LIDS
LID ANATOMY
What is not a layer of epidermis of lid
squamaous cell layer
cuboidal cell layer
keratin cell layer
granular cell layer
basal cell layer
2.which structure in body contains not fat
subcutaneous tissue of lids
subcutaneous tissue of eye brows
subcutaneous tissue of forerehead
subcutaneous tissue of neck
subcutaneous tissue of skull
3. Which is not a layer of lid
skin
muscle
tarsal plate
Palpebral conjunctiva
bulbar conjunctiva
4. How many tarsal glands are present in upper lid
50
40
30
25
15
5. The tarsal gland are more numerous in
lower lid
upper lid
medial canthus
lateral canthus
none of above
6.The conjunctiva starts at
behind eye lash
at grey line
behind grey line
at mucocutaneous junction
in front of meibomian glands
7. The normal eye lashes are directed
outward
inward
medially
laterally
none of above
8. Levator palpebrae superioris originate from
greater wing of sphenoid
lesser wing of sphenoid
ethmoid bone
frontal bone
zygomatic bone
9. Relationship of LPS to orbicularis oculi is
antagonist
agonist
synergist
yolk muscle
none of above
10. The height of upper tarsus is
15 mm
10 mm
5 mm
20 mm
3mm
11. Tarsus glands are
sweat glands
sebacious glands
glands of moll
gland of ziess
none of above
12. The incorrect statement regarding Müller’s muscle is:
It is also called musculus orbitalis
It is a striped muscle
It is supplied by cervical sympathetic
In upper lid it arises from the inferior aspect of levator palpebrae superioris
none of above
13. The distance of angular vein from medial canthus is
4 mm
6 mm
8 mm
10 mm
12 mm
14. The nerve supply to the outer part of eyelid and conjunctiva is by:
Nasociliary
Lacrimal
Infratrochlear
Frontal
All of the above
15. Which is not eyelid structure
Skin
Subcutaneous fat
Muscle
Tarsus
Conjunctiva
16 .Eye lid skin is unique in body because
It is thickest in body
It contain subcutaneous fat
It is thinnest in body
It contain 5 muscles
It is deepest layer in body
17. Eye lid crease is formed by;
Orbicularis oculi
Levator muscle
Levator aponeursis
Tarsal plate
Conjunctiva
18. Contraction of which muscle narrows palpebral fissure;
Levator
Pterygoid
Orbicularis
Lacrimal
Orbital
19. What is nerve supply of orbicularis
V
VI
VII
VIII
III
20. Which structure is involved in involuntary blinking
Pretarsal and preseptal part of orbicularis
Orbital part
Tarsal part
procerus muscle
frontal muscle
21. Grey line is formed by which muscle
muscle of Riolan
orbicularis
levator palpebrae superioris
frontal muscle
procerus muscle
22. orbital septum arises from
levator aponeurosis
periosteum over superior and inferior orbital rims
tarsal plate
levator muscle
orbicularis muscle
23. thining of septum and laxity of orbicularis result in
chlazion
anterior herniation of orbital fat
posterior herniation of orbital fat
entropion
ectropion
24. orbital fat lies
in front of orbital septum
posterior to orbital septum
lateral to orbital septum
medial to orbital septum
inferior to orbital septum
25. retractors of eye lid are except
levator palpebrae superiori
muller muscle
capsulopalpabral fascia
inferior tarsal muscle
orbicularis muscle
26. how long is muscular portion of levator
30 mm
20mm
40mm
10mm
50mm
27. Which is epithelium of conjunctiva
Keratinized squamous epithelium
Non-keratinized squamous epithelium
Cuboidal epithelium
Non keratinized columnar epithelium
Keratinized columnar epithelium
28. On eye lid margin mucocutaneous junction is located
Anterior to grey line
Posterior to grey line
Posterior to Meibomian glands
Anterior to Meibomian glands
On the grey line
29. True statement regarding the Muller’s muscle is:
is innervated by the parasympathetic nerve
has the peripheral arcade of the upper lid running on its anterior surface
is about 5 mm long
arises from the superior rectus
elevates the upper lid by about 3 mm
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STYE/CHALAZION AND OTHER CYSTS
1.Stye is a
inflammatory process
infective process
neoplastic process
hypersensitivity reaction type 1
hypersensitivity reaction type 2
2. Chalazion is a
inflammatory process
infective process
neoplastic process
hypersensitivity reaction type 1
hypersensitivity reaction type 2
3. The causative organism in stye is
pneumococci
H influenza
corynebacterium
streptococcus
staphylococcus
4. The chalazion is a
non granulomatous inflammation
lipogranulomatous inflammation
caseating granuloma
non caseating granuloma
hypersensitivity reaction
5.Chronic lipogranulomatous inflammation of lids called
External hardiolum
Internal hardiolum
Chalazion
Stye
Blephritis
6.Which is not a Treatment of chalazion
Local steroid
Oral steroid
Surgery
Antibiotics in acute stage
Warm compresses
7. Acute infection involving sebaceous secretion in gland of zeis
Chalazion
Stye
Blephritis
Blephrospasm
Internal hardiolum
8. Chalazion is a chronic inflammatory granuloma of:
Meibomian gland
Zies’s gland
Sweat gland
Wolfring’s gland
gland of moll
9. Complication of chalazion are all except
Ptosis
Astigmatism
Lash loss
Lid notching
Corneal ulcer
10. diagnosis of recurrent chalazion is
BCC
Squamous cell CA
Sebaceous gland CA
Melanoma
Bowens disease
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LASH DISORDER
1.By trauma or chronic irritation, a lash follicle may develop from a meibomian gland
Acquired distichiasis
Congenital distichiasis.
