Week 3 Quiz nr511 CORRECT QUSTIONS AND ANSWERS
Week 3 Quiz nr511 A 10-year-old presents to the office with his mother with complaints of itchy and red eyes for 1 day. He reports watery drainage in both eyes associated with constant itching. He has no fever or constitutional symptoms. The patient has a sibling that just started day care recently. Upon examination, vision is 20/20 OU with glasses. He has mild to moderate conjunctival hyperemia with bilateral preauricular lymph nodes that are inflamed. What is the most likely diagnosis? - correct answers Viral conjunctivitis A 64-year-old has had a corneal infection for several weeks. He asks why the infection is still present. How do you respond? - correct answers Because the cornea doesn't have a blood supply, an infection can be fought off as usual A 47-year-old presents to the clinic with a red eye. How would the NP differentiate between iritis and conjunctivitis? - correct answers Ciliary flush A 54-year-old presents to the office with a painful red eye without discharge. What is the most likely initial diagnosis? - correct answers Iritis An 82-year-old presents with several eye complaints. She states that her eyes are always dry and look sunken in. What is the most likely cause? - correct answers Normal age-related changes A 46-year-old is diagnosed with viral conjunctivitis. What treatment should be included? - correct answers Supportive measures and lubricant eye drops A 25-year-old presents with bleeding in my eye for 1 day. He awoke this morning with a dark area of redness in his eye. He has no visual loss or changes. He denies constitutional symptoms, pruritus, drainage, or recent trauma. The redness presents on physical exam as a dark red area in the patient's sclera of the right eye only and takes up less than 50% of the eye. The patient's remaining sclera is clear and white. He also notes he was drinking alcohol last night and vomited afterward. What is the best treatment? - correct answers Reassurance that this lesion will resolve without any treatment in 2 to 4 weeks. A patient comes into the clinic complaining of pain in her right eye. On examination, the nurse practitioner (NP) sees a pustule at the lid margin that is painful to touch, red, and swollen. What is the most likely diagnosis? - correct answers Hordeolum (stye) A patient has been treated for glaucoma for five (5) years. Which of the following will provide an indication of the level of progression during the funduscopic examination for this patient? - correct answers Estimating cup-to-disk ratio The NP should instruct a patient diagnosed with glaucoma that the purpose of medication is to: - correct answers Lower the intraocular pressure
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