Lids and Adnexa, Orbit
Ophthalmology · Topic 2
Source: NMC CBME Curriculum 2024 · Volume III · Ophthalmology · Topic 2 · combined PDF page 414
Practice questions
- A 60-year-old woman develops left ptosis, impaired extraocular movements, and ocular irritation five years after radical mastectomy for breast carcinoma. The periocular tissues feel indurated, and CT raises concern for an infiltrative lesion. Which diagnosis was confirmed in the reported analogous case?
- In the reported case of suspected scirrhous breast carcinoma metastasis to the ocular adnexa, which investigation confirmed the diagnosis?
- A patient with a history of breast carcinoma has an indurated periocular lesion with nonspecific irritation and motility symptoms that initially appears inflammatory. What diagnostic pitfall does the reported case most directly illustrate?
- In the 1,705-case archival study of malignant tumours of the eye and adnexa, which histological group was largest overall?
- In the archival series of 1,705 malignant tumours of the eye and adnexa, how many were classified as carcinomas?
- Which anatomical site accounted for the largest share of malignant tumours in the Paris pathology archive?
- Which statement about malignant eyelid pathology was reported in the 1925–1995 archival study?
- Which age pattern did the archival study associate with its major tumour groups?
- A pathology report describes a haematopoietic tumour arising in subepithelial tissue of the orbit, eyelid, conjunctiva, or lacrimal gland. How does this distribution compare with the archival study's description?
- A clinician cites the archival study's finding that 60.7% of recorded malignant tumours were intraocular as the current population incidence of intraocular malignancy in France. What is the main methodological problem with this interpretation?
- In the four-patient periocular pyoderma gangrenosum series, what was the typical initial lesion described?
- Which finding was described as a distinctive feature in some full-thickness eyelid defects caused by periocular pyoderma gangrenosum?
- In the periocular pyoderma gangrenosum case series, when was eyelid repair undertaken in patients whose disease responded to treatment?
- Which management response was reported for three patients with periocular pyoderma gangrenosum?
- Which course in the periocular pyoderma gangrenosum series was associated with loss of the eye?
- Where did the pyoderma gangrenosum-related eyelid tissue loss most often involve the lower and upper lids, respectively, in the four-patient series?
- Among the four patients in the periocular pyoderma gangrenosum series, which statement about rheumatoid factor is supported by the report?