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1. What is the pathophysiology of blepharitis? - Correct Answer: Chronic
inflammation of eyelid margins due to bacterial colonization, meibomian
gland dysfunction, or seborrheic dermatitis.
2. What are risk factors for blepharitis? - Correct Answer: Rosacea,
dandruff/seborrheic dermatitis, dry eye, and poor eyelid hygiene.
3. What conditions are included in the differential diagnosis of blepharitis? -
Correct Answer: Hordeolum, chalazion, conjunctivitis, and dermatitis.
4. How is blepharitis diagnosed? - Correct Answer: Clinical diagnosis; slit
lamp exam if severe.
5. What are non-pharmacologic treatments for blepharitis? - Correct
Answer: Warm compresses, eyelid scrubs, and lid hygiene.
6. What pharmacologic treatments are used for blepharitis? - Correct
Answer: Topical antibiotic ointments (erythromycin, bacitracin) and topical
steroids for severe inflammation.
,7. What follow-up is recommended for blepharitis? - Correct Answer:
Long-term lid hygiene because it is a chronic condition.
8. When should blepharitis be referred to ophthalmology? - Correct
Answer: If the condition is refractory to treatment.
9. What is the pathophysiology of a hordeolum? - Correct Answer: Acute
bacterial infection of an eyelash follicle or gland.
10.What are risk factors for a hordeolum? - Correct Answer: Blepharitis,
poor hygiene, and rosacea.
11.What are the clinical features of a hordeolum? - Correct Answer: Painful
red swollen eyelid with a pustule near the lash line.
12.What is the non-pharmacologic treatment for a hordeolum? - Correct
Answer: Warm compresses.
13.What pharmacologic treatment may be used for persistent hordeolum? -
Correct Answer: Topical antibiotics.
14.What is the pathophysiology of a chalazion? - Correct Answer: Chronic
lipogranulomatous inflammation of the meibomian gland.
,15.What is the key difference between a chalazion and hordeolum? -
Correct Answer: A chalazion is NOT infectious.
16.What are the clinical features of a chalazion? - Correct Answer: Painless,
firm eyelid nodule deeper in the eyelid.
17.What treatments are used for chalazion? - Correct Answer: Warm
compresses, steroid injection, or surgery if persistent.
18.When should a chalazion be referred to ophthalmology? - Correct
Answer: If it persists longer than 1 month.
19.What is the usual cause of viral conjunctivitis? - Correct Answer:
Adenovirus infection.
20.What are symptoms of viral conjunctivitis? - Correct Answer: Watery
discharge, preauricular lymph nodes, and high contagiousness.
21.How is viral conjunctivitis treated? - Correct Answer: Supportive care
and artificial tears.
22.What causes bacterial conjunctivitis? - Correct Answer: Bacterial
infection of the conjunctiva.
, 23.What organisms commonly cause bacterial conjunctivitis? - Correct
Answer: Staphylococcus aureus, Streptococcus pneumoniae, and
Haemophilus influenzae.
24.What are symptoms of bacterial conjunctivitis? - Correct Answer:
Purulent discharge and eyelids stuck shut.
25.What is the treatment for bacterial conjunctivitis? - Correct Answer:
Topical antibiotics such as erythromycin or trimethoprim-polymyxin.
26.What causes allergic conjunctivitis? - Correct Answer: IgE-mediated
hypersensitivity reaction.
27.What are symptoms of allergic conjunctivitis? - Correct Answer: Itching,
bilateral watery eyes, and seasonal symptoms.
28.What treatments are used for allergic conjunctivitis? - Correct Answer:
Antihistamine drops and mast cell stabilizers.
29.When should conjunctivitis be referred for ophthalmology evaluation? -
Correct Answer: If vision loss, severe pain, or photophobia occur.
30.What is the pathophysiology of corneal abrasion? - Correct Answer:
Scratch or defect in the corneal epithelium.