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FNP (boards study review)- Questions and Answers

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FNP (boards study review)- Questions and Answers

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  • October 14, 2024
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FNP (boards study review)- Questions and Answers

2. The fovea centralis is a 2.5 mm-diameter reflective area that looks slightly darker and lies in
the center of the macular region

- The fovea is composed of closely packed cones on the eye

-located in the center of the macula

-responsible for sharp central vision




3. Patient should look directly into the light of the ophthalmoscope, if the macula is difficult
to visualize




Cones of the eye CORRECT ANS-Responsible of color




Visual Acuity

-Snellen Chart CORRECT ANS-1. Snellen eye chart: 20/20 means that "the patient can see
at 20 feet what the normal person can see at 20 feet" (the larger the denominator, the poorer
the patient's vision)

-20/40 = a person can see at 20 feet what the normal person (without impairment) can see at
40 ft

-If 20/30 = Referral stage



CN II = Snellen chart




Hyperopia CORRECT ANS-"Farsightedness" (on freeway and can't see the signs)

, FNP (boards study review)- Questions and Answers

Myopia CORRECT ANS-Nearsightedness




Presbyopia CORRECT ANS-Common after age 40; results in greater difficulty maintaining a
clear focus at a near distance die to a lessening of flexibility of the crystalline lens and
weakening of the ciliary muscles which control lens focusing




Arcus Senilis CORRECT ANS-5. Arcus senilis: cloudy appearance of the cornea with a
gray/white arc or circle around the limbus due to deposition of the lipid material; the arcus
has no effect on vision- permanent change, need to make sure they are taking their statins




Pterygium CORRECT ANS-Raised wedge-shaped growth of thin, noncancerous tissue over
the conjunctiva (conjunctiva is transparent and sits over the sclera)




Hordeolum (Stye) CORRECT ANS-(Stye-this hurts)

Acute inflammation of the eyelid, usually caused by (staph aureus)




Signs/symptoms

Abrupt onset with pain and erythema of the eyelid (tender painful mass) (chalazion =
painless)




Management

1. *Warm compressor*

, FNP (boards study review)- Questions and Answers
2. Topical bacitracin or erythromycin opthalmic ointment

3. Refer to opthamalogist if not better x 2 days




Chalazion CORRECT ANS-(No Pain)

Beady nodule on the eyelid, infection or retention cyst usually on upper eyelid




Signs/symptoms

-painless

-swelling

-tenderness to eyelid

-tearing



Management

1. Warm compresses

2. Refer for surgical removal




Blepharitis CORRECT ANS-Staphylococcus infection or seborrheic dermatitis of the eyelid




Signs/symptoms

-red, scaly, greasy flakes (classic)

-thickened, crusted lid margins

, FNP (boards study review)- Questions and Answers
-burning

-itching

-tearing



Management

1. Hot compressed

2. Topical abx (bacitracin or erythromycin)

3. Vigrously scrub & rinse lashes, may use an old toothbrush




Conjunctivitis




Bacterial

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