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OCULAR DISEASE RNH > 1.0 EYELIDS QUESTIONNAIRE (REVIEW CLASS) > Flashcards

1.0 EYELIDS QUESTIONNAIRE (REVIEW CLASS) Flashcards

1
Q

A localized area of color change without infiltration or elevation

  • MACULE
  • PAPULE
  • VESICLE
A

MACULE

“change without infiltration or elevation”

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2
Q

A small solid elevation of skin which may be flat-topped or dome shaped.

  • MACULE
  • PAPULE
  • VESICLE
A

Papule

“small solid elevation”

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3
Q

A small circumscribed lesion containing fluid.

  • MACULE
  • PAPULE
  • VESICLE
A

Vesicle

“containing fluid”

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4
Q

Freckle is an example of

  • macule
  • pustule
  • nodule
A

Macule

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5
Q

Collection of Pus

  • macule
  • pustule
  • nodule
A

Pustule

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6
Q

A solid area of raised skin.

  • macule
  • pustule
  • nodule
A

Nodule

“solid area”

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7
Q

A nodule consisting of an epithelial-lined cavity filled with fluid or semi solid material.

  • cyst
  • plaque
  • scale
A

Cyst

“nodule with fluid”

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8
Q

A palpable, shallow elevation of the skin, usually more than 2 cm in diameter

  • plaque
  • scale
  • papilloma
A

plaque

“shallow elevation of the skin”

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9
Q

Thickening of the horny layer keratin in the form of readily detached fragments.

  • plaque
  • scale
  • papilloma
A

Scale

“Thickening of the horny layer keratin”

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10
Q

A tag-like projection from the skin surface.

  • plaque
  • scale
  • papilloma
A

papilloma

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11
Q

A circumscribed area of skin loss that extends through the epidermis into the dermis

  • Ulcer
  • Hyperkeratosis
  • Dysplasia
  • Acanthosis
A

Ulcer

“skin loss – epidermis to dermis”

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12
Q

An increase in thickness of the keratin layer and appears clinically as scaly skin.

  • Ulcer
  • Hyperkeratosis
  • Dysplasia
  • Acanthosis
A

Hyperkeratosis

“increase in thickness of the keratin layer”

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13
Q

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
A

Dysplasia

“organization of cellular components of a tissue”

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14
Q

Thickening of the squamous cell layer.

  • Ulcer
  • Hyperkeratosis
  • Dysplasia
  • Acanthosis
A

Acanthosis

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15
Q

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
A
  • Chalazion

* Meibomian cyst

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16
Q

Meibomian cyst is also known as ____

A

chalazion

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17
Q

Hordeolum is also known as ____

A

stye

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17
Q

A chalazion secondarily infected is referred to as __________

  • Internal hordeolum
  • External hordeolum
A

Internal hordeolum

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18
Q

Occasionally a large upper lid chalazion may press on the cornea, induce astigmatism and cause blurred vision.

True/False

A

True

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19
Q

CHALAZION
lipogranulomatous inflammatory reaction containing epithelioid histiocytes, multinucleated giant cells and plasma cells

True/False

A

True

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20
Q

CHALAZION
May occur at any age

t/f

A

true

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21
Q

CHALAZION
Eversion of the lid may show an associated
polypoidal granuloma if the lesion has ruptured
through the tarsal conjunctiva

t/f

A

true

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22
Q

CHALAZION
Gradually enlarging painful nodule

t/f

A

false

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23
Q

Tiny, white, round, superficial papules which tend to occur in crops resulting in retention of keratin.

  • Milia
  • Xanthelasma
  • Corneal Arcus
A

Milia

“Tiny, white, round, superficial papules”

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24
Q

Which condition is associated with increased levels of serum cholesterol specially in young males (2 answers)

  • Milia
  • Xanthelasma
  • Corneal Arcus
A

xanthelasma

corneal arcus

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25
Q

Characteristics of Basal Cell Carcinoma

most common human malignancy and most frequently affects young individual

t/f

A

False

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26
Q

characteristics of Basal Cell Carcinoma

90% involves head & neck & 10% eyelid area

t/f

A

True

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27
Q

Basal Cell Carcinoma, common location is the ________ eyelid

  • upper
  • lower
A

lower

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28
Q

Tumor is slow-growing and locally invasive but
non-metastasizing.

  • Squamous cell carcinoma
  • Basal cell carcinoma
A

Basal Cell Carcinoma

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29
Q

Tumors that recur following incomplete treatment tend to be more aggressive

  • Squamous cell carcinoma
  • Basal cell carcinoma
A

Basal Cell Carcinoma

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30
Q

more aggressive tumor

  • Squamous cell carcinoma
  • Basal cell carcinoma
A

Squamous cell carcinoma

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31
Q

Immunocompromised Patients such as those with AIDS or following renal transplants are at increased risk.

