oral

[Eyelid]
Different between cyst and chalazion
Management (incision vertical/horizontal why?)

[Conjunctiva]
spring catarrh treatment

[Cornea]
Complication of corneal ulcer
Different keratectasia and staphyloma

[lens]
cataract (classification)

[glaucoma]
classification
POAG (visual field)

[uvea]
where do we find rubeosis iridis

[retina]
CRVO
diabetic retinopathy (stages (type of exudate), ophtalmoscopy)

SE corticosteroid
type of squint
abducent nerve paralysis

Sign

ocular motility (bila down gaze, make sure angkat lid dia)
check the lens~ immature cataract
irreactive pupil light reflex ~myadratic
lagophtalmos
munson sign
regurge test

Causes of ptosis - and then the most common cause (congenital)
Chalazion - Definition and complications
Diabetic Retinopathy - Stages, Characters for each stage, Treatment, Ocular Manifestations
Trachoma - Complications, Treatment
Acute Congestive Glaucoma - Treatment
Herpetic Ulcer - Character & Treatment
Concomitant Strabismus
Complicated Cataract - Causes


[Elicit Sign]

Tak kena buat doc juz suh terang pdhal patient kat sblah huhu

1. Regurge Test
2. Orbicularis Muscle Test

This comment has been removed by the author.

-ocular motility
-corneal light reflex
-regurge test
-check lens, diagnose mature cataract

ORAL:

[ocular trauma]
-complication of lens trauma (Doc akan puas hati sampai kita sebut contussion cataract]
-complication of retinal trauma

[retina]
-ttt of retinal edema

[uvea]
-symptoms of iridocyclitis (doc nak dgr kita sebut synechiae dan KPs)
-ttt of synechiae

[cornea]
-ttt of corneal ulcer

(misc)
-dd of rubeosis iridis

Elicit sign

Ocular motility (binocular)
Muscle balance
+ soalan berapa arah nak kena cek

Oral

Ptosis - Def, aetiology, ttt
Corneal ulcer - Diagnosis, ttt
Lense induced glaucoma
Latent squint - def, aetiology, ttt
Blunt trauma on retina

ps : Doc2 tu tanya dengan detail. Kena hadam habis2.

cth;
-Dose untuk ttt

-Kalau nak buat culture bacteria guna culture apa, virus culture apa.

-Kenapa cornea nampak bulat je, tapi horizontal n vertical diameter dia tak sama? ( doc kata macam ada kaitan dengan sclera, macam overlapping ke apa tak sure. Huhu. Tak dapat nak fahamkan sangat apa yang doc explain, sorry)

-Latent squint tu dia boleh di treat dengan exercisekan mata. Macam mana cara dia? (Pakaikan prism)

Apa2 hal, boleh tanya personally. Lama oral tadi,agak banyak la soalan (banyak jugak tak berjawab=))

All the best! Rabbuna yusahhil

salam...

eliciting sign
levator function test.(satu soalan jer)

Oral
1)Lens induced glaucoma
-phacolytic,phaconaphylactic,phacomorphic.explain each one.
2)Herpes simplex
Dendritic ulcer and treatment(acyclocir,vidarabine,Triflourothymidine,idoxuridine)
3)Ocular manifestation of diabetes
-explain each site.eye lid inwards
4)Type of diabetic retinopathy
explain each type
5)Rubeosis Iridis

p/s Bitaufiq wannanajah."Ingatlah dengan mengingati Allah hati akan menjadi tenteram."(13:28)

oral

(conjunctiva)
-angular conjunctivitis.
what is the causative agent?morax axenfeld diplobacilli.
what is the type of discharge? foamy discharge.
-which part of the eye does the organism affect? why? the inner and outer canthi due to deficiency of tear lysozyme in this area.
-ttt? zinc containing eye drops.

