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Descripción: Neuroophthalmology, 2014 surat
Spec II Rotation 2 Oph MCQ 1 point Question 1 Retinitis 1 Retinitis Pigmentosa can be: Answer a. an inherited condition with a “bone spiculed” fundus appearance causing loss of central vision b. a sporadic condition with a “salt and pepper” fundus appearance causing loss of peripheral vision c. an inherited condition with a “bone spiculed” fundus appearance causing loss of peripheral vision d. a sporadic condition with a "bone spiculed fundus" appearance causing loss of peripheral vision e. an inherited condition condition with a “salt and pepper” fundus fundus appearance appearance causing loss of central vision 1 point Question 2 A 2 A neutropenic patient undergoing induction chemotherapy for acute leukaemia grows andida albicans on routine blood culture taken after a fever. !hilst the culture has been proceeding the patient begins to complain of floaters in one eye. he most important reason for re#uesting a specialist ophthalmic consultation is: Answer a. o o e$clude retinal detachment b. o e$clude fungal endophthalmitis c. o e$clude fungal keratitis d. o e$clude lymphoma e. o e$clude autoimmune uveiti 1 point Question 3 A 3 A %& year old patient presents to accident and emergency complaining of sudden loss of the superior visual field in one eye. 'n ophthalmoscopy( a yellow pla#ue is noted in the arterioles of the inferior temporal arcade and the inferior retina appears white and swollen. he investigations most likely to identify the source of this problem are: Answer a. arotid doppler ultrasound and echocardiography b. RP and )*R c. 'cular coherence tomography +', d. -R brain and orbits e. hyroid function testing 1 points Question 4 A 4 A /0 year old woman has had type 1 diabetes for 02 years and presents to the ophthalmology clinic for retinopathy screening by the resident. 'n dilated fundus e$amination the resident notes the patient has scattered microaneurysms( several dot haemorrhages and a small area of new blood vessels at an A34 crossing. he resident is likely to: Answer a. 5iagnose no retinopathy and follow the patient up in a year b. 5iagnose background diabetic retinopathy and follow the patient up in a year c. 5iagnose clinically significant macula oedema and seek the advice of an ophthalmologist d. 5iagnose proliferative diabetic retinopathy and seek the advice of an ophthalmologist e. 5iagnose vitreous haemorrhage and seek the advice of an ophthalmologist 1 points Question 5 A 5 A 61 year old student attends the university health service complaining of slowly worsening vision over the last year( and she is now unable to see the front of the lecture theatre. 7owever her near vision remains perfect. he e$amination most likely to diagnose the cause of this problem is: Answer a. Pupil Pupil reaction reaction testing b. 'cular motility testing c. onfrontation visual field testing d. Refraction e. *lit lamp e$amination 1 points Question 6 5ry 6 5ry +atrophic, age related macular degeneration: Answer a. s characterised by new vessel formation at the macula b. s treatable with intravitreal in8ections c. s rapidly progressive( progressive( leading to loss of central vision d. s rapidly progressive( leading to loss of central and peripheral vision
e. s characterised by hard drusen at the early stages 1 points Question 7 !et 7 !et +e$udative, age related macular degeneration Answer a. -ay be treatable with intravitreal in8ections b. s slowly progressive( leading to loss of central vision over many years c. s a type of ocular ocular diabetic diabetic complication d. ommonly follows to$oplasmosis to$oplasmosis infection e. s characterised by flame shaped haemorrhages 1 points Question 8 A 8 A 0/ year old man who has worn thick glasses since childhood presents to his 9P complaining of flashing lights in his right eye and no history of trauma. he most likely serious cause of these symptoms that must be considered for this patient is: Answer a. Retinal detachment b. emporal arteritis c. *ubarachnoid haemorrhage d. veitis e. ;low out fracture of the orbit
1 points Question 9 he 9 he most common cause of flashes and floaters is: Answer a. Posterior vitreous detachment b. Retinal detachment detachment c. )ndophthalmitis )ndophthalmitis d. emporal Arteritis e. 'ptic neuritis 1 points Question 1 o$oplasmosis: 1 o$oplasmosis: Answer a. s most damaging to the vision when contracted contracted in adult life life b. s caused by e$posure to sheep faeces c. s one of the most significant visual problems in the developing world d. s caused by by infection with with a helminth e. s a reason pregnant women should avoid cats 1 points Question 11 A 11 A patient presents with severe eye pain to the 9P 0 days following cataract removal. 'n e$amination with a torch( the eye is red and inflamed with ciliary in8ection and a layer of pus in the anterior chamber. he most likely diagnosis is: Answer a.
