AKT-2203
A 70-year-old male patient of yours is confused. He has had nausea and vomiting for two days and is now complaining of yellow vision.
Which of the following is the most likely cause?
Archives: MRCGP AKT
AKT-2204
A 50-year-old man presents to your urgent clinic with a red left eye. He reports that he woke up this morning and noticed the redness, which was not present when he went to bed last night. He denies any pain, discharge, or itching in the eye. His visual acuity is 6/6 in both eyes and he doesn’t wear contact lenses. He has no significant medical history and takes no regular medications.
Upon examination, his blood pressure is 128/80 mmHg. There is a uniform area of redness in the medial inferior quadrant of the left eye. The cornea appears normal and the pupil reacts appropriately to light.
What is the most likely diagnosis?
AKT-2205
A 59-year-old woman presents to your clinic with a lump on her upper eyelid that she has noticed recently. The lump is not causing any discomfort. Upon examination, a 6mm firm lump is observed that distorts the eyelid margin and causes loss of eyelashes. The lump appears to be slightly ulcerated. What would be the most suitable course of action for her management?
AKT-2206
During a home visit, a 75-year-old female patient complains of a chesty cough. However, she also mentions experiencing severe and progressive right-sided eye pain since this morning. She has noticed blurry vision in the same eye and has been feeling nauseous, vomiting twice. As she has blue eyes, acute angle-closure glaucoma is suspected. Unfortunately, there will be a delay admitting the patient as the ambulance is at least 45 minutes away. What is the most appropriate method of managing this patient?
AKT-2207
As a GPST1 in ophthalmology, you are consulted by a 27-year-old man who is HIV positive. He complains of watery, red, and painful eyes that have developed over the last 48 hours. Upon examination with fluorescein staining, you observe the presence of a dendritic ulcer. What is the most suitable treatment for this condition?
AKT-2208
A 52-year-old man with type 2 diabetes mellitus presents for his annual review and is found to have new vessel formation at the optic disc. His visual acuity in both eyes is unaffected (6/9) and his blood pressure is 155/84 mmHg. His HbA1c level is 68 mmol/mol (8.4%). What is the primary intervention that should be taken for this patient?
AKT-2209
A 68-year-old man visits his doctor with complaints of deteriorating vision. He reports seeing flashing lights and experiencing difficulty with near vision. The patient has a medical history of hypertension and a 25-pack-year history of smoking. Upon fundoscopy, yellow pigment deposition is observed around the macula. Amsler grid testing reveals distorted perception of straight lines. The intraocular pressure is 15 mmHg.
What is the most suitable course of action based on the probable diagnosis?
AKT-2210
You see a 23-year-old male patient with a 4-day history of a red painful left eye. He denies any recent trauma to the eye. He complains of seeing floaters, experiencing pain when reading, and having blurred vision. He has a history of ankylosing spondylitis but is not currently undergoing any treatment as his symptoms are under control.
During the examination, you observe that his left eye is red and the pupil is irregular. He experiences pain when you test the movements of his eye. His visual acuity is lower in the left eye compared to the right. After staining the eye, you find no abnormalities on the cornea.
Based on the patient’s history and examination findings, what is the most probable diagnosis?
AKT-2211
A 40-year-old male comes to his GP complaining of experiencing dull pain in the orbital area, redness in the eye, tearing, and sensitivity to light for the past 4 days. During the examination, the doctor notices an irregular, constricted pupil. What is the best course of action for management?
AKT-2212
A 67-year-old woman complains of visual difficulties. She has a history of rheumatoid arthritis, depression, and is on medication for hypertension. She has been experiencing headaches and blurred vision for the past few days, and today she noticed a significant decrease in vision in her right eye. During the examination, her right eye appeared red, her pupil was sluggish, and her corrected visual acuity was 6/30. Her medication was recently altered. Which of the following medications is the most probable cause of this occurrence?