(cornea)
-what is corneal ulcer? is a loss of corneal ephithelium and superficial layers of stroma.
-complications? anterior uveitis and perforation.
-how to treat corneal ulcer?patching, bandage contact lens, cycloplegics,corneal grafting.
- what is hypopyon ulcer?
what is the typical organism cause hypopyon ulcer?Pneumococci.
-keratoconus.definition? a progrssive central stromal thinning leading to ectesia and apical protusion.
-management?spectacles,rigid CL, intrastromal corneal ring (intacts), lamellar KP, PKP.

(glaucoma)
-what is lens induced glaucoma? phacolytic glauc. and phako-anaphylactic glauc.

-what is another 'phako'...? aha, phakomorphic glauc in intumescent cataract and phacolytic glauc. in hypermature catarct.

(Optic atrophy)
-types? primary, secondary, consecutive and glaucomatous optic atrophy.
- secondary OA is due to..? post papilledemic OA and post neuritic OA
-consecutive OA is due to...? CRAO, retinitis pigmentosa and chorioretinal degeneration.

elicit signs:
-cover uncover test
-levator function test
-pupillary light reflex

kawan2, all the best..

Salam...

elicit sign:
check cornea- ada pannus kat periphery + keratoconus
check lens- immature cataract
motility test

oral:
1)chalazion
definition,ttt,kenapa vertical incision,kenapa horizontal incision

2)stye
definition,ttt,apa beza dgn chalazion

3)blepharitis- types

4)angular blepharitis- in detail

5)corticosteroid-affection to eye; glaucoma,DM etc

6)1ry Open angle glaucoma - in detail, def,cause etc

7)iridocyclitis- complications, CP,ttt (mydriatics pntg!! )

8)DD of hyperemic disc

Good luck group 14!!
prepare elok2 yer :D
actually tadi a little bit shock sbb kena cek cornea n lens semua sbb ingatkan takyah,mayb tak hbs tanya pasal briefing xam hari tu...nway,
jgn ambik ringan walaupun oral ni,DR tanya detail n bukan semua org dapat topik yg famous jer so tekankan semua kay!! Byk masa lg tu untuk ulang n hadam ^-^

Oral Exam
1. Ptosis (types, causes, treatment, grading)
2. Optic atrophy (types and examples)
3. Paralytic squint (characteristics)
4. Diabetic retinopathy (types, treatment)
5. Dendritic Ulcer (characteristics, other forms, treatment)

-elicit sign-
1) levator function
2) orbicularis oculi

explain je, tak payah buat kat patient.

-oral-
Dr sangat2 perhatikan dan baca semula jawapan slide.yang saya perasan, soalan-soalan yang saya confuse kat slide, soalan tu yang Dr tanya.
soalan-soalan yang saya confident, takde satu pon Dr tanya.

1) acute congestive glaucoma
-sign,symptom, ttt
(kaji betul2 sign n symptom)

2) how lens can cause 2ndary glaucoma.

3)dendritic ulcer.(cerita je pape)

Dr saya tak tolong langsung. kalau blur,maka memang senyap jerla kat situ.

-papepon, jangan panik dan confident-

-keratoconus:complaint,management
-dendritic ulcer: treatment, kenapa kene letak double staining (fluorescein&rose bengal)
-diabetic retinopathy
-DD of red eye (esp bandingkan acute congestive glaucoma n iridocyclitis)
-lens inducing 2ry glaucoma
-optic nerve atrophy
-collagen cross-linking (soalan ni menarik sebab doktor tanya sesuatu luar buku, nk tengok kita tahu tak latest advanced technology ttg treatment)

betullah mcm milah ckp, doktor tanya based on jawapan slide kita. so keluar je dari dewanlps slides tu, sila selak buku cepat2 n baca pasal slides yg berkaitan. doktor tanya pusing2 situ je iA :)

oh lupa ade gak kene tanya pasal spring catarrh n efek kpd cornea.

eliciting sign: EOM binocular

ayu gune id milah XD

aduhh tekang la baca komen2 kt post nih...