trichiasis
entropion
ectropion
2. an extra row of lashes arising from the meibomian orifices may be present from birth
Acquired distichiasis
Congenital distichiasis.
trichiasis
entropion
ectropion
3. Trichiasis is commonly treated by
Electrolysis
Epilation
Cryotherapy
Argon laser
Surgery
4. Treatment of lice infection of lid by Phthiriasis palpebrarum is
Mercuric oxide 1%
Zinc oxide
Magnesium oxide
Nitric oxide
NAOH
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CONGENITAL ANOMALIES
1. Which is not a feature of blephrophimosis syndrome
Telecanthus
Ptosis
Hypertelorism
Epicanthus inversis
Epicanthus tarsalis
2. Feature of epicanthus inversis is
Fold of skin extending from lower to upper eyelid
Fold of skin extending from upper to lower eye lid
Fold of skin arising from both lids
Fold of skin arising from brow
None of above
3. Surgery for blephrophimosis include following procedures except
Frontalis suspension
Y-V plasty
Multiple Z – pasties
Fosanella servet procedure
Transnasal wiring of medial canthal tendons
4. Fusion of eye lids with web of skin is called
Epicanthus
Ankyloblephron
Symblephron
Euryblephron
Epiblephron
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VASCULAR DISORDERS
1.Which is an Indications of treatment in capillary hemangioma
Strabismus
Anisometropia
Occlusion of visual axis
Cosmesis
All of above
2. sharply demarcated soft pink patch that does not blanch with pressure, most frequently located on the face.
Capillary hemagioma
Portwine stain
Xanthelasma
Freckle
Melanoma
3. Most important ocular feature of sturge weber syndrome is
Ipsilateral glaucoma
Episcleral hemangioma
Iris heterochromia
Choroidal hemangioma
Hemianopia
4. Rapidly growing vascularized proliferation of granulation tissue that is usually antedated by surgery, trauma or infection
Capillary hemagioma
Pyogenic granuloma
Neurofibroma
Xanthelasma
Portwin stain
5. sharply demarcated soft pink patch that blanches with pressure, most frequently located on the face.
