A nurse is assessing the eyes on a patient and during the inspection the conjunctival sac is red, itchy, and has white thick drainage.
Which finding are these consistent with?

Allergic conjunctivitis.

Viral conjunctivitis.

Bacterial conjunctivitis.

Cataracts.

Answer and Explanation

The Correct Answer is C

Choice A rationale

Allergic conjunctivitis is usually characterized by redness, itching, and watery discharge. It is often associated with allergic reactions to pollen, dust, or pet dander. The discharge in allergic conjunctivitis is typically clear and watery, not white and thick.

Choice B rationale

Viral conjunctivitis is often caused by adenovirus and is characterized by redness, watery discharge, and a gritty sensation in the eye. It is highly contagious and can spread through contact with infected individuals. The discharge in viral conjunctivitis is usually watery, not thick and white.

Choice C rationale

Bacterial conjunctivitis is characterized by redness, itching, and white, thick discharge. It is often caused by bacteria such as Staphylococcus aureus, Streptococcus pneumoniae, or Haemophilus influenzae. The thick discharge is a hallmark of bacterial infection, distinguishing it from allergic or viral conjunctivitis.

Choice D rationale

Cataracts involve the clouding of the eye's natural lens, leading to blurred vision and difficulty seeing at night. They do not cause redness, itching, or discharge from the eye. Cataracts affect the lens inside the eye, not the conjunctival sac.

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Correct Answer is D

Explanation

Choice A rationale

While individuals aged 19 to 30 years are generally at a lower risk for malignant melanoma compared to older adults, melanoma can still occur at any age, especially with certain risk factors. However, age alone does not significantly increase the risk of developing malignant melanoma without additional risk factors.

Choice B rationale

Hair color has minimal impact on the risk of developing malignant melanoma. Although individuals with fair skin and light hair have a higher risk of sunburn and subsequent melanoma, having dark hair does not significantly reduce the risk compared to other factors.

Choice C rationale

Female gender does not inherently increase the risk of developing malignant melanoma. Both males and females are at risk, although certain lifestyle factors and behaviors, such as sun exposure, can influence individual risk levels regardless of gender.

Choice D rationale

A history of repeated sunburn significantly increases the risk of developing malignant melanoma. Ultraviolet (UV) radiation from sunburns causes DNA damage in skin cells, leading to mutations that can result in melanoma. Repeated sunburns exacerbate this risk, making it a critical factor in melanoma development.

A. Leukoplakia. B. Gingival hyperplasia. C. Gingivitis. D. Periodontitis.

Correct Answer is C

Explanation

Choice A rationale

Leukoplakia refers to white patches or plaques that develop on the mucous membranes of the oral cavity. It is usually seen as a precancerous condition and is associated with chronic irritation, smoking, or other risk factors. These white patches are not typically associated with redness and bleeding of the gums.

Choice B rationale

Gingival hyperplasia involves the overgrowth or enlargement of the gums. It can be due to various factors, including medications (such as anticonvulsants or calcium channel blockers), hormonal changes, or certain systemic conditions. While the gums may appear enlarged and possibly bleed, gingival hyperplasia is not characterized by redness and bleeding as primary symptoms.

Choice C rationale

Gingivitis is the inflammation of the gums (gingiva) and is characterized by redness, swelling, and bleeding. It is usually caused by plaque buildup along the gumline, leading to irritation and inflammation. Gingivitis is considered an early stage of gum disease and can be reversed with proper oral hygiene and dental care.

Choice D rationale

Periodontitis is an advanced stage of gum disease that occurs when gingivitis is left untreated. It involves the destruction of the supporting structures of the teeth, including the alveolar bone and periodontal ligaments. Symptoms of periodontitis include gum recession, pockets forming between the gums and teeth, and possible tooth loss. While periodontitis can lead to bleeding gums, it is more severe than the initial symptoms of redness and bleeding seen in gingivitis.

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A nurse is assessing the eyes on a patient and during the inspection the conjunctival sac is red, itchy, and has white thick drainage.Which finding are these consistent with?

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Explanation

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A nurse is assessing the eyes on a patient and during the inspection the conjunctival sac is red, itchy, and has white thick drainage.
Which finding are these consistent with?