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Date Completed: 05/04/2023
Page 1 of 10
- Ophthalmology
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Cranial Nerve Palsy: Trochlear Nerve
A 75 year old man presents to the Emergency Department complaining of diplopia. He tells you this is exacerbated by walking downstairs or re
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Acute Angle Closure Glaucoma: Risk Factors
An 86 year old man presents to the Emergency Department complaining of a painful left eye and headache. He describes seeing halos around lig
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Episcleritis and Scleritis: Diagnosis
A 67 year old woman presents to the Emergency Department complaining of a red and irritated left eye. The redness of the eye is reduced with
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Eye Trauma: Retrobulbar Haemorrhage
A 27 year old man presents to the Emergency Department after sustaining trauma to the right eye. His visual acuity is greatly reduced. You n
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Ophthalmia Neonatorum: Microbiology
A 14 day old baby boy is brought to the Emergency Department by his mother. He was taken to his General Practitioner 2 days ago with red eye
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Corneal Abrasion: Examination
A 23 year old tradesman presents to the Emergency Department complaining of pain to the right eye. He was using an electric saw to cut wood
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Conjunctivitis: Management
A 23 year old man presents to the Emergency Department with a 1 week history of bilateral red eyes and purulent discharge. On examination yo
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Subconjunctival Haemorrhage: Diagnosis
A 54 year old man presents to the Emergency Department after waking with a red right eye. He denies any pain and on examination you find his
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Optic Neuritis: Diagnosis
A 37 year old woman presents to the Emergency Department complaining of right eye pain and associated decreased vision over the last 2 days.
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Giant Cell Arteritis: Management
A 75 year old woman presents with a 2 day history of unilateral headache. She reports visual disturbances in the left eye for the previous 1
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Acute Red Eye: Assessment
A 56 year old woman presents with a painful, red left eye. On examination you use the Snellen chart shown to assess visual acuity. Using her
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Optic Neuritis: Diagnosis
A 35 year old woman presents to the Emergency Department complaining of increasing visual loss in her left eye over the last 5 days. She des
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Retinal Artery Occlusion: Diagnosis
A 75 year old man presents with sudden painless visual loss in his left eye which occurred 1 hour ago. He has a past medical history of hype
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Giant Cell Arteritis: Complications
A 76 year old woman presents to the Emergency Department with a 2 day history of left sided headache. She describes pain in the temporal reg
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Acute Angle Closure Glaucoma: Clinical Findings
A 59 year old woman presents with a sudden onset of severe left eye pain, headache and vomiting. She describes a reduction in visual acuity
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Giant Cell Arteritis: Investigations
A 74 year old woman presents to the Emergency Department with a 12 day history of unilateral headache and scalp tenderness. You suspect gian
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Corneal Abrasion: Clinical Findings
A 32 year old presents to the Emergency Department with a 3 hour history of pain to the left eye. What examination finding is seen?
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Anterior Uveitis: Examination Findings
A 29 year old woman presents with a 2 day history of a painful eye. She describes blurred vision and watering of the eye. She has a past med
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Episcleritis and Scleritis: Diagnosis
A 64 year old woman presents to the Emergency Department in the middle of the night complaining of a painful right eye. She has a past medic
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Conjunctivitis: Management
A 7 year old boy is brought to the Emergency Department by his parents. He has a 1 day history of redness and discharge from the right eye.
