Maryville NURS 620 Exam 1 | Actual Exam
Questions and Answers | 2026 Update | 100%
Correct
Hordeolum (Stye) -✓✓Tender lump within eyelid
External-inflammation of hair follicle
Internal-inflammation of Meibomian glands
Chalazion -✓✓Bacterial infection presenting in form of painless swelling on the
eyelid
Frequently associated with blepharitis
Bacterial Conjunctivitis: Subjective/Objective -✓✓• Redness
• Purulent or mucopurulent discharge
• Unilateral at onset
• Eyelids glued shut in morning
• Edematous
Bacterial Conjunctivitis: Treatment -✓✓• Trimethoprim/Polymyxin Unilateral at
onset
• Tobramycin 0.3% Edematous
• Ciprofloxacin 0.3%
10% Sulfacetamide/0.2% prednisolone for staph
Blepharitis: Non-ulcerative form associated with seborrhea -✓✓§ Tends to affect
people with psoriasis, seborrhea, eczema, allergies, and lice infestations
§ Contributing factors: exposure to chemical or environmental irritants, use of eye
makeup and contact lenses
Blepharitis: Ulcerative Form -✓✓§ Involves the lash follicle and the Meibomian
glands of the eyelid
§ May be pustules at the base of the hair follicles that may crust and bleed
§ Lashes become thin and break easily
Conjunctivitis: Common Causes -✓✓• Infectious agents: bacterial, viral, or fungal
• Sexual transmission and ophthalmia neonatorum
• Herpes simplex virus (HSV) I
, • Trachoma
• Toxicity (from an inciting agent of some sort)
• Allergy
Conjunctivitis: Diagnostic Testing -✓✓§ Check visual acuity first
§ Dilated pupil exam for proptosis, optic nerve dysfunction, decreased visual
acuity, diplopia, or anterior chamber inflammation
§ Fluorescein staining to rule out corneal involvement or keratitis
§ Blue penlight illumination to see corneal scratches, corneal dendrites, or corneal
ulceration
Viral Conjunctivitis: Subjective/Objective -✓✓• Watery discharge
• Gritty sensation
• Little discomfort
• Unilateral at onset then usually bilateral within 48hrs
• Pre-auricular lymphadenopathy
Viral Conjunctivitis: Treatment -✓✓• Lubricant drops
• Cool compresses
• Antihistamines
Allergic Conjunctivitis: Subjective/Objective -✓✓• Bilateral redness
• Watery, stringy discharge
• Itching
• Crusty in morning
• Allergy symptoms
Allergic Conjunctivitis: Treatment -✓✓• Cold compresses
• Lubricants
• Topical antihistamines/decongestants/NSAIDs/mast cell stabilizers
• Systemic antihistamines
Otitis media with effusion (OME): -✓✓transudation of plasma from middle ear
blood vessels, leading to chronic effusion in the absence of the signs and
symptoms of acute infection
OME: Subjective -✓✓• Stuffiness, fullness, and a loss of auditory acuity in the
affected ear only
Questions and Answers | 2026 Update | 100%
Correct
Hordeolum (Stye) -✓✓Tender lump within eyelid
External-inflammation of hair follicle
Internal-inflammation of Meibomian glands
Chalazion -✓✓Bacterial infection presenting in form of painless swelling on the
eyelid
Frequently associated with blepharitis
Bacterial Conjunctivitis: Subjective/Objective -✓✓• Redness
• Purulent or mucopurulent discharge
• Unilateral at onset
• Eyelids glued shut in morning
• Edematous
Bacterial Conjunctivitis: Treatment -✓✓• Trimethoprim/Polymyxin Unilateral at
onset
• Tobramycin 0.3% Edematous
• Ciprofloxacin 0.3%
10% Sulfacetamide/0.2% prednisolone for staph
Blepharitis: Non-ulcerative form associated with seborrhea -✓✓§ Tends to affect
people with psoriasis, seborrhea, eczema, allergies, and lice infestations
§ Contributing factors: exposure to chemical or environmental irritants, use of eye
makeup and contact lenses
Blepharitis: Ulcerative Form -✓✓§ Involves the lash follicle and the Meibomian
glands of the eyelid
§ May be pustules at the base of the hair follicles that may crust and bleed
§ Lashes become thin and break easily
Conjunctivitis: Common Causes -✓✓• Infectious agents: bacterial, viral, or fungal
• Sexual transmission and ophthalmia neonatorum
• Herpes simplex virus (HSV) I
, • Trachoma
• Toxicity (from an inciting agent of some sort)
• Allergy
Conjunctivitis: Diagnostic Testing -✓✓§ Check visual acuity first
§ Dilated pupil exam for proptosis, optic nerve dysfunction, decreased visual
acuity, diplopia, or anterior chamber inflammation
§ Fluorescein staining to rule out corneal involvement or keratitis
§ Blue penlight illumination to see corneal scratches, corneal dendrites, or corneal
ulceration
Viral Conjunctivitis: Subjective/Objective -✓✓• Watery discharge
• Gritty sensation
• Little discomfort
• Unilateral at onset then usually bilateral within 48hrs
• Pre-auricular lymphadenopathy
Viral Conjunctivitis: Treatment -✓✓• Lubricant drops
• Cool compresses
• Antihistamines
Allergic Conjunctivitis: Subjective/Objective -✓✓• Bilateral redness
• Watery, stringy discharge
• Itching
• Crusty in morning
• Allergy symptoms
Allergic Conjunctivitis: Treatment -✓✓• Cold compresses
• Lubricants
• Topical antihistamines/decongestants/NSAIDs/mast cell stabilizers
• Systemic antihistamines
Otitis media with effusion (OME): -✓✓transudation of plasma from middle ear
blood vessels, leading to chronic effusion in the absence of the signs and
symptoms of acute infection
OME: Subjective -✓✓• Stuffiness, fullness, and a loss of auditory acuity in the
affected ear only
