Ultimate NURS 5433 Midterm Exam Prep – Comprehensive
Study Notes, Practice Questions, and Key Concepts||Latest 2025-
2026 Questions and Correct Answers||Already Graded A+
What is the difference between a Hordeolum and a Chalazion? -
Answer-A hordeolum is painful and is usually on the lid margin. A
chalazion usually points inside the lid and is usually painless
A 7-year-old presents with red eyes, purulent discharge, and eyelids
matted shut in the morning. There is no significant itching what is
most likely type of conjunctivitis?
A. Allergic
B. Viral
C. Bacterial
D. Herpetic - Answer-C. Bacterial
Which symptom is most characteristic of allergic conjunctivitis?
A. Pre auricular lymphadenopathy
B. Bilateral itching and watery discharge
C. Thick yellow discharge
D. Unilateral redness with crusting - Answer-B. Bilateral itching and
watery discharge
A patient presents with watery eye discharge pre-auricular
lymphadenopathy and a gritty sensation in the eye which type of
conjunctivitis is most likely?
A. Allergic.
B. Viral.
C. Bacterial.
D. Fungal. - Answer-B. Viral
pg. 1
,Herpetic viral conjunctivitis is distinguished from other types of
conjunctivitis by which diagnostic finding? - Answer-Dendritic
lesions on fluorescein stain
What diagnostic exam is done to check optic nerve function and
anterior chamber inflammation? - Answer-Dilated Pupil Exam
Which two antibiotics are used for systemic chlamydia, and
gonococcal conjunctivitis? - Answer-
1. Ceftriaxone
2. Doxycycline
Which of the following antibiotics is not recommended for cellulitis
orbital and periorbital?
A. Cephalosporin
B. Ampicillin-clavulanic acid
C. Penicillin
D. Levofloxacin
E. Ciprofloxacin - Answer-C. Penicillin
What are the medications Rimexolone and Loteprednol used for? -
Answer-Topical steroid therapy for Pingueculum and Pterygium
What is the primary difference between a pingueculum and a
pterygium?
A. Pingueculum causes vision loss, pterygium does not
B. Pingueculum is bilateral, pterygium is always unilateral
C. Pingueculum does not cross the cornea, pterygium extended onto
the cornea
D. Pterygium is yellowish, pingueculum is vascular and red - Answer-
C. Pingueculum does not cross the cornea, pterygium extended onto
the cornea
pg. 2
,When is surgical removal for. Pingueculum and Pterygium required? -
Answer-When vision is impaired
A patient presents with a yellowish raised lesion on the nasal
conjunctiva that does not affect. What is the most likely diagnosis?
A. Pingueculum
B. Pterygium
C. Cataract
D. Conjunctival hemorrhage - Answer-A. Pingueculum
First line treatment for bacterial conjunctivitis includes
A. Oral doxycycline
B. Corticosteroid drops
C. Erythromycin ointment
D. Artificial tears - Answer-C. Erythromycin ointment
A fluorescien stain is used to diagnose:
A. Corneal abrasion
B. Blepharitis
C. Cataracts
D. Macular degeneration - Answer-A. Corneal abrasion
Emily has chronic dry eye. The doctor suggested using Cyclosporine
ophthalmic emulsion for her eye but it did not work. Which of the
following should the NP consider trying next? SATA
A. Topical corticosteroids
B. Systemic anti-inflammatory agents
C. Surgery
D. Autologous serum
pg. 3
, E. Systemic omega 3 fatty acids
F. Impermanent punctal occlusion
G. Refer to an ophthalmologist - Answer-D. Autologous serum
F. Impermanent punctal occlusion
G. Refer to an ophthalmologist
What type of eye drops can be used to correct Strabismus? - Answer-
Atropine
A patient comes in complaining of loss of peripheral vision. You test
their vision and find that their visual acuity has decreased. What is the
next thing you would do as far as diagnostics? - Answer-Use
Tonometer to measure IOP
What is seen on the funduscopic exam of someone with glaucoma? -
Answer-Cupping of the optic disc
Cup to disc ration > 0.3
What is the diagnostic tool used to diagnose Glaucoma? - Answer-
Tonometer
Corneal inspection
Optic nerve inspection
Visual field testing
Which intrapcular pressure (IOP) is concerning for glaucoma?
