CHAPTER 7 RED EYES TABLE 7-3
EXAM QUESTIONS WITH CORRECT
ANSWERS GRADED A+ FOR 2026
ASSURED EXCEL!!
Conjunctivalninjection,ndiffusendilationnofnconjuctivalnvesselsnwithnrednessnthatntendsntonbenmaxim
alnperipherally
Pain-nmild
Vision-nnotnaffectednexceptnfornmildnblurringnduentondischarge
Ocularndischarge-nwatery,nmucoid,nornmuco-purulent
pupil-notnaffected
cornea-clear
significance-nbacterial,nviral,nandnotherninfections,nhighlyncontagious,nallergy,nirritationn-
nnCORRECTnANSWERSConjunctivitis
An6-year-
oldnchildnisnbroughtntonthenpediatricnclinicnfornthenassessmentnofnrednessnandndischargenfromnthen
eyenandnisndiagnosednwithnviralnconjunctivitis.nWhatnisnthenmostnimportantninformationntondiscuss
nwithnthenparentsnandnchild?
A)nHandwashingncannpreventnthenspreadnofnthendiseasentonothers.
B)nThenimportancenofncompliancenwithnantibioticntherapy
C)nSignsnandnsymptomsnofncomplications,nsuchnasnmeningitisnandnsepticemia
D)nThenlikelynneednfornsurgeryntonpreventnscarringnofnthenconjunctivan-nnCORRECTnANSWERSAns:nA
Feedback:
Thennursenmustninformnthenparentsnandnchildnthatnviralnconjunctivitisnisnhighlyncontagiousnandninst
ructionsnshouldnemphasizenthenimportancenofnhandwashingnandnavoidingnsharingntowels,nfacenclo
ths,nandneyendrops.nViralnconjunctivitisnisnnotnresponsiventonanyntreatment,nincludingnantibioticnth
erapy.nPatientsnwithngonococcalnconjunctivitisnarenatnrisknfornmeningitisnandngeneralizednsepticem
,ia;nthesenconditionsndonnotnapplyntonviralnconjunctivitis.nSurgeryntonpreventnscarringnofnthenconjun
ctivanisnnotnassociatednwithnviralnconjunctivitis.
Sub-conjuctivalnHemorrhagen-
nnCORRECTnANSWERSLeakagenofnbloodnoutsidenofnthenvessels,nproducingnanhomogeneous,nsharply
ndemarcated,nrednareanthatnresolvesnovern2nwks.
pain-absent
vision-nnotnaffected
ocularndischarge-nabsent
pupil-nnotnaffected
cornea-clear
Significance-
noftennnon,nmaynresultnfromntrauma,nbleedingndisorders,nornsuddennincreaseninnvenousnpressure,n
asnfromncough
Ciliaryninjection
Vesselsnfromnlimbusnarendilatedn-nreddishnvioletnflush
Ciliaryninjectionnisnannimportantnsignnofnthesenthreenconditions,nbutnisnnotnalwaysnvisible
pain,ndecreasenvision,nunequalnpupils,nandncloudedncornean-
nnCORRECTnANSWERSCornealnInjurynornInfection
AcutenIritis
AcutenAnglenClosure-Glaucoma
pain-nmoderatentonsevere,nsuperficial
Vision-nusuallyndecreased
Ocularndischarge-nwaterynornpurulent
Pupil-nnotnaffectednunlessniritisndevelops
Cornea-nchangesndependingnonncause
,significance-nabrasions,nandnotherninjuries,nviral,nandnbacterialninfectionsn-
nnCORRECTnANSWERSCornealnInjurynornInfection
Pain-nModerate,naching,ndeep
Vision-ndecreased;nphotophobia
Ocularndischarge-nabsent
Pupil-nsmallnandnirregular
Cornea-nclearnornslightlynclouded;ninjectionnconfinedntoncornealnlimbus
Significance-
nAssociatednwithnsystemicninfections,nHerpesnzoster,ntuberculosis,nornautoimmunendisease;nrefern
promptlyn-nnCORRECTnANSWERSAcutenIritis
Pain-nSevere,naching,ndeep
Vision-ndecreased
Ocularndischarge-nabsent
Pupil-ndilated,nfixed
Cornea-nStreamy,ncloudy
Significance-nAcutenincreaseninnintra-ocularnpressure,nconstitutesnannemergencyn-
nnCORRECTnANSWERSAcutenanglenclosure-nglaucoma
An15-year-
oldnhighnschoolnsophomorenpresentsntonthenemergencynroomnwithnhisnmothernfornevaluationnofna
nnareanofnbloodninnthenleftneye.nHendeniesntraumanorninjurynbutnhasnbeenncoughingnforcefullynwithn
anrecentncold.nHendeniesnvisualndisturbances,neyenpain,norndischargenfromntheneye.nOnnphysicalnex
amination,nthenpupilsnarenequal,nround,nandnreactiventonlight,nwithnanvisualnacuitynofn20/20ninneach
neyenandn20/20nbilaterally.nTherenisnanhomogeneous,nsharplyndemarcatednareanatnthenlateralnaspec
tnofnthenbasenofnthenleftneye.nThencorneanisnclear.nBasednonnthisndescription,nwhatnisnthenmostnlikely
ndiagnosis?
