NURS 5433 MIDTERM EXAM ACTUAL 2025/2026 QUESTIONS
AND 100% VERIFIED ANSWERS.
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
C. Thick yellow discharge
D. Unilateral redness with crusting
Page 1 of 56
,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
Page 2 of 56
,C. Penicillin
What are the medications Rimexolone and Loteprednol used for?
Topical steroid therapy for Pingueculum and Pterygium
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
Page 3 of 56
, B. Rosacea
A painful, red swelling at the eyelid margin is most bc consistent with:
A. Hordeolum
B. Chalazion
C. Conjunctivitis
D. Cataract
A. Hordeolum
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
Page 4 of 56
AND 100% VERIFIED ANSWERS.
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
C. Thick yellow discharge
D. Unilateral redness with crusting
Page 1 of 56
,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
Page 2 of 56
,C. Penicillin
What are the medications Rimexolone and Loteprednol used for?
Topical steroid therapy for Pingueculum and Pterygium
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
Page 3 of 56
, B. Rosacea
A painful, red swelling at the eyelid margin is most bc consistent with:
A. Hordeolum
B. Chalazion
C. Conjunctivitis
D. Cataract
A. Hordeolum
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
Page 4 of 56
