GENERAL MEDICINE HEENT EXAM QUESTIONS AND ANSWERS
"HEENT" FROM GENERAL ROS - CORRECT ANSWER✅✅HEAD - DIZZINESS, HEADACHES, PAIN, FAINTING,
HX HEAD INJURY
EYES - USE OF EYEGLASSES, STATUS OF VISION, EXCESSIVE TEARING, PAIN, LAST EYE EXAM,
PHOTOSENSITIVITY, REDNESS, DISCHARGE, INFECTIONS, HX OF GLAUCOMA, CATARCATS, HX OF
TRAUMA
EARS - HEARING IMPAIRMENT, USE OF HEARING AID, DISCHARGE, DIZZINESS, PAIN, RINGING IN EARS,
INFECTIONS, TRAUMA
NOSE - NOSEBLEEDS, INFECTIONS, DISCHARGE, FREQUENCY OF COLDS, NASAL OBSTRUCTION, SINUS
INFECTIONS, HAY FEVER
MOUTH AND THROAT - CONDITION OF TEETH, LAST DENTAL APP'T, CONDITION OF GUMS, FREQUENT
SORE THROATS, HOARSENESS. POSTNASAL DRIP
NECK - LUMPS, GOITER, PAIN ON MOVEMENT, TENDERNESS, "SWOLLEN GLANDS", THYROID TROUBLE
PE FOR " HEENT " - CORRECT ANSWER✅✅HEAD - size and shape, hair pattern, scars
___________________________________________________
EYES - are pupils equal and reactive to light and accommodation ? status of sclerae, (jaundice,
hemorrhages ) , are external ocular movements normal ? appearance of fundi ( retinopathy, caliber of
vessels, papilledema )
___________________________________________________
EARS - pain on movement of pinnae ? status of ear canal ( erythema, foreign bodies , wax ), are
tympanic membranes shiny ( i.e., cone of light ) or red or bulging or have a fluid bulge
___________________________________________________
NOSE / SINUSES - any lesions or foreign bodies inside nasal airways ; any obstruction to airflow; is
septum deviated ? any discharge
___________________________________________________
MOUTH & PHARYNX - status of teeth and gums; any lesions on oral mucosa; are tonsils present ? any
pigmentation; any erythema or purulence ? status of tongue ; is gag reflex present ?
HEENT - PERLA, SCLEARAE ANICTERIC, EOM'S FULL, TM'S CLEAR, THROAT REVEALS NO PETECHIAE OR
PIGMENTATION
, NECK- supple ( ROM ); is trachea midline ? is jugular venous distention present? Is thyroid palpable ? any
lymphadenoapthy (submental, submandibular, anterior or posterior cervical ); are carotid arterial pulses
brisk and symmetrical ?
NECK - SUPPLE, NO JVP OR HJR, NO THYROMEGALY OR TRACHEAL DEVIATION, FULL ROM
" HEENT " REFERS CLASSICALLY REFERS TO: - CORRECT ANSWER✅✅HEAD
EYES
EARS
NOSE
MOUTH
THROAT
NEUROFIBROMATOSIS - CORRECT ANSWER✅✅autosomal dominant disease characterized by
numerous neurofibromas on the skin
STURGE-WEBER SYNDROME - CORRECT ANSWER✅✅port wine stain on face, ipsilateral glaucoma,
vascular lesions of ocular choroidal tissue, extensive hemangiomatous involvement of meninges
ACROMEGAL - CORRECT ANSWER✅✅gigantism
EXAMINATION OF THE EYES:
PUPILS
SCLERAE
FUNDI
EXTERNAL OCULAR MOVEMENTS - CORRECT ANSWER✅✅PUPILS, size, shape, symmetry, light reaction
SCLERAE, RED EYE: CONJUCTIVITIS, CORNEAL INJURY OR INFECTION, ACUTE IRITIS,ACUTE GLAUCOMA,
SUBCONJUNCTIVAL HEMORRHAGE