A)nConjunctivitis
, B)nAcuteniritis
C)nCornealnabrasion
D)nSubconjunctivalnhemorrhagen-nnCORRECTnANSWERSAns:nD
Chapter:n07
PagenandnHeader:n257,nTablen7-8
Feedback:nAnsubconjunctivalnhemorrhagenisnanleakagenofnbloodnoutsidenofnthenvessels,nwhichnpro
ducesnanhomogenous,nsharplyndemarcatednbrightnrednarea;nitnfadesnovernseveralndays,nturningnyell
ow,nthenndisappears.nTherenisnnonassociatedneyenpain,nocularndischarge,nornchangesninnvisualnacuit
y;nthencorneanisnclear.nManyntimesnitnisnassociatednwithnseverencough,nchoking,nornvomiting,nwhich
nincreasenvenousnpressure.nItnisnrarelyncausednbynanseriousncondition,nsonreassurancenisnusuallynthe
nonlyntreatmentnnecessary.
Whennanlightnisndirectednacrossnthenirisnofnanpatient'sneyenfromnthentemporalnside,nthennursenisnass
essingnfor:
a.nDrainagenfromndacryocystitis.
b.nPresencenofnconjunctivitisnoverntheniris.
c.nPresencenofnshadows,nwhichnmaynindicatenglaucoma.
d.nScatterednlightnreflex,nwhichnmaynbenindicativenofncataracts.n-nnCORRECTnANSWERSANS:nC
Thenpresencenofnshadowsninnthenanteriornchambernmaynbenansignnofnacutenangle-
closurenglaucoma.nThennormalnirisnisnflatnandncreatesnnonshadows.nThisnmethodnisnnotncorrectnfornt
henassessmentnofndacryocystitis,nconjunctivitis,norncataracts.
An68-year-
oldnwomannisninntheneyenclinicnfornancheckup.nShentellsnthennursenthatnshenhasnbeennhavingntrouble
nreadingnthenpaper,nsewing,nandnevennseeingnthenfacesnofnherngrandchildren.nOnnexamination,nthen
nursennotesnthatnshenhasnsomenlossnofncentralnvisionnbutnhernperipheralnvisionnisnnormal.nThesenfi
ndingsnsuggestnthatnshenmaynhave:
a.nMacularndegeneration.
b.nVisionnthatnisnnormalnfornsomeonenhernage.
c.nThenbeginningnstagesnofncataractnformation.
EXAM QUESTIONS WITH CORRECT
ANSWERS GRADED A+ FOR 2026
ASSURED EXCEL!!
Conjunctivalninjection,ndiffusendilationnofnconjuctivalnvesselsnwithnrednessnthatntendsntonbenmaxim
alnperipherally
Pain-nmild
Vision-nnotnaffectednexceptnfornmildnblurringnduentondischarge
Ocularndischarge-nwatery,nmucoid,nornmuco-purulent
pupil-notnaffected
cornea-clear
significance-nbacterial,nviral,nandnotherninfections,nhighlyncontagious,nallergy,nirritationn-
nnCORRECTnANSWERSConjunctivitis
An6-year-
oldnchildnisnbroughtntonthenpediatricnclinicnfornthenassessmentnofnrednessnandndischargenfromnthen
eyenandnisndiagnosednwithnviralnconjunctivitis.nWhatnisnthenmostnimportantninformationntondiscuss
nwithnthenparentsnandnchild?
A)nHandwashingncannpreventnthenspreadnofnthendiseasentonothers.
B)nThenimportancenofncompliancenwithnantibioticntherapy
C)nSignsnandnsymptomsnofncomplications,nsuchnasnmeningitisnandnsepticemia
D)nThenlikelynneednfornsurgeryntonpreventnscarringnofnthenconjunctivan-nnCORRECTnANSWERSAns:nA
Feedback:
Thennursenmustninformnthenparentsnandnchildnthatnviralnconjunctivitisnisnhighlyncontagiousnandninst
ructionsnshouldnemphasizenthenimportancenofnhandwashingnandnavoidingnsharingntowels,nfacenclo
ths,nandneyendrops.nViralnconjunctivitisnisnnotnresponsiventonanyntreatment,nincludingnantibioticnth
erapy.nPatientsnwithngonococcalnconjunctivitisnarenatnrisknfornmeningitisnandngeneralizednsepticem
,ia;nthesenconditionsndonnotnapplyntonviralnconjunctivitis.nSurgeryntonpreventnscarringnofnthenconjun
ctivanisnnotnassociatednwithnviralnconjunctivitis.
