MRCSI (Ophth) Written case studies
MRCSI (Ophth) Written · Put your knowledge to work in context.
The MRCSI (Ophth) Written - also referred to as the MRCS Ophthalmology Written examination - is a professional surgical examination administered by the Royal College of Surgeons in Ireland (RCSI). It sits within RCSI's ophthalmology examinations portfolio, which the College lists alongside its FRCS and MRCS, otolaryngology and Court of Examiners pages under the Surgical Exams section of its website. The MRCSI (Ophth) Written case studies are 5 cases and about 3,112 words.
1Sudden Visual Loss in a Patient on Anticoagulation
A 68-year-old man presents to the emergency eye clinic with painless profound loss of vision in the right eye, noted on waking 6 hours ago. He reports a 'curtain' descending over the right visual field.
593 words, about 3 min2Deciding on Surgery in Asymptomatic Gallstones
A 54-year-old woman is referred to the general surgical clinic after an ultrasound performed for vague upper abdominal discomfort showed multiple gallstones with a normal-calibre common bile duct and no wall thickening. She has had no episodes of colicky right upper quadrant pain, no jaundice, no fever, and no pancreatitis.
601 words, about 3 min3The Red Eye on the Surgical Ward
A 72-year-old man is on the surgical ward on day 4 after an emergency laparotomy for perforated diverticulitis. He is on intravenous piperacillin-tazobactam and has a central line.
604 words, about 3 min4Timing of Surgery After an Acute Coronary Syndrome
A 63-year-old man is listed for elective laparoscopic cholecystectomy for recurrent biliary colic. Six weeks ago he was admitted with an ST-elevation myocardial infarction and underwent percutaneous coronary intervention with a drug-eluting stent to the left anterior descending artery.
622 words, about 3 min5The Patient Who Cannot Consent Clearly
An 80-year-old woman is brought to the eye clinic by her daughter with a dense, mature cataract in the left eye causing counting-fingers vision; the right eye is 6/12. She has mild cognitive impairment (MMSE 22) and lives with her daughter, who provides most of her care.
692 words, about 3 min