Adult 1 Family / Primary Care - Exam 1 (Cardiac, Well
Visits, HEENT, Respiratory) Questions With Complete
Solutions
Vaccine Schedule: Children 0-6 years old
25 vaccines including:
Hep A & B
Hib
Flu
MMR
Polio
Rotavirus
Pneumococcal conjugate
Tdap
VZV
Vaccine Schedule: ages 7-18
HPV & MCV
Tdap booster
Vaccine Schedule: Adults
- Any vaccines missed in childhood or for which titers
show antibodies below level of protection
- Boosters for people with risk factors
- Boosters for healthcare workers, researchers
- Traveling to endemic area
- Shingles
- Pneumococcal polysaccaride
,5 vital signs of the eye:
1. Visual acuity (snellen chart)
2. Visual fields (confrontation test)
3. Intraocular pressure (fundus exam)
4. Pupil response (PERRLA)
5. Extraocular movements
An inflammation of the eyelids and their margins (2 forms, non-
ulcerative and ulcerative) with many possible causes including
seborrhea, rosacea, eczema, poor hygiene, allergic irritants, and
infection (staph).
Subjective: itching, burning, foreign body sensation, lashes
breaking.
Objective: edema, erythema, scaling, crusty pustules at hair
follicle.
BLEPHERITIS
Diagnostic Tests/Reasoning & Differentials for Blepharitis:
1. Palpate lids for masses and preauricular
lymphadenopathy; culture any drainage
2. Any change in visual acuity or severe pain, refer!
3. Failure to respond to treatment, refer.
4. Differentials: carcinomas, hordeolum, conjunctivitis,
foreign body, h.zoster, orbital cellulitis, dacryocystitis
Treatment of Blepharitis:
1. Warm Compress
2. Eyelid Massage
, 3. Topical Erythromycin, Bacitracin or Azithromycin
4. Oral Doxycycline, Tetracycline, Azithromycin
5. Educate patient on chronicity of condition
Primary difference between chalazion & hordeolum:
chalazia are a result of inflammation and hordela are infectious
(both caused by blockage in a duct of the meibomian gland
leading to the eyelid surface)
a granulomatous infection of an (oil-secreting) Meibomian gland
that becomes obstructed and presents as a painless swelling of
the eyelid; at first it may be tender and erythematous before
evolving into a nontender lump
CHALAZION; warm compress 4x/day and incision and
curettage or intralesional glucocorticoid injection can be
performed if not resolved after several weeks
treatment of hordeolum (stye)
Initial => warm compress to potentiate spontaneous drainage
Inflammed => topical erythromycin or ciprofloxacin
Resistant/Recurrent => oral cephalexin (Keflex)
Staph & Strep infections (gram positive cocci) are commonly
treated with:
MACROLIDES (Azythromycin/Z pack, Erythromycin)
The triad of presentation of burning, itching, and a foreign body
sensation in the eye is known as ______________________
___________ and is commonly associated with Sjögren's
Syndrome.
Visits, HEENT, Respiratory) Questions With Complete
Solutions
Vaccine Schedule: Children 0-6 years old
25 vaccines including:
Hep A & B
Hib
Flu
MMR
Polio
Rotavirus
Pneumococcal conjugate
Tdap
VZV
Vaccine Schedule: ages 7-18
HPV & MCV
Tdap booster
Vaccine Schedule: Adults
- Any vaccines missed in childhood or for which titers
show antibodies below level of protection
- Boosters for people with risk factors
- Boosters for healthcare workers, researchers
- Traveling to endemic area
- Shingles
- Pneumococcal polysaccaride
,5 vital signs of the eye:
1. Visual acuity (snellen chart)
2. Visual fields (confrontation test)
3. Intraocular pressure (fundus exam)
4. Pupil response (PERRLA)
5. Extraocular movements
An inflammation of the eyelids and their margins (2 forms, non-
ulcerative and ulcerative) with many possible causes including
seborrhea, rosacea, eczema, poor hygiene, allergic irritants, and
infection (staph).
Subjective: itching, burning, foreign body sensation, lashes
breaking.
Objective: edema, erythema, scaling, crusty pustules at hair
follicle.
BLEPHERITIS
Diagnostic Tests/Reasoning & Differentials for Blepharitis:
1. Palpate lids for masses and preauricular
lymphadenopathy; culture any drainage
2. Any change in visual acuity or severe pain, refer!
3. Failure to respond to treatment, refer.
4. Differentials: carcinomas, hordeolum, conjunctivitis,
foreign body, h.zoster, orbital cellulitis, dacryocystitis
Treatment of Blepharitis:
1. Warm Compress
2. Eyelid Massage
, 3. Topical Erythromycin, Bacitracin or Azithromycin
4. Oral Doxycycline, Tetracycline, Azithromycin
5. Educate patient on chronicity of condition
Primary difference between chalazion & hordeolum:
chalazia are a result of inflammation and hordela are infectious
(both caused by blockage in a duct of the meibomian gland
leading to the eyelid surface)
a granulomatous infection of an (oil-secreting) Meibomian gland
that becomes obstructed and presents as a painless swelling of
the eyelid; at first it may be tender and erythematous before
evolving into a nontender lump
CHALAZION; warm compress 4x/day and incision and
curettage or intralesional glucocorticoid injection can be
performed if not resolved after several weeks
treatment of hordeolum (stye)
Initial => warm compress to potentiate spontaneous drainage
Inflammed => topical erythromycin or ciprofloxacin
Resistant/Recurrent => oral cephalexin (Keflex)
Staph & Strep infections (gram positive cocci) are commonly
treated with:
MACROLIDES (Azythromycin/Z pack, Erythromycin)
The triad of presentation of burning, itching, and a foreign body
sensation in the eye is known as ______________________
___________ and is commonly associated with Sjögren's
Syndrome.
