Quiz Paediatrics 003

FACEM VAQ Exam 2008.1 – Question 8

• Clinical photograph showing an eyelid laceration close to inner canthus plus small corneal abrasion.
• The overall pass rate for this question was 48/62 (77.4%).
• The examiners felt that this was again a good question featuring a clear photographic prop and inviting an answer showing knowledge of the anatomy of this area especially the lacrimal apparatus and identifying need for antibiotics and ophthalmic consultation.
• Poor answers showed lack of knowledge of the anatomy of this region, failed to consider infection risk in this case and/or administered inappropriate antibiotics eg tetracyclines in a child.
• Some candidates also failed to obtain ophthalmologic consultation.