______________________________________
NURS 5433 FNP II
MIDTERM EXAM V1&V2
FAMILY NURSE PRACTITIONER
PROGRAM.
UNIVERSITY OF TEXAS AT
ARLINGTON
EXAM- QUESTIONS & (UPDATED)
ANSWERS
EXAM COVER SHEET
PROGRAM: Family Nurse Practitioner (FNP) Program
COURSE NAME: NURS 5433 – Family Nurse Practitioner II (FNP
II)
EXAM NAME: Midterm Examination – NURS 5433 FNP II
, V1
### 1. Describe the symptoms of Blepharitis?
A 45-year-old office worker presents to the clinic with persistent irritation along
both eyelid margins that has gradually worsened over the past several weeks.
The patient reports waking up each morning with crusting around the eyelashes
and frequently rubbing the eyes because they feel dry and gritty throughout the
day. During the examination, debris is noted at the base of the eyelashes, and
the eyelid margins appear red and inflamed. Based on this clinical presentation,
describe the typical symptoms of blepharitis.
**Correct Answer:** **The typical symptoms of blepharitis include crusting,
irritation, and redness along the eyelid margins; buildup of debris at the base of
the eyelashes; and dry eye symptoms such as red eyes, burning, or a foreign
body sensation.**
**Rationale:** Blepharitis is a chronic inflammatory condition affecting the
eyelid margins and is one of the most common causes of chronic eye irritation.
Patients frequently complain of crusting around the eyelashes, especially upon
awakening, due to accumulated inflammatory debris and secretions.
Inflammation of the eyelid margins disrupts the normal tear film, resulting in dry
eye symptoms, redness, burning, and the sensation that something is in the eye.
Recognizing these characteristic symptoms allows clinicians to differentiate
blepharitis from other ocular conditions such as conjunctivitis or keratitis and
begin appropriate eyelid hygiene measures.
---
,### 2. What is the pharmacological treatment for resistant or persistent
infection of Blepharitis?
A 53-year-old patient has been treated with warm compresses and meticulous
eyelid hygiene for chronic blepharitis over the past several months. Despite
good compliance, the patient continues to experience persistent eyelid
inflammation, crusting, and irritation with no significant improvement. The
healthcare provider determines that systemic antibiotic therapy is indicated
because conservative management has failed. Which pharmacological
treatments are recommended for resistant or persistent blepharitis?
**Correct Answer:** **Doxycycline 100 mg orally twice daily (PO BID) and
Tetracycline 250 mg orally four times daily (QID).**
**Rationale:** Persistent or resistant blepharitis often involves chronic
inflammation associated with meibomian gland dysfunction and bacterial
colonization. Oral tetracycline-class antibiotics reduce bacterial growth while
also providing anti-inflammatory effects that improve gland function and
decrease eyelid inflammation. Doxycycline is commonly preferred because of its
convenient dosing schedule and favorable effectiveness. These medications are
generally reserved for patients who do not respond adequately to routine eyelid
hygiene and conservative therapy.
---
### 3. A 40-year-old woman comes with complaints of scaling, crusting, and
redness in her eyelid. She says she is having trouble driving when it is sunny
outside because her eyes are irritated and sensitive to light. Before considering
oral medications, what is the most appropriate initial treatment to begin?
A 40-year-old woman presents with several weeks of eyelid scaling, redness,
crust formation, and mild burning discomfort. She reports increasing sensitivity
, to bright sunlight while driving but denies severe pain or vision loss. Physical
examination reveals crusting along the eyelid margins without evidence of deep
infection. Based on current management recommendations, what should be
started first?
**Correct Answer:** **Lid scrubs with baby shampoo.**
**Rationale:** Eyelid hygiene is considered the cornerstone and first-line
treatment for uncomplicated blepharitis. Gentle lid scrubs help remove crusts,
bacteria, accumulated debris, and excess oils from the eyelid margins, reducing
inflammation and improving symptoms. Conservative treatment should always
be attempted before systemic antibiotics unless severe disease or complications
are present. Consistent daily lid hygiene often provides long-term symptom
control and decreases disease recurrence.
---
### 4. Which condition is most often associated with Posterior Blepharitis?
A 56-year-old patient has chronic irritation of the eyelids and is diagnosed with
posterior blepharitis involving inflammation of the meibomian glands. During
the medical history, the clinician looks for associated systemic conditions that
commonly coexist with this disorder because identifying them can improve long-
term management. Which condition is most frequently associated with
posterior blepharitis?
**Correct Answer:** **Rosacea.**
**Rationale:** Posterior blepharitis is strongly associated with rosacea,
particularly ocular rosacea, which affects the meibomian glands. Chronic
inflammation causes abnormal gland secretions that destabilize the tear film
and produce dry eye symptoms. Identifying rosacea is important because
NURS 5433 FNP II
MIDTERM EXAM V1&V2
FAMILY NURSE PRACTITIONER
PROGRAM.
