Shadow Health-HEENT 2026/2027 EXAM || MOST
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Which of the following is not a treatment option for
moderate to severe allergic conjunctivitis?
a) topical mast cell stabilizers
b) topical histamine H1 receptor agonists
c) oral antihistamines
d) exposure to cooler climates - Answer-b) topical
histamine H1 receptor agonists
This should be ANTAGONISTS
With these pts, you should see itching, tears with strings of
discharge, and hyperemia
The types of vernal keratosis (large cobblestone papillae
on upper tarsal conjunctiva) and atopic keratoconjunctivitis
(abnormalities of both tarsal conjunctiva)
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Which of the following are you most likely to see in a
patient who has been diagnosed with posterior
blepharitis?
a) pouting of the meibomian glands
b) crusting on the eyelid margins
c) collarettes on the eyelid margins
d) affects the outside from of the eyelid at the eyelash
base - Answer-a) pouting of the meibomian glands
You will also likely see telangiectasis along the posterior
lid margin
All other options are consistent with anterior blepharitis
Which of the following diagnoses is best described as a
hard, nontender swelling on the upper lid?
a) internal hordeolum
b) anterior blepharitis
c) posterior blepharitis
d) chalazion - Answer-d) chalazion
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Hordeolum (styes) are often swollen and tender
tip: extneral hordeolum is a gland of zeis infection
Which of the following tests is the best way to diagnose
keratoconjunctivitis sicca?
a) fluorescein stain dye
b) rose bengal slit lamp
c) schirmer test
d) corneal scraping - Answer-c) schirmer test
A 16 year old contact lens wearing patient returns from
iceland, where he swam in the baltic sea waters. He
complains today of unilateral ocular pain and is extremly
sensitive to light. The sx wax and wane over time and a
PE reveals ring shaped stromal infiltrates. Which of the
following is the most likely diagnosis?
a) bacterial keratitis
b) parasitic keratitis
c) viral keratitis
d) allergic keratitis
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BONUS: what is the treatment? - Answer-b) parasitic
keratitis
BONUS: topical anti-infective agents such as biguanide
(duration is 6 months to a year)
Which of the following is the hallmark sign seen with
herpes simplex keratitis?
a) small branching epithelial dendrites
b) hutchinson sign
c) stromal infiltrates
d) whiteish grey patch on the eye - Answer-a) small
branching epithelial dendrites
Tx: refer to ophthalmology, give antivirals to shorten dz
course, manage aggressively
Which of the following is not consistent with the diagnosis
of varicella zoster virus opthalmicus?
a) vesicles at the tip of the nose
b) prodrome of forehead tingling and intesnse pain to light
touch