1. Pleomorphic lacrimal gland adenoma:
a) Also called malignant mixed – cell tumor
b) Presentation is in the 1st decade with painful
slowly progressive proptosis
c) Treatment involve surgical excision
d) Prognosis is poor even if the excision is
complete and without disruption of the
capsule
2. Regarding lacrimal gland carcinoma (all true
except) :
a) Is a rare tumor which carries a high morbidity
and mortality
b) Presentation is in the 4th – 5th decades with a
history shorter than that of a benign tumour
c) CT shows a globular lesion with irregular
serrated edges , often with contiguous
erosion or invasion of bone
d) Biopsy is not necessary to establish the
histological diagnosis
3. Optic nerve glioma:
a) Histology shows spindle – shaped pilocytic
astrocytes and glial filaments
b) Presentation is most frequently in the 2nd
decade( median age 14 years )
c) Proptosis often axial
d) MR may be not useful in showing intracranial
extension
4. Optic nerve sheath meningioma :
a) Presentation is with sudden unilateral visual
impairment
b) The classical triad is visual loss , optic atrophy
and opticociliary shunt vessels
c) CT shows fusiform enlargement of optic
nerve
d) Prognosis for life is very poor in adults
5. Enculation ( removal of the globe) is indicated in
the following circumstances ( all true except ):
a) Primary intraocular malignancies
b) After sever trauma
c) Blind painful or unsightly eyes
d) Orbital mucormycosis
6. Crouzon syndrome :
a) Inheritance is usually AR
b) The gene (F G F R 2) has been isolated to
chromosome 10
c) Proptosis due to shallow obits is rare
conspicuous feature
d) Cataract and glaucoma not associated with it
7. Apert syndrome (all true except ) :
a) Inheritance is AD
b) Also called acrocephalosyndactyly
c) Is the most severe of the craniosynostose and
may involve all the cranial sutures
d) Ocular associations include blue sclera ,
coloboma and megalo cornea
8. The causes of meibomian gland dysfunction
include all the following expect :
a) Anterior blepharitis
b) Rosacea
c) Atopic kertaconjunctivitis
d) Congenital meibomian gland absence
9. The Causes of lagophthalmos include all
thefollowing except :
a) Severeproptosis
b) 3rd nerve palsy
c) Eyelid scarring
d) Following blepharoplasty
10. Sjogren syndrome :
a) Characterized by infection of lacrimal and salivary
glands
b) Primary Sjogren syndrome affects males more
commonly than females
c) Presentation is in adult life with qrittiness of the
eyes and dryness of mouth
d) Diagnostic tests include schirmer test and biopsy
of lacrimal gland