FC Ophth(SA) Final Practice Questions - Fellowship of the College of Ophthalmologists of South Africa Final Examination Exam - FC Ophth(SA) Final Practice Questions - Fellowship of the College of Ophthalmologists of South Africa Final Examination Exam

Question 1

A 28-year-old soft contact lens wearer presents with severe right eye pain out of proportion to clinical signs, photophobia, and lacrimation. Slit-lamp examination reveals a delicate radial keratoneuritis and ring-shaped stromal infiltrate. Corneal scraping shows double-walled cysts on calcofluor white staining. Which of the following is the first-line topical antimicrobial therapy?

Polyhexamethylene biguanide (PHMB) 0.02% combined with chlorhexidine 0.02% Natamycin 5% ophthalmic suspension alone Fortified tobramycin 1.5% and cefuroxime 5% drops Ganciclovir 0.15% ophthalmic gel and oral aciclovir

Correct Answer:

Polyhexamethylene biguanide (PHMB) 0.02% combined with chlorhexidine 0.02%

Question 2

A 19-year-old male with a history of vigorous eye rubbing secondary to vernal keratoconjunctivitis exhibits progressive astigmatism. Slit-lamp biomicroscopy demonstrates corneal iron deposition at the base of the cone (Fleischer ring) and fine vertical stromal lines that disappear under gentle digital pressure (Vogt striae). Pentacam corneal tomography confirms progressive keratoconus with pachymetry of 460 µm at the thinnest point. What is the definitive intervention to halt disease progression?

Rigid gas-permeable (RGP) contact lens fitting Corneal collagen cross-linking (CXL) using riboflavin and ultraviolet A light Deep anterior lamellar keratoplasty (DALK) Intrastromal corneal ring segment (ICRS) implantation

Correct Answer:

Corneal collagen cross-linking (CXL) using riboflavin and ultraviolet A light

Question 3

A 34-year-old female presents with right eye irritation, mild photophobia, and reduced corneal sensation. Fluorescein staining reveals a branching, dendritic corneal epithelial lesion with terminal bulbs and swollen epithelial cells at the ulcer border. What is the most appropriate initial management step?

Initiate topical ganciclovir 0.15% gel or oral valaciclovir and withhold topical corticosteroids Start topical prednisolone acetate 1% four times daily immediately Perform immediate corneal debridement followed by topical fortified vancomycin Fit a therapeutic bandage soft contact lens and initiate topical moxifloxacin

Correct Answer:

Initiate topical ganciclovir 0.15% gel or oral valaciclovir and withhold topical corticosteroids

Question 4

An agricultural worker sustains a corneal abrasion from an oil palm frond. Ten days later, he presents with a greyish-white corneal infiltrate featuring feathery, hyphate margins, surrounding satellite lesions, and an endothelial plaque. Diagnostic corneal scraping confirms fungal hyphae. Which agent represents the initial drug of choice?

Topical natamycin 5% suspension Topical voriconazole 1% alone Topical amphotericin B 0.15% drops Systemic oral fluconazole 400 mg daily

Correct Answer:

Topical natamycin 5% suspension

Question 5

A 62-year-old female reports bilateral morning blurriness that improves as the day progresses. Slit-lamp examination reveals bilateral central Descemet membrane guttae ('beaten copper' appearance) and mild central stromal edema. Specular microscopy shows an endothelial cell count of 750 cells/mm² with marked pleomorphism and polymethism. Which surgical procedure offers the thinnest selective endothelial replacement for this condition?

Descemet Membrane Endothelial Keratoplasty (DMEK) Descemet Stripping Automated Endothelial Keratoplasty (DSAEK) Penetrating Keratoplasty (PKP) Deep Anterior Lamellar Keratoplasty (DALK)

Correct Answer:

Descemet Membrane Endothelial Keratoplasty (DMEK)

Question 1

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Prepare with the FC Ophth(SA) Final Practice Questions - Fellowship of the College of Ophthalmologists of South Africa Final Examination Exam practice quiz. This question bank includes 100 questions covering year-old, presents, reveals, corneal, and examination. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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FC Ophth(SA) Final Practice Questions - Fellowship of the College of Ophthalmologists of South Africa Final Examination Exam

This practice set contains 100 questions from the matching question bank and focuses on year-old, presents, reveals, corneal, and examination. Work through each question carefully, review the provided solutions, and revisit topics that need more study before your next attempt.

This is an independent study resource intended for practice and review; it is not an official examination or an endorsement by any organization named in the title.

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FC Ophth(SA) Final Practice Questions - Fellowship of the College of Ophthalmologists of South Africa Final Examination Exam

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