A. 15 mmHg
B. 20 mmHg
C. 22 mmHg
D. 25 mmHg - Answer-D. 25 mmHg
What's the leading cause of blindness in patients over the age of 60? -
Answer-Macular degeneration
pg. 4
Study Notes, Practice Questions, and Key Concepts||Latest 2025-
2026 Questions and Correct Answers||Already Graded A+
What is the difference between a Hordeolum and a Chalazion? -
Answer-A hordeolum is painful and is usually on the lid margin. A
chalazion usually points inside the lid and is usually painless
A 7-year-old presents with red eyes, purulent discharge, and eyelids
matted shut in the morning. There is no significant itching what is
most likely type of conjunctivitis?
A. Allergic
B. Viral
C. Bacterial
D. Herpetic - Answer-C. Bacterial
Which symptom is most characteristic of allergic conjunctivitis?
A. Pre auricular lymphadenopathy
B. Bilateral itching and watery discharge
C. Thick yellow discharge
D. Unilateral redness with crusting - Answer-B. Bilateral itching and
watery discharge
A patient presents with watery eye discharge pre-auricular
lymphadenopathy and a gritty sensation in the eye which type of
conjunctivitis is most likely?
A. Allergic.
B. Viral.
C. Bacterial.
D. Fungal. - Answer-B. Viral
pg. 1
,Herpetic viral conjunctivitis is distinguished from other types of
conjunctivitis by which diagnostic finding? - Answer-Dendritic
lesions on fluorescein stain
What diagnostic exam is done to check optic nerve function and
anterior chamber inflammation? - Answer-Dilated Pupil Exam
Which two antibiotics are used for systemic chlamydia, and
gonococcal conjunctivitis? - Answer-
1. Ceftriaxone
2. Doxycycline
Which of the following antibiotics is not recommended for cellulitis
orbital and periorbital?
A. Cephalosporin
B. Ampicillin-clavulanic acid
C. Penicillin
D. Levofloxacin
E. Ciprofloxacin - Answer-C. Penicillin
What are the medications Rimexolone and Loteprednol used for? -
Answer-Topical steroid therapy for Pingueculum and Pterygium
What is the primary difference between a pingueculum and a
pterygium?
A. Pingueculum causes vision loss, pterygium does not
B. Pingueculum is bilateral, pterygium is always unilateral
C. Pingueculum does not cross the cornea, pterygium extended onto
the cornea
D. Pterygium is yellowish, pingueculum is vascular and red - Answer-
C. Pingueculum does not cross the cornea, pterygium extended onto
the cornea
pg. 2
,When is surgical removal for. Pingueculum and Pterygium required? -
Answer-When vision is impaired
A patient presents with a yellowish raised lesion on the nasal
conjunctiva that does not affect. What is the most likely diagnosis?
A. Pingueculum
B. Pterygium
C. Cataract
D. Conjunctival hemorrhage - Answer-A. Pingueculum
First line treatment for bacterial conjunctivitis includes
A. Oral doxycycline
B. Corticosteroid drops
C. Erythromycin ointment
D. Artificial tears - Answer-C. Erythromycin ointment
A fluorescien stain is used to diagnose:
A. Corneal abrasion
B. Blepharitis
C. Cataracts
D. Macular degeneration - Answer-A. Corneal abrasion
Emily has chronic dry eye. The doctor suggested using Cyclosporine
ophthalmic emulsion for her eye but it did not work. Which of the
following should the NP consider trying next? SATA
A. Topical corticosteroids
B. Systemic anti-inflammatory agents
C. Surgery
D. Autologous serum
pg. 3
, E. Systemic omega 3 fatty acids
F. Impermanent punctal occlusion
G. Refer to an ophthalmologist - Answer-D. Autologous serum
F. Impermanent punctal occlusion
G. Refer to an ophthalmologist
What type of eye drops can be used to correct Strabismus? - Answer-
Atropine
A patient comes in complaining of loss of peripheral vision. You test
their vision and find that their visual acuity has decreased. What is the
next thing you would do as far as diagnostics? - Answer-Use
Tonometer to measure IOP
What is seen on the funduscopic exam of someone with glaucoma? -
Answer-Cupping of the optic disc
Cup to disc ration > 0.3
What is the diagnostic tool used to diagnose Glaucoma? - Answer-
Tonometer
Corneal inspection
Optic nerve inspection
Visual field testing
Which intrapcular pressure (IOP) is concerning for glaucoma?
A. 15 mmHg
B. 20 mmHg
C. 22 mmHg
D. 25 mmHg - Answer-D. 25 mmHg
What's the leading cause of blindness in patients over the age of 60? -
Answer-Macular degeneration
pg. 4