ophthal ophthal~

all the best semua! syukran yg sudi berkongsi

=)

slm alaik..

elicit sign..
- doc suh tgk cornea..any test n comment on cornea..
- n lens..
- then wat ocular motility..

doctor macam2 cara..
ada yg tlg translatekan kate2 kite to arabic ke patient..
ada doctor yg tgk je kite buat..
ada jugak doc yg suh wat test tue kat dye je...
iA..doc ok2 je...~

untuk oral...
dapat soalan macam chep...
kteorg punya doc..
doc wat 2 set soalan..set A n set B..
kirenya ada kmgkinan akan dapat je soalan same on dat day..

tp..ada doc yg lain tnya soalan ikut slide hari tue..

ad jugak doc yang tnya soalan yg terlintas kat fikiran diaorg kut...

pastu..ada juga yang kena oral dgn dua org doc..

ala kulli hal..
hidup nie mmg berisiko kan...
just do our work...
usaha n grab da ilmu..

natijah nye yg terbaik di sisi Allah..
moga terbaik juga di sisi kita..~

good luck..~
[knape rase mcm berbelit2 je ayat...moga difahami..~]

assalamualaikum wbt.

(elicit sign)
lagopthalmos - tanya nerve, muscle, part of muscle and fx sekali.

(oral)

cornea
-dendritic ulcer

lens
-lens induced cataract (2ry glaucoma)

retina
-CRVO (complications)
-Rubeosis iridis (treatment)

optic nerve
-type optic atrophy
-diff between papilledema and papillitis clinically

buat yg terbaik utk khamis ni :)

elicit sign:-

1)levator func.test
2)orbicularis oculi

oral:-

1)angular conjunctivitis
2)spring catarrh
3)corneal ulcer
4)def. & type of pannus
5)types of cataract n details
6)chalazion
7)optic atrophy(types n details)
8)myopia

almost semua soalan dr nak details(from def. to ttt).IAllah,kheir.Rabbuna Yusahhil...

Ulya Ali

soalan viva:

Lens sublaxation, causes,
Trauma to lens causes ape lagi? (cataract, dislocation etc.)

intumescent lens? what are its effects on eyes
the surgery?

acute congestive glaucoma, signs and symptoms, treatment (medication & surgery)

Bacterial ulcer complains of patient, diagnosis (stains), treatment,
dendritic ulcer causative agent, treatment.

Diabetic retinopathy signs and symptoms, stages (describe fundus pic also), diagnosis, treatment

yang ni sahaja yang dapat ingat

elicit signs:

check lens both eyes, ape diagnosis, satu mata ade cataract, check mature / immature
check pupil both eyes (light swinging test) reactive or not?
check ocular movement (sebut muscle working)
check levator function (sebut muscle y kte diminish)
how to measure ptosis?

ok itu sahaja, moga bermanfaat

Ulya Ali

soalan viva ade tanye

CRVO fundus pic, treatment, cause

papilledema

Oral Q

-Angular conjunctivitis
-Pannus (definition,DD of pannus)
-Hypermetropia (definition, types)
-Acute Congestive Glaucoma (ttt)
-Hypopyon Ulcer
-DD of Rubeosis Iridis
-Congenital Cataract
-Diabetic Retinopathy classifications
-Types of cataract
-types of complicated cataract in DM
-Ophtalmia neonatrum

Dr bagi kita cerita je ape yg kita tahu, n jawapan2 kita akan lead kpd soalan2 yg berikutnya

slides sgt2 pntng sbb jwpn slides kita bg 1st impression kt Dr ttg kita

elicit sign :
corneal exam (light, sensation, opacities)
ocular motility
keratoconus (munson)

oral :
keratoconus --> define, ttt, difference of ttt during mild n severe (pasal ape rigid contact lens x berkesan dh time late stage n gune ttt ape time tu)

spring catarhh --> def, causes(exo antigen), ttt, then dr tny penyakit ape yg terjadi kalo disebabkn endogenous antigen n dari mane antigen ni dtg

esotropic squint, unilateral, adult type --> dr lukis then tny "amende ni?", ttt glass then surgery, kalo amblyopic nk wat camne, occlude bape lame....

