tag:blogger.com,1999:blog-324698262024-03-07T09:06:06.332+00:00FRCOphthRehman Siddiquihttp://www.blogger.com/profile/05989175304802447966noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-32469826.post-12075075622347988142008-04-29T18:58:00.001+01:002008-04-29T19:02:10.470+01:00Theme: Autoimmune disordersOptions:<br />A. Psoriatic arthritis<br />B. Reiter syndrome<br />C. Rheumatoid arthritis<br />D. Steven-Johnson syndrome<br />E. Cicatricial pemphegoid<br />F. Polyarteritis nodusa<br />G. Systemic Lupus erythematosus<br />H. Ankylosing spondylitis<br />I. Systemic sclerosis<br />J. Tuberous sclerosis<br />K. Ulcerative colitis<br />L. Chron’s disease<br /><br /><br />Lead in statement: The following patients all presented with red-eyes. Please choose the most appropriate systemic diagnosis from the list above.<br /><br />Stems:<br /><br />1. A 55-year-old man with known spine problems presents with red-eyes. He was recently discharged from hospital after successful treatment of pulmonary infection. Blood tests showed raised ESR and positive HLA-B27. There was no history of previous eye problems.<br /><br />2. A70-year-old woman presents to eye casualty with red-eyes. On examination she has multiple mouth ulcers which are healing without scarring. Slit-lamp examination reveals cicatrising conjunctivitis. She is HLA-B12 positive.<br /><br />3. A 55-year-old man presents with a red eye. On questioning he gives a history of palpitation, joint pains and weight loss. Slit-lamp examination reveals a peripheral ulcerative keratitis. His blood pressure was 190/140 mm Hg. Blood tests reveal signs of renal impairment, additionally a test for hepatitis-B surface antigen was positive.Rehman Siddiquihttp://www.blogger.com/profile/05989175304802447966noreply@blogger.com1tag:blogger.com,1999:blog-32469826.post-62572306327852261042008-04-28T00:27:00.006+01:002008-04-29T19:02:46.917+01:00Theme: Retinal detachmentOptions:<br />A. Macular detachment.<br />B. Gronblad-Stranberg syndrome<br />C. Exudative retinal detachment<br />D. Tractional retinal detachment<br />E. Sickle cell disease<br />F. Sarcoidosis<br />G. Uveal effusion syndrome<br />H. Vogt-Koyanagi-Harada syndrome<br />I. CMV infection<br />J. Rhegmatogenous retinal detachment<br />K. Old retinal detachment<br />L. Retinopathy of prematurity<br />M. Norrie syndrome<br />N. Stickler syndrome<br />O. Malignant hypertension<br /><br /><br /><br />Lead in statement: The following patients all presented with retinal detachment. Please choose the most appropriate diagnosis from the list above.<br /><br />Stems:<br /><br />1. A 79-year-old woman with bilateral loss of vision. Fundus examination shows SRF under the maculae. FFA showed RPE rips. She gives a history of left mastectomy 4 years ago.<br /><br />2. A 40-years-old man with bilateral loss of vision, headaches and nausea. He is pyrexial and complaining of tinnitus. There are +2 cells in AC bilaterally. CSF showed pleocytosis.<br /><br />3. A 75-year-old man noticed loss of vision in his right-eye on coincidentally covering the other eye. He gives a history of being severely short-sighted before cataract surgeries. Fundus examination of the right-eye shows raised dome shaped macula with a central hole.Rehman Siddiquihttp://www.blogger.com/profile/05989175304802447966noreply@blogger.com1tag:blogger.com,1999:blog-32469826.post-1155473096416958512006-08-13T13:42:00.001+01:002008-04-29T19:03:37.923+01:00Theme: Peripheral retinal degenerationsOptions:<br />A. Salzman nodular degeneration<br />B. Pavingstone degeneration<br />C. Degenerative retinoschisis<br />D. Microcystoid degeneration<br />E. Lattice degeneration<br />F. Reticular degeneration<br />G. White without pressure<br />H. White-with-pressure<br />I. Honeycomb degeneration<br />J. Oral pigmentary degeneration<br />K. Snowflake degeneration<br />L. Pallucid marginal degeneration<br />M. Colloid bodies<br />N. Snailtrack degeneration<br /><br /><br />Lead in statement: The following patients all have retinal degenerations. Please choose the most appropriate diagnosis from the list above.<br /><br />Stems:<br /><br />1. A 43-year-old hypermetrope was referred by optician for abnormal superior field defects.<br /><br />2. A 35-year-old lady presented to eye casualty complaining of sudden onset flashes in her right-eye. Peripheral fundus examination showed multiple circumferentially oriented bands of retinal atrophy. She had retinal detachment repair 2 years ago in her left-eye.<br /><br />3. A 60-year-old asymptomatic man was seen in the eye clinic. Peripheral fundus examination showed circumferentially oriented bands of whitish frost-like islands. There was no associated retinal break.<br /><br />4. A 40-year-old myope presents with bilateral presenile cataracts. Fundus examination reveals bilateral rhegmatogenous retinal detachment. He has an abnormality on chromosome 2q36.Rehman Siddiquihttp://www.blogger.com/profile/05989175304802447966noreply@blogger.com1tag:blogger.com,1999:blog-32469826.post-1155408012253776412006-08-12T19:37:00.001+01:002008-04-29T19:04:07.018+01:00Theme: Retinal detachment<span style="font-family:verdana;"></span><br /><span style="font-family:verdana;">Options: </span><br /><span style="font-family:verdana;">A. Wardenburg syndrome </span><br /><span style="font-family:verdana;">B. Norrie’s disease </span><br /><span style="font-family:verdana;">C. Raymond syndrome </span><br /><span style="font-family:verdana;">D. Stickler syndrome </span><br /><span style="font-family:verdana;">E. ICE syndrome </span><br /><span style="font-family:verdana;">F. Juvenile best disease </span><br /><span style="font-family:verdana;">G. Morning Glory syndrome </span><br /><span style="font-family:verdana;">H. Good syndrome </span><br /><span style="font-family:verdana;">I. Fabry disease </span><br /><span style="font-family:verdana;">J. Marfan’s syndrome </span><br /><span style="font-family:verdana;">K. Rubenstein-Taybi Syndrome </span><br /><span style="font-family:verdana;">L. Incontinentia pigmenti </span><br /><span style="font-family:verdana;"></span><br /><span style="font-family:verdana;">Lead in statement: The following patients all presented with retinal detachment. </span><span style="font-family:verdana;">Please choose the most appropriate diagnosis from the list above. </span><br /><span style="font-family:verdana;"></span><br /><span style="font-family:verdana;">Stems: </span><br /><span style="font-family:verdana;"></span><br /><span style="font-family:verdana;">1. A 20-year-old man presented to eye casualty concerned about a possible retinal detachment. He gives a family history of retinal detachments. There were multiple, radially oriented, lattice like lesions on both fundi but no retinal detachment. </span><br /><span style="font-family:verdana;"></span><br /><span style="font-family:verdana;">2. A 25-year-old man with defect on chromosome 15q21. The sclerae are blue and the pupil does not dilate well for peripheral fundus examination. </span><br /><span style="font-family:verdana;"></span><br /><span style="font-family:verdana;">3. A 27-year-old woman with tractional retinal detachment in the left-eye. Fundoscopy also revealed an enlarged and excavated optic disc. The retinal blood vessels appear to emerge from the periphery of the excavation in a radial pattern. Right fundus was normal. </span>Rehman Siddiquihttp://www.blogger.com/profile/05989175304802447966noreply@blogger.com1