TEST BANK FOR PRIMARY CARE 6TH EDITION BY BUTTARO
Chapter 55: Conjunctivitis Buttaro: Primary Care: A Collaborative Practice, 6th Edition MULTIPLE CHOICE 1. A patient reports bilateral burning and itching eyes for several days. The provider notes a
boggy appearance to the conjunctivae, along with clear, watery discharge. The patient’s eyelids are thickened and discolored. There are no other symptoms. Which type of conjunctivitis is most likely? a. Allergic b. Bacterial c. Chemical d. Viral ANS: A
Allergic conjunctivitis generally presents simultaneously in both eyes with itching as a predominant feature. Discharge is generally clear or stringy and white and the patient will have lid discoloration, thickening, and erythema. Bacterial conjunctivitis is characterized by acute inflammation of the conjunctivae along with purulent discharge. Chemical conjunctivitis will not have purulent discharge. Viral conjunctivitis is usually in association with a URI. 2. A patient who has symptoms of a cold develops conjunctivitis. The provider notes erythema
of one eye with profuse, watery discharge and enlarged anterior cervical lymph nodes, along with a fever. Which treatment is indicated? a. Antihistamine-vasoconstrictor drops b. Artificial tears and cool compresses NURSINGTB.COM c. Topical antibiotic eye drops d. Topical corticosteroid drops ANS: B
Viral conjunctivitis accompanies upper respiratory tract infections and is generally self-limited, lasting 5 to 14 days. Symptomatic treatment is recommended. Antihistamine-vasoconstrictor drops are used for allergic conjunctivitis. Topical antibiotic drops are sometimes used for bacterial conjunctivitis. Topical corticosteroid drops are used for severe inflammation. 3. A patient diagnosed with allergic conjunctivitis and prescribed a topical
antihistamine-vasoconstrictor medication reports worsening symptoms. What is the provider’s next step in managing this patient’s symptoms? a. Consider prescribing a topical mast cell stabilizer. b. Determine the duration of treatment with this medication. c. Prescribe a non-sedating oral antihistamine. d. Refer the patient to an ophthalmologist for further care. ANS: B
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