NURS 5433
NURS 5433 Midterm Exam Study Guide
Questions with Detailed Solutions Graded
A+ 2025
Describe the symptoms of Blepharitis?
•Crusty, irritated and redness on the eye lid margin
•Build up of debris close to the root of the eyelash
•Dry eye symptoms such as red eyes or foreign body sensation.
What is the Pharmacological treatment for resistant or persistent infection of
Blepharitis? (2)
1. Doxycycline 100mg PO BID
2. Tetracycline 250mg QID
A 40 year old woman comes with complaints scaling, crusting and redness in her
eyelid. She said she is having trouble driving when it's sunny out, which of the
following medications would you recommend to start with first?
A. Doxycycline 100mg PO BID
B. Tetracycline 250mg QID
C. Cold moist compress to reduce inflammation
D. Lid scrub wit baby shampoo
D. Lid scrub wit baby shampoo
Which condition is most often associated with Posterior Blepharitis?
A. Seborrhea
B. Rosacea
C. Astigmatism
D. Conjunctivitis
B. Rosacea
NURS 5433
,NURS 5433
A painful, red swelling at the eyelid margin is most bc consistent with:
A. Hordeolum
B. Chalazion
C. Conjunctivitis
D. Cataract
A. Hordeolum
The preferred management for a hordeolum includes:
A. Topical steroids
B. Warm compresses
C. Oral antivirals
D. Eyepatch
B. Warm compresses
What is the difference between a Hordeolum and a Chalazion?
A hordeolum is painful and is usually on the lid margin. A chalazion usually points
inside the lid and is usually painless
A 7-year-old presents with red eyes, purulent discharge, and eyelids matted shut
in the morning. There is no significant itching what is most likely type of
conjunctivitis?
A. Allergic
B. Viral
C. Bacterial
D. Herpetic
C. Bacterial
Which symptom is most characteristic of allergic conjunctivitis?
A. Pre auricular lymphadenopathy
B. Bilateral itching and watery discharge
NURS 5433
,NURS 5433
C. Thick yellow discharge
D. Unilateral redness with crusting
B. Bilateral itching and watery discharge
A patient presents with watery eye discharge pre-auricular lymphadenopathy and
a gritty sensation in the eye which type of conjunctivitis is most likely?
A. Allergic.
B. Viral.
C. Bacterial.
D. Fungal.
B. Viral
Herpetic viral conjunctivitis is distinguished from other types of conjunctivitis by
which diagnostic finding?
Dendritic lesions on fluorescein stain
What diagnostic exam is done to check optic nerve function and anterior chamber
inflammation?
Dilated Pupil Exam
Which two antibiotics are used for systemic chlamydia, and gonococcal
conjunctivitis?
1. Ceftriaxone
2. Doxycycline
Which of the following antibiotics is not recommended for cellulitis orbital and
periorbital?
A. Cephalosporin
B. Ampicillin-clavulanic acid
C. Penicillin
D. Levofloxacin
E. Ciprofloxacin
C. Penicillin
NURS 5433
, NURS 5433
What are the medications Rimexolone and Loteprednol used for?
Topical steroid therapy for Pingueculum and Pterygium
What is the primary difference between a pingueculum and a pterygium?
A. Pingueculum causes vision loss, pterygium does not
B. Pingueculum is bilateral, pterygium is always unilateral
C. Pingueculum does not cross the cornea, pterygium extended onto the cornea
D. Pterygium is yellowish, pingueculum is vascular and red
C. Pingueculum does not cross the cornea, pterygium extended onto the cornea
When is surgical removal for. Pingueculum and Pterygium required?
When vision is impaired
A patient presents with a yellowish raised lesion on the nasal conjunctiva that
does not affect. What is the most likely diagnosis?
A. Pingueculum
B. Pterygium
C. Cataract
D. Conjunctival hemorrhage
A. Pingueculum
First line treatment for bacterial conjunctivitis includes
A. Oral doxycycline
B. Corticosteroid drops
C. Erythromycin ointment
D. Artificial tears
C. Erythromycin ointment
A fluorescien stain is used to diagnose:
A. Corneal abrasion
B. Blepharitis
NURS 5433
NURS 5433 Midterm Exam Study Guide
Questions with Detailed Solutions Graded
A+ 2025
Describe the symptoms of Blepharitis?
