AKT-2156
A 65-year-old man presents with bilateral eye irritation, foreign body sensation, itching and erythema of the lids and partial loss of eyelashes. He also has scalp itching and flaking.
What is the most likely diagnosis?
Archives: MRCGP AKT
AKT-2157
A 62-year-old lady comes to see you after a routine assessment by her optician. She has had no visual problems prior to the assessment. The assessment revealed early nuclear sclerotic cataracts bilaterally. Her corrected visual acuity today is 6/5 in the right eye and 6/5 in the left eye.
What is the most appropriate action to take?
AKT-2158
A 65-year-old man visits his doctor with a complaint of blurred vision in his left eye for the past week. Upon examination, his right eye has a visual acuity of 6/6 and his left eye has a visual acuity of 6/18. No pupillary defect is observed. Dilated fundal examination shows extensive retinal haemorrhages in all quadrants of the left retina, along with dilated tortuous retinal veins. The right fundus appears normal. The patient has not seen his doctor in the last ten years. He describes himself as healthy and is not taking any regular medication. However, his blood pressure is 185/100 and his random blood sugar is 12 mmol/l. What is the most probable ocular diagnosis?
AKT-2159
A 21-year-old man comes to see his doctor with concerns about his vision. He has been having trouble differentiating between red and green colours and feels that this has gotten worse over time. His brother also experiences similar issues, but his sister and parents do not. What is the best advice you can give to this patient?
AKT-2160
A 32-year-old woman visits her General Practitioner complaining of sudden discomfort in her right eye. She describes it as feeling ‘gritty’ and notices watering. She also experienced some discharge from the eye upon waking up in the morning. Upon examination, the conjunctiva appears red and inflamed. What is the most appropriate management for this patient’s condition?
AKT-2161
A 75-year-old man has recently been diagnosed with diabetes. What is the most significant retinal feature that would indicate the presence of proliferative diabetic retinopathy?
AKT-2162
A 5-year-old boy comes to the clinic with a two-day history of a red, irritated right eye. His father has been wiping away stringy discharge from the eye and the eye has been stuck together in the mornings. He has no light sensitivity. He has no significant past medical history.
During examination, pupils are equal and reactive to light. The right eye has injected bulbar and tarsal conjunctiva and follicles are present. A tender pre-auricular lymph node is palpable.
What is the most probable diagnosis?
AKT-2163
A 38-year-old woman presents with dry, gritty discomfort of both eyes that worsens as the day goes on. She has had these symptoms for several years and the eyes can be slightly sensitive to light at times. Inspection reveals both eyes to appear mildly red and fluorescein staining demonstrates punctate staining. The lid margins and lashes appear normal. She has no history of any other eye problems and doesn’t use any visual aids such as glasses or contact lenses. There is no history suggestive of a foreign body in the eyes.
What is the most appropriate management strategy?
AKT-2164
A 35-year-old man presents with redness, mild discomfort and soreness of the left eye which feels gritty. He has never had these symptoms before and has no history of any eye or visual conditions. There is no history suggestive of an ocular foreign body. He is systemically well. Clinical examination shows no reduction in visual acuity and there is no discharge or eyelid abnormalities. His pupils appear normal with normal pupillary responses to light. There is a focal area of raised redness in the left eye. The right eye is white and quiet.
The red area related to the left eye disappears on compression and is mobile when a cotton bud is used to touch the area.
What advice should be given to the patient?
AKT-2165
A mother is worried that her 5-month-old baby girl has a squint. On examination, the eyes seem to be turned inwards. When a pen torch is shone in front of her eyes, she looks at it and the reflection is in the central part of the cornea, bilaterally.
What is the most probable diagnosis? Choose ONE option only.