1 points Question 12 Presentation 12 Presentation of a central retinal vein occlusion is characterised characterised by: Answer a. *udden onset loss of vision with masses of dot haemorrhages in the fundus b. 9radual loss of vision with masses of dot haemorrhages in the fundus c. *udden onset loss of vision with masses of flame haemorrhages in the fundus d. 9radual loss of vision with masses of flame haemorrhages in the fundus e. es
Answer
a. s often associated with relative afferent pupillary defect b. ypically results from traumatic mydriasis c. s associated with normal light and near refle$ d. 9enerally worsens with age e. s typically a sign of a serious neurological disorder 1 points
Question 14 Papilloedema 14 Papilloedema can be associated with: Answer a. *welling of the optic nerve head b. venous dilation c. absent spontaneous venous pulsation d. retinal e$udates e. all of the above 1 points Question 15 'ptic 15 'ptic neuritis can be associated with: Answer a. Pain with eye movement b. 4ision loss c. olour vision compromise d. -acular oedema e. All of the above 1 points Question 16 ;itemporal hemianopia can be locali>ed to: Answer a. 'ptic chiasm b. 'ptic nerve c. 'ccipital corte$ d. Parietal lobe e. emporal emporal lob l ob 1 points Question 17 7omonymous hemianopia can be locali>ed to: Answer a. 'ptic nerve b. psilateral parietal lobe c. psilateral temporal lobe d. ontralateral occipital lobe e. psilateral occipital lobe
1 points Question 18 n 18 n testing visual acuity( if the patient is unable to identify any letters on the *nellan chart you should ne$t test for the ability to: Answer a. ount fingers b. dentify direction of hand movements c. dentify position position of a stationary stationary light d. dentify presence of a stationary light
1 points Question 19 A 19 A ?2 year old woman notices that her left pupil is smaller than the right pupil. 7er left eyelid droops intermittently. he lesion might be located in: Answer a. =eft orbit b. =eft neck c. =eft third cranial nerve d. =eft mediastinum
1 points Question 2 n 2 n normal sub8ects( the ratio of the hori>ontal diameter of the physiologic cup to the diameter of the optic disc should be no more than: Answer a. 2./ b. 2.% c. 2.1 d. 2.?
1 points Question 21 @louro#uinolones Answer a. can cause tendonitis b. can adversely affect musculoskeletal growth in children c. Routinely Routinely used in children d. *tains teeth e. A and ; are correct 1 points Question 22 !hich 22 !hich of the following can be a side effect of systemic or topical steroid Answer a. 9laucoma b. -ood instabilit c. ataract d. )yelid skin atrophy e. All All of the above 1 points Question 23 23 7ydro$ychloro#uine Answer a. s an antimalarial agent b. auses vorte$ keratopathy B whorl3like corneal epithelial deposits c. auses maculopathy 3 bulls eye d. Rarely causes ocular ocular to$icity e. All of the above
1 points
drug prescribed prescribed to treat Question 24 )thambutol 24 )thambutol bacteriostatic antimycobacterial drug tuberculosis Answer
a. an lead to optic neuropathy b. ypically presents with binasal hemianopia c. Responds well to systemic steriod treatment s not dose dependent
Question 25 A 25 A handy way to screen for visual field defects is: Answer a. Amsler grid test b. Pinhole test c. Red refle$ test d. umbling )Cs test
1 points Question 26 n 26 n the swinging light pupil test( if the right pupil dilates as the light is swung in its direction( the
interpretation interpretation is: Answer
a. b. c. d.
Right afferent pupil defect @aulty techni#ue =eft afferent pupil pupil defect defect
1 points Question 27 A 27 A D0 year old woman complains of photophobia( foreign body sensation( and blurred vision in her right eye for several days. !hat is the diagnosis Answer a. Acute angle3closure glaucoma b. ;lepharitis c. veitis d. Eeratitis 1 points Question 28 he 28 he proper management of a suspected bacterial con8unctivitis of one dayCs duration in an immunocompetant adult is: Answer a. ulture con8unctiva con8unctiva treat with topical antibiotic( empirically empirically until culture results results come back( then switch if necessary. b. reat with topical antibiotic empirically without culturing. c. *mear con8unctiva( con8unctiva( treat with topical topical antibiotics appropriate appropriate to results. d. Refer immediately to an ophthamologist without intervening. 1 points Question 29 Fou 29 Fou diagnose orbital cellulitis in an otherwise healthy / year old. he correct management is: Answer a.