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Retinal Artery Occlusion: Management
A 71 year old man presents to the Emergency Department with a sudden, painless, loss of vision in the left eye. On fundoscopy you note a pal
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Infective Keratitis: Diagnosis
A 32 year old woman presents to the Emergency Department with a 3 day history of left eye pain and excessive lacrimation. Your findings on f
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Cranial Nerve Palsy: Oculomotor Nerve
A 34 year old man presents with an acute onset of diplopia. On examination you note the right eye is looking downward and outward at rest. W
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Corneal Foreign Body: Complications
A 47 year old factory worker presents to the Emergency Department with a 2 hour history of eye pain. He was grinding metal when he felt a su
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Vitreous Haemorrhage: Diagnosis
A 49 year old woman presents to the Emergency Department complaining of sudden onset floaters and dark streaks in her vision. She has a past
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Corneal Foreign Body: Diagnosis
A 54 year old man presents to the Emergency Department complaining of right eye pain after doing some home improvement. You suspect a foreig
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Anterior Uveitis: Management
A 32 year old man presents to the Emergency Department with a 3 hour history of right eye pain. On examination you note a red eye with a red
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Corneal Foreign Body: Complications
A 45 year old farmer presents to ED with a red, watering, painful eye. He was repairing an old tractor in his workshop when he felt somethin
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Anterior Uveitis: Risk Factors
A 45 year old man presents with an acutely painful, red eye. On examination you note a hypopyon. You diagnose acute anterior uveitis. Which
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Corneal Foreign Body: Diagnosis
A 32 year old factory worker presents to the Emergency Department with a 2 day history of pain in the right eye. He has no past medical hist
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Cranial Nerve Palsy: Abducens Nerve
A 34 year old woman presents to the Emergency Department complaining of diplopia. You elicit that she is experiencing horizontal diplopia. O
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Acute Angle Closure Glaucoma: Diagnosis
A 76 year old woman presents with a 12 hour history of right eye pain and redness associated with a headache and vomiting. What is the most
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Giant Cell Arteritis: Diagnosis
A 67 year old woman presents to the Emergency Department with a 1 day history of severe headache. She describes the headache as being locate
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Giant Cell Arteritis: Investigations
A 76 year old woman presents to the Emergency Department with a 2 day history of left sided headache. She describes pain in the temporal reg
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Corneal Abrasion: Management
A 23 year old tradesman presents to the Emergency Department complaining of pain to the right eye. He was pruning some shrubs in his garden
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Retinal Vein Occlusion: Diagnosis
A 76 year old woman presents to the Emergency Department with a 2 hour history of a change to the vision in the right eye. Your fundoscopy f
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Retinal Detachment: Diagnosis
A 54 year old woman presents to the Emergency Department complaining of visual loss in her right eye. She describes seeing flashes of light
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Periorbital and Orbital Cellulitis: Clinical Features
A 32 year old man presents to the Emergency Department with a painful, red eye. He tells you he has had sinusitis for the last week. You sus
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Giant Cell Arteritis: Complications
A 63 year old woman presents to the Emergency Department complaining of a severe right sided headache. She tells you she has been recently s
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Visual Pathway: Pathophysiology
A 72 year old man presents to the Emergency Department complaining of a loss of vision. He describes difficulties seeing things on his right
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Episcleritis and Scleritis: Management
A 45 year old man presents with a history of an irritated, red and watering left eye. On examination you note sectoral redness and diagnose
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Ophthalmia Neonatorum: Diagnosis
A 17 year old girl presents to the Emergency Department with her 3 day old daughter. She is concerned by a change in the babies eyes. The mo
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Subconjunctival Haemorrhage: Diagnosis
A 76 year old man presents to the Emergency Department with a red eye. He describes waking up, looking in the mirror and noticing his eye wa
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Anterior Uveitis: Risk Factors
