about multistation and clinical tests for malaysian students
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multistation ( ophthalmology mcq) test will be 25 image each for 2 marks
and whole exam for 50 mark
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the question may come for diagnosis only or ask you about treatment or
causative organism or any thing form written part
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also deferential diagnosis and ocular examination chapters are included
in this exam
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this some lecture but it is in Arabic but i think it will be easy coz it is a
video and you are going to understand it inshaa Allah
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if you didn't attend the revision for clinical test and some of retinal picture
you can download this lecture choose one link
or
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for retina and nero explanation for dr \ ahmed download this file( NB
this file only include 22 picture for retina but dr \ tharwat ( head
master of ophthalmology ) said that all retinal picture is included in the exam
so take care of the rest .
or
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lecture for dr\ taher for clinical tests ( how to do the test)
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this
some notes i have written in the lecture
how
to examine the conjunctiva
make
the patient look upward to examine lower bulbar conjunctiva
make
the patient look downward to examine upper bulbar conjunctiva
for
examination of the upper palpebral conjunctiva
make
the patient look downward
gently
elevate the upper eye lid and hold the middle part of the lashes and Evert the
eye lid
......
advices
you
should use the torch in examination
don't
forget to elevate the eye lid before holding lashes or you are going to hold
both eye lashes
make
sure that the patient is looking downward and not closing the eye
gently
elevate the eye lid
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how
to examine ocular movement
firstly
there are 9 directions should be examined
(up,
down , left , right , up and left , up& right , down &left , down&
right, finally forward) 9 directions
you
can examine either by order ( look to right , look to left and so on )or follow
and object or torch light( the movement should through the wrist joint and
always make sure that the light is directed on the pupil )
what
is the difference between order and follow examination
doctor
always say it is (of)
in
Order examination you examine frontal lobe
in
Follow examination you examine Occipital lobe
how
to examine 7 th cranial nerve only
make
the patient close his eyes firmly and not to open it
you
try to open it
not
easily opened = normal
opened
easily = defect in the 7 th cranial nerve my due to bell's palsy or any other
defect in the facial nerve
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hoe to do corneal test
or corneal sensation
other
form to the question
how
can you test 5 and 7 cranial nerves
5
cranial nerve is responsible for sensation
7
cranial nerve is responsible for reflex
test
done by touching the cornea by fine object lead to reflex closer of the eye
fine
object ( small cotton piece about 3 cm and not very tapered (you are not going
to harm the patient ))
you
should be in front of the patient not behind him
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how
to examine near reflex
make
the patient look to very near object
distance
should be very small ( i don't remember the number )
what
will happen
conversion
myosis
accommodation
of lens .....can't be seen
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how
to test the pressure of the eye
normal
pressure is 10-12 above the atmospheric pressure
this
called digital method to detect IOP
when
you press on the check it is soft but the nose is more harder and the eye is in
between
support
of the hand on the forehead of the patient
examine
by both index fingers press by one and other to detect
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make
the patient look down
and
fix the frontalis muscle by good fixation of the eye brows then tell the
patient to look upward
if
eye lid elevated = good levator muscle
if
not = some thing wrong in levator muscle
links
before any test is just image for
example .................................................. * there
are other notes i will write them as soon as i can and good luck for all
of you
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