3P EXAM ( 2026) QUESTIONS AND
VERIFIED RATIONALIZED ANSWERS, 100%
GUARANTEE PASS
herpes keratitis - correct answer-cause: herpes simplex virus or shingles
symptoms: abrupt eye pain, blurred vision, tearing, vesicles on temporal side
dx: fluorescein dye with fern like lesion
tx: ophthalmologist or ER
corneal abrasion - correct answer-
symptoms: abrupt pain, abrasion that is round/irregular, foreign body sensation
dx: fluorescein dye to r/u herpes keratitis
tx: erythromycin ointment QID 3-5 days, DONT PATCH THE EYE
alternatives meds: sulfacetamide, cipro, ofloxacin
acute angle-closure glaucoma - correct answer-
s/s: acute onset of eye pain, double vision, headache, nausea/vomiting, cloudy cornea, pupil dilated a
nd does not react to light
normal ICP: 8-21, AAG= >21
tx: ER stat
papilledema - correct answer-
s/s: optic disc swelling w/ blurred edges d/t increase ICP secondary to bleed, tumor, pseudo tumor
tx: ER
primary open angle glaucoma - correct answer-
s/s: CN 2, gradual vision changes, peripheral vision first then central
tx: IOP- elevated: ophthalmologist, medications: BB- timolol, and xalantan prostaglandin
Cataracts - correct answer-s/s: night vision, glare w/ driving at night or alot of sun
,screen: red reflex absent from affected eye, normal reddish/orange glow
Macular Degeneration - correct answer-
s/s: painless loss of vision where straight lines appear curved, peripheral vision is preserved
tx: amsler grid and refer to ophthalmologist
retinal detachement - correct answer-s/s: flashes of light, looking through curtain, painless
tx: ER
dacryocystitis - correct answer-def:x infxx ofx lacrimalx sacx fromx blockage
s/s:x thickx discharge,x pain,x redness,x swelling,x warmth
tx:x lacrimalx sacx massage:x downwardx towardx mouthx 2-3x timesx perx day,x systemicx abxx 7-
10x days
allergicx rhinitisx -x correctx answer-def:x inflammatoryx changes,x seasonalx orx daily
s/s:x congestionx w/x clearx mucus,x itchyx nose,x sneezing,x coughx thatx isx worsex whenx lyingx down,x blue/pa
le
boggyx turbinates
tx:x nasalx steroidx f/bx antihistamine,x decongestant,x avoidingx triggers
epistaxis:x nosebleedx -x correctx answer-def:x anteriorx nosex bleed
tx:x blowx theirx nose,x tipx forward,x decongestantx nasal
Meneire'sx Diseasex -x correctx answer-
s/s:x triadx =x dizziness,x tinnitus,xhearingx loss
mnemonic:x VASTx =x vertigo,x auralx fullness,x sensorineuralx loss,x tinnitus
tx:x supportive,x antihistamine,x antiemetics
Acousticx Neuromax -x correctx answer-s/s:x yearsx 30-
60,x gradualx hearingx lossx onex side,x sensorineuralx lossx w/x tinnitusxandx facialx numbnes
s
dx:x MRI:x benginx tumor
tx:x surgery
,x
cholesteatomax -x correctx answer-
s/s:x cauliflowerx insidex thex ear,x foulx smell,x hearingx loss,x erodex bonex =x CNx
7
tx:x surgery
BattlexSign:x Basilarx Skullx Fracturex -x correctx answer-
s/s:x parietalx bonex fracture,x raccoonx eyes,x bruisingx behindx thex mastoid,x drainagex fromx nose/ea
r
tx:x ER
Benignx Paroxysmalx Positionalx Vertigox BPPVx -x correctx answer-
s/s:x vertigox fromx suddenxmovements,x losex balance,x falls
dx:x GOLDx STANDARD:x Dix-Hallpike
tx:x Epleyx Maneuverx byx PT
vestibularx neuritis/labryinthitisx -x correctx answer-cause:x viralx infxx orx inflammation
s/s:x severex vertigoxw/x n/vx forx 1-2x daysx thenx lessen,x tinnitus,x sensorineuralx loss
tx:x zofran,x methylprednisolonex taper
Acutex OtitisxMedia:x AOMx -x correctx answer-cause:x strepx pneumo
s/s:x unilateralx earx pain,x popping/muffledx hearing,x fever,x TMx rupture-
blood/pusx onx pillow,x TMx redx andx bulging,x TMx immobile
Tx:x amoxicillin,x recentx ABXx usex =x augmentin,x cephalosporin
Penicillinx allergy:x Typex 1:x levofloxacin,x doxcycline.x Typex 2:x 3x generationxofx cef
hearingx test:x conductivex hearingx loss,x Weber-
lateralx tox badx ear,x Rinnex BCx >x AC
