Maryville University Nurs 621 - HEENT Exam 1
questions with correct answers
What are conditions that require immediate referral? Correct 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? Correct
Answer-Irritation, grittiness or scratchiness.
What type of pain will the patient experience if the cornea is the issue?
Correct 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) Correct
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? Correct Answer--making sure the globe is intact.
,-red reflex
-pupils are reactive to light.
-EOM
-Visual acuity.
What is Blepharitis? Correct Answer--Inflammation involving the
structures of the lid margin.
-The most common ocular disease.
What is the presentation of Blepharitis? Correct 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? Correct Answer--Warm compresses 5-
10 mins BID.
-scrub lash with diluted baby shampoo BID.
-Treatment:
Bacitracin, erythromycin, azithromyacin drops.
What is a Hordeolum (stye)? Correct 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? Correct Answer-Acute
Presentation of hordeolum? Correct Answer--Sudden onset
-painful swelling
-pimple/abscess in either upper or lower lid.
-tender lump.
What is a Chalazion? Correct 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? Correct Answer--slow
developing.
-no pain.
-hard mass/nodule within the eye lid (upper eyelid usually)
Is a Chalazion an infection? Correct Answer-No
, What do you do if the Chalazion is persistent? Correct Answer-Refer to
ophthalmology for further evaluation.
What is bacterial conjunctivitis?
Is it contagious? Correct 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?
Correct 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? Correct
Answer-Gram Positive Organisms
-Staphylococcus aureus (most common in adults)
-Streptococcus pneumoniae
Gram Negative Organisms
-Moraxella catarrhalis
-Haemophilius influenzae
-N. gonorrhoeae
questions with correct answers
What are conditions that require immediate referral? Correct 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? Correct
Answer-Irritation, grittiness or scratchiness.
What type of pain will the patient experience if the cornea is the issue?
Correct 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) Correct
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? Correct Answer--making sure the globe is intact.
,-red reflex
-pupils are reactive to light.
-EOM
-Visual acuity.
What is Blepharitis? Correct Answer--Inflammation involving the
structures of the lid margin.
-The most common ocular disease.
What is the presentation of Blepharitis? Correct 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? Correct Answer--Warm compresses 5-
10 mins BID.
-scrub lash with diluted baby shampoo BID.
-Treatment:
Bacitracin, erythromycin, azithromyacin drops.
What is a Hordeolum (stye)? Correct 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? Correct Answer-Acute
Presentation of hordeolum? Correct Answer--Sudden onset
-painful swelling
-pimple/abscess in either upper or lower lid.
-tender lump.
What is a Chalazion? Correct 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? Correct Answer--slow
developing.
-no pain.
-hard mass/nodule within the eye lid (upper eyelid usually)
Is a Chalazion an infection? Correct Answer-No
, What do you do if the Chalazion is persistent? Correct Answer-Refer to
ophthalmology for further evaluation.
What is bacterial conjunctivitis?
Is it contagious? Correct 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?
Correct 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? Correct
Answer-Gram Positive Organisms
-Staphylococcus aureus (most common in adults)
-Streptococcus pneumoniae
Gram Negative Organisms
-Moraxella catarrhalis
-Haemophilius influenzae
-N. gonorrhoeae