  • Basal cell carcinoma
  • Squamous cell carcinoma
A

Squamous cell carcinoma

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32
Q

Squamous cell carcinoma

The tumor arises from the squamous cell layer of the _________

  • epidermis
  • dermis
A

epidermis

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33
Q

Squamous cell carcinoma

The tumour arises from the cells that form the ________

  • basal layer of the epidermis
  • squamous cell layer of the epidermis
A

squamous cell layer of the epidermis

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34
Q

Sebaceous gland carcinoma affects mainly elderly individual with what gender?

  • male
  • female
A

female

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35
Q

Lie within the epidermis, the tumor appears to arise from the dermis.

  • Merkel cell carcinoma
  • Atopic Dermatitis
A

Merkel cell carcinoma

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36
Q

Merkel cell carcinoma:

Highly malignant

t/f

A

true

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37
Q

Merkel cell carcinoma

50% of cases often metastasize

t/f

A

true

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38
Q

MERKEL cell carcinoma

a vascular tumour which typically affects patients with the acquired immune deficiency syndrome

t/f

A

false

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39
Q

A partial or complete second row of lashes emerging at or slightly behind the meibomian gland orifices

  • Distichiasis
  • Trichomegaly
A

Distichiasis

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40
Q

Excessive eyelash growth

  • Distichiasis
  • Trichomegaly
A

Trichomegaly

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41
Q

MADAROSIS

  • Chronic anterior lid margin disease
  • Chronic posterior lid margin disease
A

Chronic anterior lid margin disease

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42
Q

MADAROSIS

Infiltrating lid tumors

t/f

A

true

43
Q

MADAROSIS

Certain systemic diseases Like Lupus & leprosy

T/F

A

true

44
Q

MADAROSIS

cause of Burns (t/f)

A

true

45
Q

MADAROSIS

Radiotheraphy or cryotherapy of lid tumors (t/f)

A

true

46
Q

MADAROSIS

cause by Psoriasis (t/f)

A

true

47
Q

Thickening, crusting and vertical fissuring of the lids

  • Atopic Dermatitis
  • Madarosis
A

Atopic Dermatitis

48
Q

other ocular associations such as vernal disease & keratoconjunctivitis

  • Atopic Dermatitis
  • Madarosis
A

Atopic Dermatitis

49
Q

Atopic Dermatitis

tender swelling in the lid margin pointing anteriorly through the skin

t/f

A

false

50
Q

A premature localized whitening of hair, which may involve the lashes and eyebrows

  • poliosis
  • trichomegaly
A

poliosis

whitening of hair – lashes and eyebrows

51
Q

TRICHOMEGALY is sometimes associated with systemic immune disorder like (AIDS) and malnutrition

t/f

A

true

52
Q

TRICHOMEGALY is sometimes associated with systemic immune disorder like (AIDS) and malnutrition

t/f

A

true

53
Q

A knife removes a portion of the lesion for histology

  • Pseudoptosis
  • Incisional Biopsy
A

Incisional Biopsy

53
Q

A knife removes a portion of the lesion for histology

  • Pseudoptosis
  • Incisional Biopsy
A

Incisional Biopsy

54
Q

Often use for large superficial lesions such as seborrhoeic keratosis

  • Incisional Biopsy
  • Pseudoptosis
A

Incisional Biopsy

55
Q

INCISIONAL BIOPSY
is performed on _____

  • small tumors
  • large tumors
A

large tumors

56
Q

A brown macule due to increased melanin in the epidermal basal layer, generally in sunlight-exposed areas

  • strawberry nevus
  • freckle
A

freckle

57
Q

Capillary hemangioma is also known as __________-

A

strawberry nevus

57
Q

Capillary hemangioma is also known as __________-

A

strawberry nevus

57
Q

Capillary hemangioma is also known as __________-

A

strawberry nevus

58
Q

Characterized by posterior misdirection of lashes arising from normal sites of origin

  • Trichiasis
  • Distichiasis
A

Trichiasis

59
Q

Abnormally low position of the upperlid, which may be congenital or acquired.

  • Trichiasis
  • Ptosis
A

PTOSIS

60
Q

caused by a myopathy of the levator muscle itself

  • Myogenic ptosis
  • neuromyopathic
A

Myogenic ptosis

61
Q

impairment of transmission of impulses at the neuromuscular junction

  • Myogenic ptosis
  • neuromyopathic
A

neuromyopathic

62
Q

The age at onset of ptosis and its duration will usually distinguish congenital from acquired cases.

t/f

A

true

63
Q

PTOSIS

Can be caused by an innervational defect of CN3 such as mechanical ptosis

t/f

A

false

64
Q

Lack of support of the lids by the globe

  • Pseudoptosis
  • Ectropion
A

Pseudoptosis

Contralateral lid retraction

  • Pseudoptosis
  • Ectropion

Dermatochalasis in which there is excessive skin on the upper lids

  • Pseudoptosis
  • Ectropion
65
Q

Contralateral lid retraction

  • Pseudoptosis
  • Ectropion
A

pseudoptosis

66
Q

Dermatochalasis in which there is excessive skin on the upper lids

  • Pseudoptosis
  • Ectropion
A

Pseudoptosis

67
Q

is the result of impaired mobility of the upper lid caused by dermatochalasis , neurofibromas & other heavy tissue like severe edema.

