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NURS 5433 Midterm Exam Updated 2026

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Describe the symptoms of Blepharitis? •Crusty, irritated and redness on the eye lid margin •Build up of debris close to the root of the eyelash •Dry eye symptoms such as red eyes or foreign body sensation. What is the Pharmacological treatment for resistant or persistent infection of Blepharitis? (2) 1. Doxycycline 100mg PO BID 2. Tetracycline 250mg QID A 40 year old woman comes with complaints scaling, crusting and redness in her eyelid. She said she is having trouble driving when it's sunny out, which of the following medications would you recommend to start with first? A. Doxycycline 100mg PO BID B. Tetracycline 250mg QID C. Cold moist compress to reduce inflammation D. Lid scrub wit baby shampoo D. Lid scrub wit baby shampoo Which condition is most often associated with Posterior Blepharitis? A. Seborrhea B. Rosacea C. Astigmatism D. Conjunctivitis B. Rosacea A painful, red swelling at the eyelid margin is most bc consistent with: A. Hordeolum B. Chalazion C. Conjunctivitis D. Cataract A. Hordeolum The preferred management for a hordeolum includes: A. Topical steroids B. Warm compresses C. Oral antivirals D. Eyepatch B. Warm compresses What is the difference between a Hordeolum and a Chalazion? A hordeolum is painful and is usually on the lid margin. A chalazion usually points inside the lid and is usually painless A 7-year-old presents with red eyes, purulent discharge, and eyelids matted shut in the morning. There is no significant itching what is most likely type of conjunctivitis? A. Allergic B. Viral C. Bacterial D. Herpetic C. Bacterial Which symptom is most characteristic of allergic conjunctivitis? A. Pre auricular lymphadenopathy B. Bilateral itching and watery discharge C. Thick yellow discharge D. Unilateral redness with crusting B. Bilateral itching and watery discharge A patient presents with watery eye discharge pre-auricular lymphadenopathy and a gritty sensation in the eye which type of conjunctivitis is most likely? A. Allergic. B. Viral. C. Bacterial. D. Fungal. B. Viral Herpetic viral conjunctivitis is distinguished from other types of conjunctivitis by which diagnostic finding? Dendritic lesions on fluorescein stain What diagnostic exam is done to check optic nerve function and anterior chamber inflammation? Dilated Pupil Exam Which two antibiotics are used for systemic chlamydia, and gonococcal conjunctivitis? 1. Ceftriaxone 2. Doxycycline Which of the following antibiotics is not recommended for cellulitis orbital and periorbital? A. Cephalosporin B. Ampicillin-clavulanic acid C. Penicillin D. Levofloxacin E. Ciprofloxacin C. Penicillin What are the medications Rimexolone and Loteprednol used for? Topical steroid therapy for Pingueculum and Pterygium What is the primary difference between a pingueculum and a pterygium? A. Pingueculum causes vision loss, pterygium does not B. Pingueculum is bilateral, pterygium is always unilateral C. Pingueculum does not cross the cornea, pterygium extended onto the cornea D. Pterygium is yellowish, pingueculum is vascular and red C. Pingueculum does not cross the cornea, pterygium extended onto the cornea When is surgical removal for. Pingueculum and Pterygium required? When vision is impaired A patient presents with a yellowish raised lesion on the nasal conjunctiva that does not affect. What is the most likely diagnosis?

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NURS 5433



NURS 5433 Midterm Exam Updated 2026
Describe the symptoms of Blepharitis?
•Crusty, irritated and redness on the eye lid margin
•Build up of debris close to the root of the eyelash
•Dry eye symptoms such as red eyes or foreign body sensation.
What is the Pharmacological treatment for resistant or persistent infection
of Blepharitis? (2)
1. Doxycycline 100mg PO BID
2. Tetracycline 250mg QID
A 40 year old woman comes with complaints scaling, crusting and redness
in her eyelid. She said she is having trouble driving when it's sunny out,
which of the following medications would you recommend to start with first?

