NURS 5433 Midterm Exam
What is the difference between a Hordeolum and a Chalazion?
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
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
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.
B. Viral
Herpetic viral conjunctivitis is distinguished from other types of
conjunctivitis by which diagnostic finding?
Dendritic lesions on fluorescein stain
What diagnostic exam is done to check optic nerve function and
anterior chamber inflammation?
Dilated Pupil Exam
Which two antibiotics are used for systemic chlamydia, and
gonococcal conjunctivitis?
,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
C. Penicillin
What are the medications Rimexolone and Loteprednol used for?
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
C. Pingueculum does not cross the cornea, pterygium extended onto the
cornea
When is surgical removal for. Pingueculum and Pterygium required?
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
C. Cataract
D. Conjunctival hemorrhage
A. Pingueculum
First line treatment for bacterial conjunctivitis includes
A. Oral doxycycline
B. Corticosteroid drops
C. Erythromycin ointment
D. Artificial tears
C. Erythromycin ointment
,A fluorescien stain is used to diagnose:
A. Corneal abrasion
B. Blepharitis
C. Cataracts
D. Macular degeneration
A. Corneal abrasion
Emily has chronic dry eye. The doctor suggested using Cyclosporine
ophthalmic emulsion for her eye but it did not work. Which of the
following should the NP consider trying next? SATA
A. Topical corticosteroids
B. Systemic anti-inflammatory agents
C. Surgery
D. Autologous serum
E. Systemic omega 3 fatty acids
F. Impermanent punctal occlusion
G. Refer to an ophthalmologist
D. Autologous serum
F. Impermanent punctal occlusion
G. Refer to an ophthalmologist
Cyclosporine ophthalmic emulsion is a level 2 treatment, she should move
in to level 3 since level 2 did not work.
Cataracts typically presents with:
A. Eye discharge
B. Sharp eye pain
C. Halos around lights
D. Tearing and itching
C. Halos around lights D
Diminished red reflex and the presence of a white reflex is associated
with which eye disorder?
Cataracts
Which of the following organism is not the top 3 for bacterial
conjunctivitis?
A. Staphylococcus aureus
B. Strep pneumoniae
, C. Pseudomonas
D. Haemophilus influenzae
C. Pseudomonas
A mother comes in with her newborn baby. She states that her baby
has persistent tear overflow, red eyes and mucus that comes out of
the corner of her eyes when touched. which of the following would
you recommend for treatment?
A. Antibiotic drops
B. Topical steroids
C. Crigler massage
D. Referral for duct probing and catheter insertion to remove mucus
C. Crigler massage
Hyphema is a ophthalmic emergency, True or False?
True
What type of eye drops can be used to correct Strabismus?
Atropine
A patient comes in complaining of loss of peripheral vision. You test
their vision and find that their visual acuity has decreased. What is
the next thing you would do as far as diagnostics?
Use Tonometer to measure IOP
What is seen on the funduscopic exam of someone with glaucoma?
Cupping of the optic disc
Cup to disc ration > 0.3 Describe the symptoms of Blepharitis?
•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)
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
What is the difference between a Hordeolum and a Chalazion?
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
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
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.
B. Viral
Herpetic viral conjunctivitis is distinguished from other types of
conjunctivitis by which diagnostic finding?
Dendritic lesions on fluorescein stain
What diagnostic exam is done to check optic nerve function and
anterior chamber inflammation?
Dilated Pupil Exam
Which two antibiotics are used for systemic chlamydia, and
gonococcal conjunctivitis?
,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
C. Penicillin
What are the medications Rimexolone and Loteprednol used for?
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
C. Pingueculum does not cross the cornea, pterygium extended onto the
cornea
When is surgical removal for. Pingueculum and Pterygium required?
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
C. Cataract
D. Conjunctival hemorrhage
A. Pingueculum
First line treatment for bacterial conjunctivitis includes
A. Oral doxycycline
B. Corticosteroid drops
C. Erythromycin ointment
D. Artificial tears
C. Erythromycin ointment
,A fluorescien stain is used to diagnose:
A. Corneal abrasion
B. Blepharitis
C. Cataracts
D. Macular degeneration
A. Corneal abrasion
Emily has chronic dry eye. The doctor suggested using Cyclosporine
ophthalmic emulsion for her eye but it did not work. Which of the
following should the NP consider trying next? SATA
A. Topical corticosteroids
B. Systemic anti-inflammatory agents
C. Surgery
D. Autologous serum
E. Systemic omega 3 fatty acids
F. Impermanent punctal occlusion
G. Refer to an ophthalmologist
D. Autologous serum
F. Impermanent punctal occlusion
G. Refer to an ophthalmologist
Cyclosporine ophthalmic emulsion is a level 2 treatment, she should move
in to level 3 since level 2 did not work.
Cataracts typically presents with:
A. Eye discharge
B. Sharp eye pain
C. Halos around lights
D. Tearing and itching
C. Halos around lights D
Diminished red reflex and the presence of a white reflex is associated
with which eye disorder?
Cataracts
Which of the following organism is not the top 3 for bacterial
conjunctivitis?
A. Staphylococcus aureus
B. Strep pneumoniae
, C. Pseudomonas
D. Haemophilus influenzae
C. Pseudomonas
A mother comes in with her newborn baby. She states that her baby
has persistent tear overflow, red eyes and mucus that comes out of
the corner of her eyes when touched. which of the following would
you recommend for treatment?
A. Antibiotic drops
B. Topical steroids
C. Crigler massage
D. Referral for duct probing and catheter insertion to remove mucus
C. Crigler massage
Hyphema is a ophthalmic emergency, True or False?
True
What type of eye drops can be used to correct Strabismus?
Atropine
A patient comes in complaining of loss of peripheral vision. You test
their vision and find that their visual acuity has decreased. What is
the next thing you would do as far as diagnostics?
Use Tonometer to measure IOP
What is seen on the funduscopic exam of someone with glaucoma?
Cupping of the optic disc
Cup to disc ration > 0.3 Describe the symptoms of Blepharitis?
•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)
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
