UNDERSTANDING MEDICAL SURGICAL
NURSING EXAM FULL QUESTIONS
AND ANSWERS GRADED A PLUS
◉ When should you refer blephritis Pt? Answer: -no improvement
6/52 despite maximal treatment
-(for secondary care treatment, e.g. corticosteroids).
-If patient is staining with fluorescein and keratitis is suspected,
-rapid onset of visual loss or an acutely painful red eye
.
Refer with urgency appropriate to the problem if there is:
- Evidence of corneal disease (pain, blurred vision)
-Deterioration of vision
-Associated disease, such as Sjogren's syndrome or
eyelid deformities
◉ what are the Symptoms of Cataracts ? Answer: (both eyes
simultaneously but one eye may be worse than the other.):
dimming/blurring of vision
Lights may appear too bright
,Glare from lamps or the sun
Poor night vision
Double vision or multiple images in one eye
Dulled colour vision
Nearsightedness, accompanied by frequent changes in eyeglass
prescription
◉ What is the onset, etc of cataracts? Answer: Cataracts usually
develop gradually, and are not ge
nerally associated with pain, eye redness or other acute symptoms
unless they are ext
remely advanced.
◉ When should a cataract patient be referred? Answer: Rapid
and/or painful changes in vision are suspicious for other eye
diseases and should be referred for specialist opinion.
-patients with visual acuity of 6/12 or worse in cataract affects eye
after correction (glasses)
,◉ What is the surgical managment of Cataracts Answer: removing
the cloudy lens and replacing it with an intraocular implant under
local anaesthetic.
◉ Non surgical management of Cataracts? Answer: Reducing glare
by wearing a hat or sunglasses in bright light
correcting refractive problems with spectacles or contact lenses
increasing light levels when working or reading to improve contrast
referral for generic management of visual impairment (which may
involve social services and provision of accessibility aids)
◉ Benfits of cataract surgery Answer: mproved visual acuity. 85-
90% of people will have
6/12 best corrected vision
(This meets the driving requirements in the UK).
However, reading glasses are
usually needed after cataract surgery, and some people may require
glasses for distance vision who did not previously require them
, -Improved clarity of vision
- Improved colour vision.
◉ How will a Pt present with conjunctivits? Answer: Red,eyes,
normal, visual aquity and normal cornea
◉ What is the initial treatment for irritant conjunctivitis? Answer:
Remove/neutralise irritant if possible e.g. a displaced contact lens;
foreign
body; eye lashes rubbing against the
surface of the eye; a chemical splashing, etc
◉ Presentation of Allergic conjuctivits? Answer: -Bilateral itchy eyes
-Oedema - 'cobblestone' appearance on upper eyelids
when inflammation is chronic
-Patient also suffers from eczema, allergic rhinitis, or asthma.
giant papillary conjunctivitis 1-5% with soft C.lenses
1% of people with hard C.lense
NURSING EXAM FULL QUESTIONS
AND ANSWERS GRADED A PLUS
◉ When should you refer blephritis Pt? Answer: -no improvement
6/52 despite maximal treatment
-(for secondary care treatment, e.g. corticosteroids).
-If patient is staining with fluorescein and keratitis is suspected,
-rapid onset of visual loss or an acutely painful red eye
.
Refer with urgency appropriate to the problem if there is:
- Evidence of corneal disease (pain, blurred vision)
-Deterioration of vision
-Associated disease, such as Sjogren's syndrome or
eyelid deformities
◉ what are the Symptoms of Cataracts ? Answer: (both eyes
simultaneously but one eye may be worse than the other.):
dimming/blurring of vision
Lights may appear too bright
,Glare from lamps or the sun
Poor night vision
Double vision or multiple images in one eye
Dulled colour vision
Nearsightedness, accompanied by frequent changes in eyeglass
prescription
◉ What is the onset, etc of cataracts? Answer: Cataracts usually
develop gradually, and are not ge
nerally associated with pain, eye redness or other acute symptoms
unless they are ext
remely advanced.
◉ When should a cataract patient be referred? Answer: Rapid
and/or painful changes in vision are suspicious for other eye
diseases and should be referred for specialist opinion.
-patients with visual acuity of 6/12 or worse in cataract affects eye
after correction (glasses)
,◉ What is the surgical managment of Cataracts Answer: removing
the cloudy lens and replacing it with an intraocular implant under
local anaesthetic.
◉ Non surgical management of Cataracts? Answer: Reducing glare
by wearing a hat or sunglasses in bright light
correcting refractive problems with spectacles or contact lenses
increasing light levels when working or reading to improve contrast
referral for generic management of visual impairment (which may
involve social services and provision of accessibility aids)
◉ Benfits of cataract surgery Answer: mproved visual acuity. 85-
90% of people will have
6/12 best corrected vision
(This meets the driving requirements in the UK).
However, reading glasses are
usually needed after cataract surgery, and some people may require
glasses for distance vision who did not previously require them
, -Improved clarity of vision
- Improved colour vision.
◉ How will a Pt present with conjunctivits? Answer: Red,eyes,
normal, visual aquity and normal cornea
◉ What is the initial treatment for irritant conjunctivitis? Answer:
Remove/neutralise irritant if possible e.g. a displaced contact lens;
foreign
body; eye lashes rubbing against the
surface of the eye; a chemical splashing, etc
◉ Presentation of Allergic conjuctivits? Answer: -Bilateral itchy eyes
-Oedema - 'cobblestone' appearance on upper eyelids
when inflammation is chronic
-Patient also suffers from eczema, allergic rhinitis, or asthma.
giant papillary conjunctivitis 1-5% with soft C.lenses
1% of people with hard C.lense