YELLOW SCLERAE: JAUNDICE, hepatitis, CAROTONEMIA
"HEENT" FROM GENERAL ROS - CORRECT ANSWER✅✅HEAD - DIZZINESS, HEADACHES, PAIN, FAINTING,
HX HEAD INJURY
EYES - USE OF EYEGLASSES, STATUS OF VISION, EXCESSIVE TEARING, PAIN, LAST EYE EXAM,
PHOTOSENSITIVITY, REDNESS, DISCHARGE, INFECTIONS, HX OF GLAUCOMA, CATARCATS, HX OF
TRAUMA
EARS - HEARING IMPAIRMENT, USE OF HEARING AID, DISCHARGE, DIZZINESS, PAIN, RINGING IN EARS,
INFECTIONS, TRAUMA
NOSE - NOSEBLEEDS, INFECTIONS, DISCHARGE, FREQUENCY OF COLDS, NASAL OBSTRUCTION, SINUS
INFECTIONS, HAY FEVER
MOUTH AND THROAT - CONDITION OF TEETH, LAST DENTAL APP'T, CONDITION OF GUMS, FREQUENT
SORE THROATS, HOARSENESS. POSTNASAL DRIP
NECK - LUMPS, GOITER, PAIN ON MOVEMENT, TENDERNESS, "SWOLLEN GLANDS", THYROID TROUBLE
PE FOR " HEENT " - CORRECT ANSWER✅✅HEAD - size and shape, hair pattern, scars
___________________________________________________
EYES - are pupils equal and reactive to light and accommodation ? status of sclerae, (jaundice,
hemorrhages ) , are external ocular movements normal ? appearance of fundi ( retinopathy, caliber of
vessels, papilledema )
___________________________________________________
EARS - pain on movement of pinnae ? status of ear canal ( erythema, foreign bodies , wax ), are
tympanic membranes shiny ( i.e., cone of light ) or red or bulging or have a fluid bulge
___________________________________________________
NOSE / SINUSES - any lesions or foreign bodies inside nasal airways ; any obstruction to airflow; is
septum deviated ? any discharge
___________________________________________________
MOUTH & PHARYNX - status of teeth and gums; any lesions on oral mucosa; are tonsils present ? any
pigmentation; any erythema or purulence ? status of tongue ; is gag reflex present ?
HEENT - PERLA, SCLEARAE ANICTERIC, EOM'S FULL, TM'S CLEAR, THROAT REVEALS NO PETECHIAE OR
PIGMENTATION
, NECK- supple ( ROM ); is trachea midline ? is jugular venous distention present? Is thyroid palpable ? any
lymphadenoapthy (submental, submandibular, anterior or posterior cervical ); are carotid arterial pulses
brisk and symmetrical ?
NECK - SUPPLE, NO JVP OR HJR, NO THYROMEGALY OR TRACHEAL DEVIATION, FULL ROM
" HEENT " REFERS CLASSICALLY REFERS TO: - CORRECT ANSWER✅✅HEAD
EYES
EARS
NOSE
MOUTH
THROAT
NEUROFIBROMATOSIS - CORRECT ANSWER✅✅autosomal dominant disease characterized by
numerous neurofibromas on the skin
STURGE-WEBER SYNDROME - CORRECT ANSWER✅✅port wine stain on face, ipsilateral glaucoma,
vascular lesions of ocular choroidal tissue, extensive hemangiomatous involvement of meninges
ACROMEGAL - CORRECT ANSWER✅✅gigantism
EXAMINATION OF THE EYES:
PUPILS
SCLERAE
FUNDI
EXTERNAL OCULAR MOVEMENTS - CORRECT ANSWER✅✅PUPILS, size, shape, symmetry, light reaction
SCLERAE, RED EYE: CONJUCTIVITIS, CORNEAL INJURY OR INFECTION, ACUTE IRITIS,ACUTE GLAUCOMA,
SUBCONJUNCTIVAL HEMORRHAGE
YELLOW SCLERAE: JAUNDICE, hepatitis, CAROTONEMIA