UNIVERSITY OF TEXAS AT
ARLINGTON
EXAM- QUESTIONS & (UPDATED)
ANSWERS
EXAM COVER SHEET
PROGRAM: Family Nurse Practitioner (FNP) Program
COURSE NAME: NURS 5433 – Family Nurse Practitioner II (FNP
II)
EXAM NAME: Midterm Examination – NURS 5433 FNP II
, V1
### 1. Describe the symptoms of Blepharitis?
A 45-year-old office worker presents to the clinic with persistent irritation along
both eyelid margins that has gradually worsened over the past several weeks.
The patient reports waking up each morning with crusting around the eyelashes
and frequently rubbing the eyes because they feel dry and gritty throughout the
day. During the examination, debris is noted at the base of the eyelashes, and
the eyelid margins appear red and inflamed. Based on this clinical presentation,
describe the typical symptoms of blepharitis.
**Correct Answer:** **The typical symptoms of blepharitis include crusting,
irritation, and redness along the eyelid margins; buildup of debris at the base of
the eyelashes; and dry eye symptoms such as red eyes, burning, or a foreign
body sensation.**
**Rationale:** Blepharitis is a chronic inflammatory condition affecting the
eyelid margins and is one of the most common causes of chronic eye irritation.
Patients frequently complain of crusting around the eyelashes, especially upon
awakening, due to accumulated inflammatory debris and secretions.
Inflammation of the eyelid margins disrupts the normal tear film, resulting in dry
eye symptoms, redness, burning, and the sensation that something is in the eye.
Recognizing these characteristic symptoms allows clinicians to differentiate
blepharitis from other ocular conditions such as conjunctivitis or keratitis and
begin appropriate eyelid hygiene measures.
---
,### 2. What is the pharmacological treatment for resistant or persistent
infection of Blepharitis?
A 53-year-old patient has been treated with warm compresses and meticulous
eyelid hygiene for chronic blepharitis over the past several months. Despite
good compliance, the patient continues to experience persistent eyelid
inflammation, crusting, and irritation with no significant improvement. The
healthcare provider determines that systemic antibiotic therapy is indicated
because conservative management has failed. Which pharmacological
treatments are recommended for resistant or persistent blepharitis?
**Correct Answer:** **Doxycycline 100 mg orally twice daily (PO BID) and
Tetracycline 250 mg orally four times daily (QID).**
**Rationale:** Persistent or resistant blepharitis often involves chronic
inflammation associated with meibomian gland dysfunction and bacterial
colonization. Oral tetracycline-class antibiotics reduce bacterial growth while
also providing anti-inflammatory effects that improve gland function and
decrease eyelid inflammation. Doxycycline is commonly preferred because of its
convenient dosing schedule and favorable effectiveness. These medications are
generally reserved for patients who do not respond adequately to routine eyelid
hygiene and conservative therapy.
---
### 3. A 40-year-old woman comes with complaints of scaling, crusting, and
redness in her eyelid. She says she is having trouble driving when it is sunny
outside because her eyes are irritated and sensitive to light. Before considering
oral medications, what is the most appropriate initial treatment to begin?
A 40-year-old woman presents with several weeks of eyelid scaling, redness,
crust formation, and mild burning discomfort. She reports increasing sensitivity
, to bright sunlight while driving but denies severe pain or vision loss. Physical
examination reveals crusting along the eyelid margins without evidence of deep
infection. Based on current management recommendations, what should be
started first?
**Correct Answer:** **Lid scrubs with baby shampoo.**
**Rationale:** Eyelid hygiene is considered the cornerstone and first-line
treatment for uncomplicated blepharitis. Gentle lid scrubs help remove crusts,
bacteria, accumulated debris, and excess oils from the eyelid margins, reducing
inflammation and improving symptoms. Conservative treatment should always
be attempted before systemic antibiotics unless severe disease or complications
are present. Consistent daily lid hygiene often provides long-term symptom
control and decreases disease recurrence.
---
### 4. Which condition is most often associated with Posterior Blepharitis?
A 56-year-old patient has chronic irritation of the eyelids and is diagnosed with
posterior blepharitis involving inflammation of the meibomian glands. During
the medical history, the clinician looks for associated systemic conditions that
commonly coexist with this disorder because identifying them can improve long-
term management. Which condition is most frequently associated with
posterior blepharitis?
**Correct Answer:** **Rosacea.**
**Rationale:** Posterior blepharitis is strongly associated with rosacea,
particularly ocular rosacea, which affects the meibomian glands. Chronic
inflammation causes abnormal gland secretions that destabilize the tear film
and produce dry eye symptoms. Identifying rosacea is important because
