NR 602 VERIFIED EXAM WITH SOLUTIONS TO
QUESTIONS
What is a chalazion? - Benign, chronic lipogranulomatous inflammation of the eyelid
What
... [Show More] causes a chalazion? - Blockage of the meibomian gland
What puts a person at risk for a chalazion? - 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? - 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? - Good eye hygiene
What is treatment for chalazion? - Warm, moist compresses 3x a day
If secondarily infected: sulfacetamide or erythromycin
What is the follow-up for chalazion? - In 2-4 weeks
If still present after 6wks, follow up w/ophthalmologist
What is blepharitis? - Inflammation/infection of the lid margins (chronic problem)
What are the two types of blepharitis? - Seborrheic (non-ulcerative)
Ulcerative
What can cause seborrheic blepharitis? - Irritants (smoke, makeup, chemicals)
What are s/s of seborrheic blepharitis? - Chronic inflammation of eyelid
Erythema
Greasy scaling of anterior eyelid
Loss of eyelashes
Seborrheic dermatitis of eyebrows/scalp
What usually causes ulcerative blepharitis? - Infection w/staph or strep
What are s/s of ulcerative blepharitis? - 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? - Clean w/baby shampoo 2-4 times/day
Warm compresses
Lid massage (right after warm massage)
How are infected eyelids with blepharitis treated? - Antistaph abx: bacitracin, erythromycin
0.05% x1 wk and quinolone ointments
How is blepharitis infection resistant to topical abx treated? - Tetracycline 250mg PO x4
Doxy 100mg PO x2
What is conjunctivitis? - Inflammation or irritation of conjunctiva
What is the most common cause of conjunctivitis in peds? - Bacteria
What are some common causes of bacterial conjunctivitis? - Contact lenses
Rubbing eyes
Trauma
What are s/s of bacterial conjunctivitis? - Purulent (green/yellow) drainage, initially
unilateral, then bilat
Sensation of FB is common [Show Less]