Thanks to Allah I passed part-3 FRCO exam in
Glasgow held in June 2011 from the first hit. I hereby describe all
the details of my experience hoping somebody finds it beneficial.
Regarding the best airways to book, I found the
British airways fairly well. Through their website you can book a
round-trip flight with one stop at London. They provide you with your
baggage in Glasgow without the need to take them from one flight to
Regarding the accommodation, I stayed at Euro
Hostel and I booked fairly cheap stay for only 29 GBP per night. You
can book through https://bookings.seeglasgow.com . Its location is
fairly close to the exam centers and you may take a walk to reach the
exam centers or call a taxi which usually takes 3-4 GBP for the drive.
a- IDIOPATHIC INTRACRANIAL HTN: A picture of
marked disc swelling to describe the findings.
Question on the DD (papilledema, papillitis,
The examiner then told me that this picture was
for a 19-y old girl with an overweight, what is the most likely if she
was complaining from severe headache and her BCVA was 6/6 bilaterally.
I answered that a possibility of papilledema is very likely. He asked
me what other fundus sign that may benefit me but it will be not
possible to assess in a photo. I answered:”VENOUS PULSATIONS” and
questions on its incidence in the normal population. Then he asked if
I am asked to do just one investigation, what it should be, I answered
“NEUROIMAGING”. He asked why, I said:” to exclude
possible intracranial space-occupying lesion”. Then he told me that if
neuroimaging proved normal and a lumbar puncture revealed normal
cytology but very high opening pressure what will be your suggestion,
I answered:” benign increased intracranial pressure” especially that
the lady is female and obese.
Question on medications that can be used for
Question on types of surgery that can be used.
b- FAT-EMBOLISM: Color Fundus picture showing 2
cotton-spots one at each temporal arcade.
Question on the DD of cotton-wool spots. I
answered:’ HTN, DM, HIV,CMV, systemic lupus, fat embolism”.
He then mentioned that this picture is for a
man brought in accident with multiple lower limb fractures He then
asked about the visual prognosis, I really did not know but I said:” I
think it is not that bad” the examiner smiled and said:” I say it is
c- THYROID OPHTHALMOPATHY:
A question on the most common cause of
unilateral proptosis. I said:” thyroid eye disease”.
Question on the thyroid status in such
Question on the possible systemic manifestaions
in these patients if hyperthyroid and the possible investigations.
Question on the ocular complications of thyroid
ophthalmopathy and the indications for orbital decompression.
Question on the commonest clinical presentation
in thyroid eye disease in the eye clinic: dry eye
INTERNAL MEDICINE questions:
1- ATRIAL FIBRILLATION: Question on management of
atrial fibrillation and possible complications
2- EPILEPSY: Question on management of a case of
epilepsy in the ophthalmic clinic and importance of taking history in
such patients and possible ocular toxicity from anti-epileptic drugs
3- VIRAL HEPATITIS: Question on management when
we got a needle stick that is possible blood-contaminated and review
of hepatitis virus immunization
4- CARDIOVASCULAR DISEASES: Question on effects
of cardiovascular disease on the eye
2- OPHTHALMIC SURGERY & PATHOLOGY
1- RETROBULBAR HEMATOMA: Picture of unilateral
periorbital edema after ocular surgery for DD and question on risk
factors and management of retrobulbar hematoma.
2- PSEUDOEXFOLIATION SYNDROME: Picture of
pseudoexfoliation syndrome: problems during surgery, precautions
during cataract surgery, and management of small pupil during cataract
3- PCO: Management of PCO and prevention of
1- Graft rejection: Picture of eye with
penetrating keratoplasty with marked C. edema, etc for DD. Question on
the pathology and management of graft rejection.
2- Optic nerve glioma: case of NF-1 syndrome with
enucleated blind right eye what is the expected cause of enucleation.
Question on the pathology of glioma.
3. OPHTHALMIC MEDICINE:
Question on the DD of esodeviation in a 3-year
old child and leading questions on diagnosis of retinoblastoma
Question on DD of a case of 40-y old with night
Picture of corneal abscess for DD,
Picture of episcleral nodular lesion for DD,
Picture of scleral thinning for DD and leading
questions on necrotizing scleritis, investigations, ttt
Picture of hypopyon in the AC for DD,
investigations with leading questions on endophthalmitis
Question on side effects of systemic
corticosteroids (what is the most common: osteoporosis)
1- Posterior segment:
Use: 78D lens to examine Case-1: Male patient
with High risk NPDR with accidental perifoveal burn, questions on DD,
Use: 78D lens to examine Case-2: Female patient
with AMD with geographic atrophy on one eye and wet AMD on other eye
Use: indirect ophthalmoscope to examine Case-3:
unilateral macular hole
2- Anterior segment:
Case-1: Male patient with Fuch endothelial
dystrophy with MGD and acne rosacea
Case2: Male patient with Map-dot-fingerprint
corneal dystrophy with nuclear cataract
Case-1: Male patient with senile ptosis asking on
different measurements that need to be done and management
Case-2: Male patient with RAPD with possible DD
4- Ocular motility:
Case-1: Female patient with thyroid
ophthalmopathy (you have to know how to examine for systemic
manifestation of thyroid eye disease and how to examine the thyroid
Case-2: Male patient with orbital inflammatory
1- For ophthalmology: Wong ophthalmopathy review
is the best and it tells you the scenario of the exam. Kanski is
enough so donot confuse yourself with other sources. Your clinical
practice is essential and you should engage in examining the patients
with subspecialities that you
are not familiar with and remember that you must
convince the examiner that you have done such techniques hundred times
Be self-confident whenever sure about your answer
and never appear aroused from any questions, simply say I cannot
recall if you donot know. This saves time giving time for the examiner
to ask you another question.
2- Donot miss Chua website, you cannot pass
3- For internal medicine and emergency: Oxford
emergency medicine is the best although long but be patient while you
read it and pretend that you are called at night to see a relative of
you with emergency and no doctors available.
Please let me know if you have any questions on :