EENT EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS GRADED A++

EENT EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS GRADED A++ Terms in this set (77) A 19-year-old man presents with a chief complaint of a red, irritated right eye for the past 48 hours with eyelids that were "stuck together" this morning when he awoke. Examination reveals injected palpebral and bulbar conjunctiva and reactive pupils; vision screen with the Snell chart reveals 20/30 in the right eye (OD), left eye (OS), and both eyes (OU) and purulent eye discharge on the right. This presentation is most consistent with: a. suppurative conjunctivitis. b. viral conjunctivitis. c. allergic conjunctivitis. d. mechanical injury. a. suppurative conjunctivitis. A 19-year-old woman presents with a complaint of bilaterally itchy, red eyes with tearing that occurs intermittently throughout the year and is often accompanied by a rope-like eye discharge and clear nasal discharge. This is most consistent with conjunctival inflammation caused by: a. a bacterium. b. a virus. c. an allergen. d. an injury. c. an allergen. Common causative organisms of acute suppurative conjunctivitis include all of the following except: a. Staphylococcus aureus. b. Haemophilus influenzae. c. Streptococcus pneumoniae. d. Pseudomonas aeruginosa. d. Pseudomonas aeruginosa. Treatment options in suppurative conjunctivitis include all of the following ophthalmic preparations except: a. polymyxin B plus trimethoprim. b. levofloxacin. c. polymyxin. d. azithromycin. c. polymyxin. Treatment options in acute and recurrent allergic conjunctivitis include all of the following except: a. cromolyn ophthalmic drops. b. oral antihistamines. c. ophthalmological antihistamines. d. corticosteroid ophthalmic drops. d. corticosteroid ophthalmic drops. The most common virological cause of conjunctivitis is: a. coronavirus. b. adenovirus. c. rhinovirus. d. human papillomavirus b. adenovirus. Treatment of viral conjunctivitis can include: a. moxifloxacin ophthalmic drops. b. polymyxin B ophthalmic drops. c. oral acyclovir. d. no antibiotic therapy. d. no antibiotic therapy. All of the following are components of the classic ophthalmological emergency except: a. eye pain. b. purulent eye discharge. c. red eye. d. new-onset change in visual acuity. b. purulent eye discharge. Mrs. Murphy is a 58-year old woman presenting with a sudden left-sided headache that is most painful in her left eye. Her vision is blurred, and the left pupil is slightly dilated and poorly reactive. The left conjunctiva is markedly injected, and the eyeball is firm. Vision screen with the Snellen chart is 20/30 OD and 20/90 OS. The most likely diagnosis is: a. unilateral herpetic conjunctivitis. b. open-angle glaucoma. c. angle-closure glaucoma. d. anterior uveitis. c. angle-closure glaucoma. In caring for Mrs. Murphy, the most appropriate next action is: a. prompt referral to an ophthalmologist. b. to provide analgesia and repeat the evaluation when the patient is more comfortable. c. to instill a corticosteroid ophthalmic solution. d. to patch the eye and arrange for follow- up in 24 hours. a. prompt referral to an ophthalmologist. A 48-year-old man presents with a new- onset right eye vision change accompanied by dull pain, tearing, and photophobia. The right pupil is small, irregular, and poorly reactive. Vision testing obtained by using the Snellen chart is 20/30 OS and 20/80 OD. The most likely diagnosis is: a. unilateral herpetic conjunctivitis. b. open-angle glaucoma. c. angle-closure glaucoma. d. anterior uveitis. d. anterior uveitis. Mrs. Allen is a 67-year-old woman with type 2 diabetes who complains of seeing flashing lights and floaters, decreased visual acuity, and metamorphopsia in her left eye. The most likely diagnosis is: a. open-angle glaucoma. b. central retinal artery occlusion. c. anterior uveitis. d. retinal detachment. d. retinal detachment.