1 points Question 34
temporary lack of blood flow to the retina., nswer
a. -ay have a retinal embolus b. ed d. A and ; e. All of the above 1 points
Question 36 5acryocystitis 36 5acryocystitis +infection of of nasolacrimal nasolacrimal sac, Answer a. s always managed by surgery as the first line of treatment b. s typically managed with systemic antibiotics as the f irst line of treatment c. an lead lead to orbital orbital cellulitis cellulitis d. Rarely presents with a dacryocystocoele e. All of the above
1 points Question 37 pper 37 pper eye lid retraction is typically a sign of Answer a. )ntropion b. Ptosi c. 'rbital fracture d. hyroid eye disease e.
1 points Question 38 'ptic 38 'ptic nerve glioma is typically associated with Answer a. sudden loss of vision b. proptosis c. retinoblastoma retinoblastoma d. enophthalmos e. All of the above 1 points Question 39
1 points Question 4 he 4 he best way to manage a primary malignancy involving the eyelid generally is: Answer a. nitially with with topical and systemic systemic antibiotics antibiotics b. ryotherapy c. *urgical e$cision with clear margins d. Radiotherapy e. hemotherapy 1 points Question 41 5ifferential 41 5ifferential 5iagnosis for proptosis in an adult would include: Answer a. hyroid )ye 5isease b.
1 points Question 42 A 42 A 10 year old boy presents to you in )5 with blurred vision after being hit in the eye with a cricket ball. 'n e$am( you see a layered haemorrhage within the anterior chamber. !hich of the following is <' true about hyphaema Answer a. 'ften results from blunt ocular trauma b. *evere hyphema can be associated with glaucoma. c. Rebleeding is most common after the third week of presentation d. ypically ypically treated with bed rest and topical medication e. *urgical intervention is needed in severe cases 1 points Question 43 7yphaema 43 7yphaema may be caused by each of the following )H)P: Answer a. rauma
b. 4itreous haemorrhag c. ris new vessel d. 'ptic neuritis e. ataract surgery 1 points Question 44 ! 44 !hich hich of the following histories is <' suspicious of a penetrating eye in8ury Answer a. 7ammering metal on metal( painful eye( but visual acuity is DGD b. !oke with a sudden( painless loss of vision c. 7ammering metal on metal( painful eye( but wearing safety glasses d. 7ammering metal on metal( painful eye( but normal pupil reactions e. 9lass broken over head( sore eye( but without an entry wound found by referring consultant
1 points Question 45 !hich of the following steps should <' <' be be taken in the event of a ruptured globe Answer a. Place a hard plastic shield over the eye b. ape a *tyrofoam cup over the affected eye c. 9ive tetanus vaccine d. est visual acuity with a pinhole e. Pad the eye 1 points Question 46 *urgery 46 *urgery to remove an intraocular foreign body is reasonable in which situation: Answer a. !aiting for surgery for ?D hours will not increase the likelihood of infection b. *hould be performed within hours( but there is still a risk of infection c. f inert substance( will not pose problems if left in the eye d. he eye should be removed immediately due to the risk of sympathetic ophthalmia 1 points Question 47 An 47 An orbital fracture is not associated with: Answer a. An An eye in8ury( because the orbit protects the globe from in8ury b. Ruptured globe c. 7yphaema d. 'ptic neuropathy e. =acrimal tumours
1 points Question 48 !hich 48 !hich of the following statements about traumatic optic neuropathy is R): Answer a. 'ccurs in end3stage glaucoma b. 9enerally worse in diabetics c. s present whenever there is loss of vision associated with orbital fractures d. s associated with visual visual acuity at nil perception perception of light e. f the other eye is normal( it will cause a relative afferent pupillary defect 1 points Question 49 A 49 A foreign body under the upper eyelid should be looked for in the following situations: Answer a. nilateral red eye of unknown cause b. orneal abrasion c. hemical splash in8ury to cornea d. 7istory of "con8unctivitis" for the past 0 weeks e. All e. All of the above above 1 points Question 5 !hich 5 !hich of the following statements is R) about choroidal melanoma: Answer a. t is synonymous synonymous with con8unctival con8unctival melanoma melanoma