A 29 year old man presents to the Emergency Department with a 6 hour history of a red and painful left eye with blurred vision. He has no si
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Acute Angle Closure Glaucoma: Risk Factors
A 59 year old woman presents to the Emergency Department with a 2 hour history of left eye pain, headache and vomiting. You suspect acute an
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Corneal Foreign Body: Complications
A 32 year old metal worker presents to the Emergency Department after developing acute right eye pain whilst grinding metal. He was not wear
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Giant Cell Arteritis: Diagnosis
A 60 year old woman presents to the Emergency Department with a headache in the right temporal region which has come on over the last couple
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Cranial Nerve Palsy: Abducens Nerve
A 65 year old man presents with diplopia. A photo of the patient looking straight ahead is shown. Which nerve is the cause of this abnormali
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Giant Cell Arteritis: Investigations
A 60 year old woman presents to the Emergency Department with a headache in the right temporal region which has come on over the last couple
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Giant Cell Arteritis: Diagnosis
A 67 year old woman presents to the Emergency Department with a 1 day history of a left sided intractable headache. You suspect giant cell a
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Optic Neuritis: Clinical Features
A 42 year old woman presents to the Emergency Department complaining of increasing visual loss in her left eye over the last 5 days. She des
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Giant Cell Arteritis: Diagnosis
A 75 year old woman presents with a 2 day history of unilateral headache. She reports visual disturbances in the left eye for the previous 1
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Anterior Uveitis: Diagnosis
A 29 year old man presents to ED complaining of sudden onset pain and blurring in his left eye. The left eye is clearly red and watering and
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Cranial Nerve Palsy: Oculomotor Nerve
A 54 year old man presents to the Emergency Department with diplopia. On examination you note ptosis of the right eye. The right eye is abdu
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Visual Pathway: Pathophysiology
A 45 year old woman presents to the Emergency Department complaining of 2 hours of headache and visual loss. Her partner describes an episod
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Eye Trauma: Chemical Eye Injury
A 33 year old mechanic presents to the Emergency Department after splashing a chemical cleaning solution into his right eye. You record an i
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Periorbital and Orbital Cellulitis: Diagnosis
A 32 year old man presents to the Emergency Department with a painful, red eye following a recent cold. He denies visual disturbance, headac
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Cranial Nerve Palsy: Trochlear Nerve
A 43 year old woman presents to the Emergency Department complaining of vertical diplopia and difficulty walking downstairs. On examination
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Anterior Uveitis: Risk Factors
A 27 year old woman presents to the Emergency Department with a 12 hour history of a painful, red left eye. She describes the pain increasin
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Retinal Detachment: Diagnosis
A 54 year old woman presents to the Emergency Department with painless vision loss in the right eye. Your fundoscopy findings are shown. Wha
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Periorbital and Orbital Cellulitis: Diagnosis
A 29 year old man presents to the Emergency Department with a painful, swollen left eye. He complains of visual disturbance, headache and pa
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Infective Keratitis: Microbiology
A 43 year old woman presents to the Emergency Department with right eye pain and excessive lacrimation. On fluorescein staining you note a c
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Cranial Nerve Palsy: Oculomotor Nerve
A 42 year old man presents to ED complaining of diplopia. The results of your clinical assessment are shown. What is the diagnosis?
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Anterior Uveitis: Clinical Findings
A 54 year old man presents to the Emergency Department with a 3 hour history of right eye pain. He has a previous history of acute anterior
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Acute Angle Closure Glaucoma: Management
A 67 year old woman presents to the Emergency Department complaining of right eye pain, headache and nausea. On examination you note a reduc
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Retinal Artery Occlusion: Clinical Features
A 79 year old man presents to the Emergency Department with a 2 hour history of painless vision loss in the right eye. Your Consultant exami
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Conjunctivitis: Microbiology
An 18 year girl is brought to the Emergency Department by her parents. She has a 3 day history of redness and discharge from the right eye.
