Surgical Nursing Week 1 exam

Welcome to your Surgical Nursing Week 1 Exam

January 15, 2025

40 Numbers, 30 objectives and 10 fill ins

Attempt all Numbers.

1. Which of the following is the most common cause of bacterial conjunctivitis?

A) Pseudomonas pyocyanea

B) Staphylococcus aureus

C) Corynebacterium diphtheriae

D) Neisseria gonorrhoeae

2. What is the characteristic sign of viral conjunctivitis caused by adenovirus?

A) Mucopurulent discharge

B) Chemosis and follicles

C) Thick, yellow discharge

D) Pseudomembrane formation

3. Which of the following is a major complication of untreated trachoma?

A. Diabetic retinopathy

B. Blindness

C. Retinal detachment

D. Glaucoma

4. What is a common preventative measure to reduce the risk of developing a stye?

A) Regular application of antibiotic eye drops

B) Using artificial tears daily

C) Proper eyelid hygiene

D) Wearing sunglasses outdoors

5. What is the appropriate initial action for managing a patient with an embedded foreign body in the eye?

A) Attempt to remove the object with forceps

B) Cover the eye and refer to an ophthalmologist

C) Flush the eye with sterile saline

D) Apply antibiotic ointment

6. What condition is characterized by inflammation of the iris following blunt eye trauma?

A) Subconjunctival hemorrhage

B) Traumatic iritis

C) Orbital blowout fracture

D) Corneal abrasion

7. Which stage of trachoma is characterized by trichiasis?

A. Stage I

B. Stage II

C. Stage IV

D. Stage V

8. Which of the following is part of the SAFE strategy for trachoma management?

A. Steroid therapy

B. Antiviral medication

C. Facial cleanliness

D. Eye surgery for cataracts

9. Which of the following symptoms would most likely indicate a serious eye injury needing emergency care?

A) Mild eye irritation

B) Unequal pupil sizes

C) Slight redness of the eye

D) Mild tearing

10. Which investigation is used to highlight corneal ulcers during an eye examination?

A) Microbial cultures

B) Slit lamp examination with fluorescein dye

C) Tonometry

D) Ophthalmoscopy

11. What is the incubation period for trachoma?

A. 1-3 days

B. 5-21 days

C. 10-30 days

D. 2-4 weeks

12. What is the primary cause of optic nerve damage in glaucoma?

A) Elevated intraocular pressure

B) Inflammation of the eye

C) Retinal detachment

D) Lens dislocation

13. Which of the following is a risk factor for developing glaucoma?

A) Old age

B) Thin corneas

C) Family history

D) All of the above

14. What is the primary cause of trachoma?

A. Staphylococcus aureus

B. Chlamydia trachomatis

C. Neisseria gonorrhoeae

D. Pseudomonas aeruginosa

15. Which test is primarily used to measure intraocular pressure in glaucoma diagnosis?

A) Perimetry

B) Gonioscopy

C) Tonometry

D) Pachymetry

16. Which of the following is a common first-line treatment for Primary Open-Angle Glaucoma?

A) Corticosteroids

B) Topical beta-blockers

C) Oral antibiotics

D) Vitrectomy

17. Which of the following is a recommended preventive measure for viral conjunctivitis?

A) Frequent hand washing

B) Use of topical steroids

C) Wearing an eye patch

D) Applying warm compresses

18. Which stage of trachoma involves the disappearance of follicles and the appearance of scars?

A. Stage I

B. Stage II

C. Stage III

D. Stage V

19. What is the purpose of a Gonioscopy in the diagnosis of glaucoma?

A) To measure the thickness of the cornea

B) To examine the optic nerve

C) To assess the angle of the anterior chamber

D) To test peripheral vision

20. Which of the following is NOT a recommended management strategy for bacterial conjunctivitis?

A) Application of topical antibiotics

B) Use of dark goggles

C) Application of a bandage over the eye

D) Avoidance of steroids

21. Which of the following is a typical symptom of an external stye?

A) Blurred vision

B) Painful yellowish spot on the eyelid margin

C) Loss of eyelashes

D) Decreased tear production

22. Which of the following is true regarding congenital glaucoma?

A) It typically presents in adults over the age of 60

B) It is characterized by the development of cataracts

C) It involves an increase in intraocular pressure from birth or shortly after

D) It is more common in females

23. Which of the following complications can arise if a foreign body is not promptly removed from the cornea?

A) Scleral rupture

B) Corneal ulceration

C) Retinal detachment

D) Macular degeneration

24. What is the main reason for the persistence of trachoma in certain communities?

A. High levels of UV radiation

B. Low prevalence of infectious diseases

C. Lack of access to healthcare and education

D. Excessive hygiene practices

25. Which of the following best describes a mature cataract?

A) The lens is partially opaque with some areas remaining clear.

B) The lens is completely opaque, leading to a significant reduction in vision.

C) The lens is swollen, appearing milky white.

D) The lens nucleus has liquefied and settled within the capsule.

26. Which symptom is NOT typically associated with cataracts?

A) Blurred vision

B) Halos around lights

C) Eye redness

D) Difficulty seeing at night

27. Which symptom is most commonly associated with adenoid hypertrophy?

A) Jaw deformities

B) Nasal obstruction

C) Persistent cough

D) Otitis media

28. What is the preferred antibiotic for treating Group A Streptococcal tonsillitis?

A) Amoxicillin

B) Penicillin

C) Erythromycin

D) Tetracycline

29. What is the primary function of the tympanic membrane?

A. To drain fluid from the middle ear

B. To protect the inner ear from loud sounds

C. To transmit sound waves from the outer ear to the ossicles

D. To equalize pressure in the ear

30. You know we cant forget to appreciate you for reaching this far, would free marks work for you?

Yah

Nah

31. The most significant risk factor for developing cataracts is __________?

32. A 65-year-old patient presents with gradual vision loss in both eyes. On examination, the lens appears cloudy. The most likely diagnosis is a __________.

33. During an eye examination, the intraocular pressure is measured using __________ to help diagnose glaucoma.

34. A patient presents with a painful, swollen eyelid and reports a small, tender bump near the edge of the eyelid. The likely diagnosis is a __________.

35. The presence of excess tearing in one or both eyes is referred to as __________, which can be a symptom of corneal irritation.

36. A patient experiences loss of smell after a head injury . This condition of loss of sense of smell is known as __________.

37. A patient reports intense eye pain, reduced vision, and a feeling of something in the eye. Slit-lamp examination reveals a small, circular area of corneal necrosis. The most likely diagnosis is a __________.

38. The muscles responsible for production of aqueous humor and changing the shape of the lens in the eye to focus on near or distant objects are part of the __________.

39. After prolonged exposure to a dusty environment, a patient presents with itching, redness/pink colouration, and a gritty sensation in the eyes. These symptoms suggest a diagnosis of __________.

40. ______________ refers to sensitivity to light.