b. t does not occur because the choroid doesn t contain melanin c. t may transform from a choroidal naevus d. he only safe option is to treat by enucleation 1 points Question 51 Retinoblastoma 51 Retinoblastoma is a genetic disease with the following characteristics( )H)P: Answer a. here here is always always a family family history b. t may be associated with a pinealoma c. hildren treated for bilateral retinoblastoma may get sarcomas later in life d. 'ften bilateral in a germline mutation e. 9enerally lethal if not treated 1 points Question 52 Fou 52 Fou are a country relieving 9P. A very worried mother with a family history of congenital glaucoma brings her 6 months old baby son and an$iously asks you if her son has the same condition. !hat would you look for in the baby Answer a. orneal clouding but not buphthalmos 3 abnormally narrow angle between
the cornea cornea and and iris iris blocks blocks the outfow o aqueous humor b. ;uphthalmos but not corneal clouding c. =ines or breaks in corneal 5escemet s membrane d. 'ptic nerve cupping e. All of the above 1 points Question 53 Fou 53 Fou are in the middle of a well3child check in your rooms and note that the pupil refle$ in a 1? month old child you are e$amining is not red but white. Fou think back to your 'phthalmology rotation in your final year of medical school and try to remember the possible ocular conditions that may present with a white pupil refle$. !hat would be the most important of the differential diagnosis to consider for leukocoria Answer a. Retinoblasto Retinoblastoma ma b. ongenital cataract c. orneal scar d. o$ocariasis e.
1 points Question 54 'cular 54 'cular involvement in Iuvenile diopathic Arthritis typically presents as Answer a. ritis b. Proptosis c. 7emangioma 7emangioma d. 'ptic disc 5rusen e. All All of the above
1 points Question 55 -yopia +nearsightedness, +nearsightedness , Answer a. is easily corrected with plus lenses b. can be corrected with =A*E surgery c. is also known as long sightedness d. has no hereditary component 1 points Question 56 7yperopia 56 7yperopia +farsightedness, Answer a. is corrected corrected with minus lenses lenses b. is known as short sightedness c. is the common refractive state in newborns d. is related to outdoor activity as a child child e. is related to increased reading as a child
1 points Question 57 Astigmatism 57 Astigmatism Answer a. is related to the si>e of the pupil b. is always the same between the two eyes c. can be corrected with contact lens or spectacles d. cannot be accounted for in cataract surgery e. cannot be surgically corrected 1 points Question 58 Fou 58 Fou are a relieving 9P in a small country town. A // year old man with Acute =ymphocytic =eukemia presents ? months after his bone marrow transplant. 7e tells you that his eyes have been very sore and red for the past few week( and you suspect that this may be a part ocular involvement in 9raft3versus37ost 5isease. !hat are the signs you would be looking for to confirm your clinical suspicion Answer a. on8unctival erythema with epithelial sloughing b. 5ry eyes c. icatri>ation with symblepharon formation d. Photophobia is common in moderate cases e. All of the above statements are true 1 points Question 59 5iabetes 59 5iabetes -ellitus is not typically associated with the following ocular signs: Answer a. ris neovascularisation neovascularisation b. 7ard e$udates c. Retinal neovascularisation neovascularisation d. *trabismus disorder in which the two eyes do not line up in the same direction( and
therefore do not look at the same ob8ect at t he same time e. b and c only 1 points Question 6 n 6 n the eye( hypertension hypertension is typically associated with Answer a. entral retinal vein occlusion b. ataracts c. horoidal naevus d. Retinal neovascularisation e. *cleritis 1 points Question 61 'cular 61 'cular involvement in thyroid dysfunction develops more fre#uently and is more severe among Answer a. Foung Foung adults b. @emale smokers c. 5iabetics d. 'bese adults e. -ales 1 points Question 62
1 points Question 63 'phthalmic 63 'phthalmic features of A5* are Answer a. otton wool spots b. Retinitis
c. Eeratitis due to 7*4 or 7J4 7J4 d. Eaposi sarcoma of the eye lid e. All of the above 1 points Question 64 he 64 he most common initial site of metastasis for a choroidal melanoma is Answer a. ;one b. ;rain c. =ung d. =iver e.
