NURS 5433 FAMILY 2 EXAM STUDY GUIDE
2026 VERIFIED SOLUTIONS
⫸ Blepharitis diagnostic testing needed Answer: -comprehensive eye
history and exam
-slit lamp exam (to distinguish between anterior and posterior
blepharitis)
-microbiologic cultures of eyelide and conjunctiva, meibomian gland
imaging, and eyelash epilation for exam by light microscopy
(identification of demodex folliculorum infestation)
⫸ Blepharitis non pharm treatment Answer: -avoid wearing infected
contacts
-remove old contracts and get new ones
-use a warm moist compress and lid scrubs with baby shampoo
-massage the gland if ulcerative
⫸ Blepharitis pharm treatment Answer: -antibiotic ointment:
bacitracin, erythromycin, quinolone
-use PO antibiotic if no results or resistant infection (1st line
doxycycline 100 mg PO BID, tetracycline 250 mg QID)
⫸ Blepharitis follow up required Answer: -Mild cases: advise return
to ophthalmology for worsening of s/s
,-Re-evaluate in 2 weeks if corticosteroids are prescribed
⫸ Difference between hordeolum and chalazion Answer: Hordeolum
is painful and Chalazion is painless
⫸ Bacterial conjunctivitis patho Answer: inflammation of the
conjunctiva (front part of eye) caused by strep, h flu, or m catarrhalis
(same bacteria caused by upper resp infection
⫸ Conjunctivitis risk factors Answer: -Bacterial: direct contact with
patient and their secretions, or with contaminated object and surface
(highly contagious)
-Viral: highly contagious; 2nd eye usually involved within 24-48
hours
-Allergic: wind, contact with allergen, often coexists with allergic
rhinitis
⫸ Conjunctivitis differential diagnosis Answer: foreign body, uveitis,
iritis, scleritis, corneal abrasion, dacryocystitis, hyphema, angle-
closure glaucoma, subconjunctival hemorrhage, periorbital cellulitis
⫸ Conjunctivitis diagnostic testing Answer: -1st: always test visual
acuity
-Snelling test
-if there are any visual acuity changes, refer to ophthamalogist
-dilated pupil exam to check the optic nerve for dysfunction and
anterior chamber inflammation
, ⫸ Bacterial conjunctivitis treatment Answer: -Antibiotic therapy:
gatifloxacin, levofloxacin, moxifloxacin
-chlamydial and gonococcal tx: both systemically and topically treat
(systemic antibiotics - PCN and doxycycline)
⫸ Conjunctivitis follow up instructions Answer: -follow up in 24
hours to assess effectiveness of tx
-allergic: improvement in 2-3 days expected
-bacterial or viral: improve in 2-4 days
-may return to work or school after 24 hours of topical therapy
⫸ Viral Conjunctivitis patho Answer: inflammation of the
conjunctiva caused by adenovirus, coxsackie virus, varicella, herpes,
and herpes zoster
⫸ Viral Conjunctivitis diagnostic tests Answer: Fluorescein stain with
dendrites present (r/o corneal abrasion) if dendrites present, refer out
immediately
⫸ Viral Conjunctivitis patient education Answer: avoid herpes in the
eye because it can cause blindness
⫸ Allergic Conjunctivitis patho Answer: 1. intermittent (seasonal)-
IgE mediated; common triggers depend on time of year and
geographic location; april-may: tree pollen; june-july: grass pollen;
july-aug: mold spores and weed pollen
2026 VERIFIED SOLUTIONS
⫸ Blepharitis diagnostic testing needed Answer: -comprehensive eye
history and exam
-slit lamp exam (to distinguish between anterior and posterior
blepharitis)
-microbiologic cultures of eyelide and conjunctiva, meibomian gland
imaging, and eyelash epilation for exam by light microscopy
(identification of demodex folliculorum infestation)
⫸ Blepharitis non pharm treatment Answer: -avoid wearing infected
contacts
-remove old contracts and get new ones
-use a warm moist compress and lid scrubs with baby shampoo
-massage the gland if ulcerative
⫸ Blepharitis pharm treatment Answer: -antibiotic ointment:
bacitracin, erythromycin, quinolone
-use PO antibiotic if no results or resistant infection (1st line
doxycycline 100 mg PO BID, tetracycline 250 mg QID)
⫸ Blepharitis follow up required Answer: -Mild cases: advise return
to ophthalmology for worsening of s/s
,-Re-evaluate in 2 weeks if corticosteroids are prescribed
⫸ Difference between hordeolum and chalazion Answer: Hordeolum
is painful and Chalazion is painless
⫸ Bacterial conjunctivitis patho Answer: inflammation of the
conjunctiva (front part of eye) caused by strep, h flu, or m catarrhalis
(same bacteria caused by upper resp infection
⫸ Conjunctivitis risk factors Answer: -Bacterial: direct contact with
patient and their secretions, or with contaminated object and surface
(highly contagious)
-Viral: highly contagious; 2nd eye usually involved within 24-48
hours
-Allergic: wind, contact with allergen, often coexists with allergic
rhinitis
⫸ Conjunctivitis differential diagnosis Answer: foreign body, uveitis,
iritis, scleritis, corneal abrasion, dacryocystitis, hyphema, angle-
closure glaucoma, subconjunctival hemorrhage, periorbital cellulitis
⫸ Conjunctivitis diagnostic testing Answer: -1st: always test visual
acuity
-Snelling test
-if there are any visual acuity changes, refer to ophthamalogist
-dilated pupil exam to check the optic nerve for dysfunction and
anterior chamber inflammation
, ⫸ Bacterial conjunctivitis treatment Answer: -Antibiotic therapy:
gatifloxacin, levofloxacin, moxifloxacin
-chlamydial and gonococcal tx: both systemically and topically treat
(systemic antibiotics - PCN and doxycycline)
⫸ Conjunctivitis follow up instructions Answer: -follow up in 24
hours to assess effectiveness of tx
-allergic: improvement in 2-3 days expected
-bacterial or viral: improve in 2-4 days
-may return to work or school after 24 hours of topical therapy
⫸ Viral Conjunctivitis patho Answer: inflammation of the
conjunctiva caused by adenovirus, coxsackie virus, varicella, herpes,
and herpes zoster
⫸ Viral Conjunctivitis diagnostic tests Answer: Fluorescein stain with
dendrites present (r/o corneal abrasion) if dendrites present, refer out
immediately
⫸ Viral Conjunctivitis patient education Answer: avoid herpes in the
eye because it can cause blindness
⫸ Allergic Conjunctivitis patho Answer: 1. intermittent (seasonal)-
IgE mediated; common triggers depend on time of year and
geographic location; april-may: tree pollen; june-july: grass pollen;
july-aug: mold spores and weed pollen
