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NR602 MIDTERM EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

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NR602 MIDTERM EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS VERIFIED LATEST UPDATE Terms in this set (108) What is a chalazion? Benign, chronic lipogranulomatous inflammation of the eyelid What causes a chalazion? Blockage of the meibomian gland 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 What are s/s of ulcerative blepharitis? Itching Tearing Recurrent styes Chalazia Photophobia Small ulceration at eyelid margin Broken/absent eyelashes Most frequent complaint: ongoing eye irritation, conjunctiva redness What is the treatment for blepharitis? Clean w/baby shampoo 2-4 times/day Warm compresses Lid massage (right after warm massage) How are infected eyelids with blepharitis treated? Antistaph abx: bacitracin, erythromycin 0.05% x1 wk and quinolone ointments How is blepharitis infection resistant to topical abx treated? Tetracycline 250mg PO x4 Doxy 100mg PO x2 What is conjunctivitis? Inflammation or irritation of conjunctiva What is the most common cause of conjunctivitis in peds? Bacteria What are some common causes of bacterial conjunctivitis? Contact lenses Rubbing eyes Trauma What are s/s of bacterial conjunctivitis? 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? 5-7 days (self-limiting) What is the treatment for bacterial conjunctivitis? Eye drops: polytrim, erythromycin, tobramycin, cipro What is the most common organism causing bacterial conjunctivitis? H. influenza What are common causative organisms of viral conjunctivitis? Adenovirus Coxsackie Herpes Molluscum What are s/s of viral conjunctivitis? Profuse tearing Mucus drainage Burning Concurrent URI Enlarged/tender preauricular nodes What is treatment for viral conjunctivitis? Antihistamine Decongestant How long does viral conjunctivitis usually last? 7-14 days (self-limiting) What is the cause of chlamydial conjunctivitis? Chlamydial trachomatis What are s/s of chlamydial conjunctivitis? Profuse exudate Associated w/GU s/s 1-2wks after birth When does gonococcal conjunctivitis usually occur? 2-4d after birth What is the biggest concern with gonococcal conjunctivitis? Can cause blindness What is the treatment for chlamydial conjunctivitis? PO azithromycin, doxy (tetracyclines increase photosensitivity, don't use in pregnancy) When does chlamydial conjunctivitis usually improve? 2-3wks What causes allergic conjunctivitis? IgE mast cell reaction Environmental Cosmetics What are s/s of allergic conjunctivitis? Marked conjunctival edema Severe itching Tearing Sneezing How is allergic conjunctivitis treated? Topical antihistamine or topical steroids

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4/6/25, 8:29 NR602 Midterm |
AM
NR602 MIDTERM EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED LATEST UPDATE

Terms in this set (108)


What is a chalazion? Benign, chronic lipogranulomatous inflammation of the eyelid

What causes a chalazion? Blockage of the meibomian gland

Hordeolum or any condition which may impede flow through the meibomian
What puts a person at risk for gland.
a chalazion?
Mite species that reside in lash follicles.

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

What is prevention for chalazion? Good eye hygiene

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

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

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

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

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

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

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

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

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

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

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

What is conjunctivitis? Inflammation or irritation of conjunctiva

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

Contact
What are some common causes of
lenses
1/
7

, 4/6/25, 8:29 NR602 Midterm |
AM
Rubbing
bacterial conjunctivitis?
eyes Trauma
Purulent (green/yellow) drainage, initially unilateral, then bilat


Sensation of FB is common
What are s/s of bacterial conjunctivitis?
Redness


Crust/matted eyelids in AM

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

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

What is the most common H. influenza
organism causing bacterial
conjunctivitis?
Adenovirus
What are common causative organisms of Coxsackie
viral conjunctivitis? Herpes
Molluscum

Profuse tearing
Mucus drainage
What are s/s of viral conjunctivitis? Burning
Concurrent URI
Enlarged/tender preauricular nodes

Antihistamine
What is treatment for viral conjunctivitis?
Decongestant

How long does viral conjunctivitis usually 7-14 days (self-limiting)
last?

What is the cause of chlamydial Chlamydial trachomatis
conjunctivitis?

Profuse exudate
What are s/s of chlamydial conjunctivitis?
Associated w/GU s/s 1-2wks after birth


When does gonococcal conjunctivitis 2-4d after birth
usually occur?

What is the biggest concern with Can cause blindness
gonococcal conjunctivitis?

What is the treatment for chlamydial PO azithromycin, doxy (tetracyclines increase photosensitivity, don't use in
conjunctivitis? pregnancy)

When does chlamydial conjunctivitis 2-3wks
usually improve?

IgE mast cell reaction
What causes allergic conjunctivitis? Environmental
Cosmetics

Marked conjunctival edema
Severe itching
What are s/s of allergic conjunctivitis?
Tearing
Sneezing

How is allergic conjunctivitis treated? Topical antihistamine or topical steroids

When is improvement usually seen in 2-3 days
allergic conjunctivitis?


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