NR602 Midterm 2021/2022 Exam with complete solutions
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NR602
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NR602
What is a chalazion?
Benign, chronic lipogranulomatous inflammation of the eyelid
What causes a chalazion?
Blockage of the meibomian gland
00:45
02:03
What puts a person at risk for a chalazion?
Hordeolum or any condition which may impede flow through the meibomian gland.
Mi...
nr602 midterm 20212022 exam with complete solutions
what is a chalazion
what causes a chalazion
what puts a person at risk for a chalazion
what are physical exam findings for a chalazion
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NR602 Midterm
What is a chalazion? - Answer Benign, chronic lipogranulomatous inflammation of the
eyelid
What causes a chalazion? - Answer Blockage of the meibomian gland
What puts a person at risk for a chalazion? - Answer 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? - Answer 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? - Answer Good eye hygiene
What is treatment for chalazion? - Answer Warm, moist compresses 3x a day
If secondarily infected: sulfacetamide or erythromycin
What is the follow-up for chalazion? - Answer In 2-4 weeks
If still present after 6wks, follow up w/ophthalmologist
What is blepharitis? - Answer Inflammation/infection of the lid margins (chronic problem)
What are the two types of blepharitis? - Answer Seborrheic (non-ulcerative)
Ulcerative
What can cause seborrheic blepharitis? - Answer Irritants (smoke, makeup, chemicals)
What are s/s of seborrheic blepharitis? - Answer Chronic inflammation of eyelid
Erythema
Greasy scaling of anterior eyelid
Loss of eyelashes
Seborrheic dermatitis of eyebrows/scalp
What usually causes ulcerative blepharitis? - Answer Infection w/staph or strep
What are s/s of ulcerative blepharitis? - Answer Itching
Tearing
Recurrent styes
Chalazia
Photophobia
Small ulceration at eyelid margin
Broken/absent eyelashes
Most frequent complaint: ongoing eye irritation, conjunctiva redness
, NR602 Midterm
What is the treatment for blepharitis? - Answer Clean w/baby shampoo 2-4 times/day
Warm compresses
Lid massage (right after warm massage)
How are infected eyelids with blepharitis treated? - Answer Antistaph abx: bacitracin,
erythromycin 0.05% x1 wk and quinolone ointments
How is blepharitis infection resistant to topical abx treated? - Answer Tetracycline
250mg PO x4
Doxy 100mg PO x2
What is conjunctivitis? - Answer Inflammation or irritation of conjunctiva
What is the most common cause of conjunctivitis in peds? - Answer Bacteria
What are some common causes of bacterial conjunctivitis? - Answer Contact lenses
Rubbing eyes
Trauma
What are s/s of bacterial conjunctivitis? - Answer Purulent (green/yellow) drainage,
initially unilateral, then bilat
Sensation of FB is common
Redness
Crust/matted eyelids in AM
How long does bacterial conjunctivitis usually last? - Answer 5-7 days (self-limiting)
What is the treatment for bacterial conjunctivitis? - Answer Eye drops: polytrim,
erythromycin, tobramycin, cipro
What is the most common organism causing bacterial conjunctivitis? - Answer H.
influenza
What are common causative organisms of viral conjunctivitis? - Answer Adenovirus
Coxsackie
Herpes
Molluscum
What are s/s of viral conjunctivitis? - Answer Profuse tearing
Mucus drainage
Burning
Concurrent URI
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