A patient has painful necrotising scleritis, recurrent bloody nasal crusting, pulmonary nodules, microscopic haematuria, and positive PR3-ANCA. Which systemic disorder best unifies the findings?
General Medicine Relevant To Ophthalmology
Question · Easy
Where the eye fluid flows
Short
A woman with persistent aqueous-deficient dry eye also reports difficulty swallowing dry food, increased dental caries, and recurrent parotid swelling. Which systemic disease should be investigated?
Title a successful EBOD candidate may add after their name once diploma requirements are met.
Exam format and scoring
Guess the Term
Chapter 1: EBOD Examination, Applications and Regulations
EBOD Format, Scoring and Revision Planning
Study guide
An adult has confirmed ocular syphilis with panuveitis and reactive treponemal and nontreponemal serology. Neurological examination is normal. Which treatment principle is correct?
Read the clue and guess the term in 6 tries.
Game
Adalimumab is being considered for persistent non-infectious uveitis. Which pre-treatment safety assessment is particularly important because TNF inhibition can reactivate infection?
Ophthalmic Pathology Pharmacology
Part I item type, 30 of them, in which the candidate picks the one most appropriate option from a list, unlike the multiple true/false items.
A patient receiving ethambutol for tuberculosis develops bilateral painless central visual loss and reduced colour discrimination. What is the appropriate immediate medication-related response?
Mydriasis, chéri
A child with retinoblastoma has a pathogenic germline RB1 variant. Which counseling statement is correct?
___ voce — the spoken Part II format held onsite, in which examiners score answers to eight standardised cases across four stations.
Eligibility, Applications and the Diploma
Minutes after pollen exposure, a patient develops bilateral itchy eyes with chemosis and tearing. Which immune mechanism primarily drives the immediate phase of allergic conjunctivitis?
Swap tiles to line up three of the same term.
Term Match
A -10.00 D spectacle correction is worn at a 12 mm vertex distance. Which contact lens power gives approximately the same paraxial far-point correction at the corneal plane?
Optics Refraction Contact Lenses
Refractive state in which the eye's optical power is too strong for its length, so distant objects blur and a concave lens is used.
Optics and refraction
Which prescription is the correct plus-cylinder transposition of +1.50 -2.75 x 180?
The optical centre of a +5.00 D spectacle lens is positioned 4 mm temporal to the patient's pupil. What prism is induced before the eye?
___ dioptre — the unit reported when a correcting lens is held over the deviated eye until the misalignment is neutralised in the alternate cover test.
Strabismus and motility
Online Rules, Technical Preparation and Appeals
A 55-year-old hyperope is over-minused during subjective refraction. Which finding most strongly suggests accommodative overaction rather than true extra minus requirement?
Flip two cards at a time to find matching terms.
Term Pairs
A soft toric lens trial has the correct power of -2.00 -1.25 x 180. Its six-o'clock orientation mark consistently settles 10 degrees to the examiner's left as the examiner faces the patient. Using LARS, which axis should be ordered to compensate for this stable rotation?
Neonatal eye disease classified by zones and stages, with plus disease marking the most severe vascular change.
Paediatric ophthalmology
A keratoconic patient has irregular astigmatism and poor best-corrected spectacle acuity, but the cornea is clear. Why may a corneal rigid gas-permeable lens improve acuity?
Which contact lens parameter directly expresses oxygen transmissibility through a lens of a given material and thickness?
Riboflavin-plus-ultraviolet treatment used to halt keratoconus or post-LASIK ectasia by stiffening the tissue.
Cornea and external disease
Chapter 2: Physical Optics, Photometry and Lenses
Light, refraction and total internal reflection
A patient with high anisometropia is intolerant of spectacles because of image-size difference. Which optical approach most often reduces spectacle-induced aniseikonia?
Find five hidden terms in a grid of letters.
Term Search
During retinoscopy of a 7-year-old, the reflex is neutralised with +2.00 D lenses at a 50 cm working distance. What is the approximate refractive error before cycloplegic refinement?
Corneal ___: fluid build-up in the epithelium and stroma that thickens the clear window and clouds vision, usually from endothelial failure.
A 48-year-old emmetrope asks why near reading has become difficult despite unchanged distance acuity. Which mechanism best explains presbyopia?
A 3-year-old has a constant esotropia that began after infancy and cycloplegic refraction of +5.00 D in both eyes. What is the most appropriate first management step?
Paediatric Ophthalmology Strabismus
Open-angle glaucoma's only known modifiable risk factor; when it stays at 21 mm Hg or below despite typical disc and field damage, the diagnosis is normal-tension glaucoma.
Glaucoma
Photometry, contrast, colour and adaptation
Which clinical pattern is most characteristic of infantile esotropia?
Nursing & Healthcare Exam Prep Podcast
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Podcast
A child appears cross-eyed in photographs because of broad epicanthal folds. In clinic, corneal light reflexes are symmetric and the cover-uncover test shows no refixation movement. What is the most likely diagnosis?
Clear implant placed in the capsular bag at cataract surgery, intended to reduce dependence on spectacles or contacts.
Cataract
A 6-year-old has unilateral reduced visual acuity from anisometropic amblyopia. After optimal spectacle correction for several weeks, acuity remains reduced. Which treatment is a standard next step?
Question · Medium
A child has a right hypertropia that increases on left gaze and on right head tilt. Which extraocular muscle palsy best fits the Parks three-step pattern?
Refractive operation that cuts a hinged stromal flap and reshapes tissue beneath it to reduce dependence on spectacles.
Refractive surgery
Prisms, decentration and vector combination
A child has limited abduction of the left eye, narrowing of the palpebral fissure and globe retraction on attempted adduction, and an upshoot in adduction. What is the most likely diagnosis?
A 5-year-old has a marked limitation of elevation in adduction of the right eye, a downshoot in adduction, and positive forced duction testing. Which diagnosis is most likely?
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