OCANZ WRITTEN SEPTEMBER EXAM 2024 LATEST UPDATED 93 QUESTIONS AND ANSWERS A 75 y/o F comes in for her annual check complaining of reduced vision and increased intolerance to glare. She has had a myopic shift and has cataracts. a) What factors should you consider when referring for cataract surgery? - ✔✔ANSW✔✔Cataract Cause of visual complaint Compramising Lifestyle Driver Anisometropia Visual Acuity Other Ocular Pathology General Health and Medications Patient wants to have operation b) What type of cataract is most likely from the above description? - ✔✔ANSW✔✔Nuclear Sclerotic Why is FDT more sensitive to early glaucoma? - ✔✔ANSW✔✔Early glaucomatous nerve damage is thought to be due to loss of large -diameter retinal ganglion cells (in magnocellular layer) These cells are responsible for a small proportion of the total retinal ganglion cells and have minimal functional redundancy, making them a good target for detecti ng early glaucoma damage. What disease will have worse field results with a blue-yellow field test? A) Ret Pig B) Optic Neuritis C) Glaucoma - ✔✔ANSW✔✔Blue yellow best for picking up early glaucoma, unspecific question? A px has been prescribed drops by his ophthalmologist and advised to shake them. Why is this? A They are a gel and shaking will decrease viscosity B They are a fluid and shaking will increase viscosity C They are a suspension and shaking will disperse solution - ✔✔ANSW✔✔C) they are a suspension and shaking will disperse solution A px has Rx R: +4.00 L: +1.00 O.C is meant to be 62 but has been dispensed at 66 What happens to prism as the px looks down? A) more exo more hyper R B) more exo less hyper R C) less exo more hyper R D) less exo less hyper R - ✔✔ANSW✔✔C) less exo more hyper R A px has a +2.50 add at 32cm and can see N16. What can they see at 16cm with a +6.00 add? A) N4 B) N5 C)N6 d) N8 - ✔✔ANSW✔✔N6 32 cm to 16cm = 2x mag = N8 +6.00 add = 1.5 x magnification N8 at 1.5 x mag = N6 because N8 2x mag =N4, What is the most accurate description of the role of a keratometer? A) to diagnose keratoconus B) to fit contact lenses C) to measure corneal curvature - ✔✔ANSW✔✔C) to measure corneal curvature What is the least suitable management for GPC?
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