NURS 5433 Midterm Exam Questions
With Correct Answers
\.Describe the symptoms of Blepharitis? - Answer-•Crusty, irritated and redness on the eye lid
margin
•Build up of debris close to the root of the eyelash
•Dry eye symptoms such as red eyes or foreign body sensation.
\.What is the Pharmacological treatment for resistant or persistent infection of Blepharitis? (2) -
Answer-1. Doxycycline 100mg PO BID
2. Tetracycline 250mg QID
\.A 40 year old woman comes with complaints scaling, crusting and redness in her eyelid. She
said she is having trouble driving when it's sunny out, which of the following medications would
you recommend to start with first?
A. Doxycycline 100mg PO BID
B. Tetracycline 250mg QID
C. Cold moist compress to reduce inflammation
D. Lid scrub wit baby shampoo - Answer-D. Lid scrub wit baby shampoo
\.Which condition is most often associated with Posterior Blepharitis?
A. Seborrhea
B. Rosacea
,C. Astigmatism
D. Conjunctivitis - Answer-B. Rosacea
\.A painful, red swelling at the eyelid margin is most bc consistent with:
A. Hordeolum
B. Chalazion
C. Conjunctivitis
D. Cataract - Answer-A. Hordeolum
\.The preferred management for a hordeolum includes:
A. Topical steroids
B. Warm compresses
C. Oral antivirals
D. Eyepatch - Answer-B. Warm compresses
\.What is the difference between a Hordeolum and a Chalazion? - Answer-A hordeolum is
painful and is usually on the lid margin. A chalazion usually points inside the lid and is usually
painless
\.A 7-year-old presents with red eyes, purulent discharge, and eyelids matted shut in the
morning. There is no significant itching what is most likely type of conjunctivitis?
A. Allergic
B. Viral
C. Bacterial
,D. Herpetic - Answer-C. Bacterial
\.Which symptom is most characteristic of allergic conjunctivitis?
A. Pre auricular lymphadenopathy
B. Bilateral itching and watery discharge
C. Thick yellow discharge
D. Unilateral redness with crusting - Answer-B. Bilateral itching and watery discharge
\.A patient presents with watery eye discharge pre-auricular lymphadenopathy and a gritty
sensation in the eye which type of conjunctivitis is most likely?
A. Allergic.
B. Viral.
C. Bacterial.
D. Fungal. - Answer-B. Viral
\.Herpetic viral conjunctivitis is distinguished from other types of conjunctivitis by which
diagnostic finding? - Answer-Dendritic lesions on fluorescein stain
\.What diagnostic exam is done to check optic nerve function and anterior chamber
inflammation? - Answer-Dilated Pupil Exam
\.Which two antibiotics are used for systemic chlamydia, and gonococcal conjunctivitis? -
Answer-1. Ceftriaxone
2. Doxycycline
, \.Which of the following antibiotics is not recommended for cellulitis orbital and periorbital?
A. Cephalosporin
B. Ampicillin-clavulanic acid
C. Penicillin
D. Levofloxacin
E. Ciprofloxacin - Answer-C. Penicillin
\.What are the medications Rimexolone and Loteprednol used for? - Answer-Topical steroid
therapy for Pingueculum and Pterygium
\.What is the primary difference between a pingueculum and a pterygium?
A. Pingueculum causes vision loss, pterygium does not
B. Pingueculum is bilateral, pterygium is always unilateral
C. Pingueculum does not cross the cornea, pterygium extended onto the cornea
D. Pterygium is yellowish, pingueculum is vascular and red - Answer-C. Pingueculum does not
cross the cornea, pterygium extended onto the cornea
\.When is surgical removal for. Pingueculum and Pterygium required? - Answer-When vision is
impaired
\.A patient presents with a yellowish raised lesion on the nasal conjunctiva that does not affect.
What is the most likely diagnosis?
A. Pingueculum
B. Pterygium
With Correct Answers
\.Describe the symptoms of Blepharitis? - Answer-•Crusty, irritated and redness on the eye lid
margin
•Build up of debris close to the root of the eyelash
•Dry eye symptoms such as red eyes or foreign body sensation.
\.What is the Pharmacological treatment for resistant or persistent infection of Blepharitis? (2) -
Answer-1. Doxycycline 100mg PO BID
2. Tetracycline 250mg QID
\.A 40 year old woman comes with complaints scaling, crusting and redness in her eyelid. She
said she is having trouble driving when it's sunny out, which of the following medications would
you recommend to start with first?
A. Doxycycline 100mg PO BID
B. Tetracycline 250mg QID
C. Cold moist compress to reduce inflammation
D. Lid scrub wit baby shampoo - Answer-D. Lid scrub wit baby shampoo
\.Which condition is most often associated with Posterior Blepharitis?
A. Seborrhea
B. Rosacea
,C. Astigmatism
D. Conjunctivitis - Answer-B. Rosacea
\.A painful, red swelling at the eyelid margin is most bc consistent with:
A. Hordeolum
B. Chalazion
C. Conjunctivitis
D. Cataract - Answer-A. Hordeolum
\.The preferred management for a hordeolum includes:
A. Topical steroids
B. Warm compresses
C. Oral antivirals
D. Eyepatch - Answer-B. Warm compresses
\.What is the difference between a Hordeolum and a Chalazion? - Answer-A hordeolum is
painful and is usually on the lid margin. A chalazion usually points inside the lid and is usually
painless
\.A 7-year-old presents with red eyes, purulent discharge, and eyelids matted shut in the
morning. There is no significant itching what is most likely type of conjunctivitis?
A. Allergic
B. Viral
C. Bacterial
,D. Herpetic - Answer-C. Bacterial
\.Which symptom is most characteristic of allergic conjunctivitis?
A. Pre auricular lymphadenopathy
B. Bilateral itching and watery discharge
C. Thick yellow discharge
D. Unilateral redness with crusting - Answer-B. Bilateral itching and watery discharge
\.A patient presents with watery eye discharge pre-auricular lymphadenopathy and a gritty
sensation in the eye which type of conjunctivitis is most likely?
A. Allergic.
B. Viral.
C. Bacterial.
D. Fungal. - Answer-B. Viral
\.Herpetic viral conjunctivitis is distinguished from other types of conjunctivitis by which
diagnostic finding? - Answer-Dendritic lesions on fluorescein stain
\.What diagnostic exam is done to check optic nerve function and anterior chamber
inflammation? - Answer-Dilated Pupil Exam
\.Which two antibiotics are used for systemic chlamydia, and gonococcal conjunctivitis? -
Answer-1. Ceftriaxone
2. Doxycycline
, \.Which of the following antibiotics is not recommended for cellulitis orbital and periorbital?
A. Cephalosporin
B. Ampicillin-clavulanic acid
C. Penicillin
D. Levofloxacin
E. Ciprofloxacin - Answer-C. Penicillin
\.What are the medications Rimexolone and Loteprednol used for? - Answer-Topical steroid
therapy for Pingueculum and Pterygium
\.What is the primary difference between a pingueculum and a pterygium?
A. Pingueculum causes vision loss, pterygium does not
B. Pingueculum is bilateral, pterygium is always unilateral
C. Pingueculum does not cross the cornea, pterygium extended onto the cornea
D. Pterygium is yellowish, pingueculum is vascular and red - Answer-C. Pingueculum does not
cross the cornea, pterygium extended onto the cornea
\.When is surgical removal for. Pingueculum and Pterygium required? - Answer-When vision is
impaired
\.A patient presents with a yellowish raised lesion on the nasal conjunctiva that does not affect.
What is the most likely diagnosis?
A. Pingueculum
B. Pterygium