Capillary hemagioma
Portwine stain
Xanthelasma
Freckle
Melanoma
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LID ALLERGIES
1.Causes of eye lid edema include all except
Insect bite
Allergy
Cardiovascular disease and renal disease
Chalazion
Thyroid eye disease
2. Contact dermatitis of lid is
Type I hypersensitivity reaction
Type II
Type III
Type IV
None of above
3. Sudden onset of bilateral boggy bilateral edema caused by exposure to pollen or insect bite
Contact dermatitis
Acute allergic edema
Solid edema
Passive edema
Blepharitis
4. recurrent episodes of painless, non-pitting edema of both upper lids which usually resolves spontaneously after a few days
dermatochalasis
blepharochalasis
eyelid imbrication syndrome
acute angioedema
floppy eyelid syndrome
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LID TUMORS
1.Most common precancerous skin lesion is
Nevi
Freckle
Pilomatricoma
Actinic keratosis
Syringoma
2.Actinic keratosis result in which type of disease
Basal cell CA
Keratoachanthoma
Subhoriec keratosis
Squamous cell CA
Squamous papilloma
3.Bowen disease refers to
Squamous Cell CA
Squamous cell CA in situ
Basal cell CA
Basal cell CA in situ
Sebaceous CA
4. A dome-shaped nodule with a central keratin-filled crater and elevated rolled margins is
squamous cell CA
keratoacanthoma
basal cell CA
sebaceous CA
actinic keratosis
5. which is most common eyelid malignancy
Squamous cell CA
Basal cell CA
Sebaceous CA
Melanoma
Kaposi sarcoma
6. Most common location of basal cell CA
Upper lid
Lower lid
Medial canthus
Lateral canthus
Eye brows
7. Which is not a risk factor for basal cell CA
Fair skin
Elderly age
Blue eyed
Red haired
Brown skin
8. Most common clinical appearance of basal cell CA
Nodular type
Ulcerative
Noduloulcerative
Morpheaform
None of above
9. Peripheral palisading is seen in which type of lesion
Keratoacanthoma
Squamous cell CA
Basal cell CA
Sebaceous CA
Kaposi sarcoma
10. Which type of method is spare maximum normal tissue
Frozen section technique
Mohs micrographic surgery
Conventional paraffin embedded specimen
Excisional biopsy
All of above
11. Which tumor metastise more
Basal cell CA
Squamous cell CA
Sebaceous cell CA
Keratoachoma
Actinic keratosis
12. Sebaceous gland carcinoma is common in
Upper lid
Lower lid
Medial canthus
Lateral canthus
Eye brow
13. Which carcinoma is common in AIDS patients
Basal cell CA
Squamous cell CA
Kaposi sarcoma
Sebaceous CA
Merkel cell CA
14. which tumor is associated with preauricular lymph node swelling
Basal cell CA
Squamous cell CA
Kaposi sarcoma
Sebaceous CA
Merkel cell CA
15. Single or multiple pale waxy umblicated nodule at lid margin is due to
Molluscum contagiosum
Retention cyst
Papilloma
Folliculitis
Squamous cell CA
16. False statement about eyelid lesions is:
basal cell carcinoma affects the upper lid more commonly than the lower lid
recurrent follicular conjunctivitis can be the result of Molluscum contagiosum
keratoacanthoma can resolve spontaneously without treatment
sebaceous cell carcinoma has a worse prognosis than squamous cell carcinoma
basal cell carcinoma is common in patients with xeroderma pigmentosa
17. Treatment of moderate sized lid defects is
Direct closure
Tenzel semicircular flap
Hard palate graft
Buccal mucous membrane
Hughes flap
18. What is complication of irradiation to medial canthal area
Skin damage
Madarosis
Nasolacrimal duct stenosis
Dry eye
Keratopathy
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PTOSIS /ECTROPION/ ENTROPION/BLEPHROSPASM
1. What is most common type of ectropion
Congenital
Involutional
Paralytic
Cicatricial
Mechanical
2. Which is not a mechanism of entropion
Horizontal laxity
Disinsertion of lower lid retractors
Attenuation of lower lid retractors
Overriding of pretarsal by preseptal orbicularis
Overriding of preseptal by pretarsal orbicularis
3. What is surgery of choice in patient with 2mm ptosis with good levator function
Levator advancement
Levator resection
Fasanella servat procedure
Frontalis Sling surgery
Tarsal fracture
4. Poor Levator function is
Greater than 15mm
11 mm
6mm
5 mm
4 or less than 4mm
5. What is most common complication of ptosis surgery
Over correction
Under correction
Unsatisfactory eyelid contour
Wound dehiscence
Tarsal eversion
6.Most common cause of eyelid retraction is
Thyroid eye disease
Recession of vertical rectus muscles
Aggressive skin excision in blephroplasy
Overcompensation of contralateral ptosis
parinaud syndrome
7. What is cause of paralytic ectropion
5th nerve palsy
6th nerve palsy
7th nerve palsy
8th nerve palsy
9th nerve palsy
