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Exam (elaborations)

DEWIT Medical-Surgical Nursing – 2025 – Updated Actual Exam with Correct Solutions and In-Depth Explanations

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This comprehensive 2025 document covers the updated DEWIT Medical-Surgical Nursing exam, featuring accurate questions and verified solutions. It includes detailed explanations for eye disorders, surgical procedures, pharmacologic treatments, systemic diseases affecting vision, and emergency ocular management. Topics include glaucoma, retinal detachment, diabetic retinopathy, cataracts, conjunctivitis, keratitis, strabismus, and neuro-ophthalmologic syndromes. Ideal for nursing students and professionals preparing for clinical assessments and certification exams.

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Institution
DEWIT MEDICAL-SURGICAL NURSING
Course
DEWIT MEDICAL-SURGICAL NURSING

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1 | Page

DEWIT MEDICAL-SURGICAL NURSING
2025 UPDATED ACTUAL EXAM WITH
CORRECT SOLUTIONS.

What is hypermetropia? - correct answer- long sitedness,
whereby light ray convergence at a point after the retina, and
therfore out of focus. Nearby objects apphear blurry while
distant objects are clearer




what is myopia? - correct answer- near/short sightedness,
close is clear, far is blurry


-usual starts in puberty and gets worse untill eye is fully grown.
also in very young children.




conditions associated with myopia? - correct answer- squint-
childhood eyes point in diff. directions.
lazy eyechildhood, one eye. doesnt develop properly
glaucoma - IOC pressure.
cataracts - develpoment of cloudy atches inside lense.
Retinal detachment - wherby retina pulls awat from the blood
vessel that nourish it

,2 | Page

What is astigmatism? - correct answer- Failure to converge
image at one point on the fovea (likea refraction rather than
focusing)




Causes of astigmatism? - correct answer- -Hereditary - corneal
or lenticular
-Injuries to the cornea, such as infection that scars the cornea
keratoconus & kertoglobus - causes bulgin, thinner and shape
change.
Some conditions of the eyelid
others that affect cornea or lense




What is presbyopia? - correct answer- gradual loss of your
eyes' ability to focus on nearby objects. It's a natural part of
aging 40-65yrs




Aetiology of bacterial conjunctivitis? - correct answer-
S.Aureus, Sterp. Pneumo or H.flu
also STIs chlamydia trachromatis, N.gonnorheae




what is opthalmia neonatorum? - correct answer- chlamydia or
gonorrheae infection from infected birth canal affecting 20-40%

,3 | Page



What is Episcleritis ? - correct answer- Inflamationof localiased
superficial episclera vascular network, most commonly diffuse
(moderate to sever inflam @1-3 month intervals)
-Nodular/focal episcleritis (can often present with associated
systemic disease)




What are the classification of Allergic conjunctivitis? - correct
answer- type 1 hypersensitivity - seasonal (SAC)
perrenial - chronic (PAC)
Atopic - relates to eczema and athsma
gaint pappilary (GPC)
Limbal and tarsal kertaoconjuctivitis (VKC)




What is gaint pappilary Allergica conjunctivitis - correct answer-
inner lining of the eyelid swells and develops small bumps.
Known as papillae, these bumps tend to form after chronic
irritation




what can cause a corneal abbration? - correct answer- Direct
trauma
Foreign body between eyelid and conjunctiva
Heat by contact
UV radiation (Arc Eye)

, 4 | Page




What can cause corneal ulcer? - correct answer- can be
secondary to abrasive trauma, pentrating injuries or prolonged
use of contact lenses




What are dendritic ulcers? - correct answer- Herpes simplex
virus (HSV) keratitis is the most frequent cause of corneal
blindness.
- aggressive treatment -




Symptoms of Dendritic ulcers? - correct answer- Pain
Photophobia
Blurred vision
Tearing
Redness
- with fluorescein staining and has a delicate branching
pattern,




Appearance of dendritic ulcer on opthalmoscopy? - correct
answer- - infectious epithelial keratitis (with characteristic
dendritic ulcers)
-neurotrophic keratopathy

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Institution
DEWIT MEDICAL-SURGICAL NURSING
Course
DEWIT MEDICAL-SURGICAL NURSING

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Uploaded on
June 27, 2025
Number of pages
116
Written in
2024/2025
Type
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Contains
Questions & answers

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