Maryville NURS 620 Exam 1
Questions and Answers 100%
PASS
Hordeolum (Stye)—ANSWER-Tender lump within eyelid
External-inflammation of hair follicle
Internal-inflammation of Meibomian glands
Chalazion—ANSWER-Bacterial infection presenting in form of painless swelling on the eyelid
Frequently associated with blepharitis
Bacterial Conjunctivitis: Subjective/Objective—ANSWER-• Redness
• Purulent or mucopurulent discharge
• Unilateral at onset
• Eyelids glued shut in morning
• Edematous
Bacterial Conjunctivitis: Treatment—ANSWER-• Trimethoprim/Polymyxin Unilateral at onset
• Tobramycin 0.3% Edematous
• Ciprofloxacin 0.3%
,10% Sulfacetamide/0.2% prednisolone for staph
Blepharitis: Non-ulcerative form associated with seborrhea—ANSWER-§ Tends to affect
people with psoriasis, seborrhea, eczema, allergies, and lice infestations
§ Contributing factors: exposure to chemical or environmental irritants, use of eye makeup
and contact lenses
Blepharitis: Ulcerative Form—ANSWER-§ Involves the lash follicle and the Meibomian glands
of the eyelid
§ May be pustules at the base of the hair follicles that may crust and bleed
§ Lashes become thin and break easily
Conjunctivitis: Common Causes—ANSWER-• Infectious agents: bacterial, viral, or fungal
• Sexual transmission and ophthalmia neonatorum
• Herpes simplex virus (HSV) I
• Trachoma
• Toxicity (from an inciting agent of some sort)
• Allergy
Conjunctivitis: Diagnostic Testing—ANSWER-§ Check visual acuity first
§ Dilated pupil exam for proptosis, optic nerve dysfunction, decreased visual acuity, diplopia,
or anterior chamber inflammation
§ Fluorescein staining to rule out corneal involvement or keratitis
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
, § Blue penlight illumination to see corneal scratches, corneal dendrites, or corneal ulceration
Viral Conjunctivitis: Subjective/Objective—ANSWER-• Watery discharge
• Gritty sensation
• Little discomfort
• Unilateral at onset then usually bilateral within 48hrs
• Pre-auricular lymphadenopathy
Viral Conjunctivitis: Treatment—ANSWER-• Lubricant drops
• Cool compresses
• Antihistamines
Allergic Conjunctivitis: Subjective/Objective—ANSWER-• Bilateral redness
• Watery, stringy discharge
• Itching
• Crusty in morning
• Allergy symptoms
Allergic Conjunctivitis: Treatment—ANSWER-• Cold compresses
• Lubricants
• Topical antihistamines/decongestants/NSAIDs/mast cell stabilizers
• Systemic antihistamines
Questions and Answers 100%
PASS
Hordeolum (Stye)—ANSWER-Tender lump within eyelid
External-inflammation of hair follicle
Internal-inflammation of Meibomian glands
Chalazion—ANSWER-Bacterial infection presenting in form of painless swelling on the eyelid
Frequently associated with blepharitis
Bacterial Conjunctivitis: Subjective/Objective—ANSWER-• Redness
• Purulent or mucopurulent discharge
• Unilateral at onset
• Eyelids glued shut in morning
• Edematous
Bacterial Conjunctivitis: Treatment—ANSWER-• Trimethoprim/Polymyxin Unilateral at onset
• Tobramycin 0.3% Edematous
• Ciprofloxacin 0.3%
,10% Sulfacetamide/0.2% prednisolone for staph
Blepharitis: Non-ulcerative form associated with seborrhea—ANSWER-§ Tends to affect
people with psoriasis, seborrhea, eczema, allergies, and lice infestations
§ Contributing factors: exposure to chemical or environmental irritants, use of eye makeup
and contact lenses
Blepharitis: Ulcerative Form—ANSWER-§ Involves the lash follicle and the Meibomian glands
of the eyelid
§ May be pustules at the base of the hair follicles that may crust and bleed
§ Lashes become thin and break easily
Conjunctivitis: Common Causes—ANSWER-• Infectious agents: bacterial, viral, or fungal
• Sexual transmission and ophthalmia neonatorum
• Herpes simplex virus (HSV) I
• Trachoma
• Toxicity (from an inciting agent of some sort)
• Allergy
Conjunctivitis: Diagnostic Testing—ANSWER-§ Check visual acuity first
§ Dilated pupil exam for proptosis, optic nerve dysfunction, decreased visual acuity, diplopia,
or anterior chamber inflammation
§ Fluorescein staining to rule out corneal involvement or keratitis
© 2026 Copyright. All Rights Reserved. This document is
protected by copyright law, Copyrighted By Brittie Donald
, § Blue penlight illumination to see corneal scratches, corneal dendrites, or corneal ulceration
Viral Conjunctivitis: Subjective/Objective—ANSWER-• Watery discharge
• Gritty sensation
• Little discomfort
• Unilateral at onset then usually bilateral within 48hrs
• Pre-auricular lymphadenopathy
Viral Conjunctivitis: Treatment—ANSWER-• Lubricant drops
• Cool compresses
• Antihistamines
Allergic Conjunctivitis: Subjective/Objective—ANSWER-• Bilateral redness
• Watery, stringy discharge
• Itching
• Crusty in morning
• Allergy symptoms
Allergic Conjunctivitis: Treatment—ANSWER-• Cold compresses
• Lubricants
• Topical antihistamines/decongestants/NSAIDs/mast cell stabilizers
• Systemic antihistamines
