Archives: MRCGP AKT

AKT-2085

A 58-year-old woman presents with complaints of haloes and impaired vision when watching television, often accompanied by headaches. The examination is normal, but she is routinely referred to the local ophthalmology clinic. The following day you receive a phone call from her husband to say that she has lost vision in her right eye and has a severe headache and eye pain and is vomiting. You visit her and find that she has a fixed pupil and a hazy cornea and the eye feels very hard.
What is the single most likely diagnosis?

AKT-2086

A 31-year-old man visits his General Practitioner with complaints of recurrent burning and itching in his eyes. He frequently wakes up with red, sticky eyes and has received treatment for conjunctivitis multiple times, but with no lasting improvement. During the examination, the doctor observes red and inflamed lid margins and mild conjunctival injection.
What is the most probable diagnosis?

AKT-2087

A 57-year-old man comes to the clinic with complaints of blurred vision on his right side for several days. He reports seeing a cobweb-like opacity that moves around. When he closes his right eye, the opacity disappears. His visual acuity is 6/9 in both eyes, and he has not experienced any visual field loss. Upon examination with an ophthalmoscope after dilatation, his retina appears normal.
What is the most probable diagnosis?

AKT-2088

A 48-year-old man presents with complaints of blurred vision, redness and itching of the eyes. He reports having this chronic ‘eye infection’ on and off for the past four years. He has been using chloramphenicol drops without much relief. Upon examination, there is evidence of blepharitis, lid margin telangiectasia and mild conjunctival hyperaemia.
What is the most probable diagnosis?

AKT-2089

A 6-week-old baby is brought in for her first routine check-up in the practice. She has had no problems except for a persistent sticky right eye despite two courses of antibiotic drops. On examination, she has some discharge at the medial canthus but her eyes look normal. Swabs sent previously showed normal upper respiratory tract flora.
What is the single most likely diagnosis?

AKT-2090

During a routine insurance medical examination, a GP notices that a 35-year-old woman has absent ankle jerks and unequal pupils.
What is the most likely diagnosis?

AKT-2091

Which of the following statements about conditions that affect the eyelids is true?

AKT-2092

A 65-year-old woman has been experiencing a shift in her eyesight in recent weeks. She is unable to read small text, even with her regular reading glasses. There is a constant slight blurriness in the center, and lines always appear distorted instead of straight.
Which retinal indication is most likely linked to this condition? Choose ONE option only.

AKT-2093

A 68-year-old man has developed diplopia.

Which finding would suggest a third nerve palsy?

AKT-2071

Which one of the following statements regarding visual impairment is inaccurate?