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Anju presents with allergic conjuctivitis. The NP orders a mast
cell stabilizer .
What education does the NP provide for ANJU.
a. Benefits will take 2 or more weeks to become maximally
effective
b. Benefits will take 7 days ti become maximally effective
c. Maximum benefits will become effective immediately
d. With regular use recound congestion is likely - ANSWER-a.
Benefits will take 2 or more weeks to become maximally
effective
Ms Murphy is a 58 year old woman presenting with a sudden left
sided headache that is most painful in her left eye. Her vision is
blurred, and the left pupil is slightly dilated and poorly reactive.
The left conjunctiva is markedly injected, and the eyeball is firm.
Vision screen with the Snellen chart is 20/30 OD; and 20/90 OS.
What is the most likely diagnosis? - ANSWER-angle-closure
glaucoma
,-
Mrs. Allen is a 67 year old female with type 2 DM who complains
of seeing flashing lights and floaters, decreased visual acuity,
and metamorphopsia in her left eye. What is the most likely
diagnosis? - ANSWER-Retinal detachment
Which of the following is most likely to be found on the
funduscopic exam in a patient with untreated POAG? -
ANSWER-excessive cupping of the optic disk
A 22 year old female presents with a "pimple" on her right eyelid.
Exam reveals a
2mm pustule on the lateral border of the right eyelid margin.
What is this most consistent with? - ANSWER-Hordeolum
what are the most common causative pathogens for acute otitis
media (AOM) a. streptococcus pneumonia, Haemophilus
influenzae, staphylococcus
b. Pseudomonas aeruginosa, Staphylococcus, Streptoccocus
pneumonia
c. Streptococcus pneumonia, Haemophilus influenzae, Moraxella
catarrhalis
d. Streptococcus pneumonia, Haemophilus influenzae,
pseudomonas aeruginosa - ANSWER-c. Stretocossus
pneumonia, Haemophilus influenzae, Moraxella catarrhalis
,Dry eye risk factors - ANSWER--Acquired disorders: sjogren's
syndrome (disorder of the immune system that attacks its own
healthy cells that produce saliva and tears), infection, and
trauma
-Bell's palsy damages the facial nerve and they cannot
close eyelid -Meds that cause decreased tear production:
anticholinergics such as antihistamines, beta-adrenergic
blockers, and oxybutynin
-Menopausal women due to lack of estrogen
-patient's who sit at a computer for long due to decreased blink
rates
Dry eye treatment - ANSWER--Level 1: avoid irritant/cause
-Level 2: ocular lubricants, artificial tears, anti-inflammatory
agents (cyclosporine
A), topical corticosteroids, or typical systemic omega 3
fatty acids) -Level 3: autologous serum, special contact
lenses, impermanent punctual occlusion; refer to a
specialist
-Level 4: surgery
Dacryostenosis (blocked tear duct) patho - ANSWER--an
obstruction in nasolacrimal duct
, -
-the most common cause of epiphora and ocular discharge in a
newborn
-congenital or from infection
-congenital results when inferior turbinate fails to completely
canalize in a newborn infant
-infection d/t staph or strep
Dacryostenosis risk factors - ANSWER--influencing factors
-genetics
-maternal drug use
-prematurity
-ocular abnormalities: sac, puncta, valves, canaliculus
Dacryostenosis differential diagnosis - ANSWER--dacryocystitis
(infection of the lacrimal sac d/t dacryostenosis)
-ophthalmologic manifestations of Down syndrome
-primary congenital glaucoma
-aniridia (partial or complete absence of iris) in newborn
-corneal abrasion
-dermatologic manifestations of albinism
-neonatal conjunctivitis
Dacryostenosis diagnostic testing - ANSWER--complete
ophthalmic assessment, visual acuity test