Station 4: BIO, 90D

Question 1

Entering room

Answer 1

“Good morning Mr(s). Lee, I’m candidate 392”

• wash hands
• clean slit lamp
• darken room

Question 2

BIO

Answer 2

“The purpose of this procedure is to examine the health of the peripheral retina in the back of your eye”

*ask which eye

BIO

• “I’m examining the __ peripheral retina. The tissue is intact with no holes, tears or pathology”
• “I am examining the posterior pole, including the optic nerve and macula. The retinal tissue is intact, with no holes or tears”

Question 3

Dilated fundoscopy

Answer 3

“The purpose of this procedure is to examine the structures inside your eye”

Lens

• “the anterior capsule is clear with no signs of opacities”
• cortex, nucleus, posterior capsule
• retro: “I’m examining the lens with retroillumination. It shows a clear lens/cortical spoking/vacuoles/PSC”
• “there are no signs of cataracts or opacities in the lens”

Anterior vitreous

• have them look up, down, then straight at me
• “the retrolental area is clear. The anterior vitreous is clear/shows syneresis/condensation/no cells”

Posterior vitreous
-“I’m examining the posterior vitreous. It is clear with no cells or signs of PVD”

Optic nerve
-“It’s a healthy pink color, the rim tissue is healthy, and the disc margins are distinct. The contour is deep/shallow. There is no elevation or edema. There is/not peripapillary atrophy. The horizontal/vertical C/D ratio is __”

Arcades
-“I’m examining the __ arcades. They have normal course and caliber, no hemorrhages, exudates, or lesions”

Macula
-“I’m examining the fovea and macula. The macula is intact. There does not appear to be any elevation to the tissue. There is a bright/dim foveal light reflex”

*ask for a hypothetical finding and give one fact and one management strategy