Otitisx Mediax w/x effusionx -x correctx answer-
s/s:x painless,x followx AOMx d/tx rhinitis,xclearx fluidx inx earx w/x pressurex resultingx inx hearingx loss.x TMx not
x re
dx orx bulging
tx:x treatx likex allergies,x supportivex therapy,x oralx decongestant,x steroidx nasalx spra
y
Hearingx test:x Weber:x lateralx tox affectedx ear,x Rinnex BC>AC
Otitisx Externax -x correctx answer-cause:x pseudomonasxaeruginosa
,x
s/s:x red/swollenx earx canalxthatx isx tender,x externalx earx pain,x green,x itching,x hearingx loss
tx:x topicalx steroidx andx antibiotic:xCortisporinxorx Ciprox earx drops,x NSAID,x keepingx outx ofxwat
er
hearingx test:x Weber:x lateralx tox affectedx ear,x Rinne:x BC>AC
presbycusisx -x correctx answer-
s/s:x sensorineuralx hearingx lossx w/ox lateralization,x innerx ear,x agingx adultx andx highx frequenc
y
acutex bacterialx rhinosinusitisx -x correctx answer-
cause:x strepx pnuemo,x H.x influenzae,x viral
s/sx URIx forx longerx thanx 10xdays,x unilateralx facialx pain/fullness,x purulentx nasalx drip.x Transilluminate:x d
ull
erx onxaffectedx side
tx:x augmentin,x nasalx irrigation,x nasalx steroids,x NSAID
Penicillinx allergy:x levofloxaxinx orxdoxy
infectiousx mononucleosisx -x correctx answer-cause:x Epsteinx barx virus
s/s:x sorex throatx w/x whitex exudate,x posteriorx lymphadenopathy,x fatiguex forx severalx weeks,x rash,x hepat
o
megaly,x splenomegaly
Triad:x fever,x sorex throat,x lymphadenopathy
dx:x monospot
tx:x symptomatic,x rest,x ABx US
strepx andx mono=x givex macrolide
oralx leukoplakiax -x correctx answer-def:x whitex patchesx onx tongue
tx:x referx tox ENTx forx biopsy
Sialolithiasisx -x correctx answer-
s/s:x painx lumpx onx submandibularx gland,x painx w/x eating,x calculix orxsalivaryx stone
s
aphthousx stomatitisx -x correctx answer-s/s:x painfulx shallowx ulcersx 7-
10x daysx onx tongue/cheek
tx:x magicx mouthwash:x steroid,x lidocaine,x benadryl
VERIFIED RATIONALIZED ANSWERS, 100%
GUARANTEE PASS
herpes keratitis - correct answer-cause: herpes simplex virus or shingles
symptoms: abrupt eye pain, blurred vision, tearing, vesicles on temporal side
dx: fluorescein dye with fern like lesion
tx: ophthalmologist or ER
corneal abrasion - correct answer-
symptoms: abrupt pain, abrasion that is round/irregular, foreign body sensation
dx: fluorescein dye to r/u herpes keratitis
tx: erythromycin ointment QID 3-5 days, DONT PATCH THE EYE
alternatives meds: sulfacetamide, cipro, ofloxacin
acute angle-closure glaucoma - correct answer-
s/s: acute onset of eye pain, double vision, headache, nausea/vomiting, cloudy cornea, pupil dilated a
nd does not react to light
normal ICP: 8-21, AAG= >21
tx: ER stat
papilledema - correct answer-
s/s: optic disc swelling w/ blurred edges d/t increase ICP secondary to bleed, tumor, pseudo tumor
tx: ER
primary open angle glaucoma - correct answer-
s/s: CN 2, gradual vision changes, peripheral vision first then central
tx: IOP- elevated: ophthalmologist, medications: BB- timolol, and xalantan prostaglandin
Cataracts - correct answer-s/s: night vision, glare w/ driving at night or alot of sun
,screen: red reflex absent from affected eye, normal reddish/orange glow
Macular Degeneration - correct answer-
s/s: painless loss of vision where straight lines appear curved, peripheral vision is preserved
tx: amsler grid and refer to ophthalmologist
retinal detachement - correct answer-s/s: flashes of light, looking through curtain, painless
tx: ER
dacryocystitis - correct answer-def:x infxx ofx lacrimalx sacx fromx blockage
s/s:x thickx discharge,x pain,x redness,x swelling,x warmth
tx:x lacrimalx sacx massage:x downwardx towardx mouthx 2-3x timesx perx day,x systemicx abxx 7-
10x days
allergicx rhinitisx -x correctx answer-def:x inflammatoryx changes,x seasonalx orx daily
