Adult-Gerontology Clinical Nurse Specialist (CNS) Practice Exam

Which symptom indicates an advanced chlamydial conjunctivitis infection?

1. Profuse tearing

2. Photophobia

3. Itchy eyes

4. Crusty discharge

The correct answer is: Photophobia

Photophobia, or sensitivity to light, is a symptom that indicates an advanced chlamydial conjunctivitis infection. As the infection progresses, it can lead to inflammation and irritation of the conjunctiva, which is the membrane covering the eye and lining the eyelid. This inflammation often results in discomfort and sensitivity to bright lights, as the eyes become more reactive and vulnerable. In contrast, while profuse tearing, itchy eyes, and crusty discharge can also be associated with conjunctivitis, they are not specific indicators of an advanced stage of chlamydial conjunctivitis. Profuse tearing typically indicates a response to irritation but does not reflect the severity of the infection. Itchy eyes are more common in allergic reactions or less severe infections and do not necessarily indicate a progression of chlamydial conjunctivitis. Crusty discharge is often seen in conjunctivitis but can occur in various types and does not specifically signify advanced disease. Thus, the presence of photophobia is a stronger indicator of a more serious and advanced infection, warranting attention and potential treatment.