HEENT Health Assessment Test with Questions and
100% Correct Answers Already Passed
A 75-year-old female presents to your office complaining of dizziness and hearing loss. The
patient states she awoke yesterday with dizziness, which she described as feeling the room
spinning. She also notes intermittent ringing in her ears. On physical exam, the patient has
lateralization of her hearing loss to the unaffected ear. Rinne test shows air conduction lasts
longer than bone conduction. What is the next step in helping this patient's symptoms?
1.
Order a computed tomography (CT) scan to rule out acoustic neuroma.
2.
Start her on high-dose Augmentin.
3.
Start the patient on a low-salt, low-caffeine diet and give her meclizine for vertigo attacks.
4.
Immediate referral to an ear, nose, and throat (ENT) specialist. - ✔✔3.
Start the patient on a low-salt, low-caffeine diet and give her meclizine for vertigo attacks.
You prescribe Levaquin (levofloxacin) for a severe sinus infection. What is not a possible
adverse reaction to this medication?
1.
Achilles tendon rupture.
2.
Peripheral neuropathy.
3.
Nephrotoxicity.
4.
Stevens-Johnson syndrome. - ✔✔4.
,Stevens-Johnson syndrome.
Sharon, a 47-year-old bank teller, is seen by the nurse practitioner in the office for a red eye.
You are trying to decide between a diagnosis of conjunctivitis and iritis. One distinguishing
characteristic between the two is:
1.
Eye discomfort.
2.
Slow progression.
3.
A ciliary flush.
4.
No change in or slightly blurred vision. - ✔✔3.
A ciliary flush.
Jill, a 34-year-old bank teller, presents with symptoms of hay fever. She complains of nasal
congestion, runny nose with clear mucus, and itchy nose and eyes. On physical assessment, you
observe that she has pale nasal turbinates. What is your diagnosis?
1.
Allergic rhinitis.
2.
Viral rhinitis.
3.
Nasal polyps.
4.
Nasal vestibulitis from folliculitis. - ✔✔1.
Allergic rhinitis.
,Mr. Clark, age 78, is being treated with timolol maleate (Timoptic) drops for his chronic open-
angle glaucoma. While performing a new client history and physical, you note that he is taking
other medications. Which medication would you be most concerned about?
1.
Aspirin therapy as prophylaxis for heart attack.
2.
Ranitidine (Zantac) for gastroesophageal reflux disease.
3.
Alprazolam (Xanax), an anxiolytic.
4.
Atenolol (Tenormin), a beta blocker for high blood pressure. - ✔✔4.
Atenolol (Tenormin), a beta blocker for high blood pressure.
A 25-year-old male presents with "bleeding in my eye" for 1 day. He awoke this morning with a
dark area of redness in his eye. He has no visual loss or changes. He denies constitutional
symptoms, pruritus, drainage, or recent trauma. The redness presents on physical exam as a
dark red area in the patient's sclera of the right eye only and takes up less than 50% of the eye.
The patient's remaining sclera is clear and white. He also notes he was drinking alcohol last
night and vomited afterward. What is the best treatment?
1.
Topical steroids and close follow-up with an ophthalmologist.
2.
Sending the patient to the emergency department for immediate ophthalmology consult.
3.
Reassurance that this lesion will resolve without any treatment in 2 to 4 weeks.
4.
Cold compresses and frequent handwashing. - ✔✔3.
Reassurance that this lesion will resolve without any treatment in 2 to 4 weeks.
, A 75-year-old African American male presents to your family practice office complaining of
visual impairment. He has worn corrective lenses for many years but has noticed that his vision
has gotten progressively worse the past 6 months. He denies pain. He states his vision is worse
in both eyes in the peripheral aspects of his visual field. He also notes trouble driving at night
and halos around street lights at night. You test his intraocular pressure, and it is 23 mm Hg.
What is his most likely diagnosis?
1.
Open-angle glaucoma.
2.
Angle-closure glaucoma.
3.
Cataracts.
4.
Macular degeneration. - ✔✔1.
Open-angle glaucoma.
Which of the following is not a complication of untreated group A streptococcal pharyngitis?
1.
Glomerulonephritis.
2.
Rheumatic heart disease.
3.
Scarlet fever.
4.
Hemolytic anemia. - ✔✔4.
Hemolytic anemia.
