FNP 2 exam questions with Complete Verified
Answers
Red eye with no pain or vision loss- differential - ANSWER Conjunctivitis, sunconjunctival
hemorrhage; episcleritis
Red eye with pain and normal vision - ANSWER episcleritis, keratitits, cluster headache,
corneal abrasion, corneal ulcre
Red eye with pain and vision impairment - ANSWER iritis, glaucoma, orbital cellulitis,
scleritis, corneal abrasion, corneal ulcer, keratitis (inflamed cornea)
Leading causes of vision impairment - ANSWER macular degeneration (leading cause of
blindness in US), cataracts, and glaucoma
Hyperopia - ANSWER farsightedness
Astigmatism - ANSWER Eye does not focus light on retina evenly
Presbopia - ANSWER age related, ability to focus on objects up close is more difficult
Macular Degeneration - ANSWER ○ Exudative (wet AMD): Rapid vision loss due to
development of abnormal blood vessels under the retina. These blood vessels will leak
fluid. Straight lines often appear wavy. Refer to opthamology immediately.
○ Nonexudative (dry AMD): Light-sensitive cells of the macula slowly break down. There
is gradual loss of central vision. Three stages (early, intermediate, and advanced).
Cataracts - ANSWER decreased vision, glare, distortion
,Risks: DM, steroids, smoker, ETOH
Pupil can had white look (leukokoria)
Hordeolum - ANSWER Stye; infection of oil glands around eyelash follicle; Staph Aureus
Treat: Warm compress
May require antibiotic Polytrim or erythromycin
Chalazion - ANSWER Develop inn meibomian glands; nontender, localized
Blepharitis - ANSWER Inflamation of eyelid margins; staph infection
Keratitis - ANSWER Infection or irritation of cornea; eye pain, photophobia, cloudy
cornea, If non-infectious, eye patch and lubrication
Corneal abrasion - ANSWER Use fluroescein staining
Flashes - ANSWER Photopsia
Floaters - ANSWER Entopsia
Periorbital Cellultis - ANSWER ○ Chandlar staging system
§ Stage I: Periorbital cellulitis
§ Stage II: Inflammatory orbital edema
§ Stage III: Subperiosteal abscess
§ Stage IV: Orbital abscess
, Pingueculum - ANSWER Common, non-cancerous growth of the conjunctiva, yellowish
nodule, usually nasal side, confined to bulbar of conjunctiva
Pterygium - ANSWER Non-cancerous growth of conjunctiva that extends into cornea
Retinal detachment - ANSWER nuerosensory retina is separated from retinal pigment
epithelium; floaters, flashes, and peripheral visiona loss, curtain going down
Closed Angle Glaucoma - ANSWER Asian, unilateral headached, visual blurring,
photophobia N/V, emergency
Open Angle Glaucoma - ANSWER Abnormality in trabecular angle tissue causing
resistance to flow; slow and insidious; loss of PERIPHERAL
Episcleritis - ANSWER Inflammation of the covering of the sclera
What can a child see? - ANSWER ○ Birth-2 weeks: changes in illumination, contrasts
(20/400); keep eyes closed often; tears not present 1-3 months
○ 2-4 weeks: can fix and follow an object (20/400)
○ 3-4 months: recognizes parent's smile,can focus near/far, follow 180 arc (20/200)
○ 4 months: color vision similar to adult (20/200)
○ 6-10 months: smooth eye movements in all directions (20/150)
○ 12 months: vision close to fully developed (20/50)
○ 18 months-24 months: (20/25)
○ 5 years: (20/25 to 20/20)
Corneal light reflex test - ANSWER eye muscle balance issue; Hirschberg Reflex; shine on
both eyes- is light reflection symmetric? Evaluation for strabismus
Answers
Red eye with no pain or vision loss- differential - ANSWER Conjunctivitis, sunconjunctival
hemorrhage; episcleritis
Red eye with pain and normal vision - ANSWER episcleritis, keratitits, cluster headache,
corneal abrasion, corneal ulcre
Red eye with pain and vision impairment - ANSWER iritis, glaucoma, orbital cellulitis,
scleritis, corneal abrasion, corneal ulcer, keratitis (inflamed cornea)
Leading causes of vision impairment - ANSWER macular degeneration (leading cause of
blindness in US), cataracts, and glaucoma
Hyperopia - ANSWER farsightedness
Astigmatism - ANSWER Eye does not focus light on retina evenly
Presbopia - ANSWER age related, ability to focus on objects up close is more difficult
Macular Degeneration - ANSWER ○ Exudative (wet AMD): Rapid vision loss due to
development of abnormal blood vessels under the retina. These blood vessels will leak
fluid. Straight lines often appear wavy. Refer to opthamology immediately.
○ Nonexudative (dry AMD): Light-sensitive cells of the macula slowly break down. There
is gradual loss of central vision. Three stages (early, intermediate, and advanced).
Cataracts - ANSWER decreased vision, glare, distortion
,Risks: DM, steroids, smoker, ETOH
Pupil can had white look (leukokoria)
Hordeolum - ANSWER Stye; infection of oil glands around eyelash follicle; Staph Aureus
Treat: Warm compress
May require antibiotic Polytrim or erythromycin
Chalazion - ANSWER Develop inn meibomian glands; nontender, localized
Blepharitis - ANSWER Inflamation of eyelid margins; staph infection
Keratitis - ANSWER Infection or irritation of cornea; eye pain, photophobia, cloudy
cornea, If non-infectious, eye patch and lubrication
Corneal abrasion - ANSWER Use fluroescein staining
Flashes - ANSWER Photopsia
Floaters - ANSWER Entopsia
Periorbital Cellultis - ANSWER ○ Chandlar staging system
§ Stage I: Periorbital cellulitis
§ Stage II: Inflammatory orbital edema
§ Stage III: Subperiosteal abscess
§ Stage IV: Orbital abscess
, Pingueculum - ANSWER Common, non-cancerous growth of the conjunctiva, yellowish
nodule, usually nasal side, confined to bulbar of conjunctiva
Pterygium - ANSWER Non-cancerous growth of conjunctiva that extends into cornea
Retinal detachment - ANSWER nuerosensory retina is separated from retinal pigment
epithelium; floaters, flashes, and peripheral visiona loss, curtain going down
Closed Angle Glaucoma - ANSWER Asian, unilateral headached, visual blurring,
photophobia N/V, emergency
Open Angle Glaucoma - ANSWER Abnormality in trabecular angle tissue causing
resistance to flow; slow and insidious; loss of PERIPHERAL
Episcleritis - ANSWER Inflammation of the covering of the sclera
What can a child see? - ANSWER ○ Birth-2 weeks: changes in illumination, contrasts
(20/400); keep eyes closed often; tears not present 1-3 months
○ 2-4 weeks: can fix and follow an object (20/400)
○ 3-4 months: recognizes parent's smile,can focus near/far, follow 180 arc (20/200)
○ 4 months: color vision similar to adult (20/200)
○ 6-10 months: smooth eye movements in all directions (20/150)
○ 12 months: vision close to fully developed (20/50)
○ 18 months-24 months: (20/25)
○ 5 years: (20/25 to 20/20)
Corneal light reflex test - ANSWER eye muscle balance issue; Hirschberg Reflex; shine on
both eyes- is light reflection symmetric? Evaluation for strabismus
