Archives: Medical Student Finals

MSFinals-3842

A 26-year-old woman presents to the Eye Casualty with a sudden onset of painful reduction in vision in her left eye. She denies any other symptoms and has no significant medical history.

Upon examination, her right eye has a visual acuity of 6/6 while her left eye has a visual acuity of 6/36 with reduced color vision. Eye movements are normal, but the pain worsens. The swinging torch test reveals left pupil dilation when the torch light swings from the right eye to the left. Dilated fundoscopy shows a swollen optic disc in her left eye.

What is the recommended first-line treatment for this condition?

MSFinals-3843

An older man comes in with a severe headache, nausea, vomiting and a painful, red right eye. He has reduced visual acuity in the right eye and normal visual acuity in the left eye. During the examination, he had a stony hard eye with marked pericorneal reddening and a hazy corneal reflex. Tonometry revealed a raised intraocular pressure. The patient reports that he has recently been prescribed a new medication by his general practitioner.
What medication could be responsible for this sudden onset of symptoms?

MSFinals-3844

A 35-year-old woman, who is typically healthy, arrives at the Emergency Department with a red, watery eye that has been mildly tender for the past two days. She had visited her GP and was prescribed chloramphenicol ointment to apply to her eyes four times daily, but saw no improvement. Upon examination, her visual acuity is 6/6 in both eyes, and a red patch is visible on the lateral side of her affected eye. After administering phenylephrine 10% eye drops, the redness appeared to have improved. What is the most probable diagnosis?

MSFinals-3845

A 4-year-old boy is diagnosed with retinoblastoma after his mother noticed that the appearance of the child’s left eye looked different to the right on photos. She had read in a magazine that this could be a dangerous sign and so reported it an optometrist.
Which one of the following statements about retinoblastoma is correct?

MSFinals-3846

A 75-year-old man with a history of hypertension and type II diabetes complains of sudden, painless vision loss in his right eye. Upon examination, his left eye has 6/6 visual acuity, but he can only perceive finger movement in his right eye. Fundoscopy reveals significant retinal hemorrhages originating from the disc. What is the probable cause of his vision loss?

MSFinals-3847

A 48-year-old woman comes to the clinic with a gradual onset of left-sided visual issues. She reports no discomfort or itching in the affected area. During the examination, left-sided ptosis and miosis are observed. When the lights are dimmed, the right pupil dilates, but the left pupil does not. She has a history of smoking for 8 years. What is the probable diagnosis?

MSFinals-3848

A 23-year-old female patient visits the GP complaining of visual symptoms. She states that her left eye’s vision has significantly deteriorated in the last two days. Additionally, she experiences pain behind her left eye when moving it. The patient is healthy otherwise, without medical history, allergies, or regular medication intake. During the examination, a relative afferent pupillary defect is observed, and her left eye’s visual acuity is lower than the right. What other symptom is she likely to mention?

MSFinals-3849

A 50-year-old female with a history of rheumatoid arthritis presents to the emergency department with a painful, swollen right eye. She is compliant with her hydroxychloroquine medication and has had three arthritic flares in the past year, all of which responded well to IV steroids. The patient frequently uses artificial teardrops for foreign body sensation, but her current ocular symptoms are not improving with this treatment. What is the most probable diagnosis?

MSFinals-3850

A 54-year-old female with a history of rheumatoid arthritis visited her GP complaining of redness in her right eye. She mentioned experiencing mild discomfort and irritation with occasional watering of the eye. However, she denied any dryness or significant pain. The examination of her pupils revealed no abnormalities, and she did not experience any discomfort when exposed to light. What is the probable diagnosis?

MSFinals-3851

An 8-year-old boy comes to the clinic 2 days after injuring his right upper eyelid. He has a fever and feels generally sick. Upon examination, the eyelid is visibly swollen, red, and tender to the touch. The boy also has ptosis, but no pain when moving his eyes or visual impairment. What is the most probable diagnosis?