ChoiceHub

Ophthalmology

20 free practice questions shared by students. Answer them right here — no account needed.

Practise theseOne at a time, in a random order, with the explanation after each.

A 68-year-old woman comes to the emergency department at 10 pm with four hours of severe right-sided headache and vomiting that began while she was watching a f…

Pre-internship · middle twist

A 34-year-old woman has had a gritty, watering right eye since walking home through a dust storm yesterday afternoon. It hurts most when she blinks. She has nev…

Clinical rotations · middle twist

A 4-year-old boy is screened at his preschool in Sydney under the state vision screening programme. Using a matching-letter chart he scores 6/9 in the left eye…

Clinical rotations · middle twist

A 74-year-old man attends for a repeat prescription. He drives himself and his wife to the shops and to church each week. He has had dry age-related macular deg…

Pre-internship · middle twist

A 54-year-old man with type 2 diabetes of 14 years attends his general practice for review. His most recent glycated haemoglobin is 9.4% (79 mmol/mol) and his b…

Clinical rotations · middle twist

A 71-year-old man with long-standing poorly controlled hypertension wakes to find the vision in his left eye blurred. There is no pain, no flashing lights and n…

Clinical rotations · common

A 58-year-old woman has twice walked into the left-hand door frame this month and has scraped the driver's side of her car. She has noticed nothing wrong with h…

Clinical rotations · middle twist

A 43-year-old woman has had two days of boring pain behind the right eye and, since this morning, double vision. Her right upper lid now covers the pupil and sh…

Pre-internship · middle twist

A 76-year-old man with long-standing asthma has needed his reliever most nights for six weeks and now wakes twice a night wheezing. His preventer, budesonide wi…

Clinical rotations · middle twist

A 79-year-old woman lives alone and has stopped driving after dark because oncoming headlights spread into a glare she cannot see through. She has given up the…

Pre-internship · middle twist

A 54-year-old Aboriginal man attends his general practice in a regional town for a diabetes review. Type 2 diabetes was diagnosed four years ago. His HbA1c is 5…

Clinical rotations · niche

A 71-year-old man says the vision in his right eye switched off ninety minutes ago, without pain. He can count fingers only on that side. The right pupil dilate…

Pre-internship · middle twist

A 74-year-old woman has had a new right-sided headache for three weeks and says her scalp is sore when she brushes her hair. She has begun stopping halfway thro…

Pre-internship · middle twist

A 52-year-old woman wakes with a drooping right eyelid and double vision. She has had a boring pain behind the right eye since yesterday. When the lid is lifted…

Clinical rotations · middle twist

A 47-year-old man was hammering a steel chisel without eye protection when he felt something strike his left eye an hour ago. Visual acuity is 6/60 on the left…

Pre-internship · common

A 31-year-old cyclist has had a gritty, watering right eye since riding home in a strong wind two days ago. It hurts most each time he blinks. Visual acuity is…

Clinical rotations · middle twist

A 68-year-old woman arrives at 10 pm vomiting, with a painful red right eye and rings around the streetlights. The right cornea is cloudy, the pupil is mid-dila…

Pre-internship · niche

A 28-year-old man has had a deep ache in the right eye for three days with blurred vision. The right eye is red, most intensely in a narrow ring around the corn…

Clinical rotations · middle twist

A 22-year-old student attends a rural emergency department at 9 pm with a painful red left eye. She wears monthly soft contact lenses and slept in them last nig…

Pre-internship · middle twist

A 26-year-old primary school teacher has had a red, watering right eye for four days; the left eye became red two days ago. She had a sore throat the week befor…

Clinical rotations · common