TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter 54: Blepharitis, Hordeolum, and Chalazion Buttaro: Primary Care: A Collaborative Practice, 6th Edition MULTIPLE CHOICE 1. A patient has a gradually enlarging nodule on one upper eyelid and reports that the lesion is
painful. On examination, the lesion appears warm and erythematous. The provider knows that this is likely to be which type of lesion? a. Blepharitis b. Chalazion c. Hordeolum d. Meibomian ANS: C
Although hordeolum and chalazion lesions both present as gradually enlarging nodules, a hordeolum is usually painful, while a chalazion generally is not. Blepharitis refers to generalized inflammation of the eyelids. Meibomian is a type of gland near the eye. 2. A patient reports using artificial tears for comfort because of burning and itching in both eyes
but reports worsening symptoms. The provider notes redness and discharge along the eyelid margins with clear conjunctivae. What is the recommended treatment? a. Antibiotic solution drops four times daily b. Warm compresses, lid scrubs, and antibiotic ointment c. Oral antibiotics given prophylactically for several months d. Reassurance that this is a self-limiting condition ANS: B
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This patient has symptoms of blepharitis without conjunctivitis. Initial treatment involves lid hygiene and antibiotic ointment may be applied after lid scrubs. Antibiotic solution is used if conjunctivitis is present. Oral antibiotics are used for severe cases. This disorder is generally chronic. 3. A child has a localized nodule on one eyelid which is warm, tender, and erythematous. On
examination, the provider notes clear conjunctivae and no discharge. What is the recommended treatment? a. Referral to an ophthalmologist b. Surgical incision and drainage c. Systemic antibiotics d. Warm compresses and massage of the lesion ANS: D
This child has a hordeolum, which is generally self-limited and usually spontaneously improves with conservative treatment. Warm compresses and massage of the lesion are recommended. Referral is not necessary unless a secondary infection occurs. Surgical intervention is not indicated. Systemic antibiotics are used to treat secondary cellulitis.
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