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Hordeola (Styes) (P)
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Course Curriculum
1. What is a stye (hordeolum) most commonly caused by?
*
Viral infection
Blocked tear duct
Allergic reaction
Bacterial infection of eyelid gland
2. Which organism is most frequently associated with a stye?
*
Pseudomonas aeruginosa
Escherichia coli
Streptococcus pyogenes
Staphylococcus aureus
3. Which type of stye arises from a meibomian gland?
*
Chalazion
Blepharitis
External hordeolum
Internal hordeolum
4. Which of the following best describes the appearance of a stye?
*
Yellow-white patch on the cornea
Diffuse swelling of entire eyelid
Bluish lesion under conjunctiva
Localised, tender, red lump on eyelid margin
5. Which symptom is most likely in a patient with a stye?
*
Photophobia
Diplopia
Sudden vision loss
Eyelid tenderness
6. What is the initial management for a simple stye?
*
Warm compresses and lid hygiene
Oral antibiotics
Corticosteroid drops
Surgical excision
7. Which of the following is an appropriate advice for self-care of a stye?
*
Rub the area to release pus
Use cosmetic eye products
Apply warm compress for 5–10 minutes, 3–4 times daily
Use cold water only
8. When are topical antibiotics indicated for a stye?
*
In all cases
If associated with lid cellulitis or conjunctivitis
When it’s not painful
After 2 days regardless of severity
9. What differentiates a stye from a chalazion?
*
Both are painless
Both are purulent
Chalazion is non-infective and less painful
Stye is larger and non-tender
10. When should referral be considered in a case of stye?
*
At initial presentation
If not resolving after several weeks or if recurrent
Always
When vision is normal
11. What is the role of incision and drainage in stye management?
*
Always first-line
Never recommended
Reserved for persistent, non-resolving or fluctuant lesions
Done at home by patient
12. Which of the following is NOT a risk factor for stye development?
*
A. Blepharitis
Poor eyelid hygiene
Use of contact lenses
Hyperthyroidism
13. In internal hordeolum, which gland is typically infected?
*
Zeis gland
Moll gland
Meibomian gland
Lacrimal gland
14. What does chronic eyelid inflammation most commonly indicate?
*
Blepharitis
Stye
Hordeolum externum
Episcleritis
15. Why is squeezing or popping a stye discouraged?
*
It relieves pressure
It may spread infection or cause scarring
It is ineffective
It improves drainage
16. Which statement is true regarding styes and vision?
*
They rarely affect visual acuity
They cause central vision loss
They lead to retinal detachment
They are associated with diplopia
17. What is the primary goal of warm compresses in stye treatment?
*
Promote drainage and reduce swelling
Reduce itching
Cool the area
Anaesthetise the lid
18. What should be avoided during an active stye?
*
Sunlight
Use of eye makeup
Swimming
Saunas / steam rooms
19. What is the usual natural course of a stye?
*
Requires surgery
Resolves spontaneously within 1–2 weeks
Becomes malignant
Leads to abscess
20. Which condition may predispose someone to recurrent styes?
*
Rosacea
Migraine
Allergic rhinitis
Viral conjunctivitis