EENT NURS 5433 (MOD 1 Study Guide)
Exam QUESTIONS AND ANSWERS 100%
RATED CORRECT WITH 100% SURE
PASS|GRADED A+
Glaucoma management - CORRECT ANSWERS -prevention (first): IOP measured in yearly eye
exams, avoid OTC vasoconstrictive ocular agents and anticholinergic agents
Blephatitis definition - CORRECT ANSWERS inflammation of the eyelid
Blepharitis Ulcerative form s/s - CORRECT ANSWERS (lash follicle in the meibomian glands of
the eyelid)
s/s: pustules base of hair follicles that crust and bleed, lashes can become thick and break easily, itching,
tearing, chalazia, recurrent styes, photophobia, small ulcerations at the eyelid margin
Blepharitis Non-ulcerative form associated with - CORRECT ANSWERS psoriasis seborrhea,
eczema, allergies, lice infestations, trisomy 21, chemical or environmental irritants, eye makeup, contact
lenses
blepharitis risk factors - CORRECT ANSWERS dry eye, frequent hordeolum or chalazium,
facial or scalp seborrhea, immunocompromised state, acne, diabetes, and use of retin-A
Blepharitis Seborrheic s/s - CORRECT ANSWERS chronic inflammation eyelid, erythema,
greasy scaling of anterior eyelid, loss of lashes, and sebborrheic dermatitis of eybrows and scalp
Blepharitis treatment - CORRECT ANSWERS warm moist compresses and lid scrubs with
baby shampoo, ( if d/t meibomian glands) massage gland, no contacts
,Blepharitis pharm - CORRECT ANSWERS antibiotic ointments:
(start with) bacitracin, erythromycin, and quinolone
(no results or resistant infections) oral antibiotics:
(First line) doxycycline 100mg PO BID or
Tetracycline 250 mg 4 times daily
Hordeolum Definition & s/s - CORRECT ANSWERS (stye) small glands that line the eyelid get
plugged & may fill with pus
s/s: erythema, tenderness and sometimes exudate. pearl- inflammation of sebaceous glands at base of
eyelash
External hordeolum (stye) cause - CORRECT ANSWERS inflammation and infection of the
eyelid margin; affects hair follicles and eyelashes.
Internal Hordeolum (stye) - CORRECT ANSWERS inflammation and infection of the
meibomian glands.
Chalazion (definition, differentiation, cause) - CORRECT ANSWERS -granulomatous infection
of meibomian gland
-painless swelling of the eyelid
-initially may be tender, then nontender lump
-can be caused from recurrent styes and or blepharitis pearl- hard, non-tender nodule, inflammation
meibomian gland
chalazion vs hordeolum - CORRECT ANSWERS hordeola: is painful, pus
chalazion: no pain, no exudate, firm nodule -pear: differentiation
, Chalazion management - CORRECT ANSWERS moist compresses, lid massaging scrubs,
injected with steroids, referral if surgical removal needed
Conjunctivitis - CORRECT ANSWERS -inflammation of the conjunctiva (front part of the eye)
-s/s: red, sometimes itchy, sometimes exudates (r/t bacterial) Pearl: differentiation bacterial vs viral
Bacterial conjunctivitis causes - CORRECT ANSWERS -(common): staph, strep, h flu, and m
catarrhalis
-Pseudomonas
-gonorrhea
Viral conjunctivitis causes - CORRECT ANSWERS adenoviruses, coxsackie virus, varicella,
herpes, and herpes zoster
Herpes in the eye - CORRECT ANSWERS -viral conjunctivitis
-can cause blindness
-fluorescein stain w/ positive dendrites
-referred immediately to an ophthalmologist
Conjunctivitis s/s - CORRECT ANSWERS erythema, burning, exudate, itching, sensation of
foreign body
(determine whether it's conjunctivitis or foreign body)
Patient presents with eye problems, first action is - CORRECT ANSWERS visual acuity test:
Snellin test
-if there's any visual acuity changes at all, these patients need to be referred out to an ophthalmologist.
