Archives: Medical Student Finals

MSFinals-3779

A 36-year-old swim instructor arrives at the Emergency Department complaining of severe pain in his right eye and feeling like there is something foreign in it, even though he has already removed his contact lenses. Upon examination, the right eye shows conjunctival injection, and the patient experiences photophobia, tearing, and discharge. His visual acuity is 6/6 in the left eye and 6/12 in the right eye, with intact ocular reflexes. A slit lamp inspection reveals mild, regular ulceration in the right eye. What is the most probable diagnosis?

MSFinals-3780

A 57-year-old woman comes to the Emergency Department complaining of pain, redness, and tearing in her right eye for the past two weeks. She also experiences sensitivity to light. The pain is constant and dull, and it can be so intense that it wakes her up at night. The pain sometimes spreads to her jaw, neck, and head. She has a medical history of rheumatoid arthritis.
During the examination, her left eye has a visual acuity of 6/6, while her right eye has a visual acuity of 6/9. The eye appears diffusely injected.
What is the most probable diagnosis?

MSFinals-3781

A 35-year-old woman visits her General Practitioner, reporting crusting of both eyelids that is more severe in the morning and accompanied by an itchy feeling. She states that she has not experienced any changes in her vision. Upon examining her eyelids, the doctor observes crusting at the eyelid edges that are inflamed and red. The conjunctivae seem normal, and the pupils react equally to light. What is the probable diagnosis?

MSFinals-3782

A 29-year-old male presents to the emergency department with sudden onset of left eye pain and slightly blurred vision. He has no significant medical history and does not wear glasses or contact lenses. His family history includes type 2 diabetes and Crohn’s disease.

Upon examination, the patient is wearing sunglasses due to photophobia and his left eye appears red. Ophthalmoscopy is not possible due to the severity of his symptoms. A white fluid level is visible in the inferior part of the anterior chamber and his pupil is small and irregular. Based on these findings, ophthalmology is urgently consulted. What is the likely diagnosis?

MSFinals-3783

A 67-year-old woman presents to the clinic with a complaint of gradual deterioration of her vision. She has been experiencing difficulty recognizing faces and distinguishing colors for several months. The patient also reports that her central vision appears somewhat blurry. She is a smoker and consumes 10 cigarettes per day. Her blood pressure is 124/76 mmHg, and recent blood tests, including HbA1c of 38 mmol/mol, are unremarkable. What is the expected finding on fundoscopy when examining the patient’s macula, given the likely diagnosis?

MSFinals-3784

An 80-year-old man arrives at the emergency department with a sudden painless loss of vision in his left eye. He has noticed a decline in his vision over the past few months, but attributed it to his age. He has a history of smoking 30 cigarettes daily for the last 45 years and well-controlled hypertension. The left eye has a visual acuity of 6/30, while the right eye has a visual acuity of 6/12. A central scotoma is evident on visual field testing. Fundus examination is being conducted after administering mydriatic eye drops. What is the most specific finding for the underlying cause of his presentation?

MSFinals-3753

A 56-year-old man on your contact list reports experiencing two small floaters that have appeared in his left eye, partially obstructing his vision over the past 24 hours. He has been working on computer screens more frequently than usual over the past week and wears glasses for myopia. He denies any pain or injury to either eye and has not visited an optometrist in several years. What is the best course of action for managing this situation?

MSFinals-3754

Which one of the following statements regarding macular degeneration is true?

MSFinals-3755

A 23-year-old female presents with sudden, painful vision loss in her right eye. She has also experienced a dull chest pain, lost 4 kg of weight, and had a low-grade fever for the past three months. A chest x-ray reveals bilateral hilar lymphadenopathy. What is the most probable diagnosis?

MSFinals-3756

A 50-year-old woman arrives at the emergency department complaining of vision issues. She reports seeing a red tint in her vision and dark spots in her right eye. The physician sends her to the eye casualty department where they suspect a vitreous haemorrhage.
What factors could potentially increase the likelihood of developing this condition?