The Daily PANCE and PANRE Question 11

The Virtual PANCE and PANRE – “It’s like having a Pearson VUE testing center in your living room.”

A 42-year-old female presents after finding a firm, painless bump in her right eyelid. On examination, you note a 6 mm mass within the tarsus of the right eye. The skin is freely movable over the mass. The remainder of the ophthalmoscopic examination is unremarkable. Which of the following is the most likely diagnosis?

  1. pterygium
  2. chalazion
  3. ectropion
  4. external hordeolum
  5. internal hordeolum

Answer: B

Chalazion

A chalazion is a painless chronic mass in the eyelid. Hordeolum are acute and red and painful. Pterygium involves the sclera. Ectropion is when the eyelid sags outwardly and the lid doesn't close well.

Know Your Content Blueprint

Chalazion are covered part of the NCCPA Content Blueprint EENT (9%)

600 REEL-DX-ENHANCED

Learn more about chalazion and hordeolum and view this ReelDx educational case at SMARTYPANCE hordeolum

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