MARYVILLE UNIVERSITY NURS 621 - HEENT
EXAM 1 WITH VERIFIED QUESTIONS AND
CORRECT ANSWERS GRADED A+ 2026
UPDATE
What are conditions that require immediate referral? - answer--severe or sudden vision
loss.
-sudden or intense eye pain.
-corneal ulceration.
-trauma.
-foreign body
-herpetic infection of the eye
What type of pain does conjunctivitis, stye and dry eyes have? - answer-Irritation,
grittiness or scratchiness.
What type of pain will the patient experience if the cornea is the issue? - answer--
photophobia (can be severe)
-difficulty keeping eye open.
What 2 things can we ask the patient to help us distinguish between viral, allergic and
bacterial? (in terms of eye complaints) - answer--Ask about timing of the discharge.
-Ask about the characteristic of the eye discharge.
-Also ask about history of any URI symptoms
What are the basics in terms of physical exam for someone with an eye complaint? -
answer--making sure the globe is intact.
-red reflex
-pupils are reactive to light.
-EOM
,-Visual acuity.
What is Blepharitis? - answer--Inflammation involving the structures of the lid margin.
-The most common ocular disease.
What is the presentation of Blepharitis? - answer--redness
-scaling
-crusting of the lid margins and eye lashes.
-pt reports burning, itching, feeling like something is in the eye.
How do you manage Blepharitis? - answer--Warm compresses 5-10 mins BID.
-scrub lash with diluted baby shampoo BID.
-Treatment:
Bacitracin, erythromycin, azithromyacin drops.
What is a Hordeolum (stye)? - answer--an erythematous tender lump within the eye lid.
-involves infection or inflammation of a hair follicle of the eye lashes along the lid
margin.
- caused by blocked meibomian glad or infection of sebaceous glands of the eyelash.
What is the onset for a Hordeolum? - answer-Acute
Presentation of hordeolum? - answer--Sudden onset
-painful swelling
-pimple/abscess in either upper or lower lid.
-tender lump.
, What is a Chalazion? - answer--A hordeolum that doesn't resolve and eventually forms
granulation tissue.
-A blocked Meibomian gland.
-Pea-sized nodule within the eyelid, typically top eyelid.
What are the symptoms of a Chalazion? - answer--slow developing.
-no pain.
-hard mass/nodule within the eye lid (upper eyelid usually)
Is a Chalazion an infection? - answer-No
What do you do if the Chalazion is persistent? - answer-Refer to ophthalmology for
further evaluation.
What is bacterial conjunctivitis?
Is it contagious? - answer-Inflammation and infection of the conjunctiva which is
caused by bacteria.
Yes, highly contagious - direct contact with secretions or contaminated surfaces.
What is the symptomatic presentation of bacterial conjunctivitis? - answer--redness
-purulent or mucopurulent discharge (thick and globular)
-unilateral at onset
-eyelids "glued" shut in the AM.
-eyelid edema.
What are major pathogens in acute bacterial conjunctivitis? - answer-Gram Positive
Organisms
-Staphylococcus aureus (most common in adults)
EXAM 1 WITH VERIFIED QUESTIONS AND
CORRECT ANSWERS GRADED A+ 2026
UPDATE
What are conditions that require immediate referral? - answer--severe or sudden vision
loss.
-sudden or intense eye pain.
-corneal ulceration.
-trauma.
-foreign body
-herpetic infection of the eye
What type of pain does conjunctivitis, stye and dry eyes have? - answer-Irritation,
grittiness or scratchiness.
What type of pain will the patient experience if the cornea is the issue? - answer--
photophobia (can be severe)
-difficulty keeping eye open.
What 2 things can we ask the patient to help us distinguish between viral, allergic and
bacterial? (in terms of eye complaints) - answer--Ask about timing of the discharge.
-Ask about the characteristic of the eye discharge.
-Also ask about history of any URI symptoms
What are the basics in terms of physical exam for someone with an eye complaint? -
answer--making sure the globe is intact.
-red reflex
-pupils are reactive to light.
-EOM
,-Visual acuity.
What is Blepharitis? - answer--Inflammation involving the structures of the lid margin.
-The most common ocular disease.
What is the presentation of Blepharitis? - answer--redness
-scaling
-crusting of the lid margins and eye lashes.
-pt reports burning, itching, feeling like something is in the eye.
How do you manage Blepharitis? - answer--Warm compresses 5-10 mins BID.
-scrub lash with diluted baby shampoo BID.
-Treatment:
Bacitracin, erythromycin, azithromyacin drops.
What is a Hordeolum (stye)? - answer--an erythematous tender lump within the eye lid.
-involves infection or inflammation of a hair follicle of the eye lashes along the lid
margin.
- caused by blocked meibomian glad or infection of sebaceous glands of the eyelash.
What is the onset for a Hordeolum? - answer-Acute
Presentation of hordeolum? - answer--Sudden onset
-painful swelling
-pimple/abscess in either upper or lower lid.
-tender lump.
, What is a Chalazion? - answer--A hordeolum that doesn't resolve and eventually forms
granulation tissue.
-A blocked Meibomian gland.
-Pea-sized nodule within the eyelid, typically top eyelid.
What are the symptoms of a Chalazion? - answer--slow developing.
-no pain.
-hard mass/nodule within the eye lid (upper eyelid usually)
Is a Chalazion an infection? - answer-No
What do you do if the Chalazion is persistent? - answer-Refer to ophthalmology for
further evaluation.
What is bacterial conjunctivitis?
Is it contagious? - answer-Inflammation and infection of the conjunctiva which is
caused by bacteria.
Yes, highly contagious - direct contact with secretions or contaminated surfaces.
What is the symptomatic presentation of bacterial conjunctivitis? - answer--redness
-purulent or mucopurulent discharge (thick and globular)
-unilateral at onset
-eyelids "glued" shut in the AM.
-eyelid edema.
What are major pathogens in acute bacterial conjunctivitis? - answer-Gram Positive
Organisms
-Staphylococcus aureus (most common in adults)
