NURS 624 Med Challenger HEENT FINAL EXAM 2022/2023 (QUESTIONS WITH ANSWERS)

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1) A 65-year-old female with morbid obesity and diabetes mellitus has been comatose for 72 hours as a consequence of sepsis triggered by acute cholecystitis. Comatose patients with daily wear contac... t lenses that are inadvertently left in for extended periods are at risk for which of the following: hypoxic corneal ulcer 2) A 53-year-old female with history of diabetes mellitus and glaucoma pain has developed left ocular pain, blurry vision, and watery discharge. Slit lamp exploration with fluorescein is shown below (see Figure • topical trifluridine and oral acyclovir 3) A 72-year-old male with history of hypertension and hypothyroidism has required left eye cataract surgery 2 weeks ago. He is now presenting with 18 hours of a painful eye and blurry vision. On examination the lids are swollen, the conjunctiva is injected and there is hypopyon (see Figure) Figure The visual acuity is decreased. Aspiration of vitreous is performed by the ophthalmologist intravitreal vancomycin plus amikacin 4) A 24-year-old male with no previous medical history has been chopping wood outdoors. He has developed the sudden onset of a foreign body sensation and is complaining of severe pain in the left eye. He has attempted to wash out the eye on several occasions but has not improved. The patient is complaining of intense pain and has difficulty opening his eye. Penlight examination administer topical proparacaine 5) A 35-year-old female with a history of hypothyroidism has developed bilateral red eyes. The patient works as an elementary school teacher. She refers that there has been an outbreak of a respiratory illness among his students characterized by fevers and pharyngitis. She personally hasn't had any respiratory symptoms. Initially, her left eye became affected and 48 hours later the right. Her symptoms include conjunctival injection and mucousy discharge which seems to be more prominent in the mornings. The patient describes this as "pus". Eye exam is shown below (see Figure). avoidance of any topical agents 6) A 61-year-old female with history of hyperlipidemia and farsightedness has developed dyspeptic symptoms including epigastric discomfort and bloating. She started taking oral famotidine overthe-counter 3 days ago. On Saturday she decided to go camping with her three grandchildren to a state park away from the city. That night she was complaining of seeing halos around lights. On Sunday morning she woke up with decreased vision from the left eye, severe eye pain, headaches, nausea, and vomiting. Her physical exam as showed in the picture demonstrates conjunctival redness, corneal edema, and a dilated pupil (see Figure). Topical timol [Show More]

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