YEAR 04 • MAJOR CLINICAL DISCIPLINES

Ophthalmology

20 learning units • 100 chapter sections • 200 explained questions. Assess visual symptoms, recognise sight-threatening disease and plan safe treatment, referral and follow-up.

Original RAHBAR study material for the Year 4 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 15 / 20

Diplopia, Strabismus & Amblyopia

Distinguish optical doubling from misalignment and understand developmental visual loss.

Choose an answer and check it immediately. Change your choice to try again. This is a self-study exercise; results are not saved.

Question 01. Diplopia that disappears when either eye is covered is usually what? A. Monocular diplopiaB. Binocular diplopiaC. Colour blindnessD. Night blindness

Question 02. Doubling persists when the affected eye is viewing alone. What does this suggest? A. A compulsory third-nerve palsyB. Monocular diplopiaC. A homonymous field defectD. Complete cortical blindness

Question 03. Which examination helps identify ocular deviation? A. Blood pressure aloneB. TympanometryC. Cover testingD. Lens biometry alone

Question 04. New adult strabismus should be regarded how? A. As cosmetic in every caseB. As proof of childhood amblyopiaC. As normal ageing without reviewD. As a clinical finding requiring assessment

Question 05. What is amblyopia? A. Any sudden retinal vascular occlusionB. Every adult refractive errorC. A synonym for cataractD. Impaired visual development from abnormal early visual input

Question 06. Why might a child with unilateral amblyopia not complain? A. The affected eye always has normal acuityB. Children cannot have visual impairmentC. The better eye compensatesD. Amblyopia always causes pain instead

Question 07. What should precede attributing poor childhood vision solely to amblyopia? A. Automatic surgeryB. Permanent patching without examinationC. Assessment for refractive and structural causesD. Reassurance from a photograph alone

Question 08. Does alignment surgery automatically cure amblyopia? A. No, alignment and acuity require separate assessmentB. Yes, in every childC. Only if surgery is cosmeticD. Yes, without follow-up

Question 09. Which new squint presentation is particularly urgent? A. Stable known deviation under reviewB. A corrected refractive errorC. An unchanged childhood photographD. Squint with headache, vomiting or abnormal red reflex

Question 10. What is appropriate for a patient with uncontrolled new diplopia? A. Continue driving if one road is familiarB. Ignore it if the eyes are not redC. Use another person’s glasses insteadD. Avoid driving and obtain assessment

0 / 10 answeredReady for assessment →

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.