elicit sign;
1-orbicularis test
2-levator fx test
oral:
1-subluxation len
2-presbyopia
3-CRAO
4-dendritic ulcer

Alhamdulillah

elicit sign;
pupillary reflex
levator function test
lacrimal sac
EOM test (pgg kepala patient spy tak bergerak)
What exam to do to see if there is lagophthalmos & how?--> orbicularis occuli, palpebral part, Facial nerve
Curvature of cornea (Munson’s sign, keratoconus)

Oral;
what is other DD of leukocoria which comes 2nd after retinoblastoma?--> congenital cataract
ttt Congenital cataract
Dendritic ulcer (why it is branching like tree? because the virus travels down a branch of the nerve, why Acyclovir safer & how it works? attack the virus by fooling the viral enzymes involved in duplicating the viral DNA)
Phlyctenular ulcer
Diabetic retinopathy esp PROLIFERATIVE (types & complications)
Spring catarrh
Keratoconus (what other signs other than Munson’s sign? ...tools used to diagnose)

bersusah- susah dahulu bersenang-senang kemudian
Rabbuna Yusahhil

Assalamualaikum..
1. what is ectropian and its causes
-orbicularis ms. and its nerve supply
2. ocular manifestation of diabetic patient.
-what is xanthelasma
3. types of optic nerves atrophy and differences between them
4. types of diabetic retinopathy and their characteristic.
5. causes of rubeosis iridis
6. cataract

1-complicaton of CRVO
2-optic damage
3-ectropion
4-mechanism of 2ry angle closure glaucoma
5-error of retraction
6-cataract

elicit sign..
- check her cornea,lens
..doc suruh diagnose..>.<
- how to test ocular motility

oral..
- acute congestive glaucoma
- treatment ACG
-papilledema,cause, fundus picture
DD papilledema.

soalan sume berdasarkn slide
-how do you know the slide shows subluxation
-ttt of spring cattarh
-diff between crvo/crao
-1ry/2ry angle deviation
-pterigium
-blood trauma
-type of optic atrophy

eliciting sign:
1. light reflex-is it reactive(if no-what cause such case-mydriatics)
2. swinging light reflex-cause(RAPD)
3. keratoconus-what is munson sign
4. ocular motility-6 cardinal directions-do you need to do the up and down directions?(no because 2 muscles act at same time)
5. regurge test(how and the direction-backward,medially,upward)

oral:
[leucocoria]
-DD

[acute congestive glaucoma]
-menchanism
-signs and symptoms
-visual field change of glaucoma

[retinitis pigmentosa]
-all related to RP

[diabetic retinopathy]
-classifications (old and new)
-about non-proliferative stage

hmm..dah x igt, but for every chapter,cuba kuasai signs ans syptoms dia,and also their differential diagnosis..

all the best=)

salaam

elicit sign
-dc suruh check cornea..puas sy check,rupanya kena angkat upper lid utk tgk pannus(jgn kalut!)
-extraocular motility test
-how to check keratoconus,sign
(mcm kena oral plak)

0ral
-dc tny tajuk apa yg sy prepare betol2,then dia tny drp tajuk yg sy list tu
-detail psl sign,symptom and mechanism..esp glaucoma and diabetic retinopathy
-what is avastin?scientific name?(bevacizumab)mechanism of action?origin?

maka..
~impression doktor thdp markah exam slide mempengaruhi soalan2 yg diberikan~

kak sal pesan,jgn berani masuk exam oral kalo x hafal ubat utk corneal ulcer and its dose..

bittaufiq wannajah kawan2 semua~

elicit,-levator function test

oral:
-dendritic ulcer, 1stly ckp la dia adlh recurrent of HSV, then bru explain slebihnya..

