Squint and Amblyopia – Board-Style Questions

What this deck covers

squint and amblyopia in 18 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 18 cases, in order

1. Not really crossed
2. Shine a torch
3. One eye at a time
4. Only when tired
5. The turn at close range
6. What glasses can do
7. Crossed from the start
8. When to align them
9. A varying angle
10. The eye that pulls back
11. Ignoring one picture
12. No turn to see
13. Why no patch yet
14. How many hours
15. Blurring the good eye
16. Too much of a good thing
17. Judging depth
18. What the operation does

Diagnoses and management options tested

Across the 18 cases you are asked to choose between options such as: Weakness of the muscle that turns the eye outwards, A light reflection sitting off centre in the left eye, Both eyes are straight and neither is deviating, Deliberate eye crossing that the child has learned to do for fun, Long sight, so that focusing effort drives the eyes inwards, The lenses are cosmetic only and the operation is still needed later, An acquired turn driven entirely by uncorrected long sight, Operate this week, before any further measurements are taken, The eye fails to turn outwards, and the angle changes with gaze, A sixth nerve palsy that has come on in recent weeks, The turned eye has no working connection to the brain at all, Deliberate under-performance during a test that she disliked strongly, Glasses alone for several months before any patching starts, All waking hours every day until the child reaches seven years.

Clinical pearls from this deck

• Symmetrical torch reflections: a false squint.
• Unequal torch reflections mean a real deviation.
• Cover the good eye and watch the other move.
• Straight in clinic but drifting at home: a latent turn.
• A turn worse at near: uncorrected long sight.
• The right lenses can straighten an accommodative turn.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all ENT and ophthalmology case decks · pediatric reference values.