MDC 4 EXAM 2 EXAM SCRIPT 2026
COMPLETE Q AND A 100% CORRECT
◉ anisocoria Answer: a condition in which the pupils are unequal in
size
◉ exophthalmos Answer: protrusion of the eyeballs, as seen in
Graves disease
◉ enophthalmos Answer: sunken eyes, eyeballs are recessed
◉ ptosis Answer: prolapse, downward displacement, dropping
◉ - Put in lower conjunctival sac
- Do not drop in center of eye
- Stabilize hands on facial structures (bony prominences)
- Hold the inner eye to avoid systemic effects (punctal occlusion)
- Do not let dropper touch their eye
- Wash hands before Answer: Patient education for instilling eye
drops
,◉ punctal occlusion Answer: Drainage of topical drops from the eye
and their systemic absorption can be prevented by _________ _________?
◉ · Blurred vision
· Clouded vision
· Decreased color perception
· May think that glasses are smudged
· Double vision
· Halos around objects
· Problems with ADL'S
· Affects reading and driving
· Impaired night vision
· Frequents changes in eyeglass prescription
· Without surgical intervention blindness follows Answer: Signs and
symptoms of cataracts
◉ · Wear dark glasses and avoid bright sunlight
· Do not drive
· Develop a schedule for the administration of post-op eye drops. Be
sure client or family can demonstrate the correct technique for
administering the drops.
· Report Worsening Vision
· Observe for increasing eye redness
,· Decrease in vision
· Floaters
· Sharp, or sudden pain in eye
· Green or yellow drainage on the lids and lashes
***avoid anything that increases IOP like...
· Do no bend at the waist
· Lift more than 10 pounds
· Sneeze or cough
· Blow your nose
· Strain to move bowels
· Have sexual intercourse
· Vomit
· Keep head in a dependent position
· Wear tight shirt collars Answer: Patient Education for post-op
cataract surgery
◉ glaucoma Answer: When the intraocular pressure increases it
leads to compression of the retinal blood vessels and photoreceptors
and their nerve fibers resulting in hypoxemia and death of the tissue
and permanent loss of vision
◉ - Sudden severe pain around the eyes radiating over the face
, - Headache or brow pain
- Nausea and vomiting
- Seeing colored halos around lights
- Sudden blurred vision
- Reddened sclera
- Foggy cornea
- Moderately dilated pupil that does not react to light
- Cupping and atrophy of the optic disc Answer: Signs and symptoms
of glaucoma
◉ 10 mm Hg - 21 mm Hg Answer: What is the normal intraocular
range pressure?
◉ reduce intraocular pressure Answer: What is the goal of
treatment for glaucoma?
◉ tonometry - measures IOP
ultrasonic imaging of the retina and optic nerve - creates a three-
dimensional view of the back of the eye; tells us the TYPE of
glaucoma Answer: How do you test for glaucoma?
COMPLETE Q AND A 100% CORRECT
◉ anisocoria Answer: a condition in which the pupils are unequal in
size
◉ exophthalmos Answer: protrusion of the eyeballs, as seen in
Graves disease
◉ enophthalmos Answer: sunken eyes, eyeballs are recessed
◉ ptosis Answer: prolapse, downward displacement, dropping
◉ - Put in lower conjunctival sac
- Do not drop in center of eye
- Stabilize hands on facial structures (bony prominences)
- Hold the inner eye to avoid systemic effects (punctal occlusion)
- Do not let dropper touch their eye
- Wash hands before Answer: Patient education for instilling eye
drops
,◉ punctal occlusion Answer: Drainage of topical drops from the eye
and their systemic absorption can be prevented by _________ _________?
◉ · Blurred vision
· Clouded vision
· Decreased color perception
· May think that glasses are smudged
· Double vision
· Halos around objects
· Problems with ADL'S
· Affects reading and driving
· Impaired night vision
· Frequents changes in eyeglass prescription
· Without surgical intervention blindness follows Answer: Signs and
symptoms of cataracts
◉ · Wear dark glasses and avoid bright sunlight
· Do not drive
· Develop a schedule for the administration of post-op eye drops. Be
sure client or family can demonstrate the correct technique for
administering the drops.
· Report Worsening Vision
· Observe for increasing eye redness
,· Decrease in vision
· Floaters
· Sharp, or sudden pain in eye
· Green or yellow drainage on the lids and lashes
***avoid anything that increases IOP like...
· Do no bend at the waist
· Lift more than 10 pounds
· Sneeze or cough
· Blow your nose
· Strain to move bowels
· Have sexual intercourse
· Vomit
· Keep head in a dependent position
· Wear tight shirt collars Answer: Patient Education for post-op
cataract surgery
◉ glaucoma Answer: When the intraocular pressure increases it
leads to compression of the retinal blood vessels and photoreceptors
and their nerve fibers resulting in hypoxemia and death of the tissue
and permanent loss of vision
◉ - Sudden severe pain around the eyes radiating over the face
, - Headache or brow pain
- Nausea and vomiting
- Seeing colored halos around lights
- Sudden blurred vision
- Reddened sclera
- Foggy cornea
- Moderately dilated pupil that does not react to light
- Cupping and atrophy of the optic disc Answer: Signs and symptoms
of glaucoma
◉ 10 mm Hg - 21 mm Hg Answer: What is the normal intraocular
range pressure?
◉ reduce intraocular pressure Answer: What is the goal of
treatment for glaucoma?
◉ tonometry - measures IOP
ultrasonic imaging of the retina and optic nerve - creates a three-
dimensional view of the back of the eye; tells us the TYPE of
glaucoma Answer: How do you test for glaucoma?
