1

Question 1

Roof

Answer 1

lesser wing of the sphenoid, orbital plate of the frontal bone

Question 2

Lateral

Answer 2

greater wing of the sphenoid, zygomatic

Question 3

Floor

Answer 3

zygomatic, palatine, maxillary ZPM

Question 4

Medial

Answer 4

palatine, ethmoid, lacrimal, maxillary PELM

Question 5

Superior orbital fissure

Answer 5

greater-lesser. Lacrimal, frontal, trochlear n. Superior ophthalmic vein. n. III n. VI Nasocilary nn. Sympathetic fibers

Question 6

Inferior orbital fissure

Answer 6

greater-maxilla. Maxillary, Zygomatic nerves. Pterygopalatine ganglion. Inferior opththalmic vein

Question 7

Braley sign

Answer 7

muscle restriction in differential IOP test >=6mmHg

Question 8

Proptosis

Answer 8

> =20mm, difference of 2-3mm

Question 9

Dalrymple sign

Answer 9

lid retraction in primary gaze, polega on na nadmiernym rozszerzeniu szpary

Question 10

Kocher sign

Answer 10

powieka unosi się szybciej niż gałka oczna, staring and frightened appearance

Question 11

von Graefe

Answer 11

retarded descent of the upper lid on downgaze (lid lag)

Question 12

Möbius sign

Answer 12

inability to maintain convergence of the eyes

Question 13

Popow sign

Answer 13

palec z odległości około 30 cm, a następnie go obniża. Gdy nienadążająca za gałką oczną powieka opada zauważalnymi skokami

Question 14

Stellwag’s sign

Answer 14

infrequent or incomplete blinking

Question 15

Jellinek sign

Answer 15

wzmożona pigmentacja powiek

Question 16

Rosenbach sign

Answer 16

drżenie zamkniętych powiek

Question 17

Bacterial orbital cellulitis - treatment

Answer 17

ceftazidime+metronidazol

Question 18

Acute dacryoadenitis - causes

Answer 18

idio, mumps, Epstein, CMV. less acute,may bi: IOID,sarcoidosis, Sjogren syndrome,thyroid,chronic infection

Question 19

Dermoid cyst - location

Answer 19

superotemporal, but deep may extend into inferotemporal fossa

Question 20

Anterior Encephalocele - location

Answer 20

superomedial, displaces globe forwards and laterally

Question 21

Posterior Encephalocele - how dislocates globe

Answer 21

forwards and downwards

Question 22

Primary orbital varices - location, complic, treatment

Answer 22

uni, upper nasal. hemor, thrombosis, n.II compres, fat atrophy, enophthalmos. Embolization, carbon dioxide laser

Question 23

Lymphangioma - location

Answer 23

anterior lymphangioma - upper nasal. bleed->chocolate cysts.

Question 24

Capillary hemangioma

Answer 24

superiorly, PHACE, 3F:1M, CT-finger-like, B-blockers, laser >2mm, INF2a, vincristine, cutting cautery, CO2 laser

Question 25

Kasabach-Merritt syndrome

Answer 25

Capillary hemangioma+thrombocytopenia

Question 26

most common orbital tumor in children

Answer 26

Capillary hemangioma

Question 27

most common orbital tumor in adults

Answer 27

Cavernous hemangioma

Question 28

well encapsulated orbital tumor

Answer 28

Cavernous hemangioma

Question 29

Cavernous hemangioma - location and how proptosis

Answer 29

lateral part of the muscular cone, uni axial proptosis

Question 30

pleomorphic lacrimal gland adenoma - other name

Answer 30

benign mixed-cell tumor

Question 31

pleomorphic lacrimal gland adenoma - location and how dislocates

Answer 31

superolateral eyelid, orbital lobe tumor - inferonasal dystopia, palpebral lobe tumor - grow anteriorly causing upper lid swelling without dystopia

Question 32

Lacrimal gland carcinoma - forms, age, dystopia, features

Answer 32

adenoid cystic (50%), pleomorphic adenocarcinoma, mucoepidermoid, squamous cell. middle age. inferonasal dystopia. pain, hypoesthesia (lacrimal nerve), CT-globular serrated

Question 33

Optic nerve glioma

Answer 33

pilocytic astrocytoma, spindle-shaped astrocytes and glial filaments, year-6.5, temporal or inferior dystopia. Glioblastoma-adults

Question 34

Optic nerve sheath meningioma

Answer 34

middle-aged F, 25% children, psammomatous, NF2, Hoyt-Spencer triad

Question 35

Lymphoma - location, features

Answer 35

any part of orbit, no symptoms, rubbery consistancy

Question 36

Rhabdomyosarcoma - age, location

Answer 36

90% under 16, average 7 years, superonasal or superior

Question 37

Langerhans cell histiocytosis meta

Answer 37

children, uni or bi osteolytic, supertemporal quadrant

Question 38

most common sinus invasion

Answer 38

maxillary