NM 703 EXAM 3 QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED
Any condition that causes altered vision should be?
Referred to ophthalmologist
What type of corneal infection will produce diffuse engorgement of sclera
vessels?
Bacterial or viral conjunctivitis
What would papilledema or retinal detachment require?
Emergency referral
Is significant eye pain a characteristic of conjunctivitis?
No
What increases the risk of eye problems?
Age
What history is important to gather when assessing an eye problem?
(1) eye disease (2) trauma (3) surgery
What is the most common way of measuring vision?
Snellen chart
What are ways to measure intraocular pressure?
Tonometer or Tonopen
Ocular movement is controlled by which cranial nerves?
III, IV, & VI
,What is one of the most common ocular concerns in the primary care setting?
Red eye
What is the most common cause of red eye?
Conjunctivitis
What are causes of conjunctivitis?
(1) allergic (2) bacterial (3) viral
What is inflammation of the eyelid?
Blepharitis
What can blepharitis lead to that is a chronic, sterile, lipogranulomatous
inflammatory lesion of the Meibomian gland?
Chalazion
What is the main cause of anterior lid blepharitis?
Staphylococcal infection
What is the main cause of posterior lid blepharitis?
Meibomian gland dysfunction
What are some clinical presentations of blepharitis?
(1) burning (2) foreign body sensation (3) tearing (4) photophobia (5) itching (6) redness
(7) discharge (8) swollen erythematous eyelids
What is the mainstay of all blepharitis treatment?
Lid hygiene
Treatments for both anterior and posterior blepharitis are what?
Chronic
What is conservative treatment for anterior blepharitis?
, (1) daily warm compresses (2) ophthalmic erythromycin or bacitracin (3) daily lid scrubs
What is conservative treatment for seborrheic blepharitis?
(1) daily warm compresses (2) occasional steroids (3) daily lid scrubs
What is conservative treatment for posterior blepharitis?
(1) daily warm compresses (2) oral doxycycline in severe cases (3) daily lid scrubs
Hordeolum and chalazion are normally?
Hard to distinguish from one another
What is inflammation of the bulbar or palpebral conjunctiva, the transparent
mucosal tissue that lines the eye and inner surface of the eyelids?
Conjunctiva
What is the most common form of conjunctivitis?
Viral
What is a common history for people with viral conjunctivitis?
Recent URI
What is a finding with adenoviral conjunctivitis?
Tender preauricular lymph node
What is the clinical presentation for bacterial conjunctivitis?
(1) purulent discharge (2) eyes glued shut
What is education for conjunctivitis?
(1) hand hygiene (2) do not touch eyes (3) shake hands with others (4) share towels (5)
swim in public pools
If a patient has a history of conjunctivitis and is now describing severe pain, what
would you do?
SOLUTIONS VERIFIED
Any condition that causes altered vision should be?
Referred to ophthalmologist
What type of corneal infection will produce diffuse engorgement of sclera
vessels?
Bacterial or viral conjunctivitis
What would papilledema or retinal detachment require?
Emergency referral
Is significant eye pain a characteristic of conjunctivitis?
No
What increases the risk of eye problems?
Age
What history is important to gather when assessing an eye problem?
(1) eye disease (2) trauma (3) surgery
What is the most common way of measuring vision?
Snellen chart
What are ways to measure intraocular pressure?
Tonometer or Tonopen
Ocular movement is controlled by which cranial nerves?
III, IV, & VI
,What is one of the most common ocular concerns in the primary care setting?
Red eye
What is the most common cause of red eye?
Conjunctivitis
What are causes of conjunctivitis?
(1) allergic (2) bacterial (3) viral
What is inflammation of the eyelid?
Blepharitis
What can blepharitis lead to that is a chronic, sterile, lipogranulomatous
inflammatory lesion of the Meibomian gland?
Chalazion
What is the main cause of anterior lid blepharitis?
Staphylococcal infection
What is the main cause of posterior lid blepharitis?
Meibomian gland dysfunction
What are some clinical presentations of blepharitis?
(1) burning (2) foreign body sensation (3) tearing (4) photophobia (5) itching (6) redness
(7) discharge (8) swollen erythematous eyelids
What is the mainstay of all blepharitis treatment?
Lid hygiene
Treatments for both anterior and posterior blepharitis are what?
Chronic
What is conservative treatment for anterior blepharitis?
, (1) daily warm compresses (2) ophthalmic erythromycin or bacitracin (3) daily lid scrubs
What is conservative treatment for seborrheic blepharitis?
(1) daily warm compresses (2) occasional steroids (3) daily lid scrubs
What is conservative treatment for posterior blepharitis?
(1) daily warm compresses (2) oral doxycycline in severe cases (3) daily lid scrubs
Hordeolum and chalazion are normally?
Hard to distinguish from one another
What is inflammation of the bulbar or palpebral conjunctiva, the transparent
mucosal tissue that lines the eye and inner surface of the eyelids?
Conjunctiva
What is the most common form of conjunctivitis?
Viral
What is a common history for people with viral conjunctivitis?
Recent URI
What is a finding with adenoviral conjunctivitis?
Tender preauricular lymph node
What is the clinical presentation for bacterial conjunctivitis?
(1) purulent discharge (2) eyes glued shut
What is education for conjunctivitis?
(1) hand hygiene (2) do not touch eyes (3) shake hands with others (4) share towels (5)
swim in public pools
If a patient has a history of conjunctivitis and is now describing severe pain, what
would you do?
