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Sessional Exam Example Questions

The document contains example questions for a sessional exam focused on eye examinations and refractive errors. It includes scenarios for subjective refraction using the fan and block technique, the importance of retinoscopy, and the design considerations for direct ophthalmoscopes. Additionally, it discusses spectacle corrections and the implications of patient positioning during autorefractor assessments.

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22t212
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5 views2 pages

Sessional Exam Example Questions

The document contains example questions for a sessional exam focused on eye examinations and refractive errors. It includes scenarios for subjective refraction using the fan and block technique, the importance of retinoscopy, and the design considerations for direct ophthalmoscopes. Additionally, it discusses spectacle corrections and the implications of patient positioning during autorefractor assessments.

Uploaded by

22t212
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Sessional exam example questions

Q. A 20 year old patient attends for his first eye examination. He complains that his vision is
blurred in both eyes and that the blur is more noticeable for near vision than for distance vision.
You find he has Snellen acuities of 6/60 right and left. With spherical correction, his acuities are
6/18 right and left.

a) Starting from the uncorrected state, discuss how you would subjectively refract this
patient using the fan and block technique (10 marks)
b) Suggest what the patient’s refractive error might be (6 marks)
c) Use ray diagrams to illustrate your answer where necessary (4 marks).

Q. Write notes on the following:


a) Aspects of design to consider when purchasing a direct ophthalmoscope (9 marks)
b) The importance of retinoscopy (6 marks)
c) Factors affecting the speed of the retinoscopy reflex (5 marks).

Q. The spectacle correction of a patient is as follows:

R –1.00/-2.00 x 90
L –3.00/-4.00 x 180

a) If static distance fixation retinoscopy is carried out at a working distance of 50cm, what lenses
(sphere and cylinder) will be required to give neutral in each eye? (1 mark)

b) Without any trial lenses in place, what is the ratio of reflex speeds along the two principle
meridians of the left eye at the same working distance? (3 marks)

c) How does the patient’s position on the headrest of an autorefractor affect the results obtained?
(3
marks)
d) Discuss the design of charts (optotypes) used for the assessment of vision in clinical practice
with particular reference to British Standards. Of what value is the development of logMAR
charts? (13 marks)

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