FNP HEENT PRACTICE EXAM – EYE DISORDERS (80 Questions)
Questions
1
A 62-year-old woman presents with chronic irritation and crusting of the eyelids
upon waking. Examination shows inflamed eyelid margins with debris along the
lashes. What is the most likely diagnosis?
A. Hordeolum
B. Blepharitis
C. Chalazion
D. Conjunctivitis
2
Which underlying mechanism contributes to the development of blepharitis?
A. Viral infection of conjunctiva
B. Chronic eyelid margin inflammation due to bacterial colonization or meibomian
gland dysfunction
C. Acute obstruction of the nasolacrimal duct
D. Trauma to the corneal epithelium
3
A patient with blepharitis should first be instructed to perform which treatment?
A. Oral antibiotics
B. Warm compresses and eyelid hygiene
C. Surgical excision
D. Corticosteroid injections
4
Which condition is most commonly included in the differential diagnosis for
blepharitis?
A. Macular degeneration
B. Hordeolum
C. Hyphema
D. Strabismus
5
Which risk factor is most associated with blepharitis?
A. Cataracts
B. Rosacea
C. Hypertension
D. Contact lens use
6
,A painful red swelling at the eyelash follicle with a small pustule is most consistent
with which diagnosis?
A. Chalazion
B. Hordeolum
C. Blepharitis
D. Pterygium
7
A chalazion differs from a hordeolum because it is:
A. Painful and infectious
B. Acute and purulent
C. Chronic and noninfectious
D. Caused by viral infection
8
A patient presents with a painless firm nodule deeper within the eyelid. What is the
most likely diagnosis?
A. Hordeolum
B. Chalazion
C. Blepharitis
D. Conjunctivitis
9
What is the first-line treatment for both hordeolum and chalazion?
A. Systemic antibiotics
B. Warm compresses
C. Surgical drainage
D. Oral steroids
10
A chalazion that persists longer than one month should be:
A. Observed indefinitely
B. Referred to ophthalmology
C. Treated with antivirals
D. Treated with oral antibiotics
11
A patient presents with watery discharge, preauricular lymphadenopathy, and eye
redness. What is the most likely cause?
A. Allergic conjunctivitis
B. Viral conjunctivitis
C. Bacterial conjunctivitis
D. Corneal abrasion
, 12
Which organism group most commonly causes bacterial conjunctivitis?
A. Adenovirus
B. Staphylococcus aureus
C. Candida species
D. Herpes zoster
13
A child presents with purulent eye discharge and eyelids stuck shut in the
morning. What is the most likely diagnosis?
A. Viral conjunctivitis
B. Allergic conjunctivitis
C. Bacterial conjunctivitis
D. Corneal abrasion
14
Which treatment is appropriate for bacterial conjunctivitis?
A. Artificial tears only
B. Topical erythromycin
C. Antiviral therapy
D. Corticosteroid injections
15
Severe itching with bilateral watery eyes during pollen season suggests:
A. Viral conjunctivitis
B. Allergic conjunctivitis
C. Corneal abrasion
D. Glaucoma
16
Which medication class treats allergic conjunctivitis?
A. Mast cell stabilizers
B. Beta blockers
C. Antivirals
D. Carbonic anhydrase inhibitors
17
Which symptom should prompt referral during conjunctivitis evaluation?
A. Mild redness
B. Watery discharge
C. Photophobia or vision loss
D. Mild itching
Questions
1
A 62-year-old woman presents with chronic irritation and crusting of the eyelids
upon waking. Examination shows inflamed eyelid margins with debris along the
lashes. What is the most likely diagnosis?
A. Hordeolum
B. Blepharitis
C. Chalazion
D. Conjunctivitis
2
Which underlying mechanism contributes to the development of blepharitis?
A. Viral infection of conjunctiva
B. Chronic eyelid margin inflammation due to bacterial colonization or meibomian
gland dysfunction
C. Acute obstruction of the nasolacrimal duct
D. Trauma to the corneal epithelium
3
A patient with blepharitis should first be instructed to perform which treatment?
A. Oral antibiotics
B. Warm compresses and eyelid hygiene
C. Surgical excision
D. Corticosteroid injections
4
Which condition is most commonly included in the differential diagnosis for
blepharitis?
A. Macular degeneration
B. Hordeolum
C. Hyphema
D. Strabismus
5
Which risk factor is most associated with blepharitis?
A. Cataracts
B. Rosacea
C. Hypertension
D. Contact lens use
6
,A painful red swelling at the eyelash follicle with a small pustule is most consistent
with which diagnosis?
A. Chalazion
B. Hordeolum
C. Blepharitis
D. Pterygium
7
A chalazion differs from a hordeolum because it is:
A. Painful and infectious
B. Acute and purulent
C. Chronic and noninfectious
D. Caused by viral infection
8
A patient presents with a painless firm nodule deeper within the eyelid. What is the
most likely diagnosis?
A. Hordeolum
B. Chalazion
C. Blepharitis
D. Conjunctivitis
9
What is the first-line treatment for both hordeolum and chalazion?
A. Systemic antibiotics
B. Warm compresses
C. Surgical drainage
D. Oral steroids
10
A chalazion that persists longer than one month should be:
A. Observed indefinitely
B. Referred to ophthalmology
C. Treated with antivirals
D. Treated with oral antibiotics
11
A patient presents with watery discharge, preauricular lymphadenopathy, and eye
redness. What is the most likely cause?
A. Allergic conjunctivitis
B. Viral conjunctivitis
C. Bacterial conjunctivitis
D. Corneal abrasion
, 12
Which organism group most commonly causes bacterial conjunctivitis?
A. Adenovirus
B. Staphylococcus aureus
C. Candida species
D. Herpes zoster
13
A child presents with purulent eye discharge and eyelids stuck shut in the
morning. What is the most likely diagnosis?
A. Viral conjunctivitis
B. Allergic conjunctivitis
C. Bacterial conjunctivitis
D. Corneal abrasion
14
Which treatment is appropriate for bacterial conjunctivitis?
A. Artificial tears only
B. Topical erythromycin
C. Antiviral therapy
D. Corticosteroid injections
15
Severe itching with bilateral watery eyes during pollen season suggests:
A. Viral conjunctivitis
B. Allergic conjunctivitis
C. Corneal abrasion
D. Glaucoma
16
Which medication class treats allergic conjunctivitis?
A. Mast cell stabilizers
B. Beta blockers
C. Antivirals
D. Carbonic anhydrase inhibitors
17
Which symptom should prompt referral during conjunctivitis evaluation?
A. Mild redness
B. Watery discharge
C. Photophobia or vision loss
D. Mild itching