A. Doxycycline 100mg PO BID
B. Tetracycline 250mg QID
C. Cold moist compress to reduce inflammation
D. Lid scrub wit baby shampoo
D. Lid scrub wit baby shampoo
Which condition is most often associated with Posterior Blepharitis?

A. Seborrhea
B. Rosacea
C. Astigmatism
D. Conjunctivitis
B. Rosacea
A painful, red swelling at the eyelid margin is most bc consistent with:

A. Hordeolum
B. Chalazion
C. Conjunctivitis
D. Cataract
A. Hordeolum



NURS 5433

,NURS 5433


The preferred management for a hordeolum includes:

A. Topical steroids
B. Warm compresses
C. Oral antivirals
D. Eyepatch
B. Warm compresses
What is the difference between a Hordeolum and a Chalazion?
A hordeolum is painful and is usually on the lid margin. A chalazion usually
points inside the lid and is usually painless
A 7-year-old presents with red eyes, purulent discharge, and eyelids
matted shut in the morning. There is no significant itching what is most
likely type of conjunctivitis?

A. Allergic
B. Viral
C. Bacterial
D. Herpetic
C. Bacterial
Which symptom is most characteristic of allergic conjunctivitis?

A. Pre auricular lymphadenopathy
B. Bilateral itching and watery discharge
C. Thick yellow discharge
D. Unilateral redness with crusting
B. Bilateral itching and watery discharge
A patient presents with watery eye discharge pre-auricular
lymphadenopathy and a gritty sensation in the eye which type of
conjunctivitis is most likely?

A. Allergic.
B. Viral.
C. Bacterial.
D. Fungal.
B. Viral

NURS 5433

,NURS 5433


Herpetic viral conjunctivitis is distinguished from other types of
conjunctivitis by which diagnostic finding?
Dendritic lesions on fluorescein stain
What diagnostic exam is done to check optic nerve function and anterior
chamber inflammation?
Dilated Pupil Exam
Which two antibiotics are used for systemic chlamydia, and gonococcal
conjunctivitis?
1. Ceftriaxone
2. Doxycycline
Which of the following antibiotics is not recommended for cellulitis orbital
and periorbital?

A. Cephalosporin
B. Ampicillin-clavulanic acid
C. Penicillin
D. Levofloxacin
E. Ciprofloxacin
C. Penicillin
What are the medications Rimexolone and Loteprednol used for?
Topical steroid therapy for Pingueculum and Pterygium
What is the primary difference between a pingueculum and a pterygium?

A. Pingueculum causes vision loss, pterygium does not
B. Pingueculum is bilateral, pterygium is always unilateral
C. Pingueculum does not cross the cornea, pterygium extended onto the
cornea
D. Pterygium is yellowish, pingueculum is vascular and red
C. Pingueculum does not cross the cornea, pterygium extended onto the
cornea
When is surgical removal for. Pingueculum and Pterygium required?
When vision is impaired
A patient presents with a yellowish raised lesion on the nasal conjunctiva
that does not affect. What is the most likely diagnosis?



NURS 5433

, NURS 5433


A. Pingueculum
B. Pterygium
C. Cataract
D. Conjunctival hemorrhage
A. Pingueculum
First line treatment for bacterial conjunctivitis includes
A. Oral doxycycline
B. Corticosteroid drops
C. Erythromycin ointment
D. Artificial tears
C. Erythromycin ointment
A fluorescien stain is used to diagnose:

A. Corneal abrasion
B. Blepharitis
C. Cataracts
D. Macular degeneration
A. Corneal abrasion
Emily has chronic dry eye. The doctor suggested using Cyclosporine
ophthalmic emulsion for her eye but it did not work. Which of the following
should the NP consider trying next? SATA

A. Topical corticosteroids
B. Systemic anti-inflammatory agents
C. Surgery
D. Autologous serum
E. Systemic omega 3 fatty acids
F. Impermanent punctal occlusion
G. Refer to an ophthalmologist
D. Autologous serum
F. Impermanent punctal occlusion
G. Refer to an ophthalmologist

Cyclosporine ophthalmic emulsion is a level 2 treatment, she should move
in to level 3 since level 2 did not work.

NURS 5433

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