NURS 5433 Midterm Exam study guide
COMPLETE EXAM Questions and Answers
(Verified Answers) (Latest Update 2026-2027) UPDATE
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Describe the symptoms of Blepharitis? VERIFIED ANSWER--•Crusty, irritated and
redness on the eye lid margin
•Build up of debris close to the root of the eyelash
•Dry eye symptoms such as red eyes or foreign body sensation.
What is the Pharmacological treatment for resistant or persistent infection of
Blepharitis? (2) VERIFIED ANSWER--1. Doxycycline 100mg PO BID
2. Tetracycline 250mg QID
A 40 year old woman comes with complaints scaling, crusting and redness in her
eyelid. She said she is having trouble driving when it's sunny out, which of the
following medications would you recommend to start with first?
A. Doxycycline 100mg PO BID
B. Tetracycline 250mg QID
C. Cold moist compress to reduce inflammation
D. Lid scrub wit baby shampoo VERIFIED ANSWER--D. Lid scrub wit baby shampoo
Which condition is most often associated with Posterior Blepharitis?
A. Seborrhea
B. Rosacea
C. Astigmatism
D. Conjunctivitis VERIFIED ANSWER--B. Rosacea
A painful, red swelling at the eyelid margin is most bc consistent with:
,2
A. Hordeolum
B. Chalazion
C. Conjunctivitis
D. Cataract VERIFIED ANSWER--A. Hordeolum
The preferred management for a hordeolum includes:
A. Topical steroids
B. Warm compresses
C. Oral antivirals
D. Eyepatch VERIFIED ANSWER--B. Warm compresses
What is the difference between a Hordeolum and a Chalazion? VERIFIED 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 VERIFIED 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 VERIFIED ANSWER--B. Bilateral itching and
watery discharge
,3
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. VERIFIED ANSWER--B. Viral
Herpetic viral conjunctivitis is distinguished from other types of conjunctivitis by
which diagnostic finding? VERIFIED ANSWER--Dendritic lesions on fluorescein stain
What diagnostic exam is done to check optic nerve function and anterior chamber
inflammation? VERIFIED ANSWER--Dilated Pupil Exam
Which two antibiotics are used for systemic chlamydia, and gonococcal conjunctivitis?
VERIFIED 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 VERIFIED ANSWER--C. Penicillin
What are the medications Rimexolone and Loteprednol used for? VERIFIED
ANSWER--Topical steroid therapy for Pingueculum and Pterygium
What is the primary difference between a pingueculum and a pterygium?
, 4
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 VERIFIED ANSWER--C.
Pingueculum does not cross the cornea, pterygium extended onto the cornea
When is surgical removal for. Pingueculum and Pterygium required? VERIFIED
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 VERIFIED ANSWER--A. Pingueculum
First line treatment for bacterial conjunctivitis includes
A. Oral doxycycline
B. Corticosteroid drops
C. Erythromycin ointment
D. Artificial tears VERIFIED ANSWER--C. Erythromycin ointment A fluorescien stain is
used to diagnose:
A. Corneal abrasion
B. Blepharitis
C. Cataracts
D. Macular degeneration VERIFIED ANSWER--A. Corneal abrasion