FRCOphth Part 2 Oral Practice Questions - Part 2 Oral FRCOphth Examination (OSCE And Structured Viva) Exam

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At an OSCE anterior-segment station you examine a patient with a central corneal ulcer, a 2 mm hypopyon and a feathery-edged infiltrate after wearing soft contact lenses in a hot tub. Which investigation is most important to establish the diagnosis before starting treatment?

Anterior segment OCT of the lesion Corneal scrape for microscopy, culture and sensitivities Confocal microscopy only Serum inflammatory markers

Correct Answer:

Corneal scrape for microscopy, culture and sensitivities

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