-optic atrophy, type, example of each, and fundus pict of consecutive OA

-phlyctenular conuntivis, what is it? causes,...ciri2 phlycten, ttt( yg pling penting jwb topical steroid,sbb causes dia hypersensitivty)

selebihnya, ingt2 lupa..sory...
GOOD LUCK^^

elicit sign: levator test + occular motility test

oral: 1)glucoma : acute congestive glucoma -
def, type, ttt, sign, symptms
2) keratoconus: def, ttt
3) optic atrophy :type, etiology
4) cataract : type , ttt
5) diabetic retinopathy : ocular
manifestations

waahua3lam..good luck untuk kawan2 sekalian..moga Allah mudahkan..insyaAllah.

Elicit Sign

How to assess lagopthalmous?
Nerve supply of orbicularis
Parts of orbicularis muscle and action of each part

Oral Exam

[Cornea]
What do you know about dendritic ulcer?
Treatment. Mention all
Differences between viral and bacterial ulcer

[Glaucoma]
Lens induced glaucome. How?

[Retina]
Complications of CRVO
Differences of papilledema and papillitis

[Visual Pathway]
Types of optic atrophy and examples


All the best kawan2 group 14!
Doa2 la dr unit kita lembut hati utk tanya soalan senang2 ^-^
Bittaufiq wannajah...

salam =)

(CONJUNCTIVA)
1-Phylecten-main clinical picture,treatment
2-vernal conjuctivitis-main cllinical picture,treatment
3-angular conjuctivitis-main CP,ttt

(ERROR OF REFRACTION)
1.A child comes to your clinic for examnination of error of refraction.
-what is your first main concern about that child during the examination?what you do to prevent it?
2. A myopic patient with -10D in right eye and -1D in in the other eye.
-can you treat with glasses?why?
-what 2 treatments you suggest?
3.Hypermetropia
-what its components? Explain all in details.

(ACUTE CONGESTIVE GLAUCOMA)

1. How can you diagnose it and what its main clinical picture?
2. Main treatment?surgical. types and indications?
3.Preoperative ?-pilocarpine(very important)

salam
[lens]
what is cataract?
what the causes of complicated cataract?
how glaucoma cause cataract?

[glaucoma]
how cataract induce glaucoma?
how lens induced glaucoma?

[error or refraction]
what the fundus picture of high myopia?

[uvea]
what the complication of iridocyclitis?

[lid]
how can we know the ptosis based on size of pupil?

sorry tertinggal
(RETINA)
-how you examine retina in diabetic patient?
-types of diabetic retinopathy what you can find in it.
-other diseases you expect in diabetic patient.
-explain vision in diabetic retinopathy.

[CONJUNCTIVA]
- Trachoma : definition, treatment, causative organism, why it causes dry eye.

(GLAUCOMA]
- Management of acute congestive glaucoma

[RETINA]
- Diabetic retinopathy : type, management

[DD]
- Diplopia

- The uses of fluorescein in ophthalmology

[CATARACT]
-types of cataract surgery
-what to concern before doing cataract surgery
-give details about ECCE & Phecoemulcification and its indication respectively

[UVEA]
-endophthalmitis
-treatment of endophthalmitis

[GLAUCOMA]
-acute congestive glaucoma
-how to deal with it (treatment)

*unluckily,i got an uncommon question. Remember 'common is common,but rare things does exist'

(cornea)
1.you have a clinic in a far area (rural) and you only have pentorch.a patient came with red eye.how are you gonna diagnose the patient (every DD of red eye)? then what is the drugs contraindicated in acute congestive glaucoma and iridocyclitis?

2.You have a patient with dendritic ulcer,how are you gonna treat him? how much the dose of acyclovir? how many times per day you apply the acyclovir? what is the form of acyclovir?

3.Is it indicated to give patient with dendritic ulcer a steroid? what will happen to the patient? why its contraindicated?

