SMARTYPANCE.COM EENT CONTENT BLUEPRINT PEARLS
EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED
Eyelid changes crusting, scaling, red-rimming of eyelid and eyelash flaking along
with dry eyes and associated seborrhea and rosacea
Blepharitis
History of blunt trauma to the orbit, eyelid swelling, decreased visual acuity,
enophthalmos (sunken eye), anesthesia/paresthesia in the gums, upper lips and
cheek due to damage to the infraorbital nerve
Blowout fracture
Blurred vision over months or years, halos around lights. Clouding of the Lens
Cataract
Clouding of the Lens (versus clouding of cornea = glaucoma)
Painless (non-infectious) granuloma of the internal meibomian sebaceous gland
Chalazion
Painless, cold lid nodule, versus hordeolum, which is a painful infectious "hot" nodule
copious watery eye discharge, scant mucoid discharge
Viral Conjunctivitis
Purulent (yellow) eye discharge, crusting, usually worse in the morning
, Bacterial Conjunctivitis
Red eyes, itching and tearing, usually bilateral, cobblestone mucosa on the
inner/upper eyelid
Allergic Conjunctivitis
Copious purulent discharge, in a sexually active patient who is not responding to
conventional treatment
Gonococcal Conjunctivitis
Giemsa stain - inclusion body, scant mucopurulent discharge
Chlamydial Conjunctivitis
Sudden onset of eye pain, photophobia, tearing, foreign body sensation, blurring
of vision, and/or conjunctival injection, fluorescein dye - increased absorption in
devoid area, antibiotic eye ointment, NO PATCHING!
Corneal abrasion
Inflammation of the nasolacrimal duct or the nasolacrimal gland (supratemporal)
Dacryoadenitis
Infectious obstruction of nasolacrimal duct (inferomedial region)
Dacryocystitis
Occurs when the eyelid turns outward exposing the palpebral conjunctiva,
conjunctiva will appear red from air exposure and inflammation
Ectropion
Inversion of an eyelid is most commonly caused by age-related tissue relaxation,
surgical correction is definitive
Entropion
EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS VERIFIED
Eyelid changes crusting, scaling, red-rimming of eyelid and eyelash flaking along
with dry eyes and associated seborrhea and rosacea
Blepharitis
History of blunt trauma to the orbit, eyelid swelling, decreased visual acuity,
enophthalmos (sunken eye), anesthesia/paresthesia in the gums, upper lips and
cheek due to damage to the infraorbital nerve
Blowout fracture
Blurred vision over months or years, halos around lights. Clouding of the Lens
Cataract
Clouding of the Lens (versus clouding of cornea = glaucoma)
Painless (non-infectious) granuloma of the internal meibomian sebaceous gland
Chalazion
Painless, cold lid nodule, versus hordeolum, which is a painful infectious "hot" nodule
copious watery eye discharge, scant mucoid discharge
Viral Conjunctivitis
Purulent (yellow) eye discharge, crusting, usually worse in the morning
, Bacterial Conjunctivitis
Red eyes, itching and tearing, usually bilateral, cobblestone mucosa on the
inner/upper eyelid
Allergic Conjunctivitis
Copious purulent discharge, in a sexually active patient who is not responding to
conventional treatment
Gonococcal Conjunctivitis
Giemsa stain - inclusion body, scant mucopurulent discharge
Chlamydial Conjunctivitis
Sudden onset of eye pain, photophobia, tearing, foreign body sensation, blurring
of vision, and/or conjunctival injection, fluorescein dye - increased absorption in
devoid area, antibiotic eye ointment, NO PATCHING!
Corneal abrasion
Inflammation of the nasolacrimal duct or the nasolacrimal gland (supratemporal)
Dacryoadenitis
Infectious obstruction of nasolacrimal duct (inferomedial region)
Dacryocystitis
Occurs when the eyelid turns outward exposing the palpebral conjunctiva,
conjunctiva will appear red from air exposure and inflammation
Ectropion
Inversion of an eyelid is most commonly caused by age-related tissue relaxation,
surgical correction is definitive
Entropion
