NURS 5433 Midterm Exam UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Describe the symptoms of Blepharitis? - CORRECT ANSWER •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)
- CORRECT ANSWER 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 - CORRECT ANSWER D. Lid scrub wit baby
shampoo
Which condition is most often associated with Posterior Blepharitis?
A. Seborrhea
B. Rosacea
C. Astigmatism
D. Conjunctivitis - CORRECT ANSWER B. Rosacea
,A painful, red swelling at the eyelid margin is most bc consistent with:
A. Hordeolum
B. Chalazion
C. Conjunctivitis
D. Cataract - CORRECT ANSWER A. Hordeolum
The preferred management for a hordeolum includes:
A. Topical steroids
B. Warm compresses
C. Oral antivirals
D. Eyepatch - CORRECT ANSWER B. Warm compresses
What is the difference between a Hordeolum and a Chalazion? - CORRECT
ANSWER 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 - CORRECT ANSWER 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 - CORRECT ANSWER 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. - CORRECT ANSWER B. Viral
Herpetic viral conjunctivitis is distinguished from other types of conjunctivitis by which
diagnostic finding? - CORRECT ANSWER Dendritic lesions on fluorescein stain
What diagnostic exam is done to check optic nerve function and anterior chamber
inflammation? - CORRECT ANSWER Dilated Pupil Exam
Which two antibiotics are used for systemic chlamydia, and gonococcal conjunctivitis? -
CORRECT ANSWER 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 - CORRECT ANSWER C. Penicillin
, What are the medications Rimexolone and Loteprednol used for? - CORRECT
ANSWER 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 - CORRECT ANSWER C.
Pingueculum does not cross the cornea, pterygium extended onto the cornea
When is surgical removal for. Pingueculum and Pterygium required? - CORRECT
ANSWER 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?
A. Pingueculum
B. Pterygium
C. Cataract
D. Conjunctival hemorrhage - CORRECT ANSWER A. Pingueculum
First line treatment for bacterial conjunctivitis includes
A. Oral doxycycline
B. Corticosteroid drops
C. Erythromycin ointment
D. Artificial tears - CORRECT ANSWER C. Erythromycin ointment
A fluorescien stain is used to diagnose:
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Describe the symptoms of Blepharitis? - CORRECT ANSWER •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)
- CORRECT ANSWER 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 - CORRECT ANSWER D. Lid scrub wit baby
shampoo
Which condition is most often associated with Posterior Blepharitis?
A. Seborrhea
B. Rosacea
C. Astigmatism
D. Conjunctivitis - CORRECT ANSWER B. Rosacea
,A painful, red swelling at the eyelid margin is most bc consistent with:
A. Hordeolum
B. Chalazion
C. Conjunctivitis
D. Cataract - CORRECT ANSWER A. Hordeolum
The preferred management for a hordeolum includes:
A. Topical steroids
B. Warm compresses
C. Oral antivirals
D. Eyepatch - CORRECT ANSWER B. Warm compresses
What is the difference between a Hordeolum and a Chalazion? - CORRECT
ANSWER 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 - CORRECT ANSWER 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 - CORRECT ANSWER 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. - CORRECT ANSWER B. Viral
Herpetic viral conjunctivitis is distinguished from other types of conjunctivitis by which
diagnostic finding? - CORRECT ANSWER Dendritic lesions on fluorescein stain
What diagnostic exam is done to check optic nerve function and anterior chamber
inflammation? - CORRECT ANSWER Dilated Pupil Exam
Which two antibiotics are used for systemic chlamydia, and gonococcal conjunctivitis? -
CORRECT ANSWER 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 - CORRECT ANSWER C. Penicillin
, What are the medications Rimexolone and Loteprednol used for? - CORRECT
ANSWER 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 - CORRECT ANSWER C.
Pingueculum does not cross the cornea, pterygium extended onto the cornea
When is surgical removal for. Pingueculum and Pterygium required? - CORRECT
ANSWER 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?
A. Pingueculum
B. Pterygium
C. Cataract
D. Conjunctival hemorrhage - CORRECT ANSWER A. Pingueculum
First line treatment for bacterial conjunctivitis includes
A. Oral doxycycline
B. Corticosteroid drops
C. Erythromycin ointment
D. Artificial tears - CORRECT ANSWER C. Erythromycin ointment
A fluorescien stain is used to diagnose:
