The most common clinical manifestation of retinoblastoma is: ...

[armygirl]

The most common clinical manifestation of retinoblastoma is:
 
  a. Glaucoma. c. White eye reflex.
  b. Amblyopia. d. Sunken eye socket.

Question 2

A father calls the emergency department nurse saying that his daughter's eyes burn after getting some dishwasher detergent in them.
 
  The nurse recommends that the child be seen in the emergency department or by an ophthalmologist. What should the nurse recommend before the child is transported?
  a. Keep the eyes closed.
  b. Apply cold compresses.
  c. Irrigate eyes copiously with tap water for 20 minutes.
  d. Prepare a normal saline solution (salt and water) and irrigate eyes for 20 minutes.

[bassamabas]

Answer to Question 1

ANS: C
When examining the eye, the light will reflect off of the tumor, giving the eye a whitish appearance. This is called white eye reflex. A late sign of retinoblastoma is a red, painful eye with glaucoma. Amblyopia, or lazy eye, is reduced visual acuity in one eye. The eye socket is not sunken with retinoblastoma.

Answer to Question 2

ANS: C
The first action is to flush the eyes with clean tap water. This will rinse the detergent from the eyes. Keeping the eyes closed and applying cold compresses may allow the detergent to do further harm to the eyes during transport. Normal saline is not necessary. The delay during preparation can allow the detergent to cause continued injury to the eyes.

[armygirl]

Excellent

[smrtceo]

TYSM