1 points Question 65 !hich 65 !hich region of the eye is most commonly affected by 9raft vs 7ost 5isease Answer a. Retina b. iris c. tear duct d. con8unctiva e. eye lid
1 points Question 66 -ultiple 66 -ultiple *clerosis is commonly associated with Answer a. on8unctivitis on8unctivitis b. *cleritis c. 'ptic neuritis d. veitis e. Eeratitis 1 points Question 67 ! 67 !hat hat is not a sign of allergic con8unctivitis con8unctivitis Answer a. on8unctival papilllae b. =id oedema conjunctiva o o c. symblepharon a partial or complete adhesion o the palpebral conjunctiva
the eyelid eyelid to to the bulbar conjunctiva conjunctiva o o the eyeball d. )piphora 3 an excessive tear production usually a result from an irritation of the eye e. nflamed nflamed con8unctival con8unctival vessels vessels
1 points Question 68 7erpes 68 7erpes *imple$ 4irus can be associated with Answer a. on8unctivitis on8unctivitis b. Eeratitis c. veitis d. Retinitis e. All of the above
1 points Question 69 !hich 69 !hich of the following statements is incorrect. hlamydia Answer a. -ay cause unilateral or bilateral eye disease b. 5oes not cause con8unctival scarring c. an cause mucopurulent discharge d. an cause large con8unctival con8unctival follicles f ollicles
e. -ay be ac#uired from the mother during during birth
1 points Question 7 9onorrhoea 7 9onorrhoea Answer a. may cause cause a mild mild con8uctivitis con8uctivitis b. is a gram3positive coccus c. is capable of causing perforation of the cornea d. is not able to be spread via genital3hand3eye contact e. is treated treated with corticosteroi corticosteroids ds 1 points Question 71 ;enign 71 ;enign ntracranial 7ypertension may cause Answer a. *#uint b. 4isual field defect c. Papilloedema d. All of the above e. ; and only
1 points Question 72 5own 72 5own syndrome is not associated with a higher risk of Answer a. ataracts b. 'ptic neuritis c. ;lepharitis ;lepharitis d. *trabismus e. Amblyopia +=a>y eye, 1 points Question 73 opical 73 opical beta blockers can Answer a. nduce brochospasm in asthma and 'P b. Precipitate heart failure c. nhibit the increase in heart rate and blood pressure with e$ertion d. )$acerbate heart block e. All of the above 1 points Question 74 !hich 74 !hich of the following statements regarding topical alpha adrenergic agonists is false Answer a. nteract with with certain antidepressa antidepressants nts b. !orsen asthma attacks c. *hould be used cautiously in severe cardiovascular disease d. -ost commonly used are alpha363selective agents e. Are prone to tachyphyla$is 1 points Question 75 he 75 he correct management of acute central retinal artery occlusion is: Answer a. ntravenous thrombolysis b. ntra3arterial thrombolysis c. 7eparini>ation d. Reduction in intraocular pressure
1 points Question 76 A 76 A vision3threatening delayed complication of central retinal vein occlusion is Answer a. -acular degeneration b. Retinal detachment c. Retinal neovasculari>ation d.
glaucoma
f the retina is ischaemic it stimualtes the formation of new vessels on the iris and subse#uent neovascularisation of the angle may lead to secondary glaucoma 1 points Question 77 he 77 he ma8or concern about a vitreous detachment is that it will lead to: Answer a. Retinal break +tear( +tear( hole, and detachment b. Retinal neovasculari>ation neovasculari>at ion c. 4itreous bleeding d. -acular degeneration 1 points Question 78 !hich 78 !hich of the following conditions is <' associated with amblyopia B la>y eye Answer a. ongenital cataract b. Anisometropia 3 the two eyes have une#ual refractive powerK powerK that is(
are in different states of myopia +nearsightedness c. ;inocular myopia d. *trabismus 1 points Question 79 A 79 A 1/3year3old boy complains of worsening vision in both eyes over the past year. 4isual acuity is 62G02 in each eye at distance +62 feet, and 62G62 at near +10 inches,. he diagnosis is Answer a. Astigmatism b. -yopia c. 7yperopia d. Presbyopia
1 points Question 8 n 8 n cataract surgery( the e$tracted lens is replaced by an implant that is usually placed where Answer a. !ithin the iris plane b. !ithin the lens capsule c. !ithin the anterior anterior chamber chamber of the eye d. ;etween the lens capsule and the vitreous
1 points Question 81 A 81 A / year3old boy with an ongoing upper respiratory infection develops violaceous lid swelling and pain around both eyes. he lids are slightly and diffusely tender to touch. he eyes are slightly protuberant( but see and move normally. he likely diagnosis is Answer a. 'rbital tumour b. *tye c. 5acryocystitis +infection +infection of of nasolacrimal nasolacrimal sac, d. 'rbital cellulitis