8. Cause of benign essential blephrospasm is
7th nerve palsy
Basal ganglia lesion
Frontal lobe lesion
Parietal lobe lesion
Temporal lobe lesion
9. What is treatment of choice for BEB
Botulinum toxin injection
Surgical myectomy
Surgical ablation of facial nerve
Muscle relaxant
Sedatives
10. Cause of hemifacial spasm
7th nerve weakness
Basal ganglia lesion
Frontal lobe lesion
Parietal lobe lesion
Temporal lobe lesion
11. Most common type of Ptosis is
Myogenic
Neuromyogenic
Neurogenic
Mechanical
Aponeurotic
12. Congenital ptosis differentiated from acquired ptosis by all features except
Absent upper lid crease
Lid lag in down gaze
Compensatory chin elevation
Elevation deficit
Lid laxity
13. Bells phenomenon is
Upward rolling of eye ball during lid closure
It is seen in Bell’s palsy
It is a type of upper motor neuron lesion
It is a type of lower motor neuron lesion
It is caused by 7th nerve weakness
14. Complication of weak Bell’s phenomenon following ptosis surgery is
Exposure keratopathy
Poor levator lift
Postop lid retraction
Restricted ocular motility
Blepharitis
15. Severe congenital ptosis with no levator function can be treated by:
Levator resection from skin side
Levator resection from conjunctival side
Fascia lata sling operation
Fasanella servat operation
all of above
16. Causes of neurogenic ptosis includes all except:
Third nerve palsy
Horner syndrome
Marcus Gunn phenomenon
third nerve misdirection
Myasthenia gravis
17.Weis procedure is used to treat
Involutional Entropion
paralytic ectropion
cicatricial Entropion
cicatricial ectropion
involutional ectropion
18. The ptosis associated with Marcus Gunn syndrome is because of aberrant connection between levator muscle and which cranial nerve?
V
VII
IX
X
XII
19. In Horner's syndrome ptosis is due to paralysis of:
Riolan's muscle
Horner's muscle
Muller's muscle
The levator palpebral muscle
frontalis muscle
20. All of the following are included in D/D of eyelid retraction except:
Thyroid eye disease
Progressive supranuclear palsy
H/O of superior rectus resection
dorsal midbrain syndrome
Myasthenia gravis
21. The anatomic changes leading to involutional ectropion are all except:
horizontal eyelid laxity
lamellar dissociation
retractor disinsertion.
large tarsus
maxillary hyperplasia.
22. The following are contributory factors in senile (involution) Entropion EXCEPT:
atrophy of the orbital fat
migration of the preseptal orbicularis over the pretarsal muscle
dehiscence of the lower lid retractor
horizontal lower lid laxity
fat herniation through the orbital septum
23. Causes of pseudoptosis are all except
Lack of support by lids
Contralateral lid retraction
Ipsilateral hyptropia
Brow ptosis
Myasthenia gravis
24. Aponeurotic ptosis is due to
Levator dystrophy
Overacting frontalis muscle
Levator dehiscence
Blephrochalasis
Dermatochalasis
25. Marginal reflex distance is
Distance between upper and lower lid
Distance between upper lid and eyelid crease
Distance between centre of pupil and upper lid
Distance between lower lid and eye lid crease
Distance between upper lid and orbital margin
26. Lid crease is the
Distance between upper and lower lid
Distance between upper lid and eyelid crease
Distance between centre of pupil and upper lid
Distance between lower lid and eye lid crease
Distance between upper lid margin and lid crease in primary gaze
27. Permanent treatment of paralytic ectropion is
Lubrication
Botulinum toxin
Temporary tarsorrhaphy
Gold weight implant
None of above
28. The lagophthalmos is caused by paralysis of
3rd nerve
5th nerve
7th nerve
6th nerve
8th nerve
29. Ptosis and mydriasis is seen in
4rth nerve palsy
5th nerve palsy
3rd nerve palsy
horner syndrome
7th nerve palsy
30. ptosis and miosis is seen in
4rth nerve palsy
5th nerve palsy
3rd nerve palsy
horner syndrome
7th nerve palsy
31. The lagophthalmos is
incomplete closure of palpebral aperture
drooping of upper lid
inward turning of upper lid
outward turning of lower lid
none of above
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BLEPHARITIS/MADAROSIS/POLIOSIS
1.Feature of staphylococcal Blepharitis include all except
Hard scales
Soft scales
Ulceration
Lid margin notching
Phlyctenule formation
2. Feature of seborrheic blepharitis is
Hard scales
Soft scales
Ulceration
Lid margin notching
Phlyctenule formation
3. Commonest cause of madarosis is
radiotherapy
cryotherapy
anterior lid margin disease
lid tumors
burns
4. Poliosis is
Thickening of lashes
Whitening of lashes
Decrease in number of lashes
Thinning of eye lashes
Broken lashes
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