NR602 Midterm Exam - Questions With Proven
Solutions
What is a chalazion? Correct Answer - Benign, chronic lipogranulomatous
inflammation of the eyelid
What causes a chalazion? Correct Answer - Blockage of the meibomian
gland
What puts a person at risk for a chalazion? Correct Answer - Hordeolum or
any condition which may impede flow through the meibomian gland.
Mite species that reside in lash follicles.
What are physical exam findings for a chalazion? Correct Answer -
Painless
Does NOT involve lashes
Lid edema or palpable mass
Red or grey mass on inner aspect of lid margin
What is prevention for chalazion? Correct Answer - Good eye hygiene
What is treatment for chalazion? Correct Answer - Warm, moist
compresses 3x a day
If secondarily infected: sulfacetamide or erythromycin
What is the follow-up for chalazion? Correct Answer - In 2-4 weeks
If still present after 6wks, follow up w/ophthalmologist
What is blepharitis? Correct Answer - Inflammation/infection of the lid
margins (chronic problem)
What are the two types of blepharitis? Correct Answer - Seborrheic (non-
ulcerative)
Ulcerative
What can cause seborrheic blepharitis? Correct Answer - Irritants (smoke,
makeup, chemicals)
, What are s/s of seborrheic blepharitis? Correct Answer - Chronic
inflammation of eyelid
Erythema
Greasy scaling of anterior eyelid
Loss of eyelashes
Seborrheic dermatitis of eyebrows/scalp
What usually causes ulcerative blepharitis? Correct Answer - Infection
w/staph or strep
What are s/s of ulcerative blepharitis? Correct Answer - Itching
Tearing
Recurrent styes
Chalazia
Photophobia
Small ulceration at eyelid margin
Broken/absent eyelashes
Most frequent complaint: ongoing eye irritation, conjunctiva redness
What is the treatment for blepharitis? Correct Answer - Clean w/baby
shampoo 2-4 times/day
Warm compresses
Lid massage (right after warm massage)
How are infected eyelids with blepharitis treated? Correct Answer -
Antistaph abx: bacitracin, erythromycin 0.05% x1 wk and quinolone
ointments
How is blepharitis infection resistant to topical abx treated? Correct
Answer - Tetracycline 250mg PO x4
Doxy 100mg PO x2
What is conjunctivitis? Correct Answer - Inflammation or irritation of
conjunctiva
What is the most common cause of conjunctivitis in peds? Correct Answer -
Bacteria
Solutions
What is a chalazion? Correct Answer - Benign, chronic lipogranulomatous
inflammation of the eyelid
What causes a chalazion? Correct Answer - Blockage of the meibomian
gland
What puts a person at risk for a chalazion? Correct Answer - Hordeolum or
any condition which may impede flow through the meibomian gland.
Mite species that reside in lash follicles.
What are physical exam findings for a chalazion? Correct Answer -
Painless
Does NOT involve lashes
Lid edema or palpable mass
Red or grey mass on inner aspect of lid margin
What is prevention for chalazion? Correct Answer - Good eye hygiene
What is treatment for chalazion? Correct Answer - Warm, moist
compresses 3x a day
If secondarily infected: sulfacetamide or erythromycin
What is the follow-up for chalazion? Correct Answer - In 2-4 weeks
If still present after 6wks, follow up w/ophthalmologist
What is blepharitis? Correct Answer - Inflammation/infection of the lid
margins (chronic problem)
What are the two types of blepharitis? Correct Answer - Seborrheic (non-
ulcerative)
Ulcerative
What can cause seborrheic blepharitis? Correct Answer - Irritants (smoke,
makeup, chemicals)
, What are s/s of seborrheic blepharitis? Correct Answer - Chronic
inflammation of eyelid
Erythema
Greasy scaling of anterior eyelid
Loss of eyelashes
Seborrheic dermatitis of eyebrows/scalp
What usually causes ulcerative blepharitis? Correct Answer - Infection
w/staph or strep
What are s/s of ulcerative blepharitis? Correct Answer - Itching
Tearing
Recurrent styes
Chalazia
Photophobia
Small ulceration at eyelid margin
Broken/absent eyelashes
Most frequent complaint: ongoing eye irritation, conjunctiva redness
What is the treatment for blepharitis? Correct Answer - Clean w/baby
shampoo 2-4 times/day
Warm compresses
Lid massage (right after warm massage)
How are infected eyelids with blepharitis treated? Correct Answer -
Antistaph abx: bacitracin, erythromycin 0.05% x1 wk and quinolone
ointments
How is blepharitis infection resistant to topical abx treated? Correct
Answer - Tetracycline 250mg PO x4
Doxy 100mg PO x2
What is conjunctivitis? Correct Answer - Inflammation or irritation of
conjunctiva
What is the most common cause of conjunctivitis in peds? Correct Answer -
Bacteria
