D115- ADVANCED PATHOPHYSIOLOGY EXAM
QUESTIONS WITH CORRECT ANSWERS
, Herpes Keratitis - ANSWER -acute onset of severe eye pain, photophobia, and blurred
vision in one eye; diagnosed by using fluorescein dye - will appear like fernlike lines on
the corneal surface
-infection permanently damages corneal epithelium (may result in blindness)
-refer to ED or ophthalmologist STAT; avoid steroid ophthalmic drops
2 types of herpes virus that can infect the eyes - ANSWER 1. Herpes Simplex = Herpes
simplex keratitis
2. Herpes Varicella Zoster/Shingles = Herpes Zoster Ophthalmicus
Ophthalmological emergency - ANSWER Acute Angle-Closure Glaucoma
Acute Angle-Closure Glaucoma - ANSWER -acute onset of severe eye pain
accompanied by headache, N/V, halos around lights, and decreased vision
-mid-dilated pupil that is oval shaped
-cloudy cornea
-fundoscopic examination reveals cupping of the optic nerve
-Refer to ED
-TRUE OPHTHALMOLOGICAL EMERGENCY
-increases ICP
Multiple Sclerosis (optic neuritis) - ANSWER -new or intermittent loss of vision in one
eye alone or accompanied by nystagmus or other abnormal eye movements
- aphasia, abnormal gait, spasticity, paresthesia
-daily fatigue that worsens throughout the day
-heat worsens symptoms
-has recurrent episodes
-refer to neurologist
Orbital Cellulitis - ANSWER -acute onset of erythematous swollen eyelid with bulging of
the eyeball and eye pain in affected eye
-abnormal extraocular movement exam with pain on eye movement
-look for hx of recent rhinosinusitis or URI
-caused by acute bacterial infection of the orbital contents
-more common in young children
-SERIOUS COMPLICATION
-Refer to ED
(CSF) Clear golden fluid discharge from the nose/ear - ANSWER -Indicative of a basilar
skull fracture. Cerebrospinal fluid (CSF) slowly leaks through the fracture.
QUESTIONS WITH CORRECT ANSWERS
, Herpes Keratitis - ANSWER -acute onset of severe eye pain, photophobia, and blurred
vision in one eye; diagnosed by using fluorescein dye - will appear like fernlike lines on
the corneal surface
-infection permanently damages corneal epithelium (may result in blindness)
-refer to ED or ophthalmologist STAT; avoid steroid ophthalmic drops
2 types of herpes virus that can infect the eyes - ANSWER 1. Herpes Simplex = Herpes
simplex keratitis
2. Herpes Varicella Zoster/Shingles = Herpes Zoster Ophthalmicus
Ophthalmological emergency - ANSWER Acute Angle-Closure Glaucoma
Acute Angle-Closure Glaucoma - ANSWER -acute onset of severe eye pain
accompanied by headache, N/V, halos around lights, and decreased vision
-mid-dilated pupil that is oval shaped
-cloudy cornea
-fundoscopic examination reveals cupping of the optic nerve
-Refer to ED
-TRUE OPHTHALMOLOGICAL EMERGENCY
-increases ICP
Multiple Sclerosis (optic neuritis) - ANSWER -new or intermittent loss of vision in one
eye alone or accompanied by nystagmus or other abnormal eye movements
- aphasia, abnormal gait, spasticity, paresthesia
-daily fatigue that worsens throughout the day
-heat worsens symptoms
-has recurrent episodes
-refer to neurologist
Orbital Cellulitis - ANSWER -acute onset of erythematous swollen eyelid with bulging of
the eyeball and eye pain in affected eye
-abnormal extraocular movement exam with pain on eye movement
-look for hx of recent rhinosinusitis or URI
-caused by acute bacterial infection of the orbital contents
-more common in young children
-SERIOUS COMPLICATION
-Refer to ED
(CSF) Clear golden fluid discharge from the nose/ear - ANSWER -Indicative of a basilar
skull fracture. Cerebrospinal fluid (CSF) slowly leaks through the fracture.
