Conjunctival Disorders

Question 1

inflammation of the mucous membrane that lines the inside surface of the lids and covers the globe up to the limbus

Answer 1

conjunctivitis

Question 2

conjunctivitis is also known as

Answer 2

red or pink eye

Question 3

what is the etiology of viral conjunctivitis?

Answer 3

adenovirus

Question 4

what kind of patient is most likely to get viral conjunctivitis?

Answer 4

contact with person who has viral conjunctivitis

Question 5

viral conjunctivitis is highly _____

Answer 5

contagious

Question 6

a clinical presentation of conjunctival injection, morning crusting, lots of watery discharge with small serous discharge, and foreign body sensation is most consistent with which eye condition?

Answer 6

viral conjunctivitis

Question 7

when would unilateral viral conjunctivitis become bilateral?

Answer 7

within 24-48 hours

Question 8

a diagnosis of viral conjunctivitis should be based on

Answer 8

physical and rapid test

Question 9

what are 2 topical antihistamines/decongestants used to provide symptomatic relief from viral conjunctivitis?

Answer 9

1. naphazoline
2. naphazoline-pheniramine

Question 10

what 3 things could a patient do to manage viral conjunctivitis?

Answer 10

1. topical antihistamine
2. non-antibiotic lubrication
3. warm/cool compress

Question 11

what education should I provide to my patient with viral conjunctivitis? (3)

Answer 11

eye irritation and discharge gets worse for 3-5 days
can last 2 weeks
hand hygiene

Question 12

what is the etiology of bacterial conjunctivitis in adults?

Answer 12

staph aureus

Question 13

what are the 3 etiologies of bacterial conjunctivitis in children?

Answer 13

1. strep pneumoniae
2. H. influenzae
3. M. catarrhalis

Question 14

bacterial conjunctivitis is highly _____

Answer 14

contagious

Question 15

what kind of patient would most likely get bacterial conjunctivitis?

Answer 15

direct contact with secretions or contaminated objects

Question 16

a clinical presentation of unilateral redness, purulent/yellow/white/green discharge, and affected eye “stuck shut” upon waking up is most consistent with which eye condition?

Answer 16

bacterial conjunctivitis

Question 17

what are 2 treatments for bacterial conjunctivitis?

Answer 17

1. erythromycin ointment
2. polytrim drops

Question 18

what should I do if a patient with bacterial conjunctivitis does not have symptom reduction in 1-2 days after treatment?

Answer 18

refer to ophthalmology

Question 19

what is the treatment for patients with bacterial conjunctivitis that wear contacts?

Answer 19

fluoroquinolone (floxacin)

Question 20

why should contact wearers with bacterial conjunctivitis be treated with fluoroquinolone (floxacin)?

Answer 20

higher risk for pseudomonal keratitis

Question 21

what is the etiology of hyperacute bacterial conjunctivitis?

Answer 21

N. gonorrhea

Question 22

what patient would most likely get hyperacute bacterial conjunctivitis?

Answer 22

present N. gonorrhea infection of genitals

Question 23

a clinical presentation of profuse purulent discharge, redness, irritation, tenderness, chemosis, lid swelling, swollen preauricular lymph nodes, and urethritis is most consistent with which eye condition?

Answer 23

hyperacute bacterial conjunctivitis

Question 24

what kind of exam would I use to diagnose a patient with hyperacute bacterial conjunctivitis?

Answer 24

gram stain/culture of discharge

Question 25

what should I do for a patient with hyperacute bacterial conjunctivitis that is severe and sight-threatening?

Answer 25

refer to ophthalmologist

Question 26

what is the etiology of allergic conjunctivitis?

Answer 26

airborne allergens

Question 27

what patient is most likely to get allergic conjunctivitis?

Answer 27

history or atopy or seasonal/regular allergy

Question 28

a clinical presentation of bilateral redness, profuse watery or mucoserous discharge, and itching is most consistent with which eye condition?

Answer 28

allergic conjunctivitis

Question 29

how is allergic conjunctivitis treated?

Answer 29

self limiting symptomatic relief

Question 30

what is the etiology of noninfectious, nonallergic conjunctivitis?

Answer 30

mechanical or chemical disturbance

Question 31

a clinical presentation of dry eyes, redness, and discharge would be most consistent with which eye condition?

Answer 31

noninfectious, nonallergic conjunctivitis

Question 32

noninfectious, nonallergic conjunctivitis symptoms should improve within _____

Answer 32

24 hours

Question 33

what would a diagnoses of noninfectious, nonallergic conjunctivitis be based on?

Answer 33

history and physical

Question 34

what symptomatic relief can I provide to a patient with noninfectious, nonallergic conjunctivitis? (1)

Answer 34

OTC ointment or drops (lubrication)

Question 35

what should I rule out on a patient with suspected conjunctivitis? (3)

Answer 35

1. impaired vision 2. keratitis, iritis, angle closure glaucoma 3. hordeolum or blepharitis

Question 36

what is important patient education to give in regards to viral conjunctivitis?

Answer 36

antibiotic will not help but can help with life activities

Question 37

triangular wedge of fibrovascular conjunctival tissue that starts medially on the nasal conjunctiva and extends laterally onto the cornea

Answer 37

pterygium

Question 38

what patients would be most likely to get pterygium? (2)

Answer 38

chronic sun exposure older males

Question 39

a clinical presentation of redness, irritation, sometimes blurriness/astigmatism, and impaired visual acuity is most consistent with which eye condition?

Answer 39

pterygium

Question 40

what treatment is appropriate for mild-moderate pterygium?

Answer 40

symptomatic relief

Question 41

what symptomatic relief can be provided to a patient with pterygium?

Answer 41

OTC topical lubricants - drops, ointment, gel

Question 42

what can be done for a patient with pterygium that affects their eye sight or eye movement?

Answer 42

surgical excision

Question 43

yellowish, slightly raised conjunctival lesion arising at the limbal conjunctiva, without corneal involvement

Answer 43

pinguecula

Question 44

pinguecula does not cause ___ ___ since it does not involved the cornea

Answer 44

vision impairment

Question 45

pinguecula can start ___ or ___

Answer 45

medially; laterally