1.

Of the following, which symptoms or signs may suggest a possible eye tumor in a
child? (please circle ALL responses that are true)
a. bulging eyeball
b. painful red eye
c. white spot in eye
d. poor vision
e. new squint

2. Across the world, the usual age when the eye tumor Retinoblastoma (RB) can be
diagnosed is:
a. mostly at birth for all cases
b. mostly older than 2 years of age in cases where both eyes are affected
c. mostly by 3 years of age for all cases
d. mostly older than 4 years of age for all cases

3. Your impression and next steps to manage a child coming with this picture would
be to:
a. Reassurechild is healthy, no follow-up needed
b. Reassurechild has possible non-tumor eye condition, can watch and wait
c. Consider possible eye tumor including RB, to watch closely, no treatment or
action at this time
d. Consider possible eye tumor including RB, refer immediately for diagnosis and
treatment.

4. Across the world, once a diagnosis of the eye tumor Retinoblastoma has been
made, management usually involves: (multiple answers)
a. Watching and waiting until the vision is affected
b. Surgical removal of the affected eye/s in all patients
c. Treatment as soon as patient is diagnosed to save patients life and vision if
possible
d. Discussing with the family that other young children in the family may be
affected and can be taken for screening

5. In settings where the eye tumor RB can be diagnosed and treated early, survival
rates are usually:
a. >90%
b. between 65-90%
c. Between 40-65%
D. Below 40%

6. If I see a child with a possible eye tumor, specific resources or places that could
help make the diagnosis and manage the patient include:
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