NURS 535 Practice –HEENT-Exam with
Verified Answers
Which one of the following may cause microcephaly?
A: hypocalcemia
B: craniosynostosis
C: skull fracture
D: seizure disorder - ✔✔B: craniosynostosis
Out of all the options, only craniosynostosis has the potential for causing microcephaly if skull
sutures are closed at an early age.
What finding may accompany macrocephaly?
A: pulsating anterior fontanel
B: sunken fontanel
C: premature closure of suture lines
D: widened suture lines - ✔✔D: widened suture lines
Widened suture lines may indicate a larger-than-normal head.
With which of the following conditions could a CT of the head be indicated?
A: macrocephaly
B: cephalohematoma
C: craniosynostosis
D: caput succedaneum - ✔✔A: macrocephaly
Which of the following conditions increases the risk of developing hydrocephalus?
A: bilateral cephalohematomas
B: craniosynostosis
,C: prematurity
D: familial macrocephaly - ✔✔C: prematurity
Conjunctivitis appearing in a 2-day-old is likely due to:
A: chemical irritation from eye drops
B: group B streptococcus
C: chlamydia
D: gonorrhea - ✔✔A: chemical irritation from eye drops
Conjunctivitis on a 2-day-old is most likely due to a chemical irritation from the routine
prophylactic eye medication.
Ocular chlamydia is typically seen at age 2wks or later.
Confirming the diagnosis of chlamydia conjunctivitis in a newborn would best be done by
obtaining a:
A: cervical swab of the mother
B: urine polymerase chain reaction (PCR) from the mother
C: culture of the eye discharge
D: culture of the conjunctival scrapings - ✔✔D: culture of the conjunctival scrapings
Chlamydia is an intracellular organism, and therefore any sample for testing must include
epithelial cells.
Which of the following ocular findings would be considered an ophthalmic emergency?
A: unilateral vesicular lesions on the upper eyelid in a 3-week-old
B: presence of chemosis in a 5-year-old with bilateral upper eyelid edema
C: cobble-stone like appearance along the inner aspect of the upper eyelid in a 15-year-old
D: bilateral redness along eyelid margins with tiny ulcerated areas in a 16-year-old - ✔✔A:
unilateral vesicular lesions on the upper eyelid in a 3-week-old
, Unilateral vesicular lesions would indicate a possible herpetic infection of the eye, which in a 3-
week-old could spread to the CNS and potentially causing severe, permanent CNS damage &/or
death.
The most appropriate management of a 5-year-old with a firm, nontender nodule in the mid-
upper eyelid for 3 weeks would be:
A: cool compresses
B: topical ophthalmic ointment
C: oral antibiotics
D: oral steroids - ✔✔B: topical ophthalmic ointment
The HX describes a chalazion which often resolves without treatment. However, prophylaxis
with topical Abx ointment is an appropriate and recommended prophylactic Tx because
chalazions may become infected.
Warm compresses, not cool, can be used.
Oral Abx are used for reoccurring chalazions.
Oral steroids are not used in the Tx of chalazions.
Daily eyelid cleansing with diluted baby shampoo and a cotton-tipped applicator would be
appropriate in the treatment of:
A: dacryostenosis
B: chalazion
C: hordeolum
D: blepharitis - ✔✔D: blepharitis
Daily lid scrubbing with diluted baby shampoo is one of the primary treatments for blepharitis.
A 3-year-old has an edematous, mildly erythematous right upper eyelid for 1 day with a fever of
103F. An important eye assessment would be:
A: ocular mobility
B: conjunctival inflammation
Verified Answers
Which one of the following may cause microcephaly?
A: hypocalcemia
B: craniosynostosis
C: skull fracture
D: seizure disorder - ✔✔B: craniosynostosis
Out of all the options, only craniosynostosis has the potential for causing microcephaly if skull
sutures are closed at an early age.
What finding may accompany macrocephaly?
A: pulsating anterior fontanel
B: sunken fontanel
C: premature closure of suture lines
D: widened suture lines - ✔✔D: widened suture lines
Widened suture lines may indicate a larger-than-normal head.
With which of the following conditions could a CT of the head be indicated?
A: macrocephaly
B: cephalohematoma
C: craniosynostosis
D: caput succedaneum - ✔✔A: macrocephaly
Which of the following conditions increases the risk of developing hydrocephalus?
A: bilateral cephalohematomas
B: craniosynostosis
,C: prematurity
D: familial macrocephaly - ✔✔C: prematurity
Conjunctivitis appearing in a 2-day-old is likely due to:
A: chemical irritation from eye drops
B: group B streptococcus
C: chlamydia
D: gonorrhea - ✔✔A: chemical irritation from eye drops
Conjunctivitis on a 2-day-old is most likely due to a chemical irritation from the routine
prophylactic eye medication.
Ocular chlamydia is typically seen at age 2wks or later.
Confirming the diagnosis of chlamydia conjunctivitis in a newborn would best be done by
obtaining a:
A: cervical swab of the mother
B: urine polymerase chain reaction (PCR) from the mother
C: culture of the eye discharge
D: culture of the conjunctival scrapings - ✔✔D: culture of the conjunctival scrapings
Chlamydia is an intracellular organism, and therefore any sample for testing must include
epithelial cells.
Which of the following ocular findings would be considered an ophthalmic emergency?
A: unilateral vesicular lesions on the upper eyelid in a 3-week-old
B: presence of chemosis in a 5-year-old with bilateral upper eyelid edema
C: cobble-stone like appearance along the inner aspect of the upper eyelid in a 15-year-old
D: bilateral redness along eyelid margins with tiny ulcerated areas in a 16-year-old - ✔✔A:
unilateral vesicular lesions on the upper eyelid in a 3-week-old
, Unilateral vesicular lesions would indicate a possible herpetic infection of the eye, which in a 3-
week-old could spread to the CNS and potentially causing severe, permanent CNS damage &/or
death.
The most appropriate management of a 5-year-old with a firm, nontender nodule in the mid-
upper eyelid for 3 weeks would be:
A: cool compresses
B: topical ophthalmic ointment
C: oral antibiotics
D: oral steroids - ✔✔B: topical ophthalmic ointment
The HX describes a chalazion which often resolves without treatment. However, prophylaxis
with topical Abx ointment is an appropriate and recommended prophylactic Tx because
chalazions may become infected.
Warm compresses, not cool, can be used.
Oral Abx are used for reoccurring chalazions.
Oral steroids are not used in the Tx of chalazions.
Daily eyelid cleansing with diluted baby shampoo and a cotton-tipped applicator would be
appropriate in the treatment of:
A: dacryostenosis
B: chalazion
C: hordeolum
D: blepharitis - ✔✔D: blepharitis
Daily lid scrubbing with diluted baby shampoo is one of the primary treatments for blepharitis.
A 3-year-old has an edematous, mildly erythematous right upper eyelid for 1 day with a fever of
103F. An important eye assessment would be:
A: ocular mobility
B: conjunctival inflammation
