Buttaro 110/2 FINAL EXAM

Buttaro 110/2 FINAL EXAM A 78-year-old male present for a physical examination. He has no discomfort or complaints other than a general decrease in vision, but it helps when he puts things under a bright light to read. He admits that while driving at night the streetlights appear to be a bit distorted and his night vision is pretty poor. What is his likely diagnosis an expected physical exam findings? *Ans* Diminished Red reflex;Dx: Cataracts What is the primary purpose of using eye ointments or lubricants for patients under general anesthesia on paralytics of in long-term comatose states? *Ans* To prevent corneal abrasion. A patient with minor head trauma presents for evaluation. Which of the following findings should be followed up with a CT scan to rule out orbital fracture? *Ans* the presence of periorbital ecchymosis (aka black eye) An African American patient presents with decreased peripheral vision and no other symptoms. What is the most likely diagnosis? *Ans* Open angle glaucoma What is the symptom presentation of stasis dermatitis and how is it treated? *Ans* Hx of lower extremity edema with chronic venous insufficiency. Itching of bilateral lower legs with 2- 3+ pitting edema and trophic hyperpigmentation.Treatment is to promote venous return from the lower extremities. What is contraindicated for corneal abrasions? *Ans* Ophthalmic corticosteroids What is an absolute indication for treating otitis media with antibiotics? *Ans* Fever >102.2*F or moderate to severe ear pain. The NP notes a patient to have a bifurcate uvula on physical exam which is a ________ exam finding. *Ans* normal variant When managing penetrating or open globe eye injuries, it is critical to avoid: *Ans* applying pressure to the affected eye. The AGACNP is seeing a patient who was transferred from the correctional facility for evaluation. He has a profound purulent discharge from his right eye. The conjunctive is erythematous and there is mild photosensitivity. The inmate denies any real eye pain, just says that it is extremely uncomfortable. Treatment for this patient is likely to include: *Ans* IM Rocephin and referral to ophthalmology. Dx: gonococcal conjunctivitis.DO NOT IRRIGATE THE EYE