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This 9-year-old African girl developed a slowly enlarging, painless swelling in the left eye of one year duration. She was prescribed topical antibiotics and antibiotic-steroid combination drops by another practitioner without any improvement. Review of systems was negative. Slit lamp examination revealed pink, non-tender, cystic to firm, smooth-surfaced, mobile lump over the lower half of both nasal and temporal bulbar conjunctiva including nearly the full length of the inferior fornix, as well as the caruncle and semilunar fold. The rest of the ophthalmic examination was unremarkable. No regional lymphadenopathy was present. The right eye was within the normal limits. Sytemic examination revealed no abnormal findings. Complete blood count (CBC) was within normal limits.

1.	This lesion is compatible with a diagnosis of:
	a. retinoblastoma with extension b. granuloma pyogenicum c. Kaposi sarcoma d. (b) and (c) e. none of the above
2.	The lesion is most likely to be caused by which of the following?
	a. an associated infection with herpes virus type 8 b. too much exposure to the sun c. over use of topical steroids d. a reaction to antibiotics e. trauma
3.	When encountering a patient with such a lesion the first course of action should be:
	a. immediate excision b. chemotherapy c. radiation treatment d. incisional biopsy and study of the tissue e. (a) followed by (b)

For answers to the above, click here on or after February 10, 2009.