NR 602 FINAL I EXAM QUESTIONS WITH COMPLETE
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
A mother presents with her 3 month old child and complains of
goopy eye that is sometimes matted shut after naps. Upon
exam the conjunctiva is clear with some mild crusting to eye
lashes. What is the diagnosis and patient teaching? ANSWER -
>Probable lacrimal duct obstruction.
-The baby will likely grow out if it somewhere between six and
12 months.
-You can do a daily lacrimal duct massage and warm
compresses to help open up the duct.
-Watch for Periorbital cellulitis or bacterial conjunctivitis.
Nine-year-old patient presents with tender, swollen, erythemic
bump to eyelid. What is the diagnosis and patient education?
ANSWER - >Hordeolum (stye)
-warm moist compress
- scrub eye lashes with baby shampoo BID
- eye will feel better when stye pops, if doesn't will refer to
optho.
What is blepharitis? ANSWER - >inflammation of the eyelid
- caused by blocked oil gland, allergies, or excessive bacteria
,What is the treatment for blepharitis? ANSWER - >Cleanse with
baby shampoo TID
- Warm, moist compress
- resistant can prescribe Doxy or Tertracycline but not to
pediatrics who don't have adult teeth, can cause discoloration.
Pediatrics can have Bactrim.
A 9 year old patient presents with acute swelling and erythema
to eyelid with flaky, scaly debris to eyelid margins. Patient
reports gritty, burning feeling to eyes. She has already
attempted warm compresses and washing eyelids with baby
soap with minimal relief. What is the diagnosis and treatment?
ANSWER - >Patient has anterior blepharitis
Treat with erythromycin ointment, ointment has longer contact
with eye.
Can use azithromycin ointment x 4 weeks for long term
treatment
Can use doxycycline or tetracycline for chronic in kids >8 years
or Azithromycin oral for kids <8
What organism is likely to cause viral conjunctivitis? ANSWER -
>-Adenovirus
-HSV
-Herpes
,What organism is likely to cause bacterial conjunctivitis?
ANSWER - >-Staph aureus
-strep pneumoniae
-H. Influenza
A 10-year-old patient presents with unilateral conjunctivitis
with watery discharge x 2 days along with itching of the eye.
Mother denies any other associated symptoms. What is the
diagnosis and treatment? ANSWER - >Viral Conjunctivitis
Patient should apply cold compresses for comfort
*Bacterial conjunctivitis has purulent discharge.
What is herpes keratitis? ANSWER - >Herpes viral infection to
the eye caused by HSV.
A 19-year-old male presents with blurred vision, watery
discharge, photophobia, and eye redness. Upon exam you note
fern-like lines under the woods lamp. What is the diagnosis and
tx? ANSWER - >Herpes Keratitis
Tx: Antivirals
A 16-year-old female presents with complaints of sudden onset
of red, watery, and painful left eye. She reports possible foreign
body to eye. Upon inspection you visualize a n erythemic lesion
to the eye. When using woods lamp you note a small superficial
, laceration. What is the dx and tx? ANSWER - >Corneal
abrasion, refer to optho emergently or send to ER.
A mother brings her nine-year-old overweight son to the clinic
with complaints of pain to the groin, knee, and right hip. She
reports patient has been walking with a limp for the last couple
days but unable to ambulate today. Mother denies any recent
trauma. Upon inspection there is external rotation of the right
foot. What is the dx and tx? ANSWER - >Slipped capital femoral
epiphysis
Refer to ER, will need surgery.
-most common in adolescent, obese males.
Father presents with his four-year-old son and states that
patient has been limping since this morning and was crying all
night complaining of left hip pain. Upon exam you appreciate
decreased range of motion of left hip but no external rotation
or signs of trauma. What is the probable diagnostics, and
treatment? ANSWER - >Toxic transient syndrome- most
common cause of limp in peds.
Order: CBC, ESR, and X-ray. WBC and ESR will be elevated. X-
RAY will be normal.
-advise father that will resolve in 2-6 weeks.
- patient needs bed rest, NWB to left leg, and NSAIDS.
