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Rosh Review-HEENT Exam Practice Questions and Answers (100% Pass)
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Rosh Review-HEENT Exam Practice Questions and Answers (100% Pass)
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©PREP4EXAMS@2024 [REAL EXAM DUMPS] Friday, July 19, 2024 6:13 AMRosh Review-HEENT Exam Practice
Questions and Answers (100% Pass)
What presents with patient entering a dark room or movie theater complaining of acute unilateral
painful vision loss, vomiting, and seeing halos around lights, with cloudy cornea and fixed mid-
dilated pupil?
Dx and Tx? - ✔️✔️Acute Angle Closure Glaucoma
Dx:
Labs show increased IOP >21 mmHg
Tx:
Topical ßBs: (TIMOLOL)
Carbonic anhydrase inhibitors: (Acetazolamide)
Steroids: (Prednisolone)
Miotics: (PILOCARPINE)
What presents with painful loss of vision with physical exam revealing circumlimbal injection,
steamy cornea, fixed mid-dilated pupil, decreased visual acuity and tearing?
Patient can have colored halos around lights nausea, vomiting, diaphoresis also. - ✔️✔️Angle-
closure glaucoma
What most commonly presents with loss of peripheral vision with no other complaints? -
✔️✔️Open-angle glaucoma
What angle is closed in closed angle glaucoma? - ✔️✔️Anterior chamber is narrowed
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,©PREP4EXAMS@2024 [REAL EXAM DUMPS] Friday, July 19, 2024 6:13 AM
intraocular pressure is acutely elevated >21 mmHG
pressure builds on optic nerve leading to loss of vision
Treatment for closed angle glaucoma? - ✔️✔️IMMEDIATE referral to ophthalmologist
1st line: ** Start IV ACETAZOLAMIDE (carbonic anhydrase inhibitor --> to decrease aqueous
humor production
Topical beta blocker (TIMOLOL) and LATANOPROST
USE Miotics--> Pilocarpine, Carbachol
Definitive treatment: surgical iridotomy
DO NOT use Mydriatics
What nerve is damaged with glaucoma? - ✔️✔️Optic Nerve
causes peripheral vision loss
What presents with unilateral ocular pain, nausea/vomiting, headache, intermittent blurry vision,
halos around lights, peripheral vision loss (tunnel vision)? - ✔️✔️Acute closed angle closure
glaucoma
What presents with erythema, steamy cornea(corneal epithelial edema or cloudiness), mid-
dilated, nonreactive pupil, and eyes feel hard to palpation? - ✔️✔️Acute narrow angle closure
glaucoma
What are diagnostics for acute closed angle glaucoma? - ✔️✔️Increased intraocular pressure >21
by Tonometry
Cupping of optic nerve
What is slow, bilateral, peripheral vision loss? - ✔️✔️Open angle glaucoma
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,©PREP4EXAMS@2024 [REAL EXAM DUMPS] Friday, July 19, 2024 6:13 AM
What presents with tunnel vision? - ✔️✔️Open angle glaucoma
What is management of Open angle glaucoma? - ✔️✔️Prostaglandin analogs 1st line: Latanoprost
What is primary glaucoma? - ✔️✔️Open angle
What is most common form of glaucoma? - ✔️✔️Open angle glaucoma
What presents with unilateral ocular pain/redness/photophobia with excessive tearing (no
discharge)? - ✔️✔️Anterior Uveitis (Iritis)
What is most common cause of Uveitis Iritis? - ✔️✔️Idiopathic
Anterior: commonly follows blunt trauma
BOTH anterior and posterior can occur from SYSTEMATIC INFLAMMATORY DISEASES
(HLA-B27 Spondyloathropathies, or infection diseases of CMS, toxoplasmosis, syphillis, TB)
How do you diagnose and treat Iritis (Uveitis)? - ✔️✔️Ophthamalmoscopy and slit lamp
examination will reveal ciliary injection (LIMBIC FLUSH), consensual photophobia,
INFLAMMATORY CELLS AND FLARE within aqueous
What presents with blurred/decreased vision, floaters and photophobia?
How do you treat? - ✔️✔️Posterior Uveitis (Iritis)
Tx: systemic corticosteroids
What is treatment for anterior and posterior Uveitis? - ✔️✔️Anterior: Topical steroids for anterior
Iritis
Posterior: Systemic corticosteroids
What presents with purulent nasal discharge, facial pain and pressure, nasal obstruction and
fever? - ✔️✔️Acute Sinusitis
What are common organisms causing Acute Sinusitis?
What are risk factors? - ✔️✔️Strep Pneumo, H. influenza, and less often Staph A
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, ©PREP4EXAMS@2024 [REAL EXAM DUMPS] Friday, July 19, 2024 6:13 AM
Risk factors: Cigarette smoking, history of trauma and presence of foreign body
What presents with tenderness to palpation over sinuses, decreased light transmission
(opacification) with transillumination of sinuses?
Treatment? - ✔️✔️Sinusitis
Tx: NSAIDS (for pain)
Saline washes, steam and oral and/or nasal decongestants; intranasal corticosteroids
1st line antibiotic: AMOXICILLIN- CLAVULANATE
PCN allergy: Macrolides, TMP-SMX, or doxycycline
What presents with facial pressure/pain worsened with bending down and leaning forward,
headache and purulent sputum or nasal discharge?
Treatment? - ✔️✔️Sinusitis
tx: Amoxicillin-Clavulanate, Doxycycline, Trimethoprim-Sulfamethoxazole
along with decongestants, antihistamines, mycolytics and intranasal steroids
What is the scan diagnostic test of choice for Sinusitis? - ✔️✔️Ct scan
X ray: Water's view (45 angle to get better view of maxillary sinuses)
Which sinuses are most affected with acute sinusitis? - ✔️✔️Maxillary
What presents with sore throat, pain with swallowing, truisms, deviation of the soft palate/uvula
and "hot potato voice"? - ✔️✔️Peritonsillar abscess/cellulitis
a.ka. QUINSY
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