NURS5433 M͘
NURS5433 MIDTERM
IDTERM͘ EXAM
EXAM͘ BANK 2026/2027
BANK 2026/2027
1. A fluorescien stain is used to diagnose:
A. Corneal abrasion
B. Blepharitis
C. Cataracts
Macular
D. M͘ acular degeneration
Answer: A. Corneal abrasion
Rationale: Fluorescein stain is a diagnostic dye used to highlight irregularities
on the corneal surface. When
When applied to the eye, it pools in areas where the
damaged,
protective epithelial layer is dam͘ aged, such as a corneal abrasion. Under a
damaged
cobalt blue light, these dam͘ making
aged areas fluoresce green, m͘ them easily
aking them͘ easily
m͘ations of the eyelid
inflammations
visible to the clinician. It is not used to diagnose inflam͘
(macular
(blepharitis), opacities of the lens (cataracts), or retinal disorders (m͘ acular
degeneration).
2. The presence of TPO (thyroid peroxidase antibodies) indicated what
endocrine condition?
A. Hypothyroidism
A. Hypothyroidism͘
Hyperthyroidism
B. Hyperthyroidism͘
hypothyroidism
C. Subclinical hypothyroidism͘
Hashimoto
D. Hashim͘ oto Thyroiditis
hypothyroidism
E. Idiopathic hypothyroidism͘
Ansvver: Hashimoto
Answer: D. Hashim͘ oto Thyroiditis
Rationale: Thyroid peroxidase (TPO) antibodies are autoantibodies that attack
, enzymee crucial for the production of thyroid horm͘
an enzym͘ hormone.
one. Their presence in the
primary
blood is a prim͘ m͘une attack on the thyroid gland.
autoimimune
ary indicator of an autoim͘
While m͘une thyroid conditions, they are the
autoiminune
While they can be elevated in other autoim͘
hallmark
hallm͘ Hashimoto's
ark serologic finding in Hashim͘ most
oto's thyroiditis, which is the m͘ ost
com͘ m͘on cause of hypothyroidism͘
common hypothyroidism in
in the United States. The presence of TPO
confirmss the autoim͘
antibodies confirm͘ m͘une etiology, distinguishing Hashim͘
autoimmune Hashimoto's from
oto's from͘
formss of hypothyroidism͘
other form͘ hypothyroidism..
Emily
3. Em͘ ily has chronic dry eye. The doctor suggested using Cyclosporine
ophthalmic
ophthalm͘ emulsion
ic em͘ ulsion for her eye but it did not work. Which of the
following should the NP consider trying next? SATA
A. Topical corticosteroids
Systemic
B. System͘ m͘atory agents
anti-inflamimatory
ic anti-inflam͘
C. Surgery
D. Autologous serum͘
serum.
Systemic
E. System͘ omega
ic om͘ ega 3 fatty acids
Impermanent
F. Im͘ perm͘anent punctal occlusion
ophthalmologist
G. Refer to an ophthalm͘ ologist
Ansvver:
Answer: D. Autologous serum͘
serum,, F. Im͘
Impermanent
perm͘anent punctal occlusion, G. Refer
to an ophthalm͘
ophthalmologist
ologist
treatment
Rationale: Cyclosporine is a level 2 treatm͘ ent for dry eye disease. When it fails,
the next step is to progress to level 3 therapies. Autologous serum͘
serum eye
eye drops
grovyth factors and vitamins
contain growth promote
vitam͘ins that prom͘ Impermanent
ote corneal health. Im͘ perm͘anent
ovyn tears by blocking the
punctal occlusion helps conserve the patient's own
drainage ducts. Given the failure of a standard prescription therapy and the
NURS5433 MIDTERM
IDTERM͘ EXAM
EXAM͘ BANK 2026/2027
BANK 2026/2027
1. A fluorescien stain is used to diagnose:
A. Corneal abrasion
B. Blepharitis
C. Cataracts
Macular
D. M͘ acular degeneration
Answer: A. Corneal abrasion
Rationale: Fluorescein stain is a diagnostic dye used to highlight irregularities
on the corneal surface. When
When applied to the eye, it pools in areas where the
damaged,
protective epithelial layer is dam͘ aged, such as a corneal abrasion. Under a
damaged
cobalt blue light, these dam͘ making
aged areas fluoresce green, m͘ them easily
aking them͘ easily
m͘ations of the eyelid
inflammations
visible to the clinician. It is not used to diagnose inflam͘
(macular
(blepharitis), opacities of the lens (cataracts), or retinal disorders (m͘ acular
degeneration).
2. The presence of TPO (thyroid peroxidase antibodies) indicated what
endocrine condition?
A. Hypothyroidism
A. Hypothyroidism͘
Hyperthyroidism
B. Hyperthyroidism͘
hypothyroidism
C. Subclinical hypothyroidism͘
Hashimoto
D. Hashim͘ oto Thyroiditis
hypothyroidism
E. Idiopathic hypothyroidism͘
Ansvver: Hashimoto
Answer: D. Hashim͘ oto Thyroiditis
Rationale: Thyroid peroxidase (TPO) antibodies are autoantibodies that attack
, enzymee crucial for the production of thyroid horm͘
an enzym͘ hormone.
one. Their presence in the
primary
blood is a prim͘ m͘une attack on the thyroid gland.
autoimimune
ary indicator of an autoim͘
While m͘une thyroid conditions, they are the
autoiminune
While they can be elevated in other autoim͘
hallmark
hallm͘ Hashimoto's
ark serologic finding in Hashim͘ most
oto's thyroiditis, which is the m͘ ost
com͘ m͘on cause of hypothyroidism͘
common hypothyroidism in
in the United States. The presence of TPO
confirmss the autoim͘
antibodies confirm͘ m͘une etiology, distinguishing Hashim͘
autoimmune Hashimoto's from
oto's from͘
formss of hypothyroidism͘
other form͘ hypothyroidism..
Emily
3. Em͘ ily has chronic dry eye. The doctor suggested using Cyclosporine
ophthalmic
ophthalm͘ emulsion
ic em͘ ulsion for her eye but it did not work. Which of the
following should the NP consider trying next? SATA
A. Topical corticosteroids
Systemic
B. System͘ m͘atory agents
anti-inflamimatory
ic anti-inflam͘
C. Surgery
D. Autologous serum͘
serum.
Systemic
E. System͘ omega
ic om͘ ega 3 fatty acids
Impermanent
F. Im͘ perm͘anent punctal occlusion
ophthalmologist
G. Refer to an ophthalm͘ ologist
Ansvver:
Answer: D. Autologous serum͘
serum,, F. Im͘
Impermanent
perm͘anent punctal occlusion, G. Refer
to an ophthalm͘
ophthalmologist
ologist
treatment
Rationale: Cyclosporine is a level 2 treatm͘ ent for dry eye disease. When it fails,
the next step is to progress to level 3 therapies. Autologous serum͘
serum eye
eye drops
grovyth factors and vitamins
contain growth promote
vitam͘ins that prom͘ Impermanent
ote corneal health. Im͘ perm͘anent
ovyn tears by blocking the
punctal occlusion helps conserve the patient's own
drainage ducts. Given the failure of a standard prescription therapy and the
