BRAINSCAPE1
PANCE - HEENT Exam with complete
solutions latest version
Your 21 year old patient is complaining of a feeling of a "foreign-body sensation"
in their eye, but nothing is there. She wears contacts.
What is the likely dx?
(chalazion, corneal abrasion, hordeolum) - CORRECT ANSWER-corneal abrasion
This disorder of the eye presents with redness and irritation, fever, sore throat,
cough and *decreased visual acuity*.
What is the likely dx?
conjunctivitis, uveitis, keratitis - CORRECT ANSWER-keratitis (note the
decreased visual acuity is not usu. present in conjunctivitis)
What a serious consequence of untreated otitis media in the pediatric patient?
(conjunctivitis, meningitis, mastoiditis, sepsis) - CORRECT ANSWER-mastoiditis
Usu. caused by minor trauma such as from a fingernail, contact lens, eyelash or
foreign body. Patient will present with pain and sensation of a foreign body and it
can be accompanied by photophobia, tearing, injection and blepharospam. -
CORRECT ANSWER-Corneal abrasion
Patient presents w/ a corneal abrasion. What should you do before examining or
treating? - CORRECT ANSWER-record visual acuity
Slit lamp examination of the eye reveals an epithelial defect but a clear cornea.
What is the likely dx? - CORRECT ANSWER-corneal abrasion
What is the treatment for a corneal abrasion? - CORRECT ANSWER-topical
anesthetic will provice immediate relief, but will retard healing.
-saline irrigation - antibiotic ointment (gentamicin)
patch for no longer than 24hrs
daily f/u
, BRAINSCAPE1
Patient presens to your clinic with pain, photophobia an tearing. Examination
reveals circumcorneal injection and watery to purulent discharge. Fluorescein
staining will reveal a dense corneal infiltrate with overlying epithelial defect. Dx?
(corneal abrasian, blehpariits, corneal ulcer) - CORRECT ANSWER-Corneal ulcer
How should you treat a corneal ulcer? - CORRECT ANSWER-REFER TO
OPTHALMOLOGIST
stain lesion and culture
Avoid this treatment in a corneal ulcer because they will cause further tissue loss
and increase risk of perforation - CORRECT ANSWER-topical steroids
This disorder of the eye may be age related or secondary to the toxic effects of
drugs such as chloroquine or phenothiazine.* It is the leading cause of
irreversible central visual loss.* - CORRECT ANSWER-Macular degeneration
Prevalence of age related macular degeneration increases after what age -
CORRECT ANSWER-50
Cholorquine or phenothiazine are drugs that can cause this disorder of the eye. -
CORRECT ANSWER-macular degeneration
In macular degeneration, drusten deposits are found in the ____ membrane,
leading to degenerative changes, loss of nutritional supply, atrophy and
neovascular degeneration. - CORRECT ANSWER-bruchen
What is the chief clinical feature of macular degeneration? - CORRECT ANSWER-
gradual loss of central vision
The phenomenon of wavy or distorted vision and can be measured with an
amsler grid. - CORRECT ANSWER-metamorphopsia
What is the treatment for macular degeneration? - CORRECT ANSWER-no
effective treatment, if detected early laser therapy or intravitreal injections of
monoclonal antibody drugs may slow progression
These supplments can reduce the progression of macular degeneration. -
CORRECT ANSWER-vitamins, antioxidants, zinc, copper and omega 3 fatty acids
Defined as an increased intraocular pressure w/ optic nerve damage. - CORRECT
ANSWER-Glaucoma
Any impediment to the flow of aqeuous humor through the trabecular meshwork
and canal of schlemm will increase pressure in the anterior chamber in
Glaucoma.
T or F - CORRECT ANSWER-T
PANCE - HEENT Exam with complete
solutions latest version
Your 21 year old patient is complaining of a feeling of a "foreign-body sensation"
in their eye, but nothing is there. She wears contacts.
What is the likely dx?
(chalazion, corneal abrasion, hordeolum) - CORRECT ANSWER-corneal abrasion
This disorder of the eye presents with redness and irritation, fever, sore throat,
cough and *decreased visual acuity*.
What is the likely dx?
conjunctivitis, uveitis, keratitis - CORRECT ANSWER-keratitis (note the
decreased visual acuity is not usu. present in conjunctivitis)
What a serious consequence of untreated otitis media in the pediatric patient?
(conjunctivitis, meningitis, mastoiditis, sepsis) - CORRECT ANSWER-mastoiditis
Usu. caused by minor trauma such as from a fingernail, contact lens, eyelash or
foreign body. Patient will present with pain and sensation of a foreign body and it
can be accompanied by photophobia, tearing, injection and blepharospam. -
CORRECT ANSWER-Corneal abrasion
Patient presents w/ a corneal abrasion. What should you do before examining or
treating? - CORRECT ANSWER-record visual acuity
Slit lamp examination of the eye reveals an epithelial defect but a clear cornea.
What is the likely dx? - CORRECT ANSWER-corneal abrasion
What is the treatment for a corneal abrasion? - CORRECT ANSWER-topical
anesthetic will provice immediate relief, but will retard healing.
-saline irrigation - antibiotic ointment (gentamicin)
patch for no longer than 24hrs
daily f/u
, BRAINSCAPE1
Patient presens to your clinic with pain, photophobia an tearing. Examination
reveals circumcorneal injection and watery to purulent discharge. Fluorescein
staining will reveal a dense corneal infiltrate with overlying epithelial defect. Dx?
(corneal abrasian, blehpariits, corneal ulcer) - CORRECT ANSWER-Corneal ulcer
How should you treat a corneal ulcer? - CORRECT ANSWER-REFER TO
OPTHALMOLOGIST
stain lesion and culture
Avoid this treatment in a corneal ulcer because they will cause further tissue loss
and increase risk of perforation - CORRECT ANSWER-topical steroids
This disorder of the eye may be age related or secondary to the toxic effects of
drugs such as chloroquine or phenothiazine.* It is the leading cause of
irreversible central visual loss.* - CORRECT ANSWER-Macular degeneration
Prevalence of age related macular degeneration increases after what age -
CORRECT ANSWER-50
Cholorquine or phenothiazine are drugs that can cause this disorder of the eye. -
CORRECT ANSWER-macular degeneration
In macular degeneration, drusten deposits are found in the ____ membrane,
leading to degenerative changes, loss of nutritional supply, atrophy and
neovascular degeneration. - CORRECT ANSWER-bruchen
What is the chief clinical feature of macular degeneration? - CORRECT ANSWER-
gradual loss of central vision
The phenomenon of wavy or distorted vision and can be measured with an
amsler grid. - CORRECT ANSWER-metamorphopsia
What is the treatment for macular degeneration? - CORRECT ANSWER-no
effective treatment, if detected early laser therapy or intravitreal injections of
monoclonal antibody drugs may slow progression
These supplments can reduce the progression of macular degeneration. -
CORRECT ANSWER-vitamins, antioxidants, zinc, copper and omega 3 fatty acids
Defined as an increased intraocular pressure w/ optic nerve damage. - CORRECT
ANSWER-Glaucoma
Any impediment to the flow of aqeuous humor through the trabecular meshwork
and canal of schlemm will increase pressure in the anterior chamber in
Glaucoma.
T or F - CORRECT ANSWER-T
