Return to course: NICE CKS Question Banks
Previous Lesson
Previous
Next
Next Lesson
Chalazion (P)
Return to
Course Curriculum
1. What is a meibomian cyst also known as?
*
Stye
Meibomian Cyst
Xanthelasma
Blepharitis
2. What causes a chalazion?
*
Bacterial infection of eyelash follicle
Blocked meibomian gland
Allergic reaction
Eye trauma
3. How does a chalazion typically present?
*
Painful red lump on the eyelid margin
Yellow discharge from the eye
Pupil distortion
Non-tender swelling in the eyelid away from the margin
4. What is the usual first-line management of a chalazion?
*
Oral antibiotics
Urgent surgical drainage
Warm compresses and lid hygiene
Topical steroids
5. What is the primary goal of applying warm compresses to a chalazion?
*
Reduce itching
Disinfect the lesion
Melt blocked oil
Dry the skin
6. When should a chalazion be referred for specialist intervention?
*
After 2 days
If recurrent or persistent after conservative treatment
Immediately after diagnosis
If bilateral
7. Which of the following conditions may be confused with a chalazion?
*
Conjunctivitis
Preseptal cellulitis
Blepharitis
All of the above
8. What is the most common complication of a chalazion?
*
Orbital cellulitis
Permanent vision loss
Cosmetic deformity or eyelid swelling
Glaucoma
9. What is the recommended action if a chalazion becomes acutely painful and red?
*
Continue warm compresses only
Presume it is a stye and ignore
Consider secondary infection and prescribe antibiotics
Start corticosteroid drops
10. What is the function of meibomian glands?
*
Secrete tears
Control pupil size
Produce oily layer of tear film
Filter debris from the eye
11. Which of the following is NOT a risk factor for chalazion?
*
Blepharitis
Rosacea
Seborrhoeic dermatitis
Otitis externa
12. What surgical treatment may be offered for a persistent chalazion?
*
Enucleation
Lid reconstruction
Incision and curettage
Lid tightening surgery
13. Which specialist usually performs surgery for chalazion?
*
ENT surgeon
Ophthalmologist
Dermatologist
GP
14. What is the typical time frame for spontaneous resolution of a chalazion with conservative treatment?
*
1–2 days
1–2 weeks
4–6 weeks
3 months
15. Which demographic is most commonly affected by chalazion?
*
Infants only
Elderly only
Children and adults of any age
Only people with autoimmune disease
16. Which of the following is a sign of potential malignancy mimicking a chalazion?
*
Hard immobile mass, recurrent at same site
Soft fluctuant swelling
Purulent discharge
Improvement with warm compress
17. How frequently should warm compresses be applied for a chalazion?
*
Once per day
3–4 times a day for 5–10 minutes
Only before sleep
Hourly if possible
18. Which of the following symptoms warrants urgent referral for suspected orbital cellulitis?
*
Lid swelling with no pain
Swelling without redness
Redness with fever, proptosis, or visual disturbance
Painless nodule
19. What is the benefit of lid massage after applying warm compresses?
*
Prevents itching
Stimulates meibomian gland drainage
Reduces eyelash loss
Prevents infection
20. What is a stye (external hordeolum) typically caused by?
*
Blocked lacrimal duct
Infection of the eyelash follicle
Infection of the lacrimal duct
Bacterial sinusitis