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This 15-year-old Ethiopian boy has a long history of recurrent conjunctivitis and eye irritation. When presenting for examination the lashes of his upper lid appear to be in-turned as shown above.

1.	The most likely diagnosis is:
	a. lid damage from sun exposure b. congenital entropion c. trichiasis from trachoma d. round worm lid infestation e. none of the above
2.	Which of the following is correct?
	a. This condition is caused by a chlamydial infection. b. Face washing and improved sanitation can reduce occurrence of this condition. c. If untreated the condition can lead to corneal blindness. d. Women are affected more than men. e. all of the above
3.	This boy would benefit from:
	a. bilamellar tarsal rotation b. tetracycline ointment in the twice a day for six weeks c. treatment with Azythromycin d. an abundant supply of clean water e. all of the above

For answers to the above, click here on or after June 30, 2009.