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FNP NR511 Understanding Common Eye and
Skin Conditions in Patients WEEK 3 QUIZ-
CHAMBERLAIN
Week 3 Quiz
25 yr old male presents with “bleeding in my eye” for 1 day. He woke this
morning with a dark area of redness in his eye. He has no visual loss or
changes. He denies constitutional symptoms, pruritus, drainage or recent
trauma. The redness presents on physical exam as a dark red area in the
patient’s sclera of the right eye only and takes up less than 50% of the eye.
The patient’s remaining sclera is clear and white. He also notes he was
drinking alcohol last night and vomited afterward. What is the best
treatment?
Reassurance that this lesion will resolve without any treatment in 2 – 4
weeks.
This is the classic presentation of a subconjunctival hemorrhage caused by
vomiting
27 yo f comes into your primary care office complaining of a perioral rash.
The patient noticed burning around her lips a couple days ago that quickly
went away. She awoke from sleep yesterday and noticed a group of
vesicles with erythematosus bases where the burning had been before.
There is no burning today. She is afebrile and has no difficulty eating or
swallowing. What test would confirm her diagnosis.
Tzanck smear
Mary, age 82, presents with several eye problems. She states that her eyes
are always dry and look “sunken in.” What do you suspect?
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Normal age-related changes
A 22 yo college student present to your urgent care clinic complaining of a
rash. She was recently on spring break and spent every night in the hot tub
at her hotel. A physical exam, she has multiple small areas of 1-to-2-mm
erythematous pustules that are present mostly where her bathing suit
covered her buttocks. That is the most likely pathogen causing these
lesions?
Pseudomonas aeruginosa
This is a common cause of hot tub folliculitis. Staph and Strep can cause
folliculitis, but it is not the most common pathogen in hot tubs. Klebsiella
can cause folliculitis in the immunocompromised patient
A 10 y o male presents to the office with his mother with complaints of
itchy and red eyes for 1 days. He reports watery drainage in both eyes,
associated with repetitious itching. He has no fever or constitutional
symptoms. The patient has a sibling that just started day care recently.
Upon examination, vision is 20/20 OU with glasses. He has mild to
moderate conjunctival hyperemia with bilateral preauricular lymph nodes
that are inflamed. What is the patient’s diagnosis?
Viral conjunctivitis
A 25 yo male presents to your urgent care clinic complaining of genital
pruritus. On physical exam, the patient has small, erythematous,
excoriated papules in his pubic area. No mites are identified. There is no
penile discharge, and the patient has no constitutional symptoms. He is
sexually active but wears condom during all sexual experiences. What is
the most likely diagnosis?
Pediculosis
Henry, 64 yo is having difficulty getting rid of a corneal infection. He asks
why. How do you respond?
Because the cornea doesn’t have a blood supply, an infection can’t be
fought off as usual.
FOR MORE EXAMS
EMAIL:
EMAIL:
FNP NR511 Understanding Common Eye and
Skin Conditions in Patients WEEK 3 QUIZ-
CHAMBERLAIN
Week 3 Quiz
25 yr old male presents with “bleeding in my eye” for 1 day. He woke this
morning with a dark area of redness in his eye. He has no visual loss or
changes. He denies constitutional symptoms, pruritus, drainage or recent
trauma. The redness presents on physical exam as a dark red area in the
patient’s sclera of the right eye only and takes up less than 50% of the eye.
The patient’s remaining sclera is clear and white. He also notes he was
drinking alcohol last night and vomited afterward. What is the best
treatment?
Reassurance that this lesion will resolve without any treatment in 2 – 4
weeks.
This is the classic presentation of a subconjunctival hemorrhage caused by
vomiting
27 yo f comes into your primary care office complaining of a perioral rash.
The patient noticed burning around her lips a couple days ago that quickly
went away. She awoke from sleep yesterday and noticed a group of
vesicles with erythematosus bases where the burning had been before.
There is no burning today. She is afebrile and has no difficulty eating or
swallowing. What test would confirm her diagnosis.
Tzanck smear
Mary, age 82, presents with several eye problems. She states that her eyes
are always dry and look “sunken in.” What do you suspect?
FOR MORE EXAMS
EMAIL:
, FOR MORE EXAMS
EMAIL:
Normal age-related changes
A 22 yo college student present to your urgent care clinic complaining of a
rash. She was recently on spring break and spent every night in the hot tub
at her hotel. A physical exam, she has multiple small areas of 1-to-2-mm
erythematous pustules that are present mostly where her bathing suit
covered her buttocks. That is the most likely pathogen causing these
lesions?
Pseudomonas aeruginosa
This is a common cause of hot tub folliculitis. Staph and Strep can cause
folliculitis, but it is not the most common pathogen in hot tubs. Klebsiella
can cause folliculitis in the immunocompromised patient
A 10 y o male presents to the office with his mother with complaints of
itchy and red eyes for 1 days. He reports watery drainage in both eyes,
associated with repetitious itching. He has no fever or constitutional
symptoms. The patient has a sibling that just started day care recently.
Upon examination, vision is 20/20 OU with glasses. He has mild to
moderate conjunctival hyperemia with bilateral preauricular lymph nodes
that are inflamed. What is the patient’s diagnosis?
Viral conjunctivitis
A 25 yo male presents to your urgent care clinic complaining of genital
pruritus. On physical exam, the patient has small, erythematous,
excoriated papules in his pubic area. No mites are identified. There is no
penile discharge, and the patient has no constitutional symptoms. He is
sexually active but wears condom during all sexual experiences. What is
the most likely diagnosis?
Pediculosis
Henry, 64 yo is having difficulty getting rid of a corneal infection. He asks
why. How do you respond?
Because the cornea doesn’t have a blood supply, an infection can’t be
fought off as usual.
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