(retina)
1.How the DM affect the lense?
2.How DM affect the vision in retina?(macula edema most common)(haemorrhage,RD and others are not accepted <--Very2 frust T_T)
3.How are you gonna do clinical test for macula edema?or macula function test? its clinical, not a diagnostic test. (Fluorescin angiography)
4.How to treat it?

and tak ingat dah.pening dengan doktor.

(retina)
-what are the causes of retina edema?

(lens)
-complicated cataract

(cornea)
-characteristics of dendritic ulcer--superficial
-why this ulcer become deeper?secondary bact infection,topical steroid,immunocompetent etc
-fluorecsein and rose bengalll

case:
- 54yrs old man,diabetic pt, has problem with his vision (x igt symptom len2).diagnosis-diabetic maculopathy

-45yrs old woman has cataract with bad perception of light. she wants to do cataract surgery. how do you consult this patient?

cause of complicated cataract

how lens cause glaucoma
how to treat acute cingestive glaucoma

stages of diabetic retinopathy and the changes

how to correct concomittant strabismus

what kind of errors of refraction cause esotropia

salam

elicit sign...

>ocular motility
-7 primary position
-muscle involved

>muscle balance
-how to check latent strabismus
-convergence @ divergence

oral..(XC)

>proliferative diabetic retinopathy
-fundus picture
-TTT

>acute congestive glaucoma
-sign n symptom
-TTT

>complicated cataract
-comparison with senile cataract from the aspect of harmfulness
-etiology
-TTT

>laser
-type
-significance of each type
-how it functions (photoablation etc)

wasalam

elicit sign
reurge test..
HM,PL.

uvea
iridocyclitis-diag,symp,slit lamp-kp

muslce
nerve 346..

myopia-def ttt type...

glukoma
-buptalmos-big,fotophobia lacrima
ttt


xingat..

syukran :)

Elicit sign;

1) Ocular motility & squint
2) Eye lid examination
3) Laa, patient tu ada trichiasis rupenye...

Oral;

1) Squint, case, management
2) Errors of refraction, how to correct
3) Soalan berlegar2 berkaitan amblyopia, error of refraction, squint, eye glasses, etc...
4) Diabetic retinopathy, fundus findings
5) Korang bebudak Malaysia tinggal kat mane?
6) Cakap Arab tak, dan perbualan2 tipikal antara orang mesir dan orang malaysia =)

ok, sekian

AIY

oral:
1.if the pt come to you complaining of 2ry glaucoma and corneal ulcer at the same time,how u treat?
2.DD cherry red spot?
3.ophthalmology of retinitis pigmentosa?
4.chemical burn,how to treat?
5.pathology of latent squint?
elicit sign:
1.visual acuity test..
>determine cataract type.
>look for iris shadow.
2.lacrimal gland test.

salam.
(elicit sign)
what is proptosis?
how to measure?
regurge test
diagnose the patient- she have mature cataract
how to differentiate between mature and immature cataract?
(oral)
systemics association of marfan's syndrome
how subluxation of lens can cause glaucoma?
how blunt trauma can cause glaucoma?
stages of diabetic retinopathy and the fundus picture
how to treat congenital cataract?
can we use glasses?-reason why?
what are the causes of retinal detachment?
types of retinal detachment?
treatment?
what are the types of laser u know?
use in what condition? (each type)

tu je kot yg igt..sekian

elicit signs:
pendek kata aku kena suma..check mata patient start from lid,lacrimal system,............smp la pupillary reflex....semua ok!haha

oral:
1)patient has corneal ulcer + 2ry galucoma...how to treat?- ape yg aku igt..beliau kate bg cycloplegics and mydratics yg penting..jgn bg prostaglandin sbb die ade complication of corneal ulcer...such as uveitis etc...

2)DD of cherry red spot..then how to differentiate fundus pic between CRAO and comotio ratinae...

3)presbyopia-def,ttt.

4)latent squint-definition..sile hafal ayt buku...dia xnak ayt lintangpukang aku...

