NR602/NR 602 Primary Care Of The Childbearing And Childrearing
Family Practicum - NR 602 Week 4 Midterm Study Guide Exam
PRACTICE QUESTIONS 2026-2027 COMPLETE ACCURATE EXAM REAL
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(RELIABLE SOLUTIONS) CURRENTLY UPDATED VERSION 2026
EDITION
Chronic Bacterial Conjunctivitis
Lasts more than 3 weeks and unresponsive to treatment
Most common org is Staphylococcus Aureus. Gram negative orgs
include:
-moraxella lacunata, serratia marcescens, ecoli, klebsiella pneumoniae,
proteus.
Teens: Chlamydia
Erythema, chemosis, itching, burning, mucopurulwnt exudate, matter in
the eyelashes; foreign body; Dx by gram stain culture to r/o
dacryostenosis, blepharitis, corneal ulcers, trachoma
Chronic Bacterial Conjunctivitis treatment
depends on prior treatment, lab results, and differential diagnosis.
Review compliance of previous drug choices; consult ophthalmologist
,Inclusion conjunctivitis
occurs in neonates 5-14 days old and sexually active teenagers: caused
by : Chlamydia trachomatis; Erythema, chemosis, itching, burning,
mucopurulnt exudate or clear drainage, palpebral follicles. Cultures:
ELISA, PCR r/o sexual activity
Inclusion conjunctivitis treatment
Neonates: erythromycin or azithromycin PO; Adolescents: doxycycline,
azithromycin, EES, erythromycin base, levofloxacin PO
Viral conjunctivitis
adenovirus MC; HSV-1 (dendritic ulcers); Erythema, chemosis, bilateral
tearing; HSV and herpes zoster: unilateral with photophobia, fever;
Zoster: nose lesion. Cultures to r/o corneal infiltration
Viral conjunctivitis treatment
• Lubricant drops
• Cool compresses TID-QID
• Antihistamines
refer to ophthalmologist if HSV or photophobia is present
,Allergic or Vernal (springtime) conjunctivitis
causes tearing, itching, redness, & swelling.
treated with topical mast cell stabilizer/antihistamine drops. atopy
sufferers; seasonal; stringy, mucoid exudate, swollen eyelids and
conjunctivae, itching, tearing, palpebral follicles, headache, rhinitis;
Eosinophils in conjunctival scrapings
Allergic or Vernal (springtime) conjunctivitis treatment
naphazoline/pheniramine, naphazoline/antazoline ophthalmic solution.
Mast cell stabilizer. Refer to allergist
chalazion
a nodule or cyst, usually on the upper eyelid, caused by obstruction in a
sebaceous gland. Most commonly found above the eyelashes on the
upper lid; a blocked oil gland (meibomian or zeiss); firm painless lump;
PAINLESS, NOT INVOLVING LASHES
Lid edema, or palpable mass
Red or grey mass on the inner aspect of lid margin; prevention: good
hygiene.
treatment: warm compresses, surgery. antibiotic eyedrops if secondary
infection (sulfacetamide or erythromycin); follow up in 2-4 weeks, if still
present after 6 weeks follow up with ophthalmologist
Chalazion
Benign, chronic lipogranulomatous inflammation of the eyelid
Risk of Chalazion
hordeolum or any condition which may impede flow through the
meibomian gland. Also mite species that reside in lash follicles
, hordeolum (stye)
staph infection of a sebaceous gland in the eyelid. Most commonly found
at or near an eyelash follicle. Caused by bacterial infection either at the
root of the eyelash follicle or in the oil glands of the eyelid. Symptoms
are tenderness and swelling; treatment: spontaneous drainage and warm
compresses
blepharitis
inflammation of the eyelid; Inflammation/infection of the lid margins
(chronic problem); can have flaking skin, excessive tearing, redness,
irritation, eyelash loss and/or crusty debris along the lash line
Family Practicum - NR 602 Week 4 Midterm Study Guide Exam
PRACTICE QUESTIONS 2026-2027 COMPLETE ACCURATE EXAM REAL
QUESTIONS AND CORRECT DETAILED ANSWERS WITH RATIONALES
(RELIABLE SOLUTIONS) CURRENTLY UPDATED VERSION 2026
EDITION
Chronic Bacterial Conjunctivitis
Lasts more than 3 weeks and unresponsive to treatment
Most common org is Staphylococcus Aureus. Gram negative orgs
include:
-moraxella lacunata, serratia marcescens, ecoli, klebsiella pneumoniae,
proteus.
Teens: Chlamydia
Erythema, chemosis, itching, burning, mucopurulwnt exudate, matter in
the eyelashes; foreign body; Dx by gram stain culture to r/o
dacryostenosis, blepharitis, corneal ulcers, trachoma
Chronic Bacterial Conjunctivitis treatment
depends on prior treatment, lab results, and differential diagnosis.
Review compliance of previous drug choices; consult ophthalmologist
,Inclusion conjunctivitis
occurs in neonates 5-14 days old and sexually active teenagers: caused
by : Chlamydia trachomatis; Erythema, chemosis, itching, burning,
mucopurulnt exudate or clear drainage, palpebral follicles. Cultures:
ELISA, PCR r/o sexual activity
Inclusion conjunctivitis treatment
Neonates: erythromycin or azithromycin PO; Adolescents: doxycycline,
azithromycin, EES, erythromycin base, levofloxacin PO
Viral conjunctivitis
adenovirus MC; HSV-1 (dendritic ulcers); Erythema, chemosis, bilateral
tearing; HSV and herpes zoster: unilateral with photophobia, fever;
Zoster: nose lesion. Cultures to r/o corneal infiltration
Viral conjunctivitis treatment
• Lubricant drops
• Cool compresses TID-QID
• Antihistamines
refer to ophthalmologist if HSV or photophobia is present
,Allergic or Vernal (springtime) conjunctivitis
causes tearing, itching, redness, & swelling.
treated with topical mast cell stabilizer/antihistamine drops. atopy
sufferers; seasonal; stringy, mucoid exudate, swollen eyelids and
conjunctivae, itching, tearing, palpebral follicles, headache, rhinitis;
Eosinophils in conjunctival scrapings
Allergic or Vernal (springtime) conjunctivitis treatment
naphazoline/pheniramine, naphazoline/antazoline ophthalmic solution.
Mast cell stabilizer. Refer to allergist
chalazion
a nodule or cyst, usually on the upper eyelid, caused by obstruction in a
sebaceous gland. Most commonly found above the eyelashes on the
upper lid; a blocked oil gland (meibomian or zeiss); firm painless lump;
PAINLESS, NOT INVOLVING LASHES
Lid edema, or palpable mass
Red or grey mass on the inner aspect of lid margin; prevention: good
hygiene.
treatment: warm compresses, surgery. antibiotic eyedrops if secondary
infection (sulfacetamide or erythromycin); follow up in 2-4 weeks, if still
present after 6 weeks follow up with ophthalmologist
Chalazion
Benign, chronic lipogranulomatous inflammation of the eyelid
Risk of Chalazion
hordeolum or any condition which may impede flow through the
meibomian gland. Also mite species that reside in lash follicles
, hordeolum (stye)
staph infection of a sebaceous gland in the eyelid. Most commonly found
at or near an eyelash follicle. Caused by bacterial infection either at the
root of the eyelash follicle or in the oil glands of the eyelid. Symptoms
are tenderness and swelling; treatment: spontaneous drainage and warm
compresses
blepharitis
inflammation of the eyelid; Inflammation/infection of the lid margins
(chronic problem); can have flaking skin, excessive tearing, redness,
irritation, eyelash loss and/or crusty debris along the lash line
