Nurs 602 Mid Term questions with correct answers
Chalazion Correct Answer-Painless, not involving lashes
Lid edema, or palpable mass.
Red or grey mass on the inner aspect of lid margin
Prevention: good eye hygiene
Chalazion Treatment Correct Answer-Warm compresses 3 x per day.
Antibiotics not indicated. Due to this is granulomatous
condition, if secondarily infected consider sulfacetamide, erythromycin.
Follow UP: 2-4 weeks, if still present after 6 weeks f/u with
ophthalmologist
Blepharitis Correct Answer-Inflamation/infection of the lid margin
(Chronic Problem)
Blepharitis Seborrheic Correct Answer-Non ulcerative: irritants (smoke,
make up, chemicals).
s/s: chronic inflammation of the eyelid, erythema, greasy scaling of
anterior eyelid, loss of eyelashes, dermatitis of eye bows and scalp.
,Blepharitis Ulceration Correct Answer-Injection with staphyloccus or
streptocococcus
s/s: Itching, tearing ,recurrent styes, chalazia, photophobia, small
ulceration at eyelid margin, broken or absent eyelashes.
Most common complaint is ongoing eye irritation, and conjunctive
redness
Blepharitis treatment Correct Answer-Clean with baby shampoo 2-4
times a day, warm compresses, lid massage (right after warm
compresses)
If Infected: antistaphyloccocal antibiotics bacitracin, erythromycin
0.05% for 1 week and quionolone ointments
Resistant topical: tetracycline or doxycycline
Conjuctivitis bacterial (Pink eye) Correct Answer-Peds (Most
Common).
Causes: contact lens, rubbing eyes, and trauma.
Sensation of FB, purulent exudate, initially unilateral, and then bilateral.
Redness, yellow green drainage, crust, and matted eyelids in am.
,Treatment: Eye drops polytrim, erythromycin, tobramycin, or cipro.
Most common cause: H. Influenza
Viral conjunctivitis Correct Answer-Coxsackie virus, herpes, muluscum,
adenovirus.
s/s: profuse tearing, mucous discharge, burning, concurrent URI,
enlarged or tender perauricular nose.
Treatment: antihistamines/decongestant
Improvement: 7-14 days
Chlamydia conjunctivitis Correct Answer-s/s profuse exudate,
associated with GI symptoms, 1-2 weeks after birth.
Gonococcal 2-4 days after birth, most concern can cause blindness
treatment: PO azithromycin, dosycycline (tetracyclines increase
photosensitivity, don't use in pregnancy).
Improve 2-3 weeks.
, Allergic Conjunctivitis Correct Answer-IgE mast cell reaction,
environmental, cosmetics.
s/s: marked conjuctival edema, severe itching, tearing sneezing.
Topical antihistamine or topical steroids
Improvement 2-3 days
Chemical conjunctivitis Correct Answer-thimerosal, erythromycin,
silver nitrate.
s/s: conjuntival erythema, 30 minutes after prophylactic antibiotics
drops.
avoid contact
Can consider steroids
Conjunctivitis Need to know Correct Answer-Never accompanies vision
changes
Diagnostic: swap and scraping must be done, gram and giemsa staining,
ELISA, PCR testing, newborn <2 weeks needs tested for gonorrhea
No-Pharm tx: clean towels, change pillows, warm compress, no
contacts, no make up, mascara
Chalazion Correct Answer-Painless, not involving lashes
Lid edema, or palpable mass.
Red or grey mass on the inner aspect of lid margin
Prevention: good eye hygiene
Chalazion Treatment Correct Answer-Warm compresses 3 x per day.
Antibiotics not indicated. Due to this is granulomatous
condition, if secondarily infected consider sulfacetamide, erythromycin.
Follow UP: 2-4 weeks, if still present after 6 weeks f/u with
ophthalmologist
Blepharitis Correct Answer-Inflamation/infection of the lid margin
(Chronic Problem)
Blepharitis Seborrheic Correct Answer-Non ulcerative: irritants (smoke,
make up, chemicals).
s/s: chronic inflammation of the eyelid, erythema, greasy scaling of
anterior eyelid, loss of eyelashes, dermatitis of eye bows and scalp.
,Blepharitis Ulceration Correct Answer-Injection with staphyloccus or
streptocococcus
s/s: Itching, tearing ,recurrent styes, chalazia, photophobia, small
ulceration at eyelid margin, broken or absent eyelashes.
Most common complaint is ongoing eye irritation, and conjunctive
redness
Blepharitis treatment Correct Answer-Clean with baby shampoo 2-4
times a day, warm compresses, lid massage (right after warm
compresses)
If Infected: antistaphyloccocal antibiotics bacitracin, erythromycin
0.05% for 1 week and quionolone ointments
Resistant topical: tetracycline or doxycycline
Conjuctivitis bacterial (Pink eye) Correct Answer-Peds (Most
Common).
Causes: contact lens, rubbing eyes, and trauma.
Sensation of FB, purulent exudate, initially unilateral, and then bilateral.
Redness, yellow green drainage, crust, and matted eyelids in am.
,Treatment: Eye drops polytrim, erythromycin, tobramycin, or cipro.
Most common cause: H. Influenza
Viral conjunctivitis Correct Answer-Coxsackie virus, herpes, muluscum,
adenovirus.
s/s: profuse tearing, mucous discharge, burning, concurrent URI,
enlarged or tender perauricular nose.
Treatment: antihistamines/decongestant
Improvement: 7-14 days
Chlamydia conjunctivitis Correct Answer-s/s profuse exudate,
associated with GI symptoms, 1-2 weeks after birth.
Gonococcal 2-4 days after birth, most concern can cause blindness
treatment: PO azithromycin, dosycycline (tetracyclines increase
photosensitivity, don't use in pregnancy).
Improve 2-3 weeks.
, Allergic Conjunctivitis Correct Answer-IgE mast cell reaction,
environmental, cosmetics.
s/s: marked conjuctival edema, severe itching, tearing sneezing.
Topical antihistamine or topical steroids
Improvement 2-3 days
Chemical conjunctivitis Correct Answer-thimerosal, erythromycin,
silver nitrate.
s/s: conjuntival erythema, 30 minutes after prophylactic antibiotics
drops.
avoid contact
Can consider steroids
Conjunctivitis Need to know Correct Answer-Never accompanies vision
changes
Diagnostic: swap and scraping must be done, gram and giemsa staining,
ELISA, PCR testing, newborn <2 weeks needs tested for gonorrhea
No-Pharm tx: clean towels, change pillows, warm compress, no
contacts, no make up, mascara
