UTA FNP 2 - Midterm, Module 1 -
ENT/Upper Airway exam Questions With
Complete Solutions
Blepharitis, pharm - CORRECT ANSWERS Antibiotic ointments - (BEQ)
o Bacitracin, erythromycin, and quinolone (any -floxacin).
o If infx doesn't respond to topical meds, if you have resistant infections - use oral antibiotics.
· First line - doxycycline 100mg PO twice a day.
· Tetracycline 250 mg 4 times daily can also be given.
Blepharitis, anterior presentation - CORRECT ANSWERS o Staphylococcal blepharitis
characterized by scaling, crusting, and erythema of the eyelid margin, more common among women in
their 40s.
o Eyelid staph infection - Eyelash loss; crusting or matting of eyelashes upon waking; flaking or scaling of
eyelid skin.
Blepharitis, posterior presentation - CORRECT ANSWERS o Inflammation and dysfunction of
the meibomian gland within eyelid.
o Excess foamy discharge, chalazion (aka meibomian cyst, is a small, firm, painless bump that develops
on the eyelid), and ocular rosacea is common.
Conjunctivitis, bacterial, presentation - CORRECT ANSWERS o Sclera of the eye gets red, and
sometimes itchy, and sometimes there will be exudates.
§ Typically, if you see the exudates, it is bacterial conjunctivitis.
o The organisms that cause the bacteria are Staph, Strep, H flu, and M catarrhalis - same as upper
respiratory infx.
, o Pseudomonas is another less likely cause and, of course, gonorrhea can cause it as well.
Conjunctivitis, bacterial, pharm - CORRECT ANSWERS o Pharm -
§ Azithromycin 1% solution
§ Erythromycin 0.5% ointment
§ Gentamicin 0.3% solution
§ Sulfacetamide 10% (Bleph-10, Isopto Cetamide, or Sodium Sulamyd)
§ Tobramycin (Tobrex)
§ Bacitracin/polymyxin B 500 u/g ointment
§ Ciprofloxacin 0.3% (Ciloxan)
§ Ofloxacin 0.3% (Ocuflox)
§ Besfloxacin 0.6% suspension
§ Moxifloxacin 0.5% (Vigamox) (more severe cases)
§ Gatifloxacin 0.3% (Zymar) (more severe cases)
Conjunctivitis, viral, assessment - CORRECT ANSWERS o Assessment findings are erythema,
burning, exudate, itching, sensation of foreign body, ocular exudate with matting, preauricular
adenopathy, tearing and dendrites are present in herpetic infections.
o Evaluate and treat for systemic herpes.
o You don't want them to get herpes in the eye, because it can cause blindness.
o If a fluorescein stain is done and you see dendrites, these patients need to be referred immediately to
an ophthalmologist.
Conjunctivitis, viral, pharm - CORRECT ANSWERS o Pharm -
§ Topical vidarabine or trifluridine 5 times daily for 10 days
ENT/Upper Airway exam Questions With
Complete Solutions
Blepharitis, pharm - CORRECT ANSWERS Antibiotic ointments - (BEQ)
o Bacitracin, erythromycin, and quinolone (any -floxacin).
o If infx doesn't respond to topical meds, if you have resistant infections - use oral antibiotics.
· First line - doxycycline 100mg PO twice a day.
· Tetracycline 250 mg 4 times daily can also be given.
Blepharitis, anterior presentation - CORRECT ANSWERS o Staphylococcal blepharitis
characterized by scaling, crusting, and erythema of the eyelid margin, more common among women in
their 40s.
o Eyelid staph infection - Eyelash loss; crusting or matting of eyelashes upon waking; flaking or scaling of
eyelid skin.
Blepharitis, posterior presentation - CORRECT ANSWERS o Inflammation and dysfunction of
the meibomian gland within eyelid.
o Excess foamy discharge, chalazion (aka meibomian cyst, is a small, firm, painless bump that develops
on the eyelid), and ocular rosacea is common.
Conjunctivitis, bacterial, presentation - CORRECT ANSWERS o Sclera of the eye gets red, and
sometimes itchy, and sometimes there will be exudates.
§ Typically, if you see the exudates, it is bacterial conjunctivitis.
o The organisms that cause the bacteria are Staph, Strep, H flu, and M catarrhalis - same as upper
respiratory infx.
, o Pseudomonas is another less likely cause and, of course, gonorrhea can cause it as well.
Conjunctivitis, bacterial, pharm - CORRECT ANSWERS o Pharm -
§ Azithromycin 1% solution
§ Erythromycin 0.5% ointment
§ Gentamicin 0.3% solution
§ Sulfacetamide 10% (Bleph-10, Isopto Cetamide, or Sodium Sulamyd)
§ Tobramycin (Tobrex)
§ Bacitracin/polymyxin B 500 u/g ointment
§ Ciprofloxacin 0.3% (Ciloxan)
§ Ofloxacin 0.3% (Ocuflox)
§ Besfloxacin 0.6% suspension
§ Moxifloxacin 0.5% (Vigamox) (more severe cases)
§ Gatifloxacin 0.3% (Zymar) (more severe cases)
Conjunctivitis, viral, assessment - CORRECT ANSWERS o Assessment findings are erythema,
burning, exudate, itching, sensation of foreign body, ocular exudate with matting, preauricular
adenopathy, tearing and dendrites are present in herpetic infections.
o Evaluate and treat for systemic herpes.
o You don't want them to get herpes in the eye, because it can cause blindness.
o If a fluorescein stain is done and you see dendrites, these patients need to be referred immediately to
an ophthalmologist.
Conjunctivitis, viral, pharm - CORRECT ANSWERS o Pharm -
§ Topical vidarabine or trifluridine 5 times daily for 10 days