s/s:x congestionx w/x clearx mucus,x itchyx nose,x sneezing,x coughx thatx isx worsex whenx lyingx down,x blue/pa
le
boggyx turbinates
tx:x nasalx steroidx f/bx antihistamine,x decongestant,x avoidingx triggers
epistaxis:x nosebleedx -x correctx answer-def:x anteriorx nosex bleed
tx:x blowx theirx nose,x tipx forward,x decongestantx nasal
Meneire'sx Diseasex -x correctx answer-
s/s:x triadx =x dizziness,x tinnitus,xhearingx loss
mnemonic:x VASTx =x vertigo,x auralx fullness,x sensorineuralx loss,x tinnitus
tx:x supportive,x antihistamine,x antiemetics
Acousticx Neuromax -x correctx answer-s/s:x yearsx 30-
60,x gradualx hearingx lossx onex side,x sensorineuralx lossx w/x tinnitusxandx facialx numbnes
s
dx:x MRI:x benginx tumor
tx:x surgery
,x
cholesteatomax -x correctx answer-
s/s:x cauliflowerx insidex thex ear,x foulx smell,x hearingx loss,x erodex bonex =x CNx
7
tx:x surgery
BattlexSign:x Basilarx Skullx Fracturex -x correctx answer-
s/s:x parietalx bonex fracture,x raccoonx eyes,x bruisingx behindx thex mastoid,x drainagex fromx nose/ea
r
tx:x ER
Benignx Paroxysmalx Positionalx Vertigox BPPVx -x correctx answer-
s/s:x vertigox fromx suddenxmovements,x losex balance,x falls
dx:x GOLDx STANDARD:x Dix-Hallpike
tx:x Epleyx Maneuverx byx PT
vestibularx neuritis/labryinthitisx -x correctx answer-cause:x viralx infxx orx inflammation
s/s:x severex vertigoxw/x n/vx forx 1-2x daysx thenx lessen,x tinnitus,x sensorineuralx loss
tx:x zofran,x methylprednisolonex taper
Acutex OtitisxMedia:x AOMx -x correctx answer-cause:x strepx pneumo
s/s:x unilateralx earx pain,x popping/muffledx hearing,x fever,x TMx rupture-
blood/pusx onx pillow,x TMx redx andx bulging,x TMx immobile
Tx:x amoxicillin,x recentx ABXx usex =x augmentin,x cephalosporin
Penicillinx allergy:x Typex 1:x levofloxacin,x doxcycline.x Typex 2:x 3x generationxofx cef
hearingx test:x conductivex hearingx loss,x Weber-
lateralx tox badx ear,x Rinnex BCx >x AC
Otitisx Mediax w/x effusionx -x correctx answer-
s/s:x painless,x followx AOMx d/tx rhinitis,xclearx fluidx inx earx w/x pressurex resultingx inx hearingx loss.x TMx not
x re
dx orx bulging
tx:x treatx likex allergies,x supportivex therapy,x oralx decongestant,x steroidx nasalx spra
y
Hearingx test:x Weber:x lateralx tox affectedx ear,x Rinnex BC>AC
Otitisx Externax -x correctx answer-cause:x pseudomonasxaeruginosa
,x
s/s:x red/swollenx earx canalxthatx isx tender,x externalx earx pain,x green,x itching,x hearingx loss
tx:x topicalx steroidx andx antibiotic:xCortisporinxorx Ciprox earx drops,x NSAID,x keepingx outx ofxwat
er
hearingx test:x Weber:x lateralx tox affectedx ear,x Rinne:x BC>AC
presbycusisx -x correctx answer-
s/s:x sensorineuralx hearingx lossx w/ox lateralization,x innerx ear,x agingx adultx andx highx frequenc
y
acutex bacterialx rhinosinusitisx -x correctx answer-
cause:x strepx pnuemo,x H.x influenzae,x viral
s/sx URIx forx longerx thanx 10xdays,x unilateralx facialx pain/fullness,x purulentx nasalx drip.x Transilluminate:x d
ull
erx onxaffectedx side
tx:x augmentin,x nasalx irrigation,x nasalx steroids,x NSAID
Penicillinx allergy:x levofloxaxinx orxdoxy
infectiousx mononucleosisx -x correctx answer-cause:x Epsteinx barx virus
s/s:x sorex throatx w/x whitex exudate,x posteriorx lymphadenopathy,x fatiguex forx severalx weeks,x rash,x hepat
o
megaly,x splenomegaly
Triad:x fever,x sorex throat,x lymphadenopathy
dx:x monospot
tx:x symptomatic,x rest,x ABx US
strepx andx mono=x givex macrolide
oralx leukoplakiax -x correctx answer-def:x whitex patchesx onx tongue
tx:x referx tox ENTx forx biopsy
Sialolithiasisx -x correctx answer-
s/s:x painx lumpx onx submandibularx gland,x painx w/x eating,x calculix orxsalivaryx stone
s
aphthousx stomatitisx -x correctx answer-s/s:x painfulx shallowx ulcersx 7-
10x daysx onx tongue/cheek
tx:x magicx mouthwash:x steroid,x lidocaine,x benadryl
