1.0 EYELIDS QUESTIONNAIRE (REVIEW CLASS) Flashcards
A localized area of color change without infiltration or elevation
- MACULE
- PAPULE
- VESICLE
MACULE
“change without infiltration or elevation”
A small solid elevation of skin which may be flat-topped or dome shaped.
- MACULE
- PAPULE
- VESICLE
Papule
“small solid elevation”
A small circumscribed lesion containing fluid.
- MACULE
- PAPULE
- VESICLE
Vesicle
“containing fluid”
Freckle is an example of
- macule
- pustule
- nodule
Macule
Collection of Pus
- macule
- pustule
- nodule
Pustule
A solid area of raised skin.
- macule
- pustule
- nodule
Nodule
“solid area”
A nodule consisting of an epithelial-lined cavity filled with fluid or semi solid material.
- cyst
- plaque
- scale
Cyst
“nodule with fluid”
A palpable, shallow elevation of the skin, usually more than 2 cm in diameter
- plaque
- scale
- papilloma
plaque
“shallow elevation of the skin”
Thickening of the horny layer keratin in the form of readily detached fragments.
- plaque
- scale
- papilloma
Scale
“Thickening of the horny layer keratin”
A tag-like projection from the skin surface.
- plaque
- scale
- papilloma
papilloma
A circumscribed area of skin loss that extends through the epidermis into the dermis
- Ulcer
- Hyperkeratosis
- Dysplasia
- Acanthosis
Ulcer
“skin loss – epidermis to dermis”
An increase in thickness of the keratin layer and appears clinically as scaly skin.
- Ulcer
- Hyperkeratosis
- Dysplasia
- Acanthosis
Hyperkeratosis
“increase in thickness of the keratin layer”
An alteration of the size, morphology and organization of cellular components of a tissue. There is disturbance of normally structured and recognized layers of tissue
- Ulcer
- Hyperkeratosis
- Dysplasia
- Acanthosis
Dysplasia
“organization of cellular components of a tissue”
Thickening of the squamous cell layer.
- Ulcer
- Hyperkeratosis
- Dysplasia
- Acanthosis
Acanthosis
A chronic, sterile, granulomatous inflammatory lesion caused by retained sebaceous secretion leaking from the meibomian or other sebaceous glands into adjacent stroma (2 answers)
- Hordeolum
- Chalazion
- Meibomian cyst
- Chalazion
* Meibomian cyst
Meibomian cyst is also known as ____
chalazion
Hordeolum is also known as ____
stye
A chalazion secondarily infected is referred to as __________
- Internal hordeolum
- External hordeolum
Internal hordeolum
Occasionally a large upper lid chalazion may press on the cornea, induce astigmatism and cause blurred vision.
True/False
True
CHALAZION
lipogranulomatous inflammatory reaction containing epithelioid histiocytes, multinucleated giant cells and plasma cells
True/False
True
CHALAZION
May occur at any age
t/f
true
CHALAZION
Eversion of the lid may show an associated
polypoidal granuloma if the lesion has ruptured
through the tarsal conjunctiva
t/f
true
CHALAZION
Gradually enlarging painful nodule
t/f
false
Tiny, white, round, superficial papules which tend to occur in crops resulting in retention of keratin.
- Milia
- Xanthelasma
- Corneal Arcus
Milia
“Tiny, white, round, superficial papules”
Which condition is associated with increased levels of serum cholesterol specially in young males (2 answers)
- Milia
- Xanthelasma
- Corneal Arcus
xanthelasma
corneal arcus
Characteristics of Basal Cell Carcinoma
most common human malignancy and most frequently affects young individual
t/f
False
characteristics of Basal Cell Carcinoma
90% involves head & neck & 10% eyelid area
t/f
True
Basal Cell Carcinoma, common location is the ________ eyelid
- upper
- lower
lower
Tumor is slow-growing and locally invasive but
non-metastasizing.
- Squamous cell carcinoma
- Basal cell carcinoma
Basal Cell Carcinoma
Tumors that recur following incomplete treatment tend to be more aggressive
- Squamous cell carcinoma
- Basal cell carcinoma
Basal Cell Carcinoma
more aggressive tumor
- Squamous cell carcinoma
- Basal cell carcinoma
Squamous cell carcinoma
Immunocompromised Patients such as those with AIDS or following renal transplants are at increased risk.
