PANCE – HEENT Questions and
Answers
YourA21AyearAoldApatientAisAcomplainingAofAaAfeelingAofAaA"foreign-
bodyAsensation"AinAtheirAeye,AbutAnothingAisAthere.ASheAwearsAcontacts.
WhatAisAtheAlikelyAdx?
(chalazion,AcornealAabrasion,Ahordeolum)A-AAnswerAcornealAabrasion
ThisAdisorderAofAtheAeyeApresentsAwithArednessAandAirritation,Afever,AsoreAthroat,AcoughAa
ndA*decreasedAvisualAacuity*.
WhatAisAtheAlikelyAdx?
conjunctivitis,Auveitis,AkeratitisA-
AAnswerAkeratitisA(noteAtheAdecreasedAvisualAacuityAisAnotAusu.ApresentAinAconjunctivitis)
WhatAaAseriousAconsequenceAofAuntreatedAotitisAmediaAinAtheApediatricApatient?
(conjunctivitis,Ameningitis,Amastoiditis,Asepsis)A-AAnswerAmastoiditis
Usu.AcausedAbyAminorAtraumaAsuchAasAfromAaAfingernail,AcontactAlens,AeyelashAorAforeign
Abody.APatientAwillApresentAwithApainAandAsensationAofAaAforeignAbodyAandAitAcanAbeAacc
ompaniedAbyAphotophobia,Atearing,AinjectionAandAblepharospam.A-AAnswerACornealAabrasion
PatientApresentsAw/AaAcornealAabrasion.AWhatAshouldAyouAdoAbeforeAexaminingAorAtreatin
g?A-AAnswerArecordAvisualAacuity
SlitAlampAexaminationAofAtheAeyeArevealsAanAepithelialAdefectAbutAaAclearAcornea.AWhatAis
AtheAlikelyAdx?A-AAnswerAcornealAabrasion
WhatAisAtheAtreatmentAforAaAcornealAabrasion?A-
AAnswerAtopicalAanestheticAwillAproviceAimmediateArelief,AbutAwillAretardAhealing.
-salineAirrigationA-AantibioticAointmentA(gentamicin)
patchAforAnoAlongerAthanA24hrs
, dailyAf/u
PatientApresensAtoAyourAclinicAwithApain,AphotophobiaAanAtearing.AExaminationArevealsAcirc
umcornealAinjectionAandAwateryAtoApurulentAdischarge.AFluoresceinAstainingAwillArevealAaAd
enseAcornealAinfiltrateAwithAoverlyingAepithelialAdefect.ADx?
(cornealAabrasian,Ablehpariits,AcornealAulcer)A-AAnswerACornealAulcer
HowAshouldAyouAtreatAaAcornealAulcer?A-AAnswerAREFERATOAOPTHALMOLOGIST
stainAlesionAandAculture
AvoidAthisAtreatmentAinAaAcornealAulcerAbecauseAtheyAwillAcauseAfurtherAtissueAlossAandAin
creaseAriskAofAperforationA-AAnswerAtopicalAsteroids
ThisAdisorderAofAtheAeyeAmayAbeAageArelatedAorAsecondaryAtoAtheAtoxicAeffectsAofAdrugsAs
uchAasAchloroquineAorAphenothiazine.*AItAisAtheAleadingAcauseAofAirreversibleAcentralAvisual
Aloss.*A-AAnswerAMacularAdegeneration
PrevalenceAofAageArelatedAmacularAdegenerationAincreasesAafterAwhatAageA-AAnswerA50
CholorquineAorAphenothiazineAareAdrugsAthatAcanAcauseAthisAdisorderAofAtheAeye.A-
AAnswerAmacularAdegeneration
InAmacularAdegeneration,AdrustenAdepositsAareAfoundAinAtheA____Amembrane,AleadingAtoAd
egenerativeAchanges,AlossAofAnutritionalAsupply,AatrophyAandAneovascularAdegeneration.A-
AAnswerAbruchen
WhatAisAtheAchiefAclinicalAfeatureAofAmacularAdegeneration?A-
AAnswerAgradualAlossAofAcentralAvision
TheAphenomenonAofAwavyAorAdistortedAvisionAandAcanAbeAmeasuredAwithAanAamslerAgrid.A
-AAnswerAmetamorphopsia
WhatAisAtheAtreatmentAforAmacularAdegeneration?A-
AAnswerAnoAeffectiveAtreatment,AifAdetectedAearlyAlaserAtherapyAorAintravitrealAinjectionsAof
AmonoclonalAantibodyAdrugsAmayAslowAprogression
Answers
YourA21AyearAoldApatientAisAcomplainingAofAaAfeelingAofAaA"foreign-
bodyAsensation"AinAtheirAeye,AbutAnothingAisAthere.ASheAwearsAcontacts.
