PANCE HEENT EXAM REVIEW
QUESTIONS WITH CORRECT DETAILED
ANSWERS
Acute Herpetic Gingivostomatitis - Answer-HSV-1 in children (pharyngotonsilitis in
adults)
Acute Herpetic pharyngotonsilitis - Answer-HSV-1 in adults
Ludwig's Angina - Answer-cellulitis of sublingual spaces
MC from dental infections
pus on the floor of the mouth
"steamy cornea"
mid-dilated, nonreactive pupil
eye hard to palpation - Answer-acute narrow angle closure glaucoma
1st line agent in treating acute narrow angle closure glaucoma - Answer-IV
Acetazolamide
slow, progressive bilateral vision loss - Answer-chronic open angle glaucoma
"notching of the disc rim" on fundoscopy - Answer-chronic open angle glaucoma
1st line tx of chronic open angle glaucoma - Answer-latanoprost
MC source of viral conjunctivitis - Answer-swimming pool
MC pathogen in viral conjunctivitis - Answer-adenovirus
tx of allergic conjunctivitis - Answer-olopatadine
preauricular LAD
copious watery discharge - Answer-viral conjunctivitis
dendritic lesion - Answer-HSV keratitis
pale retina
cherry red macula
veins show "box car appearance" - Answer-central retinal artery occlusion
"white pupil" - Answer-retinoblastoma
, What ear drops are safe to use in otitis externa with TM perforation? - Answer-ofloxacin
biggest RF for AOM? - Answer-eustachian tube dysfunction
TX of AOM - Answer-Amoxicillin 90mg/kg/day
if PCN allergic -> erythromycin-sulfoxisole
lateral displacement of the ear
deep ear pain (worse at night) - Answer-mastoiditis
Tx of mastoiditis - Answer-IV abx w/ myringotomy
Tx of refractory mastoiditis - Answer-mastoidectomy
unilateral hearing loss is _____ until proven otherwise - Answer-acoustic neuroma
What antihistamine is often used in vertigo symptoms? - Answer-meclizine
What is unique about peripheral nystagmus? - Answer-fatiguable
horizontal w/ rotary component
often assoc w/ sudden onset HL and tinnitus
severe acute vertigo & tinnitus that can last for days
MC after a viral infection - Answer-labyrinthitis
Tx labyrinthitis - Answer-corticosteroids 1st line
episodic vertigo (min-hrs)
fluctuating HL (low-tone)
tinnitus
ear fullness - Answer-Meniere's disease
tx of cholesteatoma - Answer-surgical excision
MCC conductive hearing loss - Answer-cerumen impaction
how long are sxs present in acute sinusitis - Answer-sxs > 10-14 days
Dx of choice in sinusitis - Answer-CT
what X-ray view is used for sinusitis - Answer-waters view
pathogens causing acute sinusitis - Answer-strep. pneumo
strep. pyogenes
m. catarrhalis
QUESTIONS WITH CORRECT DETAILED
ANSWERS
Acute Herpetic Gingivostomatitis - Answer-HSV-1 in children (pharyngotonsilitis in
adults)
Acute Herpetic pharyngotonsilitis - Answer-HSV-1 in adults
Ludwig's Angina - Answer-cellulitis of sublingual spaces
MC from dental infections
pus on the floor of the mouth
"steamy cornea"
mid-dilated, nonreactive pupil
eye hard to palpation - Answer-acute narrow angle closure glaucoma
1st line agent in treating acute narrow angle closure glaucoma - Answer-IV
Acetazolamide
slow, progressive bilateral vision loss - Answer-chronic open angle glaucoma
"notching of the disc rim" on fundoscopy - Answer-chronic open angle glaucoma
1st line tx of chronic open angle glaucoma - Answer-latanoprost
MC source of viral conjunctivitis - Answer-swimming pool
MC pathogen in viral conjunctivitis - Answer-adenovirus
tx of allergic conjunctivitis - Answer-olopatadine
preauricular LAD
copious watery discharge - Answer-viral conjunctivitis
dendritic lesion - Answer-HSV keratitis
pale retina
cherry red macula
veins show "box car appearance" - Answer-central retinal artery occlusion
"white pupil" - Answer-retinoblastoma
, What ear drops are safe to use in otitis externa with TM perforation? - Answer-ofloxacin
biggest RF for AOM? - Answer-eustachian tube dysfunction
TX of AOM - Answer-Amoxicillin 90mg/kg/day
if PCN allergic -> erythromycin-sulfoxisole
lateral displacement of the ear
deep ear pain (worse at night) - Answer-mastoiditis
Tx of mastoiditis - Answer-IV abx w/ myringotomy
Tx of refractory mastoiditis - Answer-mastoidectomy
unilateral hearing loss is _____ until proven otherwise - Answer-acoustic neuroma
What antihistamine is often used in vertigo symptoms? - Answer-meclizine
What is unique about peripheral nystagmus? - Answer-fatiguable
horizontal w/ rotary component
often assoc w/ sudden onset HL and tinnitus
severe acute vertigo & tinnitus that can last for days
MC after a viral infection - Answer-labyrinthitis
Tx labyrinthitis - Answer-corticosteroids 1st line
episodic vertigo (min-hrs)
fluctuating HL (low-tone)
tinnitus
ear fullness - Answer-Meniere's disease
tx of cholesteatoma - Answer-surgical excision
MCC conductive hearing loss - Answer-cerumen impaction
how long are sxs present in acute sinusitis - Answer-sxs > 10-14 days
Dx of choice in sinusitis - Answer-CT
what X-ray view is used for sinusitis - Answer-waters view
pathogens causing acute sinusitis - Answer-strep. pneumo
strep. pyogenes
m. catarrhalis