•Crusty, irritated and redness on the eye lid margin
•Build up of debris close to the root of the eyelash
•Dry eye symptoms such as red eyes or foreign body sensation.
What is the Pharmacological treatment for resistant or persistent infection of
Blepharitis? (2)
1. Doxycycline 100mg PO BID
2. Tetracycline 250mg QID
A 40 year old woman comes with complaints scaling, crusting and redness in her
eyelid. She said she is having trouble driving when it's sunny out, which of the
following medications would you recommend to start with first?
A. Doxycycline 100mg PO BID
B. Tetracycline 250mg QID
C. Cold moist compress to reduce inflammation
D. Lid scrub wit baby shampoo
D. Lid scrub wit baby shampoo
Which condition is most often associated with Posterior Blepharitis?
A. Seborrhea
B. Rosacea
C. Astigmatism
D. Conjunctivitis
B. Rosacea
NURS 5433
,NURS 5433
A painful, red swelling at the eyelid margin is most bc consistent with:
A. Hordeolum
B. Chalazion
C. Conjunctivitis
D. Cataract
A. Hordeolum
The preferred management for a hordeolum includes:
A. Topical steroids
B. Warm compresses
C. Oral antivirals
D. Eyepatch
B. Warm compresses
What is the difference between a Hordeolum and a Chalazion?
A hordeolum is painful and is usually on the lid margin. A chalazion usually points
inside the lid and is usually painless
A 7-year-old presents with red eyes, purulent discharge, and eyelids matted shut
in the morning. There is no significant itching what is most likely type of
conjunctivitis?
A. Allergic
B. Viral
C. Bacterial
D. Herpetic
C. Bacterial
Which symptom is most characteristic of allergic conjunctivitis?
A. Pre auricular lymphadenopathy
B. Bilateral itching and watery discharge
NURS 5433
,NURS 5433
C. Thick yellow discharge
D. Unilateral redness with crusting
B. Bilateral itching and watery discharge
A patient presents with watery eye discharge pre-auricular lymphadenopathy and
a gritty sensation in the eye which type of conjunctivitis is most likely?
A. Allergic.
B. Viral.
C. Bacterial.
D. Fungal.
B. Viral
Herpetic viral conjunctivitis is distinguished from other types of conjunctivitis by
which diagnostic finding?
Dendritic lesions on fluorescein stain
What diagnostic exam is done to check optic nerve function and anterior chamber
inflammation?
Dilated Pupil Exam
Which two antibiotics are used for systemic chlamydia, and gonococcal
conjunctivitis?
1. Ceftriaxone
2. Doxycycline
Which of the following antibiotics is not recommended for cellulitis orbital and
periorbital?
A. Cephalosporin
B. Ampicillin-clavulanic acid
C. Penicillin
D. Levofloxacin
E. Ciprofloxacin
C. Penicillin
NURS 5433
, NURS 5433
What are the medications Rimexolone and Loteprednol used for?
Topical steroid therapy for Pingueculum and Pterygium
What is the primary difference between a pingueculum and a pterygium?
A. Pingueculum causes vision loss, pterygium does not
B. Pingueculum is bilateral, pterygium is always unilateral
C. Pingueculum does not cross the cornea, pterygium extended onto the cornea
D. Pterygium is yellowish, pingueculum is vascular and red
C. Pingueculum does not cross the cornea, pterygium extended onto the cornea
When is surgical removal for. Pingueculum and Pterygium required?
When vision is impaired
A patient presents with a yellowish raised lesion on the nasal conjunctiva that
does not affect. What is the most likely diagnosis?
A. Pingueculum
B. Pterygium
C. Cataract
D. Conjunctival hemorrhage
A. Pingueculum
First line treatment for bacterial conjunctivitis includes
A. Oral doxycycline
B. Corticosteroid drops
C. Erythromycin ointment
D. Artificial tears
C. Erythromycin ointment
A fluorescien stain is used to diagnose:
A. Corneal abrasion
B. Blepharitis
NURS 5433
