NR603 CEA PREP- HEENT
QUESTIONS & ACCURATE ANSWERS
RATED 100% CORRECT
Your patient has been diagnosed with a detached retina. What treatment is least likely
to be curative? - Correct Answer ✔✔ Lens replacement
A 51-year-old male patient presents to the urgent care with a unilateral injected cornea
and nausea. He reports visual acuity changes and light sensitivity. Which of the
following is not included in your differential? - Correct Answer ✔✔ Chalazion
Rationale: Chalazion is a blocked meibomian gland that is not associated with visual
acuity changes, light sensitivity, or an injected cornea. Digoxin toxicity is commonly
associated with halos around eyes with nausea but does not have any mechanism to
explain the injected cornea. Cluster headaches also share the erythema, unilateral
pain/pathology.
A patient presents with blood present in the anterior portion of their eye covering the
lower half of their iris. With which of the following diagnoses is this most consistent? -
Correct Answer ✔✔ Hyphema
Rationale: Hyphema is defined as red blood cells in the anterior portion of the eye
between the cornea and iris. Subconjunctival hemorrhage is commonly mistaken for this
and is a hemorrhage lateral to the iris in the conjunctiva of the eye. Globe rupture does
not present with such specific findings unless hyphema is also included in the trauma,
and acute angle glaucoma is not associated with blood in the anterior vitreous;
however, hyphema may lead to this if the trabecular network were to get clogged. For
this reason, close follow up is required for these patients.
Initial management for a patient with dry eyes should include: - Correct Answer ✔✔
Preservative-free lubricative eye drops
Which antibiotic is appropriate for initial treatment of sinusitis? - Correct Answer ✔✔
amoxicillin/clavulanic acid (Augmentin)
The medical term for nosebleed is which of the following? - Correct Answer ✔✔
Epistaxis
You are following up with a 24-year-old male patient who was recently in a motor
vehicle collision at a high rate of speed. A CT head is performed revealing a pyramidal
fracture involving the lateral walls of the maxillary sinuses and inferior orbital rim. Which
classification of fracture is this? - Correct Answer ✔✔ Le Fort II
QUESTIONS & ACCURATE ANSWERS
RATED 100% CORRECT
Your patient has been diagnosed with a detached retina. What treatment is least likely
to be curative? - Correct Answer ✔✔ Lens replacement
A 51-year-old male patient presents to the urgent care with a unilateral injected cornea
and nausea. He reports visual acuity changes and light sensitivity. Which of the
following is not included in your differential? - Correct Answer ✔✔ Chalazion
Rationale: Chalazion is a blocked meibomian gland that is not associated with visual
acuity changes, light sensitivity, or an injected cornea. Digoxin toxicity is commonly
associated with halos around eyes with nausea but does not have any mechanism to
explain the injected cornea. Cluster headaches also share the erythema, unilateral
pain/pathology.
A patient presents with blood present in the anterior portion of their eye covering the
lower half of their iris. With which of the following diagnoses is this most consistent? -
Correct Answer ✔✔ Hyphema
Rationale: Hyphema is defined as red blood cells in the anterior portion of the eye
between the cornea and iris. Subconjunctival hemorrhage is commonly mistaken for this
and is a hemorrhage lateral to the iris in the conjunctiva of the eye. Globe rupture does
not present with such specific findings unless hyphema is also included in the trauma,
and acute angle glaucoma is not associated with blood in the anterior vitreous;
however, hyphema may lead to this if the trabecular network were to get clogged. For
this reason, close follow up is required for these patients.
Initial management for a patient with dry eyes should include: - Correct Answer ✔✔
Preservative-free lubricative eye drops
Which antibiotic is appropriate for initial treatment of sinusitis? - Correct Answer ✔✔
amoxicillin/clavulanic acid (Augmentin)
The medical term for nosebleed is which of the following? - Correct Answer ✔✔
Epistaxis
You are following up with a 24-year-old male patient who was recently in a motor
vehicle collision at a high rate of speed. A CT head is performed revealing a pyramidal
fracture involving the lateral walls of the maxillary sinuses and inferior orbital rim. Which
classification of fracture is this? - Correct Answer ✔✔ Le Fort II
