Clinical Problem Solving Example Questions:

1. A 25 year old woman has a muco-purulent discharge, pelvic pain, cervicitis and urethritis.

Which is the SINGLE most likely cause for her symptoms? Select ONE option only.

  1. Bacerial vaginosis
  2. Candida albicans
  3. Chlamydia Trachomatis
  4. Herpes simples
  5. Trichomaniasis


Reduced Vision
A. Basilar migraine F. Central retinal vein occlusion
B. Cerebral tumour G. Optic neuritis (dymyelinating)
C. Cranial arteritis H. Retinal detachment
D. Macular degeneration I. Tobacco optic neuropathy
E. Central retinal artery occlusion
For each patient below select the SINGLE most likely diagnosis from the list above. Each option may be selected once, more than once or not at all.
2. A 75 year old man, who is a heavy smoker, with a blood pressure of 170/105, complains of floaters in the left eye for many months and flashing lights in bright sunlight. He has now noticed a "curtain" across his vision.
3. A 70 year old woman complains of shadows that sometimes obscure her vision for a few minutes. She has felt unwell recently with loss of weight and face pain when chewing food.
4. A 45 year old woman, who is a heavy smoker, with blood pressure of 170/110, complains of impaired vision in the right eye. She has difficulty discriminating colours and has noticed that her eye aches when looking to the side.