pearl- ocular foreign body assessment: visual acuity both eyes, next exam w/ slit lamp or binocular loupe
or pen light, next fluorescein stain (last part of exam to assess corneal defect); lid eversion foreign body:
flip eyelid w/ cotton swab, remove object w/ wet cotton swab
Exam QUESTIONS AND ANSWERS 100%
RATED CORRECT WITH 100% SURE
PASS|GRADED A+
Glaucoma management - CORRECT ANSWERS -prevention (first): IOP measured in yearly eye
exams, avoid OTC vasoconstrictive ocular agents and anticholinergic agents
Blephatitis definition - CORRECT ANSWERS inflammation of the eyelid
Blepharitis Ulcerative form s/s - CORRECT ANSWERS (lash follicle in the meibomian glands of
the eyelid)
s/s: pustules base of hair follicles that crust and bleed, lashes can become thick and break easily, itching,
tearing, chalazia, recurrent styes, photophobia, small ulcerations at the eyelid margin
Blepharitis Non-ulcerative form associated with - CORRECT ANSWERS psoriasis seborrhea,
eczema, allergies, lice infestations, trisomy 21, chemical or environmental irritants, eye makeup, contact
lenses
blepharitis risk factors - CORRECT ANSWERS dry eye, frequent hordeolum or chalazium,
facial or scalp seborrhea, immunocompromised state, acne, diabetes, and use of retin-A
Blepharitis Seborrheic s/s - CORRECT ANSWERS chronic inflammation eyelid, erythema,
greasy scaling of anterior eyelid, loss of lashes, and sebborrheic dermatitis of eybrows and scalp
Blepharitis treatment - CORRECT ANSWERS warm moist compresses and lid scrubs with
baby shampoo, ( if d/t meibomian glands) massage gland, no contacts
,Blepharitis pharm - CORRECT ANSWERS antibiotic ointments:
(start with) bacitracin, erythromycin, and quinolone
(no results or resistant infections) oral antibiotics:
(First line) doxycycline 100mg PO BID or
Tetracycline 250 mg 4 times daily
Hordeolum Definition & s/s - CORRECT ANSWERS (stye) small glands that line the eyelid get
plugged & may fill with pus
s/s: erythema, tenderness and sometimes exudate. pearl- inflammation of sebaceous glands at base of
eyelash
External hordeolum (stye) cause - CORRECT ANSWERS inflammation and infection of the
eyelid margin; affects hair follicles and eyelashes.
Internal Hordeolum (stye) - CORRECT ANSWERS inflammation and infection of the
meibomian glands.
Chalazion (definition, differentiation, cause) - CORRECT ANSWERS -granulomatous infection
of meibomian gland
-painless swelling of the eyelid
-initially may be tender, then nontender lump
-can be caused from recurrent styes and or blepharitis pearl- hard, non-tender nodule, inflammation
meibomian gland
chalazion vs hordeolum - CORRECT ANSWERS hordeola: is painful, pus
chalazion: no pain, no exudate, firm nodule -pear: differentiation
, Chalazion management - CORRECT ANSWERS moist compresses, lid massaging scrubs,
injected with steroids, referral if surgical removal needed
Conjunctivitis - CORRECT ANSWERS -inflammation of the conjunctiva (front part of the eye)
-s/s: red, sometimes itchy, sometimes exudates (r/t bacterial) Pearl: differentiation bacterial vs viral
Bacterial conjunctivitis causes - CORRECT ANSWERS -(common): staph, strep, h flu, and m
catarrhalis
-Pseudomonas
-gonorrhea
Viral conjunctivitis causes - CORRECT ANSWERS adenoviruses, coxsackie virus, varicella,
herpes, and herpes zoster
Herpes in the eye - CORRECT ANSWERS -viral conjunctivitis
-can cause blindness
-fluorescein stain w/ positive dendrites
-referred immediately to an ophthalmologist
Conjunctivitis s/s - CORRECT ANSWERS erythema, burning, exudate, itching, sensation of
foreign body
(determine whether it's conjunctivitis or foreign body)
Patient presents with eye problems, first action is - CORRECT ANSWERS visual acuity test:
Snellin test
-if there's any visual acuity changes at all, these patients need to be referred out to an ophthalmologist.
pearl- ocular foreign body assessment: visual acuity both eyes, next exam w/ slit lamp or binocular loupe
or pen light, next fluorescein stain (last part of exam to assess corneal defect); lid eversion foreign body:
flip eyelid w/ cotton swab, remove object w/ wet cotton swab
