MCQs for FRCOphth Part 2 MCQs for FRCOphth Part 2 Edited by Darren S. J. Ting, MBChB, PgCertHPE, DRCOphth, FRCOphth (Recipient of FRCOphth Crombie Medal and DRCOphth Cornwall Prize) Fight for Sight/ John Lee, Royal College of Ophthalmologists (RCOphth) Primer Fellow Academic Ophthalmology University of Nottingham Nottingham, UK David H. W. Steel, MBBS, MD, FRCOphth Consultant Ophthalmologist, Sunderland Eye Infirmary Sunderland, UK; and Honorary Professor of Retinal Surgery, Newcastle University Newcastle upon Tyne, UK 1 3 Great Clarendon Street, Oxford, OX2 6DP, United Kingdom Oxford University Press is a department of the University of Oxford. It furthers the University’s objective of excellence in research, scholarship, and education by publishing worldwide. 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The authors and the publishers do not accept responsibility or legal liability for any errors in the text or for the misuse or misapplication of material in this work. Except where otherwise stated, drug dosages and recommendations are for the non-p regnant adult who is not breast- feeding Links to third party websites are provided by Oxford in good faith and for information only. Oxford disclaims any responsibility for the materials contained in any third party website referenced in this work. DEDICATION ‘To my wife, Jiani, and my family for their unconditional support and love; and to my trainers, colleagues, and friends in the North East Deanery for the amazing time and memories during my ophthalmology training.’ Darren S. J. Ting ‘To the many ophthalmic trainees at Sunderland Eye Infirmary and the North East Deanery that I have had the pleasure of working with.’ David H. W. Steel FOREWORD Test yourself and teach yourself. To do both at the same time: read this book, study it, and learn from it. The format and content are unique compared to other MCQ books that I read in my long gone days as a trainee, or have seen in recent times. The questions are standard, testing factual knowledge and the application of knowledge in clinical settings. The big selling point of this book is in the answer section. The authors have provided elaborate explanations for the answers, which enhance the learning experience and the retention of knowledge. At times, getting an answer correct can still leave a gap in one’s knowledge as MCQs do not test the depth of understanding an individual may or may not have of the subject. But for this book, the answers and the explanations go that extra step to fill any gaps that might have existed. It actually makes the test an enjoyable experience and by the time the fun is over, you will be well prepared for the actual examination, which hopefully will no longer be a daunting experience. Reading this book is also a great way for those who have passed all their examinations to refresh their knowledge. Harminder S Dua, CBE MBBS, DO, DO (London), MS, MNAMS, FRCS (Edinburgh), FEBO (EU), FRCOphth, FRCP (Edinburgh, Honorary), FCOptom. (UK, Honorary), FRCOphth (UK, Honorary), MD, PhD (Former President of Royal College of Ophthalmologists 20–204) Chair and Professor of Ophthalmology University of Nottingham Queen’s Medical Centre Nottingham United Kingdom PREFACE ‘Too much to do, too little time’— a common notion that probably describes the life of most trainees, including me. As a clinical and research fellow who had just recently passed the Fellowship of the Royal College of Ophthalmologists (FRCOphth) final exam, I realize that we, as trainees, often have limited time to prepare and revise for the ‘test’ while trying to juggle so many things in our work and home lives simultaneously. For the preparation of my FRCOphth written exam (see Table P.), I relied on several different revision materials and question banks; however, many of these were either outdated, associated with expensive subscription fees, or orientated to US practice, which often differs from that in the UK. In addition, few questions covered recent landmark studies and the Royal College of Ophthalmologists (RCOphth) curriculum, including relevant GMC/N ICE/ RCOphth/ Good Medical Practice guidelines, all of which are frequently tested in both the written and oral parts of the exam. This book aims to provide up- to- date revision material specifically targeting the FRCOphth Part 2 multiple choice questions (MCQs) exam. It places more emphasis on areas that are not well covered in other revision materials, including the GMC/ RCOphth guidelines, professional guidance, and the choice and rationale for clinical investigations and management. The questions are organised into five sections reflecting the subdivisions of the MCQ exam, and one mock exam containing an additional 90 questions. All 360 MCQs are provided with a detailed explanation and referenced. The questions are accurately mapped against the RCOphth curriculum and we therefore hope it will help not only in the MCQs, but also in the other parts of the exam. We are extremely grateful to the expert clinicians who have contributed questions from their own subspecialist areas. The book could not have been completed without their expertise and help. As editors we have tried to ensure a consistent style and approach throughout the book to ease the learning process. We hope that this book will help you on your path to success in the FRCOphth Part 2 exam. Good luck! Darren S. J. Ting and David H. W. Steel