When you are assessing the internal structure of the eye of your 59-year-old patient, the
absence of a red reflex may indicate:
100% Correct Answers Already Passed
A 75-year-old female presents to your office complaining of dizziness and hearing loss. The
patient states she awoke yesterday with dizziness, which she described as feeling the room
spinning. She also notes intermittent ringing in her ears. On physical exam, the patient has
lateralization of her hearing loss to the unaffected ear. Rinne test shows air conduction lasts
longer than bone conduction. What is the next step in helping this patient's symptoms?
1.
Order a computed tomography (CT) scan to rule out acoustic neuroma.
2.
Start her on high-dose Augmentin.
3.
Start the patient on a low-salt, low-caffeine diet and give her meclizine for vertigo attacks.
4.
Immediate referral to an ear, nose, and throat (ENT) specialist. - ✔✔3.
Start the patient on a low-salt, low-caffeine diet and give her meclizine for vertigo attacks.
You prescribe Levaquin (levofloxacin) for a severe sinus infection. What is not a possible
adverse reaction to this medication?
1.
Achilles tendon rupture.
2.
Peripheral neuropathy.
3.
Nephrotoxicity.
4.
Stevens-Johnson syndrome. - ✔✔4.
,Stevens-Johnson syndrome.
Sharon, a 47-year-old bank teller, is seen by the nurse practitioner in the office for a red eye.
You are trying to decide between a diagnosis of conjunctivitis and iritis. One distinguishing
characteristic between the two is:
1.
Eye discomfort.
2.
Slow progression.
3.
A ciliary flush.
4.
No change in or slightly blurred vision. - ✔✔3.
A ciliary flush.
Jill, a 34-year-old bank teller, presents with symptoms of hay fever. She complains of nasal
congestion, runny nose with clear mucus, and itchy nose and eyes. On physical assessment, you
observe that she has pale nasal turbinates. What is your diagnosis?
1.
Allergic rhinitis.
2.
Viral rhinitis.
3.
Nasal polyps.
4.
Nasal vestibulitis from folliculitis. - ✔✔1.
Allergic rhinitis.
,Mr. Clark, age 78, is being treated with timolol maleate (Timoptic) drops for his chronic open-
angle glaucoma. While performing a new client history and physical, you note that he is taking
other medications. Which medication would you be most concerned about?
1.
Aspirin therapy as prophylaxis for heart attack.
2.
Ranitidine (Zantac) for gastroesophageal reflux disease.
3.
Alprazolam (Xanax), an anxiolytic.
4.
Atenolol (Tenormin), a beta blocker for high blood pressure. - ✔✔4.
Atenolol (Tenormin), a beta blocker for high blood pressure.
A 25-year-old male presents with "bleeding in my eye" for 1 day. He awoke this morning with a
dark area of redness in his eye. He has no visual loss or changes. He denies constitutional
symptoms, pruritus, drainage, or recent trauma. The redness presents on physical exam as a
dark red area in the patient's sclera of the right eye only and takes up less than 50% of the eye.
The patient's remaining sclera is clear and white. He also notes he was drinking alcohol last
night and vomited afterward. What is the best treatment?
1.
Topical steroids and close follow-up with an ophthalmologist.
2.
Sending the patient to the emergency department for immediate ophthalmology consult.
3.
Reassurance that this lesion will resolve without any treatment in 2 to 4 weeks.
4.
Cold compresses and frequent handwashing. - ✔✔3.
Reassurance that this lesion will resolve without any treatment in 2 to 4 weeks.
, A 75-year-old African American male presents to your family practice office complaining of
visual impairment. He has worn corrective lenses for many years but has noticed that his vision
has gotten progressively worse the past 6 months. He denies pain. He states his vision is worse
in both eyes in the peripheral aspects of his visual field. He also notes trouble driving at night
and halos around street lights at night. You test his intraocular pressure, and it is 23 mm Hg.
What is his most likely diagnosis?
1.
Open-angle glaucoma.
2.
Angle-closure glaucoma.
3.
Cataracts.
4.
Macular degeneration. - ✔✔1.
Open-angle glaucoma.
Which of the following is not a complication of untreated group A streptococcal pharyngitis?
1.
Glomerulonephritis.
2.
Rheumatic heart disease.
3.
Scarlet fever.
4.
Hemolytic anemia. - ✔✔4.
Hemolytic anemia.
When you are assessing the internal structure of the eye of your 59-year-old patient, the
absence of a red reflex may indicate:
