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Blepharitis (P)
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Course Curriculum
1. What is blepharitis?
*
Inflammation of the iris
Infection of the retina
Swelling of the lacrimal gland
Inflammation of the eyelid margins
2. Which two main types of blepharitis are commonly described?
*
Anterior and posterior
Internal and external
Superior and inferior
Acute and chronic
3. Which of the following is a common symptom of blepharitis?
*
Double vision
Sudden blindness
Burning or gritty sensation in the eyes
Eye movement restriction
4. What skin condition is commonly associated with anterior blepharitis?
*
Psoriasis
Eczema
Seborrhoeic dermatitis
Tinea
5. What is the first-line management for blepharitis?
*
Topical steroids
Eye patching
Eyelid hygiene with warm compresses and lid cleaning
Antiviral drops
6. Which organism is most commonly implicated in staphylococcal blepharitis?
*
Staphylococcus aureus
Candida albicans
Pseudomonas aeruginosa
Herpes simplex virus
7. Which complication is associated with chronic blepharitis?
*
Detached retina
Corneal ulceration
Proptosis
Strabismus
8. Which of the following is an appropriate step if symptoms of blepharitis do not improve with hygiene measures?
*
Oral corticosteroids
Topical or oral antibiotics
Eye enucleation
Immediate referral to neurology
9. What is meibomian gland dysfunction (MGD)?
*
Blockage of tear ducts
Overproduction of aqueous tears
Dysfunction of lipid-secreting glands in eyelids
Inflammation of conjunctiva
10. Which systemic condition is associated with posterior blepharitis?
*
Hypertension
Diabetes mellitus
Rosacea
Hypothyroidism
11. What adjunctive treatment may be recommended in recurrent or resistant blepharitis?
*
Antifungals
Antihistamines
Oral tetracyclines
Beta-blockers
12. Which of the following is NOT typically recommended for blepharitis
*
Daily lid hygiene
Use of makeup on eyelids during flare
Warm compresses
Regular eyelid massage
13. How long should eyelid hygiene measures typically be continued?
*
Until symptoms resolve
For 3 days only
Continuously for long-term control
Only when symptoms appear
14. Which symptom would suggest a referral to ophthalmology?
*
Mild itching
Recurrent chalazia
Significant visual loss or corneal involvement
Watery eyes
15. Which of the following best describes a chalazion?
*
Infected corneal ulcer
Blocked meibomian gland
Lid margin ulceration
Tear duct obstruction
16. What dietary supplement may help improve blepharitis symptoms?
*
Vitamin C
Iron
Omega-3 fatty acids
Zinc
17. Why are topical corticosteroids generally avoided in managing blepharitis long-term?
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They worsen symptoms
Risk of intraocular pressure rise and cataract formation
Ineffective in all cases
They cause myopia
18. Which lubricant is often used for symptomatic relief in blepharitis?
*
Antibiotic ointment
Steroid drops
Artificial tears
Beta-blockers
19. What is the role of eyelid massage in blepharitis treatment?
*
Cosmetic only
Helps drain meibomian glands and improve lipid layer of tears
Worsens symptoms
Removes bacterial infection
20. What is a common visual symptom in untreated or severe blepharitis?
*
Permanent vision loss
Intermittent blurred vision due to tear film instability
Double vision
Macular degeneration