Sub-conjuctivalnHemorrhagen-
nnCORRECTnANSWERSLeakagenofnbloodnoutsidenofnthenvessels,nproducingnanhomogeneous,nsharply
ndemarcated,nrednareanthatnresolvesnovern2nwks.
pain-absent
vision-nnotnaffected
ocularndischarge-nabsent
pupil-nnotnaffected
cornea-clear
Significance-
noftennnon,nmaynresultnfromntrauma,nbleedingndisorders,nornsuddennincreaseninnvenousnpressure,n
asnfromncough
Ciliaryninjection
Vesselsnfromnlimbusnarendilatedn-nreddishnvioletnflush
Ciliaryninjectionnisnannimportantnsignnofnthesenthreenconditions,nbutnisnnotnalwaysnvisible
pain,ndecreasenvision,nunequalnpupils,nandncloudedncornean-
nnCORRECTnANSWERSCornealnInjurynornInfection
AcutenIritis
AcutenAnglenClosure-Glaucoma
pain-nmoderatentonsevere,nsuperficial
Vision-nusuallyndecreased
Ocularndischarge-nwaterynornpurulent
Pupil-nnotnaffectednunlessniritisndevelops
Cornea-nchangesndependingnonncause
,significance-nabrasions,nandnotherninjuries,nviral,nandnbacterialninfectionsn-
nnCORRECTnANSWERSCornealnInjurynornInfection
Pain-nModerate,naching,ndeep
Vision-ndecreased;nphotophobia
Ocularndischarge-nabsent
Pupil-nsmallnandnirregular
Cornea-nclearnornslightlynclouded;ninjectionnconfinedntoncornealnlimbus
Significance-
nAssociatednwithnsystemicninfections,nHerpesnzoster,ntuberculosis,nornautoimmunendisease;nrefern
promptlyn-nnCORRECTnANSWERSAcutenIritis
Pain-nSevere,naching,ndeep
Vision-ndecreased
Ocularndischarge-nabsent
Pupil-ndilated,nfixed
Cornea-nStreamy,ncloudy
Significance-nAcutenincreaseninnintra-ocularnpressure,nconstitutesnannemergencyn-
nnCORRECTnANSWERSAcutenanglenclosure-nglaucoma
An15-year-
oldnhighnschoolnsophomorenpresentsntonthenemergencynroomnwithnhisnmothernfornevaluationnofna
nnareanofnbloodninnthenleftneye.nHendeniesntraumanorninjurynbutnhasnbeenncoughingnforcefullynwithn
anrecentncold.nHendeniesnvisualndisturbances,neyenpain,norndischargenfromntheneye.nOnnphysicalnex
amination,nthenpupilsnarenequal,nround,nandnreactiventonlight,nwithnanvisualnacuitynofn20/20ninneach
neyenandn20/20nbilaterally.nTherenisnanhomogeneous,nsharplyndemarcatednareanatnthenlateralnaspec
tnofnthenbasenofnthenleftneye.nThencorneanisnclear.nBasednonnthisndescription,nwhatnisnthenmostnlikely
ndiagnosis?
A)nConjunctivitis
, B)nAcuteniritis
C)nCornealnabrasion
D)nSubconjunctivalnhemorrhagen-nnCORRECTnANSWERSAns:nD
Chapter:n07
PagenandnHeader:n257,nTablen7-8
Feedback:nAnsubconjunctivalnhemorrhagenisnanleakagenofnbloodnoutsidenofnthenvessels,nwhichnpro
ducesnanhomogenous,nsharplyndemarcatednbrightnrednarea;nitnfadesnovernseveralndays,nturningnyell
ow,nthenndisappears.nTherenisnnonassociatedneyenpain,nocularndischarge,nornchangesninnvisualnacuit
y;nthencorneanisnclear.nManyntimesnitnisnassociatednwithnseverencough,nchoking,nornvomiting,nwhich
nincreasenvenousnpressure.nItnisnrarelyncausednbynanseriousncondition,nsonreassurancenisnusuallynthe
nonlyntreatmentnnecessary.
Whennanlightnisndirectednacrossnthenirisnofnanpatient'sneyenfromnthentemporalnside,nthennursenisnass
essingnfor:
a.nDrainagenfromndacryocystitis.
b.nPresencenofnconjunctivitisnoverntheniris.
c.nPresencenofnshadows,nwhichnmaynindicatenglaucoma.
d.nScatterednlightnreflex,nwhichnmaynbenindicativenofncataracts.n-nnCORRECTnANSWERSANS:nC
Thenpresencenofnshadowsninnthenanteriornchambernmaynbenansignnofnacutenangle-
closurenglaucoma.nThennormalnirisnisnflatnandncreatesnnonshadows.nThisnmethodnisnnotncorrectnfornt
henassessmentnofndacryocystitis,nconjunctivitis,norncataracts.
An68-year-
oldnwomannisninntheneyenclinicnfornancheckup.nShentellsnthennursenthatnshenhasnbeennhavingntrouble
nreadingnthenpaper,nsewing,nandnevennseeingnthenfacesnofnherngrandchildren.nOnnexamination,nthen
nursennotesnthatnshenhasnsomenlossnofncentralnvisionnbutnhernperipheralnvisionnisnnormal.nThesenfi
ndingsnsuggestnthatnshenmaynhave:
a.nMacularndegeneration.
b.nVisionnthatnisnnormalnfornsomeonenhernage.
c.nThenbeginningnstagesnofncataractnformation.
