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
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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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