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Eye Trauma: Retrobulbar Haemorrhage
A 15 year old boy presents to the ED after having been shot in the face with a BB gun. He has a solitary penetrating wound just inferior to
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Eye Trauma: Open Globe Injury
A 56 year old man presents to the Emergency Department after being struck in the right eye by a stone whilst riding his motorcycle. He descr
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Visual Pathway: Pathophysiology
A 92 year old man presents to the Emergency Department complaining of a change in his vision. On examination you note a bitemporal hemianopi
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Infective Keratitis: Management
A 35 year old woman presents to ED complaining of a severely painful burning eye with photophobia. The eye is red and watering. On examinati
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Episcleritis and Scleritis: Management
A 45 year old man presents with a history of a painful, red and watering left eye. On examination you note a bluish purple discolouration of
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Cranial Nerve Palsy: Optic Nerve
A 43 year old woman presents to the Emergency Department complaining of 3 days of visual disturbance in the left eye. On examination you not
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Conjunctivitis: Microbiology
A 27 year old woman presents to the Emergency Department with a 2 day history of left eye redness. She describes the eye as being "itchy". O
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Acute Angle Closure Glaucoma: Management
A 75 year old man presents to the Emergency Department complaining of a 1 hour history of a red painful eye and a headache. On examination y
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Optic Neuritis: Diagnosis
A 37 year old woman presents to the Emergency Department complaining of decreased vision in the left eye over the last 2 days. On examinatio
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Retinal Artery Occlusion: Diagnosis
A 72 year old woman presents with sudden painless loss of vision in her right eye. Your fundoscopy findings are shown. What is the diagnosis
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Giant Cell Arteritis: Management
A 67 year old man presents to the Emergency Department with a 3 day history of right sided temporal headache. He has also noted pain on comb
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Retinal Artery Occlusion: Management
A 69 year old man presents to the Emergency Department with a 6 hour history of painless vision loss in the right eye. After fundoscopic exa
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Cranial Nerve Palsy: Oculomotor Nerve
A 23 year old man presents to the Emergency Department complaining of visual disturbance. When a torch is shone into the right eye it elici
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Conjunctivitis: Management
A 43 year old man presents to the Emergency Department with a 2 day history of left eye redness and purulent discharge. He has a past medica
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Conjunctivitis: Diagnosis
A 23 year old woman presents to the Emergency Department with 3 day history of a red, discharging right eye. She describes a yellow discharg
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Retinal Vein Occlusion: Diagnosis
An 86 year old man presents to the Emergency Department complaining of a sudden loss of vision in his left eye. Your fundoscopy findings are
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Periorbital and Orbital Cellulitis: Clinical Features
A 32 year old man presents to the Emergency Department with a painful, red eye. He tells you he noticed an insect bite to the face 2 days ag
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Giant Cell Arteritis: Investigations
A 74 year old woman presents to the Emergency Department with a 2 day history of unilateral headache and scalp tenderness. You suspect giant
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Anterior Uveitis: Diagnosis
A 45 year old man presents to the Emergency Department with a 1 day history of a painful red right eye. He complains of blurred vision, wate
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Cranial Nerve Palsy: Oculomotor Nerve
A 48 year old man presents to the Emergency Department with a new onset of diplopia. He has a past history of lung cancer with cerebral meta
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Retinal Vein Occlusion: Clinical Features
A 59 year old woman is sent to the Emergency Department by her GP with a suspected retinal vein occlusion. Which of the following fundoscopy
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Episcleritis and Scleritis: Diagnosis
A 54 year old man presents to the Emergency Department with a 7 hour history of left eye irritation and watering. He has no significant past
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Eye Trauma: Chemical Eye Injury
A 33 year old mechanic presents to the Emergency Department after splashing a chemical cleaning solution into his right eye. You record an i
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Cranial Nerve Palsy: Oculomotor Nerve
A 35 year old female patient presents to ED complaining of diplopia. You assess the patient and an image is shown. What is the diagnosis?
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Conjunctivitis: Management
A 32 year old woman presents to the Emergency Department with a 3 day history of right eye redness associated with a purulent discharge. You
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Anterior Uveitis: Clinical Findings
A 34 year old man presents to the Emergency Department complaining of a painful red eye. What finding can be seen?
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Acute Angle Closure Glaucoma: Diagnosis
An 83 year old woman presents to the Emergency Department with a 4 hour history of left eye pain associated with a headache and vomiting. Sh
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Acute Angle Closure Glaucoma: Pathology
A 73 year old woman presents to the Emergency Department with a 6 hour history of a painful right eye and headache. You suspect acute angle
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Eye Trauma: Chemical Eye Injury
A 33 year old mechanic presents to the Emergency Department after splashing a chemical cleaning solution into his right eye. You record an i
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Corneal Foreign Body: Management
A 42 year old woman presents to the Emergency Department with a 3 hour history of left eye pain. She had been working in a dusty attic space
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