WhatAisAtheAlikelyAdx?
(chalazion,AcornealAabrasion,Ahordeolum)A-AAnswerAcornealAabrasion
ThisAdisorderAofAtheAeyeApresentsAwithArednessAandAirritation,Afever,AsoreAthroat,AcoughAa
ndA*decreasedAvisualAacuity*.
WhatAisAtheAlikelyAdx?
conjunctivitis,Auveitis,AkeratitisA-
AAnswerAkeratitisA(noteAtheAdecreasedAvisualAacuityAisAnotAusu.ApresentAinAconjunctivitis)
WhatAaAseriousAconsequenceAofAuntreatedAotitisAmediaAinAtheApediatricApatient?
(conjunctivitis,Ameningitis,Amastoiditis,Asepsis)A-AAnswerAmastoiditis
Usu.AcausedAbyAminorAtraumaAsuchAasAfromAaAfingernail,AcontactAlens,AeyelashAorAforeign
Abody.APatientAwillApresentAwithApainAandAsensationAofAaAforeignAbodyAandAitAcanAbeAacc
ompaniedAbyAphotophobia,Atearing,AinjectionAandAblepharospam.A-AAnswerACornealAabrasion
PatientApresentsAw/AaAcornealAabrasion.AWhatAshouldAyouAdoAbeforeAexaminingAorAtreatin
g?A-AAnswerArecordAvisualAacuity
SlitAlampAexaminationAofAtheAeyeArevealsAanAepithelialAdefectAbutAaAclearAcornea.AWhatAis
AtheAlikelyAdx?A-AAnswerAcornealAabrasion
WhatAisAtheAtreatmentAforAaAcornealAabrasion?A-
AAnswerAtopicalAanestheticAwillAproviceAimmediateArelief,AbutAwillAretardAhealing.
-salineAirrigationA-AantibioticAointmentA(gentamicin)
patchAforAnoAlongerAthanA24hrs
, dailyAf/u
PatientApresensAtoAyourAclinicAwithApain,AphotophobiaAanAtearing.AExaminationArevealsAcirc
umcornealAinjectionAandAwateryAtoApurulentAdischarge.AFluoresceinAstainingAwillArevealAaAd
enseAcornealAinfiltrateAwithAoverlyingAepithelialAdefect.ADx?
(cornealAabrasian,Ablehpariits,AcornealAulcer)A-AAnswerACornealAulcer
HowAshouldAyouAtreatAaAcornealAulcer?A-AAnswerAREFERATOAOPTHALMOLOGIST
stainAlesionAandAculture
AvoidAthisAtreatmentAinAaAcornealAulcerAbecauseAtheyAwillAcauseAfurtherAtissueAlossAandAin
creaseAriskAofAperforationA-AAnswerAtopicalAsteroids
ThisAdisorderAofAtheAeyeAmayAbeAageArelatedAorAsecondaryAtoAtheAtoxicAeffectsAofAdrugsAs
uchAasAchloroquineAorAphenothiazine.*AItAisAtheAleadingAcauseAofAirreversibleAcentralAvisual
Aloss.*A-AAnswerAMacularAdegeneration
PrevalenceAofAageArelatedAmacularAdegenerationAincreasesAafterAwhatAageA-AAnswerA50
CholorquineAorAphenothiazineAareAdrugsAthatAcanAcauseAthisAdisorderAofAtheAeye.A-
AAnswerAmacularAdegeneration
InAmacularAdegeneration,AdrustenAdepositsAareAfoundAinAtheA____Amembrane,AleadingAtoAd
egenerativeAchanges,AlossAofAnutritionalAsupply,AatrophyAandAneovascularAdegeneration.A-
AAnswerAbruchen
WhatAisAtheAchiefAclinicalAfeatureAofAmacularAdegeneration?A-
AAnswerAgradualAlossAofAcentralAvision
TheAphenomenonAofAwavyAorAdistortedAvisionAandAcanAbeAmeasuredAwithAanAamslerAgrid.A
-AAnswerAmetamorphopsia
WhatAisAtheAtreatmentAforAmacularAdegeneration?A-
AAnswerAnoAeffectiveAtreatment,AifAdetectedAearlyAlaserAtherapyAorAintravitrealAinjectionsAof
AmonoclonalAantibodyAdrugsAmayAslowAprogression
