Inflammatory Eye Lid Conditions Quiz
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Questions and Answers

What is the likely cause of acute dacryocystitis?

  • Obstruction of the nasolacrimal duct (correct)
  • Infection of the meibomian gland
  • Granulomatous inflammation of the eyelid
  • Infection of the globe

Why does acute dacryocystitis lead to tenderness, erythema, and swelling of the medial canthal region?

  • Obstruction of the meibomian gland
  • Granulomatous inflammation of the eyelid
  • Stasis of tears in the nasolacrimal sac (correct)
  • Direct infection of the globe

What can be typically expressed from the punctum in cases of acute dacryocystitis?

  • Pus (correct)
  • Oil
  • Mucus
  • Blood

What complication can arise if acute dacryocystitis is not promptly treated?

<p>Sepsis (A)</p> Signup and view all the answers

What type of antibiotic therapy is recommended for treating dacryocystitis?

<p>With good gram-positive coverage (C)</p> Signup and view all the answers

What distinguishes a chalazion from acute dacryocystitis?

<p>Painful nodule (B)</p> Signup and view all the answers

Which condition is NOT commonly associated with the development of left ventricular aneurysm in acromegalic cardiomyopathy?

<p>Mitral regurgitation (B)</p> Signup and view all the answers

What distinguishes hypertrophic cardiomyopathy from myocardial hypertrophy caused by other cardiovascular diseases?

<p>Asymmetric thickening of the interventricular septum (A)</p> Signup and view all the answers

What can cause a flail mitral valve leaflet?

<p>Rupture of the chordae tendineae (A)</p> Signup and view all the answers

What signs would indicate acute mitral regurgitation due to a flail leaflet?

<p>Pulsus paradoxus (A)</p> Signup and view all the answers

What specific signs indicate cardiac tamponade in the presence of a mild-to-moderate pericardial effusion?

<p>Elevated jugular pressure and pulsus paradoxus (D)</p> Signup and view all the answers

What feature would NOT explain the findings in a patient with acromegaly?

<p>Mitral stenosis (C)</p> Signup and view all the answers

Which of the following is the treatment of choice for hereditary hemochromatosis (HH)?

<p>Therapeutic phlebotomy (D)</p> Signup and view all the answers

Which gender is typically more severely affected by hereditary hemochromatosis?

<p>Men (D)</p> Signup and view all the answers

Which of the following is an autosomal recessive disorder characterized by increased intestinal iron absorption?

<p>Hereditary hemochromatosis (D)</p> Signup and view all the answers

What is the initial evaluation that commonly shows elevated iron studies in hereditary hemochromatosis?

<p>Serum ferritin levels (B)</p> Signup and view all the answers

What is the purpose of urgent phlebotomy in patients with extreme hyperferritinemia (serum ferritin >1000 ng/mL)?

<p>To reduce the risk of end-organ damage (A)</p> Signup and view all the answers

What is the genetic basis of hereditary hemochromatosis?

<p>$HFE$ gene mutations (C)</p> Signup and view all the answers

What is the primary reason for underreporting of intimate partner violence (IPV) by patients?

<p>Fear of retribution or harm from the partner (A)</p> Signup and view all the answers

Why is screening for intimate partner violence (IPV) important for a patient with chronic lower abdominal pain?

<p>To identify any harm committed by a partner (C)</p> Signup and view all the answers

What is a key factor that particularly affects women of childbearing age with regards to intimate partner violence (IPV)?

<p>Increased incidence during times of stress or social changes (A)</p> Signup and view all the answers

How should healthcare professionals address a patient's refusal of treatment if they understand the risks and benefits but still refuse?

<p>Offer alternative treatments and document the informed refusal (A)</p> Signup and view all the answers

What is one of the challenges healthcare professionals face in managing patients with intimate partner violence (IPV)?

<p>Patients often deny or underreport IPV due to various reasons like shame or fear (B)</p> Signup and view all the answers

In what situations does the incidence of intimate partner violence (IPV) tend to increase?

<p>At times of stress or significant social changes like marriage or postpartum period (B)</p> Signup and view all the answers

What distinguishes episcleritis from hordeolum?

<p>Episcleritis affects the globe, while hordeolum affects the eyelid margin. (B)</p> Signup and view all the answers

Which of the following symptoms is characteristic of hordeolum?

<p>Tender pustule at the eyelid margin (C)</p> Signup and view all the answers

How does orbital cellulitis differ from episcleritis and hordeolum?

<p>Orbital cellulitis extends beyond the orbital septum into extraocular muscles and periorbital fat. (B)</p> Signup and view all the answers

What distinguishes episcleritis from orbital cellulitis?

<p>Episcleritis involves localized swelling and erythema, while orbital cellulitis typically presents with diffuse findings. (A)</p> Signup and view all the answers

Which symptom is common between episcleritis and hordeolum?

<p>Tender pustule at the eyelid margin (B)</p> Signup and view all the answers

What differentiates hordeolum from orbital cellulitis?

<p>Localized to the medial canthal region (E)</p> Signup and view all the answers

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