NSG 555 Quiz 1 Module 2 – Questions With
Correct Solutions
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Terms in this set (122)
opacification of the lense of the eye. leading cause
of blindness. Every person who lives long will
develop a degree of cataract.
Cataracts prevents light from focusing on retina so loss of
vision
causes: age, corticosteroids, diabetes, smoking, UV
light and radiation
-painful progressive loss of vision, hazy, haloes,
glare with bright lights (headlights @ night)
Presentation and PEof PE: no redness, corneal haze or pain. hazy optic
cataracts nerve and retina.
MGT: glasses, magnifiers, refer to ophthamology.
surgery: emulsift lens, vacuumed out and replaced
with an artificial lens
FLOMAX and No surgery, need to stop flomax first because can
CATARACTS cause intraoperative floppy iris syndrome
abnormalities in tear film.
dry eye syndrome tear film is formed with each blink and this limits
evaporation.
, aqueous-deficient--lacrimal gland insufficiency.
Sjogrens or other disease
2 kinds of dry eyes
evaoprative deficient--meibomian gland
dysfunction, poor eyelid closure, inadequate
blinking, ocular rosacea
dryness, foreign body sensation, burning, stinging,
ocular fatigue, light sensitive. some have reflexive
hypersecretion because of corneal irritation
meds causing dry eyes: anticholinergic, alpha
presentation/PE dry eye
blocker (flomax), anti HTN, oral corticosteroids,
vitamins, autoimmune disease
Assess: visual acuity, fluorescein dye , cranial nerve
function
schirmer test (filter paper to measure tear
diagnostics of dry eye
production)
artificial tears, ointments, preservative free if
needed
--cyclosporin (restasis) or xiidra for long term
treatment of dry eye
pharm treatment dry eye
--doxycycline for aqueaous-deficient dry eye d/t
rosacea or meibomian gland dysfunction.
--therapeutic contact lenses to improve tear
retnetion
indications for visual loss, severe pain, corneal ulceration`
referral/hospitalization:
dry eye
inverted papilloma between nose and maxillary
nasal tumors and polyps- sinus
-most common Highly vascular benign tumor
Common in boys of adolescent age
, inflammatory disorder of nose and paranasal sinuses
that can result in chronic nasal obstruction and a
nasal polyps diminished sense of smell
common in 1/3 of patients/children with CF
dx difficult because varied pathophys.
pathophys of
nasopharynx tumors more common in men, assoc. with smoking, etoh,
sunlight exposure
mimic rhinitis or sinusitis
unilateral nasal obstruction + pain, hemorrhage, HA,
clinical presentation/PE visual/olfactory changes
of nasal tumors
nasal obstruction, d/c, facial swelling, recurrent
epistaxis (these are usually benign and can be seen)
nasal obstruction, hyposmia/anosmia, recurrent
sinusitis, HA, post-nasal drip, intrinsic asthma .
nasal polyps presentation
teardrop or grap shaped.
and PE
use pen light to look at nares, assess lymph nodes,
endoscopic eval and biopsy is gold standard
CBC
diagnostics nasal polyps
sinus x-ray, may need CT/MRI to assess bone
involvement
benign/malignant polyps, granulomatosis with
polyangiitis (wegeners), mucoceles, granulomas
without systemic improvement
priority differential dx for
wegeners granulomatosis: systemic vasculitis by
nasal tumors/polyps
glomerulonephritis+granulomas of nose and lungs.
destruction of bone, cartilage, soft tissue of nose
found on biopsy to be malignant neoplasms. Often
first s/s is resp. tract symptoms
Correct Solutions
Save
Terms in this set (122)
opacification of the lense of the eye. leading cause
of blindness. Every person who lives long will
develop a degree of cataract.
Cataracts prevents light from focusing on retina so loss of
vision
causes: age, corticosteroids, diabetes, smoking, UV
light and radiation
-painful progressive loss of vision, hazy, haloes,
glare with bright lights (headlights @ night)
Presentation and PEof PE: no redness, corneal haze or pain. hazy optic
cataracts nerve and retina.
MGT: glasses, magnifiers, refer to ophthamology.
surgery: emulsift lens, vacuumed out and replaced
with an artificial lens
FLOMAX and No surgery, need to stop flomax first because can
CATARACTS cause intraoperative floppy iris syndrome
abnormalities in tear film.
dry eye syndrome tear film is formed with each blink and this limits
evaporation.
, aqueous-deficient--lacrimal gland insufficiency.
Sjogrens or other disease
2 kinds of dry eyes
evaoprative deficient--meibomian gland
dysfunction, poor eyelid closure, inadequate
blinking, ocular rosacea
dryness, foreign body sensation, burning, stinging,
ocular fatigue, light sensitive. some have reflexive
hypersecretion because of corneal irritation
meds causing dry eyes: anticholinergic, alpha
presentation/PE dry eye
blocker (flomax), anti HTN, oral corticosteroids,
vitamins, autoimmune disease
Assess: visual acuity, fluorescein dye , cranial nerve
function
schirmer test (filter paper to measure tear
diagnostics of dry eye
production)
artificial tears, ointments, preservative free if
needed
--cyclosporin (restasis) or xiidra for long term
treatment of dry eye
pharm treatment dry eye
--doxycycline for aqueaous-deficient dry eye d/t
rosacea or meibomian gland dysfunction.
--therapeutic contact lenses to improve tear
retnetion
indications for visual loss, severe pain, corneal ulceration`
referral/hospitalization:
dry eye
inverted papilloma between nose and maxillary
nasal tumors and polyps- sinus
-most common Highly vascular benign tumor
Common in boys of adolescent age
, inflammatory disorder of nose and paranasal sinuses
that can result in chronic nasal obstruction and a
nasal polyps diminished sense of smell
common in 1/3 of patients/children with CF
dx difficult because varied pathophys.
pathophys of
nasopharynx tumors more common in men, assoc. with smoking, etoh,
sunlight exposure
mimic rhinitis or sinusitis
unilateral nasal obstruction + pain, hemorrhage, HA,
clinical presentation/PE visual/olfactory changes
of nasal tumors
nasal obstruction, d/c, facial swelling, recurrent
epistaxis (these are usually benign and can be seen)
nasal obstruction, hyposmia/anosmia, recurrent
sinusitis, HA, post-nasal drip, intrinsic asthma .
nasal polyps presentation
teardrop or grap shaped.
and PE
use pen light to look at nares, assess lymph nodes,
endoscopic eval and biopsy is gold standard
CBC
diagnostics nasal polyps
sinus x-ray, may need CT/MRI to assess bone
involvement
benign/malignant polyps, granulomatosis with
polyangiitis (wegeners), mucoceles, granulomas
without systemic improvement
priority differential dx for
wegeners granulomatosis: systemic vasculitis by
nasal tumors/polyps
glomerulonephritis+granulomas of nose and lungs.
destruction of bone, cartilage, soft tissue of nose
found on biopsy to be malignant neoplasms. Often
first s/s is resp. tract symptoms