- Basal cell carcinoma
- Squamous cell carcinoma
Squamous cell carcinoma
Squamous cell carcinoma
The tumor arises from the squamous cell layer of the _________
- epidermis
- dermis
epidermis
Squamous cell carcinoma
The tumour arises from the cells that form the ________
- basal layer of the epidermis
- squamous cell layer of the epidermis
squamous cell layer of the epidermis
Sebaceous gland carcinoma affects mainly elderly individual with what gender?
- male
- female
female
Lie within the epidermis, the tumor appears to arise from the dermis.
- Merkel cell carcinoma
- Atopic Dermatitis
Merkel cell carcinoma
Merkel cell carcinoma:
Highly malignant
t/f
true
Merkel cell carcinoma
50% of cases often metastasize
t/f
true
MERKEL cell carcinoma
a vascular tumour which typically affects patients with the acquired immune deficiency syndrome
t/f
false
A partial or complete second row of lashes emerging at or slightly behind the meibomian gland orifices
- Distichiasis
- Trichomegaly
Distichiasis
Excessive eyelash growth
- Distichiasis
- Trichomegaly
Trichomegaly
MADAROSIS
- Chronic anterior lid margin disease
- Chronic posterior lid margin disease
Chronic anterior lid margin disease
MADAROSIS
Infiltrating lid tumors
t/f
true
MADAROSIS
Certain systemic diseases Like Lupus & leprosy
T/F
true
MADAROSIS
cause of Burns (t/f)
true
MADAROSIS
Radiotheraphy or cryotherapy of lid tumors (t/f)
true
MADAROSIS
cause by Psoriasis (t/f)
true
Thickening, crusting and vertical fissuring of the lids
- Atopic Dermatitis
- Madarosis
Atopic Dermatitis
other ocular associations such as vernal disease & keratoconjunctivitis
- Atopic Dermatitis
- Madarosis
Atopic Dermatitis
Atopic Dermatitis
tender swelling in the lid margin pointing anteriorly through the skin
t/f
false
A premature localized whitening of hair, which may involve the lashes and eyebrows
- poliosis
- trichomegaly
poliosis
whitening of hair – lashes and eyebrows
TRICHOMEGALY is sometimes associated with systemic immune disorder like (AIDS) and malnutrition
t/f
true
TRICHOMEGALY is sometimes associated with systemic immune disorder like (AIDS) and malnutrition
t/f
true
A knife removes a portion of the lesion for histology
- Pseudoptosis
- Incisional Biopsy
Incisional Biopsy
A knife removes a portion of the lesion for histology
- Pseudoptosis
- Incisional Biopsy
Incisional Biopsy
Often use for large superficial lesions such as seborrhoeic keratosis
- Incisional Biopsy
- Pseudoptosis
Incisional Biopsy
INCISIONAL BIOPSY
is performed on _____
- small tumors
- large tumors
large tumors
A brown macule due to increased melanin in the epidermal basal layer, generally in sunlight-exposed areas
- strawberry nevus
- freckle
freckle
Capillary hemangioma is also known as __________-
strawberry nevus
Capillary hemangioma is also known as __________-
strawberry nevus
Capillary hemangioma is also known as __________-
strawberry nevus
Characterized by posterior misdirection of lashes arising from normal sites of origin
- Trichiasis
- Distichiasis
Trichiasis
Abnormally low position of the upperlid, which may be congenital or acquired.
- Trichiasis
- Ptosis
PTOSIS
caused by a myopathy of the levator muscle itself
- Myogenic ptosis
- neuromyopathic
Myogenic ptosis
impairment of transmission of impulses at the neuromuscular junction
- Myogenic ptosis
- neuromyopathic
neuromyopathic
The age at onset of ptosis and its duration will usually distinguish congenital from acquired cases.
t/f
true
PTOSIS
Can be caused by an innervational defect of CN3 such as mechanical ptosis
t/f
false
Lack of support of the lids by the globe
- Pseudoptosis
- Ectropion
Pseudoptosis
Contralateral lid retraction
- Pseudoptosis
- Ectropion
Dermatochalasis in which there is excessive skin on the upper lids
- Pseudoptosis
- Ectropion
Contralateral lid retraction
- Pseudoptosis
- Ectropion
pseudoptosis
Dermatochalasis in which there is excessive skin on the upper lids
- Pseudoptosis
- Ectropion
Pseudoptosis
is the result of impaired mobility of the upper lid caused by dermatochalasis , neurofibromas & other heavy tissue like severe edema.
- Dacryocystitis
- Mechanical ptosis
Mechanical ptosis
Affects the lower lid among elderly patients.
