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NR602 Midterm 2021/2022 Exam with complete solutions

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What is a chalazion? Benign, chronic lipogranulomatous inflammation of the eyelid What causes a chalazion? Blockage of the meibomian gland 00:45 02:03 What puts a person at risk for a chalazion? Hordeolum or any condition which may impede flow through the meibomian gland. Mite species that reside in lash follicles. What are physical exam findings for a chalazion? Painless Does NOT involve lashes Lid edema or palpable mass Red or grey mass on inner aspect of lid margin What is prevention for chalazion? Good eye hygiene What is treatment for chalazion? Warm, moist compresses 3x a day If secondarily infected: sulfacetamide or erythromycin What is the follow-up for chalazion? In 2-4 weeks If still present after 6wks, follow up w/ophthalmologist What is blepharitis? Inflammation/infection of the lid margins (chronic problem) What are the two types of blepharitis? Seborrheic (non-ulcerative) Ulcerative What can cause seborrheic blepharitis? Irritants (smoke, makeup, chemicals) What are s/s of seborrheic blepharitis? Chronic inflammation of eyelid Erythema Greasy scaling of anterior eyelid Loss of eyelashes Seborrheic dermatitis of eyebrows/scalp What usually causes ulcerative blepharitis? Infection w/staph or strep

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NR602 Midterm
What is a chalazion? - Answer Benign, chronic lipogranulomatous inflammation of the
eyelid

What causes a chalazion? - Answer Blockage of the meibomian gland

What puts a person at risk for a chalazion? - Answer Hordeolum or any condition which
may impede flow through the meibomian gland.

Mite species that reside in lash follicles.

What are physical exam findings for a chalazion? - Answer Painless
Does NOT involve lashes
Lid edema or palpable mass
Red or grey mass on inner aspect of lid margin

What is prevention for chalazion? - Answer Good eye hygiene

What is treatment for chalazion? - Answer Warm, moist compresses 3x a day
If secondarily infected: sulfacetamide or erythromycin

What is the follow-up for chalazion? - Answer In 2-4 weeks
If still present after 6wks, follow up w/ophthalmologist

What is blepharitis? - Answer Inflammation/infection of the lid margins (chronic problem)

What are the two types of blepharitis? - Answer Seborrheic (non-ulcerative)
Ulcerative

What can cause seborrheic blepharitis? - Answer Irritants (smoke, makeup, chemicals)

What are s/s of seborrheic blepharitis? - Answer Chronic inflammation of eyelid
Erythema
Greasy scaling of anterior eyelid
Loss of eyelashes
Seborrheic dermatitis of eyebrows/scalp

What usually causes ulcerative blepharitis? - Answer Infection w/staph or strep

What are s/s of ulcerative blepharitis? - Answer Itching
Tearing
Recurrent styes
Chalazia
Photophobia
Small ulceration at eyelid margin
Broken/absent eyelashes
Most frequent complaint: ongoing eye irritation, conjunctiva redness

, NR602 Midterm
What is the treatment for blepharitis? - Answer Clean w/baby shampoo 2-4 times/day
Warm compresses
Lid massage (right after warm massage)

How are infected eyelids with blepharitis treated? - Answer Antistaph abx: bacitracin,
erythromycin 0.05% x1 wk and quinolone ointments

How is blepharitis infection resistant to topical abx treated? - Answer Tetracycline
250mg PO x4
Doxy 100mg PO x2

What is conjunctivitis? - Answer Inflammation or irritation of conjunctiva

What is the most common cause of conjunctivitis in peds? - Answer Bacteria

What are some common causes of bacterial conjunctivitis? - Answer Contact lenses
Rubbing eyes
Trauma

What are s/s of bacterial conjunctivitis? - Answer Purulent (green/yellow) drainage,
initially unilateral, then bilat

Sensation of FB is common

Redness

Crust/matted eyelids in AM

How long does bacterial conjunctivitis usually last? - Answer 5-7 days (self-limiting)

What is the treatment for bacterial conjunctivitis? - Answer Eye drops: polytrim,
erythromycin, tobramycin, cipro

What is the most common organism causing bacterial conjunctivitis? - Answer H.
influenza

What are common causative organisms of viral conjunctivitis? - Answer Adenovirus
Coxsackie
Herpes
Molluscum

What are s/s of viral conjunctivitis? - Answer Profuse tearing
Mucus drainage
Burning
Concurrent URI

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