Ophthalmology Questions and Answers Part-1

1. Regarding Steroid injection for treatment of chalazion :
a) Is not preferable if chalazion is close to the lacrimal punctum
b) Between 0.2 and 2 ml of 5 mg /ml triamcinolone diacetate aqueous suspension
c) 0.2 and 2 ml of 5 mg /ml dexamethasone
d) The success rate following one injection is about 50%

Answer: b

2. Which of the following is not a differential diagnosis of squamous cell papilloma ?
a) Viral wart
b) Seborrhoeic keratosis
c) Intradermal naevus
d) Chalazion

Answer: d

3. which of the following is not a synonym of Basal cell papilloma ?
a) Seborrhoeic keratosis
b) Seborrhoeic wart
c) Actinic keratosis
d) Senile verruca

Answer: c

4. Actinic keratosis
a) Is typically affect young people
b) Is common rapid – growing lesion
c) It affects individuals who have been exposed to excessive sunlight
d) It has high potential for transformation into squamous cell carcinoma

Answer: c

5. Capillary haemangioma :
a) Is rare tumor of infancy
b) The female to male ratio is 7: 1
c) It have predilection for the lower lid
d) It blanches on pressure and may swell on crying

Answer: d

6. Ocular features of sturge – weber syndrome include all of the following except one:
a) Ipsilateral glaucoma
b) Iris haemangioma
c) Iris heterochromia
d) Diffuse choroidalheamangioma

Answer: b

7. Young patients who suffer from the following conditions have no potential to develop eyelid malignancies :
a) Xeradermapigmentosum
b) Gorlin – Goltz syndrome
c) Muir – Torre syndrome
d) Neurofibromatosis

Answer: d

8. Regarding basal cell carcinoma :
a) 90% of cases occur in the head and neck and about 30% of these involve the eyelid
b) It most frequently arises from the upper eyelid , followed in relative frequency by medial canthus , lower eyelid and lateral canthus
c) It most frequently affects young patients
d) The tumor is slow – growing and locally invasive but not metastasizing

Answer: d

9. Regarding squamous cell carcinoma :
a) SCC is typically less aggressive tumor than BCC
b) It metastasis to regional lymph nodes in about 50%
c) SCC accounts for 20% of eyelid malignancies
d) The tumor may exhibit perineural spread to the intracranial cavity via the orbit

Answer: d

10. Clinical types of SCC include all of the following except :
a) Nodular SCC
b) Noduloulcerative SCC
c) Ulcerating SCC
d) Cutaneous horn

Answer: b