1 points Question 82 A 82 A /6 year3old mechanic is drilling on a metal lathe and momentarily feels a pulling sensation in his right eye. *hortly thereafter( his vision becomes slightly blurred and he consults you in the emergency room. Four e$amination shows no abnormalities( but visual acuity is 62G122 in the affected eye( 62G62 in the unaffected eye. !here did the foreign body land Answer a. 4itreous b. on8unctiva c. 'rbital soft tissues tissues d. ornea 1 points Question 83 An 83 An afferent pupil defect of a lesion in the: Answer a. 'ptic nerve
b. 'ptic tract c. -acula d. =ens 1 points Question 84 n 84 n illiterate patients( patients( one way to test visual acuity is by use of: Answer a. Pinhole b. umbling )Cs c. Amsler grid
1 points Question 85 hoose 85 hoose the @A=*) @A=*) statement. statement. *cleritis is characterised characterised by: Answer a. A deep violaceous hue better seen under the ambient light conditions than at the slit lamp b. Anterior and posterior variants( diffuse or sectoral variants( and necrotising or non3necrotising forms c. Re#uiring urgent ophthalmic and medical work3up and treated with systemic steriods and immunosuppression d. Responding only to topical steriod treatment e. *evere pain 1 points Question 86 *ubcon8unctival 86 *ubcon8unctival haemorrhage: Answer a. an be caused by coughing b. Results in permanent permanent brownish brownish mottling of the con8unctiva con8unctiva c.
1 points Question 91 !hich 91 !hich of the following statements are @A=*) @A=*).. A cataract: Answer a. 'ccurs when the lens of the eye becomes clouded b. -ay re#uire an urgent operation in infants c. 'ccurring in young patients re#uires investigation investigati on d. -ay be caused by hypercholestero hypercholesterolaemia laemia
1 points Question 92 ! 92 !hich hich of the following statements concerning infectious con8unctivitis con8unctivitis is @A=*) @A=*):: Answer a. 4iral con8unctivitis is commonly associated with redness( foreign body sensation and watering b. ;acterial con8unctivitis con8unctivitis is commonly associated with eyelashes eyelashes sticking together in the mornings and purulent discharge c. Antibio Antibiotic tic drops are more useful than simple simple lubricants for viral con8unctivitis con8unctivitis 1 points Question 93 !hich 93 !hich of the following statements are @A=*) @A=*).. 7ornerCs syndrome can be characteri>ed by: Answer a. -ild contralateral ptosis b. -oderate ipsilateral miosis c. ris heterochromia +a difference in coloration( usually of the iris, d.
a. an be associated with hyroid )ye 5isease b. an be associated with @acial
1 points Question 97 hoose 97 hoose which statement is @A=*) @A=*):: Answer a. 'rbital cellulitis needs imaging studies( such as scan b. 'rbital cellulitis cellulitis is often associated associated with sinusitis sinusitis c. *ubperiosteal abscess often needs surgical drainage d. Preseptal cellulitis cellulitis is typically treated with with surgical intervention intervention
1 points Question 98 hoose which of the following statements is true true.. Amblyopia B la>y eye: Answer a. s always treated to 1& years of age b. s typically associated with with esotropia but but not e$otropia c. s typically treated treated with patching patching of the good good eye d. s rarely successfully successfull y treated when presents in a child younger than ? years of age e. Always involves involves refractive correction correction with glasses glasses first
1 points Question 99 !hich 99 !hich is @A=*) ongenital cataract: Answer a. an present present unilaterally unilaterally or bilaterally bilaterally b. an be associated with a systemic condition c. an present with leukocoria 3 an abnormal white reflection from the retina of the eye d. an present present with with strabismus strabismus e. s different from adult cataract( cataract( as congenital cataract cataract is not treated with lensectomy 1 points Question 1 !hich 1 !hich is the @A=*) @A=*) statement statement Rhabdomyosarcoma: Answer a. s the most common orbital malignancy of childhood b. an present with sudden proptosis c. s treated with surgical resection( chemotherapy and radiation therapy d. an be confused confused with orbital orbital cellulitis e. s typically very slow in onset with a gradual gradual proptosis proptosis