LEWIS MEDICAL-SURGICAL NURSING 12TH
EDITION EXAM QUESTIONS AND ANSWERS
2026 CERTIFICATION STUDY PACK
◉ symtoms and presentation of bacterial Conjunctivitis? Answer:
Sore, swollen sticky/matted eye on waking + photophobic
-can be uni/bilateral
-acute- yellow purulent discharge
-mild- mucopurulent (sticky yellow)
- pappilae
-palpable pre-auricular nodes
-timing- acute or chronic
◉ symtoms and presentation of viral Conjunctivitis? Answer: -Feels
unwell.
-Watery, sticky, gritty, sometimes subconjunctival
haemorrhage.
- (Bilateral)
-H/O upper respiratory tract infection
-serous (watery liquid)
-follicle & papillae involved
- pres auricular node is palpable and tender
,-Acute onset
◉ symtoms and presentation of chylamidial Conjunctivitis? Answer:
-Sore and slightly itchy
-bi/unilateral
-muscoid (stringy white)
- large follicles in the fornicies
-pre-auricular node palpable and non-tender
-chronic
◉ symtoms and presentation of allergicConjunctivitis? Answer: Very
itchy and sore
H/O upper respiratory
tract infection
-Bilateral
-Mucoid
-Papillae & thickened lids
-pre-auricular node sometimes palpable
-acute
◉ medical managment of seasonal/allergic conjunctivits? Answer: -
First line prescribing: either oral antihistamines
,-or topical treatment with mast cell
stabilisers, sodium cromoglycate QDS for 1/12.
Review after 1/52 & oral antihistamines.
Second line: opatanol.
◉ Common causes of contact dermatoconjunctivtis & giant papillary
conjunctivitis? Answer: Commonly reaction to eye drops of contact
lenses
◉ Drugs & Magment of suspected bacterial Conjunctivits? Answer:
occ. chloramphenicol
to return if there is no improvement after 3-4 days then stop for 48
hrs & swab
A positive bacterial culture
— prescribe a topical ocular antibiotic directed
by sensitivity results if they are still symptomatic.
Positive chlamydial cultures
— refer to GUM for testing of sexual contacts
and systemic treatment.
, A negative bacterial and chlamydial culture —
consider repeating the test
if symptoms persist for longer than 3 weeks
-
review in 1/52 if no better
◉ Drugs & Magment of suspected viral Conjunctivits? Answer:
Reassurance
- gel tears or viscotears or nothing
- can give topical antibiotic cover for 1/52 to prevent secondary
bacterial infection
-if Pt wears contact lenses refer to optometrist to check cornea
◉ When to refer in Conjunctivitis? Answer: If reduced vision or not
responding in 2nd care, particularly severe atopic.
-adults with Chylamidial inf.
-penetrating cause of irritant conjunctivitis
-neonatal conjunctivitis - refer to 2ns care and check for chylamidia
and & gonnococal causes
◉ what can cause Corneal abbrations/Ulcers? Answer: grit, finger
nail,
EDITION EXAM QUESTIONS AND ANSWERS
2026 CERTIFICATION STUDY PACK
◉ symtoms and presentation of bacterial Conjunctivitis? Answer:
Sore, swollen sticky/matted eye on waking + photophobic
-can be uni/bilateral
-acute- yellow purulent discharge
-mild- mucopurulent (sticky yellow)
- pappilae
-palpable pre-auricular nodes
-timing- acute or chronic
◉ symtoms and presentation of viral Conjunctivitis? Answer: -Feels
unwell.
-Watery, sticky, gritty, sometimes subconjunctival
haemorrhage.
- (Bilateral)
-H/O upper respiratory tract infection
-serous (watery liquid)
-follicle & papillae involved
- pres auricular node is palpable and tender
,-Acute onset
◉ symtoms and presentation of chylamidial Conjunctivitis? Answer:
-Sore and slightly itchy
-bi/unilateral
-muscoid (stringy white)
- large follicles in the fornicies
-pre-auricular node palpable and non-tender
-chronic
◉ symtoms and presentation of allergicConjunctivitis? Answer: Very
itchy and sore
H/O upper respiratory
tract infection
-Bilateral
-Mucoid
-Papillae & thickened lids
-pre-auricular node sometimes palpable
-acute
◉ medical managment of seasonal/allergic conjunctivits? Answer: -
First line prescribing: either oral antihistamines
,-or topical treatment with mast cell
stabilisers, sodium cromoglycate QDS for 1/12.
Review after 1/52 & oral antihistamines.
Second line: opatanol.
◉ Common causes of contact dermatoconjunctivtis & giant papillary
conjunctivitis? Answer: Commonly reaction to eye drops of contact
lenses
◉ Drugs & Magment of suspected bacterial Conjunctivits? Answer:
occ. chloramphenicol
to return if there is no improvement after 3-4 days then stop for 48
hrs & swab
A positive bacterial culture
— prescribe a topical ocular antibiotic directed
by sensitivity results if they are still symptomatic.
Positive chlamydial cultures
— refer to GUM for testing of sexual contacts
and systemic treatment.
, A negative bacterial and chlamydial culture —
consider repeating the test
if symptoms persist for longer than 3 weeks
-
review in 1/52 if no better
◉ Drugs & Magment of suspected viral Conjunctivits? Answer:
Reassurance
- gel tears or viscotears or nothing
- can give topical antibiotic cover for 1/52 to prevent secondary
bacterial infection
-if Pt wears contact lenses refer to optometrist to check cornea
◉ When to refer in Conjunctivitis? Answer: If reduced vision or not
responding in 2nd care, particularly severe atopic.
-adults with Chylamidial inf.
-penetrating cause of irritant conjunctivitis
-neonatal conjunctivitis - refer to 2ns care and check for chylamidia
and & gonnococal causes
◉ what can cause Corneal abbrations/Ulcers? Answer: grit, finger
nail,
