NR-511 Differential Diagnosis & Primary Care Practicum
Midterm Exam Review
What is the causative organism of viral conjunctivitis?
Correct Answer:
Adenovirus; It can be present with or without cold symptoms.. patient complain of itchy red eyes with clear to no discharge.
What is a hallmark of viral conjunctivitis ?
Correct Answer:
Preauricular lymph node swelling and tenderness.
What is the hallmark characteristic of HSV-1 and HSV-2 conjunctivitis?
Correct Answer:
Skin vesicles (may or may not be present.) and a corneal infection with a dendrite appearance.
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What do you need to educate patients on who have conjunctivitis?
Correct Answer:
Educate on how to put eye drops in, and not to touch the tip of The bottle with eye skin.Women need to throw away all eye makeup products, and start with new ones after infection clears up.Discard contact lens, do not wear any until infection clears up, and start with a new pair after it clears.If patient has bacterial conjunctivitis.. stay home from work or school until 24 hours of antibiotic treatment or as soon as clinical improvement because it is very contagious.
What are characteristics of Bacterial conjunctivitis?
Correct Answer:
Red eye with crusted eye lid.Normal visual acuity, water itchy eyes and maybe photophobia.
Cataracts is what?
Correct Answer:
Gradual, painless, and progressive loss of vision.
When it comes to developing cataracts, what is there no evidence of?
Correct Answer:
No evidence that vitamin E, vitamin C, and beta carotene help prevent and treat cataracts.
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What should a patient with age related cataracts usually complain of?
Correct Answer:
Blurred or distorted vision, with complaints of glare when driving at night or bright lights.
What is blepharitis?
Correct Answer:
inflammation of the eyelid margins caused by staphylococcal infection at The lash base and dysfunctional meiobian glands
What is blepharitis treated with?
Correct Answer:
Bacitracin 0.5% ointment
What is used for resistant staph infections of blepharitis?
Correct Answer:
Discontinue Bacitracin, order quinolone antibiotic ointment or sulfacetamide/corticosteroid combo.
What other antibiotic is effective against staph?
Correct Answer:
Erythromycin
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What is a chalazion?
Correct Answer:
A cyst, small lump, or swelling which develops in the eyelid as a result of blockage in a gland. It-is usually not painful.
What needs to for a chalazion that persists for more than 4 weeks?
Correct Answer:
Referral to opto for an incision/drainage. Biopsy, or local injection directly with glucocorticoids.
What is important for eye complaints?
Correct Answer:
History taking. Focus should be on current meds, any fevers, genital discharge, rash or joint pain, hx of smoking, or second hand smoke exposure
Characteristics of dry eyes?
Correct Answer:
"A feeling of sand in the eyes". Especially when blinking.eyes feel hot, irritated, and gritty. Reddened. Patient may have blurred vision, lack of tears, burning, itching, foreign body sensation, sensitivity to light, and loss of glossy appearance of the cornea.
What test can be done for dry eyes?
Correct Answer:
Slit lamp examination and a schemer test to quantify lacrimal secretions.
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