CHILDREARING FAMILY EXAM APPROVED 2026/2027 TEST BANK
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|FULL REVISED NR 602 FINAL EXAM / PRIMARY CARE OF THE
CHILDBEARING & CHILDREARING FAMILY ACTUAL EXAM
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1. A mother brings her 3-month-old infant to the clinic with
complaints of a "goopy eye" that is sometimes matted shut after
naps. Upon examination, the conjunctiva is clear with mild crusting
on the eyelashes. What is the most likely diagnosis and appropriate
patient teaching?
A. Bacterial conjunctivitis; prescribe erythromycin ointment TID
B. Probable lacrimal duct obstruction; daily massage and warm
compresses
C. Viral conjunctivitis; cold compresses and artificial tears
D. Blepharitis; lid scrubs with baby shampoo
Correct Answer: B. Probable lacrimal duct obstruction; daily
massage and warm compresses
,Rationale: This is a classic presentation of congenital nasolacrimal
duct obstruction. The clear conjunctiva and absence of significant
redness or purulent discharge rule out infectious conjunctivitis.
The condition typically resolves spontaneously between 6-12
months of age. Teaching includes daily lacrimal duct massage and
warm compresses to help open the duct, with monitoring for signs
of periorbital cellulitis or bacterial conjunctivitis.
2. A 9-year-old patient presents with a tender, swollen, erythematous
bump on the eyelid. What is the most likely diagnosis?
A. Chalazion
B. Hordeolum (stye)
C. Blepharitis
D. Periorbital cellulitis
Correct Answer: B. Hordeolum (stye)
Rationale: A hordeolum (stye) is an acute, tender, localized
infection of an eyelash follicle (external) or meibomian gland
(internal). It presents as a red, painful bump on the eyelid margin.
Treatment includes warm moist compresses, scrubbing eyelashes
with baby shampoo BID, and reassurance that the eye will feel
better when the stye drains.
,3. What is blepharitis?
A. Inflammation of the cornea
B. Inflammation of the eyelid
C. Inflammation of the conjunctiva
D. Inflammation of the lacrimal gland
Correct Answer: B. Inflammation of the eyelid
Rationale: Blepharitis is inflammation of the eyelid margins,
caused by blocked oil glands, allergies, or excessive bacteria. It
presents with flaky, scaly debris on the eyelid margins and a gritty,
burning sensation in the eyes.
4. A 9-year-old patient presents with acute swelling and erythema of
the eyelid with flaky, scaly debris on the eyelid margins. The patient
reports a gritty, burning feeling in the eyes. She has already
attempted warm compresses and washing eyelids with baby soap for
several days without improvement. What is the diagnosis and
treatment?
A. Hordeolum; continue warm compresses and add antibiotic
ointment
, B. Blepharitis; cleanse with baby shampoo TID, warm compress,
consider doxycycline for resistant cases
C. Chalazion; refer for surgical drainage
D. Conjunctivitis; antibiotic eye drops
Correct Answer: B. Blepharitis; cleanse with baby shampoo TID,
warm compress, consider doxycycline for resistant cases
Rationale: This patient has anterior blepharitis. Treatment
includes cleansing with baby shampoo three times daily, warm
moist compresses, and for resistant cases, doxycycline or
tetracycline can be used in children >8 years (avoid in younger
children due to tooth discoloration). Erythromycin ointment may
also be used for its longer contact time with the eye.
5. What organism is most likely to cause viral conjunctivitis in
children?
A. Herpes Simplex Virus (HSV)
B. Adenovirus
C. Varicella-Zoster Virus
D. Staphylococcus aureus