5)fundus pic of renal failure patient..(mmg taubat x tahu sbb rase x imp)..beliau tny type of Hge,how the macular star is formed?..ish2 tragis giler..

6) congenital cataract--type,how to manage...buat VA dlu..xbuat surgery trs sbb xnk affect knk2 punye accomodation reflex..

sekian saja laporan yg moga membantu sedikit2...

Elicit

1-test utk lense
visual acuity test
klu IOL tu nmpk blink2 pastu sro de tgk atas bwh utk ksan surgery
2-proptosis..dgr elok2,kne sound sbb ak slhdgr n buat ptosis test
3- squint test - cover uncover


Oral

Lense:
Cataract ;
1-diff young n senile cataract
2-surgery method
3-different of cataract surgery
4-surgery machine, mne la sy pna nmpk machine tu doc..
5-intumescent ,which type ? how to diagnose ?

Optic Neuritis
1-type of optic neuritis
2-type of optic atrophy
3-optic atrophy different
4-optic atrophy ttt

Retinitis Pigmentosa
1-symptom
2-sign
3-field of vision defect
4-bute malam ,wat else cause bute malam ?

Glaucoma
Ac Congestv Cataract;
1-sign
2-symptom
3-ttt

Corneal ulcer
1-sign
2-symptom
3-ttt
4-wat else causing ulcer

Elicit sign:
1-Explain Pupillary Light Reflex & RAPD
2-namakan EOC muscle utk utk pndg atas n tepi(lupe istilah die)
3-did this patient got ptosis wala la`?(sila ukur dulu gune pembaris even doc xsruh buat test utk ptosis.ade yg xukur trmasuk saya, juz suluh lampu n tgk scra kasar je,then jwb tanpa ukur pon.maybe ni somekind of trick utk kite)


Oral:
1-DD of red eye (setiap satu tu nak ape yg plg dianostic utk bezakn dari yg laen)
2-Trachoma (definition & spesis chlamydia trachomatus tu)
3-chemical burn (acid ke alkali yg lagi serius & management)
4-Effect of DM (on EOC Muscles & eyelid)
5-Differentiate Glaucoma,Ocular hypertension & Normal tension glaucoma
6-Retinal Fuction Test
7-Causes of Complicated Cataract
8-Diabetec Retinopathy (type n opthalmoscopy)

shafiq

*causes of red eye
*dd of this causes
*acute glaucoma..
-symptoms and ttt
*Diabetic retinopathy-"just tell anything about this disease"

ingtkn grop 14 xyah cmment,

elicit sign:pupillary light reflex...
semua test tuk ptosis,motility test,



oral... RP,DR,NEOvascular glaucoma,ttt of dndritic ulcer...

elicit sign -
visual acuity, pupillary light reflex, swinging light test, lens opacity, iris bombay

oral -
how to treat cornea ulcer in addition to secondary glaucoma, how to differentiate complicated cataract with absolute cataract

oral Qs

cataract
-types
-indications for cataract removal in senile cataract
-lens induced glaucoma
-complicated cataract( etiology and early sign)

ptosis
-definition
-etiology
-neurogenic etiology
-differences between 3rd nerve palsy and Horner syndrome and why

elicit sign
1. pupillary reflex
2. marginal reflex
3. visual acuity
(aku rs mcm ad lg tp lupa T_T)

oral:
1. complication of iridocyclitis
2. what are the type of synechia in iridocyclitis ( dr jwb total s, ring s, feestoned pupil n pear shaped pupil)lepas tu doc tye camne bleh terjadi sume synechia2 tu.
3. what is cystoid macular edema?
4. how to differentiate between comp cataract n other cataract? what about its color? -rosette shape, white chalk-
5. difference between occlusio pupillae n subocclusio pupillae (ni aku rs xde dlm buku sbb aku x prnh jumpa, pepandai la carik)
6. definition of trachoma
5. pt of trachoma will be blind due to? ( corneal ulcer ( opacities) n xerosis)

Post a Comment