College of Optometrists Scheme for Registration Final Assessment OSCE Practice Questions - College of Optometrists Scheme for Registration Final Assessment OSCE (UK) Exam - College of Optometrists Scheme for Registration Final Assessment OSCE Practice Questions - College of Optometrists Scheme for Registration Final Assessment OSCE (UK) Exam

Question 1

A 68-year-old female presents to your optometry clinic with sudden severe right ocular pain, blurred vision, halo around lights, and nausea. Examination shows a fixed mid-dilated pupil, corneal edema, and an intraocular pressure (IOP) of 48 mmHg in the right eye. What is the immediate initial optometric management step prior to emergency hospital referral?

Instill topical pilocarpine 2% and timolol 0.5% (if not contraindicated) and arrange emergency same-day ophthalmology admission Instill topical cyclopentolate 1% to dilate the pupil and relieve ciliary spasm Perform immediate YAG laser peripheral iridotomy in the primary care clinic Advise the patient to lie flat in a dark room and re-evaluate IOP in 24 hours

Correct Answer:

Instill topical pilocarpine 2% and timolol 0.5% (if not contraindicated) and arrange emergency same-day ophthalmology admission

Question 2

A soft contact lens wearer presents with severe right eye pain, photophobia, and purulent discharge. Slit lamp examination reveals a 2.5 mm focal corneal stromal infiltrate with an overlying epithelial defect and surrounding edema. Corneal sensation is normal. Which pathogen is most commonly associated with rapid corneal melting in soft contact lens wearers requiring emergency referral?

Pseudomonas aeruginosa Acanthamoeba castellanii Herpes simplex virus type 1 Staphylococcus epidermidis

Correct Answer:

Pseudomonas aeruginosa

Question 3

A 72-year-old patient reports a sudden onset of dark spots and flashes of light (photopsia) in the left eye followed by a curtain-like shadow descending over the upper visual field. Fundoscopy shows a greyish elevated retina with lost choroidal detail in the inferior nasal quadrant. What is the diagnosis and required referral urgency?

Rhegmatogenous retinal detachment; emergency same-day ophthalmology referral Posterior vitreous detachment without retinal tear; routine 6-week optometric follow-up Central serous chorioretinopathy; urgent 2-week outpatient clinic referral Wet age-related macular degeneration; fast-track 2-week anti-VEGF clinic referral

Correct Answer:

Rhegmatogenous retinal detachment; emergency same-day ophthalmology referral

Question 4

An 80-year-old patient presents with acute distortion of straight lines (metamorphopsia) on the Amsler grid in the right eye over the past 3 days. Visual acuity in the right eye has dropped from 6/6 to 6/18. Optical coherence tomography (OCT) shows subretinal fluid and choroidal neovascularization (CNV). What is the appropriate NHS pathway management?

Urgent referral to the hospital eye service wet AMD anti-VEGF clinic within 2 weeks Routine referral to hospital ophthalmology within 3 to 6 months Prescribe high-dose AREDS2 vitamins and review in 6 months Emergency same-day referral to hospital eye casualty for vitrectomy

Correct Answer:

Urgent referral to the hospital eye service wet AMD anti-VEGF clinic within 2 weeks

Question 5

During a routine eye examination of a 55-year-old asymptomatic patient, Goldmann applanation tonometry measures IOPs of 24 mmHg RE and 25 mmHg LE. Slit lamp examination shows open anterior chamber angles (van Herick grade 4), clean optic discs with vertical cup-to-disc ratios of 0.3 bilaterally, and normal visual fields. According to NICE guideline NG81, how should this patient be classified?

Ocular hypertension (OHT) Primary open-angle glaucoma (POAG) Normal tension glaucoma (NTG) Glaucoma suspect

Correct Answer:

Ocular hypertension (OHT)

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Prepare with the College of Optometrists Scheme for Registration Final Assessment OSCE Practice Questions - College of Optometrists Scheme for Registration Final Assessment OSCE (UK) Exam practice quiz. This question bank includes 100 questions covering patient, year-old, lens, presents, and right. Use it to review important concepts, identify knowledge gaps, and build confidence for the related exam, course, or assessment.

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College of Optometrists Scheme for Registration Final Assessment OSCE Practice Questions - College of Optometrists Scheme for Registration Final Assessment OSCE (UK) Exam

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College of Optometrists Scheme for Registration Final Assessment OSCE Practice Questions - College of Optometrists Scheme for Registration Final Assessment OSCE (UK) Exam

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