  • Dacryocystitis
  • Mechanical ptosis
A

Mechanical ptosis

68
Q

Affects the lower lid among elderly patients.

  • Involutional ectropion
  • Incisional Biopsy
A

Involutional ectropion

69
Q

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
A

Involutional ectropion

70
Q

Lateral canthal tendon laxity may contribute to the
condition

  • Involutional ectropion
  • Incisional Biopsy
A

Involutional ectropion

71
Q

Involutional ectropion

Scarring of eyelid may pull eyelid away from globe.

t/f

A

false

72
Q

is caused by tumors on or near the lid margin which mechanically evert the lid

  • Mechanical ectropion
  • Involutional ectropion
A

Mechanical ectropion

73
Q

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
A

Dacryocele

74
Q

Severe scarring of the palpebral conjunctiva, which pulls the upper or lower lid margin towards the globe

  • telecanthus
  • cicatrical entropion
A

cicatrical entropion

75
Q

Increased distance between the medial canthi as a result of abnormally long medial canthal tendons

  • telecanthus
  • cicatrical entropion
A

telecanthus

76
Q

Microblepharon is characterized by small eyelids, often associated with _______

  • Anophthalmos
  • Epiphora
A

anophthalmos

77
Q

Deficiency of anterior lamellae of the eyelids

  • Ablepharon
  • Telecanthus
A

Ablepharon

78
Q

Ablepharon can be categorize as complete or incomplete ablepharon

t/f

A

false

79
Q

Treatment includes reconstructive skin grafting

  • telecanthus
  • ablepharon
A

Ablepharon

80
Q

Excessive tearing is termed as ________

A

Epiphora

81
Q

Hypersecretion secondary to ocular inflammation or surface disease

  • epiphora
  • ectropion
A

epiphora

82
Q

Defective drainage due to compromise of the lacrimal drainage system.

  • epiphora
  • ectropion
A

epiphora

83
Q

Lacrimal pump failure, which may occur secondarily to lower lid laxity or weakness of the orbicularis muscle

  • ephiphora
  • ectropion
A

ephiphora

84
Q

Malposition of the lacrimal puncta

  • epiphora
  • ectropion
A

epiphora

85
Q

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
A

Primary punctal stenosis

86
Q

Cicatrizing conjunctivitis and trachoma.

  • Primary punctal stenosis
  • Dacryocystitis
A

Primary punctal stenosis

87
Q

Following irradiation of malignant lid tumours

  • Primary punctal stenosis
  • Dacryocystitis
A

Primary punctal stenosis

88
Q

Primary punctal stenosis causes by Punctal eversion

t/f

A

false

89
Q

Tender red swelling at the medial canthus

  • Chronic dacryocystitis
  • Mechanical ectropion
A

Chronic dacryocystitis

90
Q

Tender red swelling at the medial canthus

  • Chronic dacryocystitis
  • Mechanical ectropion
A

Chronic dacryocystitis

91
Q

Infection of the lacrimal sac is usually secondary to obstruction of the nasolacrimal duct

  • Dacryocystitis
  • Dacryocele
A

Dacryocystitis

92
Q

A bluish cystic swelling at or below the medial canthus, accompanied by epiphora

  • Dacryocystitis
  • Dacryocele
A

Dacryocele

93
Q

Nasolacrimal duct obstruction (NDO)

its a congenital obstruction

t/f

A

true

94
Q

Nasolacrimal duct obstruction (NDO)

Duct obstruction describe as delayed canalization since it resolves spontaneously

t/f

A

true

95
Q

Nasolacrimal duct obstruction (NDO)

there is a constant epiphora & matting of lahes.

t/f

A

true

96
Q

Nasolacrimal duct obstruction (NDO)

Collection of amniotic fluid or mucus in the lacrimal sac caused by an imperforate Hasner valve

t/f

A

false

97
Q

Chronic dacryocystitis

epiphora assoc w/ unilateral or bilateral conjunctivitis

t/f

A

true

98
Q

Chronic dacryocystitis

painless swelling at the outer canthus caused by mucocele

t/f

A

false

99
Q

Chronic dacryocystitis

swelling is not obvious but when lacrimal sac is press results in reflux of mucopurulent discharge.

t/f

A

true

100
Q

treatment for nasolacrimal duct obstruction can do Massage of the lacrimal sac

t/f

A

true

101
Q

treatment for nasolacrimal duct obstruction can do Probing of lacrimal system

t/f

A

true

102
Q

treatment for nasolacrimal duct obstruction can use topical antibiotics

t/f

A

false

OCULAR DISEASE RNH (17 decks)

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