- Involutional ectropion
- Incisional Biopsy
Involutional ectropion
it may result in epiphora & long standing chronic inflamed tarsal conjunctiva
- Involutional ectropion
- Incisional Biopsy
Lateral canthal tendon laxity may contribute to the
condition
- Involutional ectropion
- Incisional Biopsy
Involutional ectropion
Lateral canthal tendon laxity may contribute to the
condition
- Involutional ectropion
- Incisional Biopsy
Involutional ectropion
Involutional ectropion
Scarring of eyelid may pull eyelid away from globe.
t/f
false
is caused by tumors on or near the lid margin which mechanically evert the lid
- Mechanical ectropion
- Involutional ectropion
Mechanical ectropion
Which of the following condition/disorder may result to rubbing on the lashes on the anterior surface of the eye EXCEPT:
- Involutional entropion
- Trichiasis
- Dacryocele
- Distichiasis
Dacryocele
Severe scarring of the palpebral conjunctiva, which pulls the upper or lower lid margin towards the globe
- telecanthus
- cicatrical entropion
cicatrical entropion
Increased distance between the medial canthi as a result of abnormally long medial canthal tendons
- telecanthus
- cicatrical entropion
telecanthus
Microblepharon is characterized by small eyelids, often associated with _______
- Anophthalmos
- Epiphora
anophthalmos
Deficiency of anterior lamellae of the eyelids
- Ablepharon
- Telecanthus
Ablepharon
Ablepharon can be categorize as complete or incomplete ablepharon
t/f
false
Treatment includes reconstructive skin grafting
- telecanthus
- ablepharon
Ablepharon
Excessive tearing is termed as ________
Epiphora
Hypersecretion secondary to ocular inflammation or surface disease
- epiphora
- ectropion
epiphora
Defective drainage due to compromise of the lacrimal drainage system.
- epiphora
- ectropion
epiphora
Lacrimal pump failure, which may occur secondarily to lower lid laxity or weakness of the orbicularis muscle
- ephiphora
- ectropion
ephiphora
Malposition of the lacrimal puncta
- epiphora
- ectropion
epiphora
Associated with chronic blepharitis.
- Primary punctal stenosis
- Dacryocystitis
Cicatrizing conjunctivitis and trachoma. - Primary punctal stenosis
- Dacryocystitis
Following irradiation of malignant lid tumours
- Primary punctal stenosis
- Dacryocystitis
Primary punctal stenosis
Cicatrizing conjunctivitis and trachoma.
- Primary punctal stenosis
- Dacryocystitis
Primary punctal stenosis
Following irradiation of malignant lid tumours
- Primary punctal stenosis
- Dacryocystitis
Primary punctal stenosis
Primary punctal stenosis causes by Punctal eversion
t/f
false
Tender red swelling at the medial canthus
- Chronic dacryocystitis
- Mechanical ectropion
Chronic dacryocystitis
Tender red swelling at the medial canthus
- Chronic dacryocystitis
- Mechanical ectropion
Chronic dacryocystitis
Infection of the lacrimal sac is usually secondary to obstruction of the nasolacrimal duct
- Dacryocystitis
- Dacryocele
Dacryocystitis
A bluish cystic swelling at or below the medial canthus, accompanied by epiphora
- Dacryocystitis
- Dacryocele
Dacryocele
Nasolacrimal duct obstruction (NDO)
its a congenital obstruction
t/f
true
Nasolacrimal duct obstruction (NDO)
Duct obstruction describe as delayed canalization since it resolves spontaneously
t/f
true
Nasolacrimal duct obstruction (NDO)
there is a constant epiphora & matting of lahes.
t/f
true
Nasolacrimal duct obstruction (NDO)
Collection of amniotic fluid or mucus in the lacrimal sac caused by an imperforate Hasner valve
t/f
false
Chronic dacryocystitis
epiphora assoc w/ unilateral or bilateral conjunctivitis
t/f
true
Chronic dacryocystitis
painless swelling at the outer canthus caused by mucocele
t/f
false
Chronic dacryocystitis
swelling is not obvious but when lacrimal sac is press results in reflux of mucopurulent discharge.
t/f
true
treatment for nasolacrimal duct obstruction can do Massage of the lacrimal sac
t/f
true
treatment for nasolacrimal duct obstruction can do Probing of lacrimal system
t/f
true
treatment for nasolacrimal duct obstruction can use topical antibiotics
t/f
false