SOLUTIONS GUARANTEED PASS BRAND NEW 2025
A mother presents with her 3 month old child and complains of
goopy eye that is sometimes matted shut after naps. Upon
exam the conjunctiva is clear with some mild crusting to eye
lashes. What is the diagnosis and patient teaching? ANSWER -
>Probable lacrimal duct obstruction.
-The baby will likely grow out if it somewhere between six and
12 months.
-You can do a daily lacrimal duct massage and warm
compresses to help open up the duct.
-Watch for Periorbital cellulitis or bacterial conjunctivitis.
Nine-year-old patient presents with tender, swollen, erythemic
bump to eyelid. What is the diagnosis and patient education?
ANSWER - >Hordeolum (stye)
-warm moist compress
- scrub eye lashes with baby shampoo BID
- eye will feel better when stye pops, if doesn't will refer to
optho.
What is blepharitis? ANSWER - >inflammation of the eyelid
- caused by blocked oil gland, allergies, or excessive bacteria
,What is the treatment for blepharitis? ANSWER - >Cleanse with
baby shampoo TID
- Warm, moist compress
- resistant can prescribe Doxy or Tertracycline but not to
pediatrics who don't have adult teeth, can cause discoloration.
Pediatrics can have Bactrim.
A 9 year old patient presents with acute swelling and erythema
to eyelid with flaky, scaly debris to eyelid margins. Patient
reports gritty, burning feeling to eyes. She has already
attempted warm compresses and washing eyelids with baby
soap with minimal relief. What is the diagnosis and treatment?
ANSWER - >Patient has anterior blepharitis
Treat with erythromycin ointment, ointment has longer contact
with eye.
Can use azithromycin ointment x 4 weeks for long term
treatment
Can use doxycycline or tetracycline for chronic in kids >8 years
or Azithromycin oral for kids <8
What organism is likely to cause viral conjunctivitis? ANSWER -
>-Adenovirus
-HSV
-Herpes
,What organism is likely to cause bacterial conjunctivitis?
ANSWER - >-Staph aureus
-strep pneumoniae
-H. Influenza
A 10-year-old patient presents with unilateral conjunctivitis
with watery discharge x 2 days along with itching of the eye.
Mother denies any other associated symptoms. What is the
diagnosis and treatment? ANSWER - >Viral Conjunctivitis
Patient should apply cold compresses for comfort
*Bacterial conjunctivitis has purulent discharge.
What is herpes keratitis? ANSWER - >Herpes viral infection to
the eye caused by HSV.
A 19-year-old male presents with blurred vision, watery
discharge, photophobia, and eye redness. Upon exam you note
fern-like lines under the woods lamp. What is the diagnosis and
tx? ANSWER - >Herpes Keratitis
Tx: Antivirals
A 16-year-old female presents with complaints of sudden onset
of red, watery, and painful left eye. She reports possible foreign
body to eye. Upon inspection you visualize a n erythemic lesion
to the eye. When using woods lamp you note a small superficial
, laceration. What is the dx and tx? ANSWER - >Corneal
abrasion, refer to optho emergently or send to ER.
A mother brings her nine-year-old overweight son to the clinic
with complaints of pain to the groin, knee, and right hip. She
reports patient has been walking with a limp for the last couple
days but unable to ambulate today. Mother denies any recent
trauma. Upon inspection there is external rotation of the right
foot. What is the dx and tx? ANSWER - >Slipped capital femoral
epiphysis
Refer to ER, will need surgery.
-most common in adolescent, obese males.
Father presents with his four-year-old son and states that
patient has been limping since this morning and was crying all
night complaining of left hip pain. Upon exam you appreciate
decreased range of motion of left hip but no external rotation
or signs of trauma. What is the probable diagnostics, and
treatment? ANSWER - >Toxic transient syndrome- most
common cause of limp in peds.
Order: CBC, ESR, and X-ray. WBC and ESR will be elevated. X-
RAY will be normal.
-advise father that will resolve in 2-6 weeks.
- patient needs bed rest, NWB to left leg, and NSAIDS.
