D115- Advanced Pathophysiology Exam QUESTIONS AND ANSWERS 100% Accurate
Herpes Keratitis -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 1. Herpes Simplex = Herpes simplex keratitis
eyes 2. Herpes Varicella Zoster/Shingles = Herpes Zoster
Ophthalmicus
Ophthalmological emergency Acute Angle-Closure Glaucoma
Acute Angle-Closure Glaucoma -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) -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
D115- Advanced Pathophysiology Exam QUESTIONS AND ANSWERS 100%
Accurate
, D115- Advanced Pathophysiology Exam QUESTIONS AND ANSWERS 100% Accurate
Orbital Cellulitis -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
Retinal Detachment -sudden onset of a shower of floaters associated with "looking
through a curtain" sensation with sudden flashes of light
-refer to ED
Cholesteatoma -cauliflower like growth in the middle ear. Pt c/o foul smelling
discharge and hearing loss.
-hx of chronic otitis media infection
-NO tympanic membrane or ossicles are visible on
examination because of destruction by tumor
-tumor is not cancerous but it can erode into the bones of the
face & damage the facial nerve (CN VII)
-treated with antibiotics and surgical debridement
-refer to otolaryngologist
D115- Advanced Pathophysiology Exam QUESTIONS AND ANSWERS 100%
Accurate
Herpes Keratitis -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 1. Herpes Simplex = Herpes simplex keratitis
eyes 2. Herpes Varicella Zoster/Shingles = Herpes Zoster
Ophthalmicus
Ophthalmological emergency Acute Angle-Closure Glaucoma
Acute Angle-Closure Glaucoma -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) -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
D115- Advanced Pathophysiology Exam QUESTIONS AND ANSWERS 100%
Accurate
, D115- Advanced Pathophysiology Exam QUESTIONS AND ANSWERS 100% Accurate
Orbital Cellulitis -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
Retinal Detachment -sudden onset of a shower of floaters associated with "looking
through a curtain" sensation with sudden flashes of light
-refer to ED
Cholesteatoma -cauliflower like growth in the middle ear. Pt c/o foul smelling
discharge and hearing loss.
-hx of chronic otitis media infection
-NO tympanic membrane or ossicles are visible on
examination because of destruction by tumor
-tumor is not cancerous but it can erode into the bones of the
face & damage the facial nerve (CN VII)
-treated with antibiotics and surgical debridement
-refer to otolaryngologist
D115- Advanced Pathophysiology Exam QUESTIONS AND ANSWERS 100%
Accurate
