NR 602 MIDTERM EXAM 2022 100

NR 602 MIDTERM EXAM 2022 – 100%

CORRECT AND VERIFIED

Latest 2023 / 2024

What is a chalazion?

ANS

• Benign, chronic lipogranulomatous inflammation of the eyelid

What causes a chalazion?

ANS

• Blockage of the meibomian gland

What puts a person at risk for a chalazion?

ANS

• 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?

ANS

• 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?

ANS

• Good eye hygiene

What is treatment for chalazion?

ANS

• Warm, moist compresses 3x a day

If secondarily infected: sulfacetamide or erythromycin

What is the follow-up for chalazion?

ANS

• In 2-4 weeks

If still present after 6wks, follow up w/ophthalmologist

What is blepharitis?

ANS

• Inflammation/infection of the lid margins (chronic problem)

What are the two types of blepharitis?

ANS

• Seborrheic (non-ulcerative)

Ulcerative

• / 2

What can cause seborrheic blepharitis?

ANS

• Irritants (smoke, makeup, chemicals)

What are s/s of seborrheic blepharitis?

ANS

• Chronic inflammation of eyelid

Erythema Greasy scaling of anterior eyelid Loss of eyelashes Seborrheic dermatitis of eyebrows/scalp

What usually causes ulcerative blepharitis?

ANS

• Infection w/staph or strep

What are s/s of ulcerative blepharitis?

ANS

• 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?

ANS

• Clean w/baby shampoo 2-4 times/day

Warm compresses Lid massage (right after warm massage)

How are infected eyelids with blepharitis treated?

ANS

- Antistaph abx: bacitracin, erythromycin 0.05% x1 wk and quinolone ointments

How is blepharitis infection resistant to topical abx treated?

ANS

• Tetracycline 250mg PO x4

Doxy 100mg PO x2

What is conjunctivitis?

ANS

• Inflammation or irritation of conjunctiva

What is the most common cause of conjunctivitis in peds?

ANS

• Bacteria

What are some common causes of bacterial conjunctivitis?ANS

• / 2