Ophthalmology - Abo/okap - Plastics

Front 1

Blepharochalasis

Back 1

d/o of young women>men that causes intermittent inflammation of the eyelids and eventually leads to ptosis

Front 2

Most common cause of DCR failure

Back 2

obstrucion. usually of common canaliculus or ostomy site

Front 3

Dye disappearance test
Jones 1
Jones 2

Back 3

FL instilled in the eye, note level of disappearance
FL instilled in the eye, cotton in the nose
FL irrigated into the system, cotton in the nose

Front 4

Where are the smaller orbital fat pads in the eyelids and where are the larger fat pads?

Back 4

Larger fat pads are central in UL and LL. UL has small medial fatpad (lacrimal glad occupies lateral aspect). LL has small lateral fatpad

Front 5

How many fat pads in the lids?

Back 5

UL: 2
LL: 2 vs 3 (IOM divides the cental and medial aspect of the main fatpad)

Front 6

CO2 laser
1. what portion of the EM spectrum?
2. wavelength?

Back 6

1. infrared
2. 10.6um or 10600nm

Front 7

What material fills the center of a keratoacanthoma?

Back 7

keratin

Front 8

Which are the only apocrine glads in the lids

Back 8

Moll

Front 9

Name the holocrine glads of the lids

Back 9

meibomian, zeis, goblet

Front 10

Which glads contribute to the mucous layer?

Back 10

goblet & moll

Front 11

Give the features of blepharophimosis syndrome

Back 11

blepharophyimosis, telecanthus, blepharoptosis, epicanthus inversus, AD

Front 12

retroblepharoplasty is used under what conditions?

Back 12

Lower lid only. If there is significant steatoblepharon without coexisting dermatochalasis

Front 13

Does lower lid steatoblepharon cause entropion?

Back 13

no

Front 14

adenoid cystic carcinoma
1. Histiologic findings
2. Tx

Back 14

1. Tubules, nests, & "swiss cheese pattern"
2. exenteration, chemo, rad Tx

Front 15

What are Dutcher bodies

Back 15

intracellular Ig proliferation seen in Waldenstrom, and systemic lymphoma. Stains + with PAS

Front 16

skin findings in ataxia-telangiectasia?

Back 16

telangiectasias - thats all

Front 17

Incontinentia pigmenti
1. heredity
2. skin findings
3. CNS findings
4. ocular findings
5. systemic

Back 17

1. X linked dominant (mostly females)
2. normal at birth, develops erythema, bullae, verucous lesions, hyperpigmented macules "splashed paint"
3. Seizures, MR, skull deformity
4. peripheral retinal vascular pathology
5. dwarfism

Front 18

Identify the three main causes of involutional entropion

Back 18

overriding preseptal orbicularis, disincertion of the lower eyelid retractors, horizontal lid laxity

Front 19

upper normal of exophthalmometry in:
1. White males
2. AA males

Back 19

1. 22
2. 25

Front 20

Ultrasound:
1. better resolution
2. better penetration

Back 20

1. higher freq
2. lower freq

Front 21

Bacteria most likely to convert from pre to postseptal cellulitis

Back 21

HiB

Front 22

Name 3 craniosynostoses

Back 22

Crouzon's, Apert's, Pfeiffer's

Front 23

Orbital tumors that have increased intensity on T1 MRI

Back 23

Hemorrhage , mucous (mucocele), melanin (melanoma)

Front 24

Most common neoplasm to invade the orbit from the sinus

Back 24

SSC

Front 25

Optimal time to repair a nonentraped floor fracture

Back 25

7-14 days

Front 26

Coloboma of which lid is more commonly associated with other facial abnormalities?

Back 26

Lower lid. Upper lid coloboma tends to be isolated.

Front 27

Which is more efective in treatment of trichiasis, electrolysis or cryo?

Back 27

Cryo

Front 28

Which is more efective in treatment of trichiasis, electrolysis or cryo?

Back 28

Cryo

Front 29

Blood tests associated with Sjogrens

Back 29

ANA, anti-SS A & B

Front 30

Blood tests associated with PAN

Back 30

P-ANCA, hep B antigen

Front 31

Measurements of the orbit

Back 31

30 volume
35 vertical
40 horiz
45 depth

Front 32

Older patient presents with eyelid lesion when Bx'd comes back small cell CA.
1. Dx?
2. spread?
3. Tx?
4. Prognosis

Back 32

1. Merkel Cell CA
2. lymphatics
3. Wide excision, XRT>chemo
4. 38% survival at 5 years

Front 33

Middle aged woman has enophthalmos following flight.
1. Dx?
2. Cause

Back 33

1. Silent sinus syndrome
2. chronic sinusitis causing thinning of orbital floor

Front 34

Target of Ig's in TAO?

Back 34

orbital fibroblasts
IGF-1R receptor

Front 35

Midline lesion that looks like Wegener's but it's not, other w/u tests are negative too.
1. Dx?
2. Tx?

Back 35

1. leathal Midline Granuloma/ Idiopathic midline destructive Dz
2. XRT

Front 36

Strabismus, precocious puberty & cafe au lait spot.
1. Dx
2. ocular association
3. Tx

Back 36

1. Albright's syndrome
2. Ossifying fibroma/fibrous disyplasia variant
3. surgical resection