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Primary Care HEENT Exam Practice Questions and Answers (100% Pass)
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Primary Care HEENT Exam Practice Questions and Answers (100% Pass)
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©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PMPrimary Care HEENT Exam Practice
Questions and Answers (100% Pass)
Vital Signs of the Eyes - ✔️✔️-Visual Acuity
-Pupil responses (symmetric response, direct light or consensual light).
-Intraocular pressure (screening for glaucome recommended after 40 yoa).
-Visual fields
-Extra ocular movements
Myopia - ✔️✔️Difficulty seeing far away (nearsighted)
Second sight - ✔️✔️refers to adults who abandon their reading glasses related to the
phenomenon that occur with changes in the eye due to cataracts
Presbyopia - ✔️✔️- Loss of near vision. This is due to a decrease in the flexibility of the
human lens, a natural aging process.
Hyperopia - ✔️✔️- difficulty seeing close (farsightedness) more common after age 40
Diplopia - ✔️✔️Double vision
Floaters - ✔️✔️Spots that quickly floats through vision
Scotomas - ✔️✔️fixed spots and suggests lesions of retina or visual pathway
Arcus senilis: - ✔️✔️a cloudy appearance of the cornea with a gray/white arc or circle
around the limbus due to deposition of lipid material.
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,©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PM
Snellen eye chart - ✔️✔️20/20 means that "the pt can see at 20 feet what the normal
person can see at 20 feet" ( the larger the denominator, the poorer the patient's vision).
Pterygium: - ✔️✔️Raised wedge-shaped growth of thin, non cancerous tissue over the
conjunctiva.
Proptosis - ✔️✔️-Exophthalmos (also called exophthalmus, exophthalmia, proptosis, or
exorbitism) is a bulging of the eye anteriorly out of the orbit
Blepharitis - ✔️✔️-Chronic inflammatory disorder of the eyelids
and associated adnexal structures.
-May be unilateral or bilateral, and chronic condition.
-The most frequent patient complaint is of ongoing eye irritation, often accompanied by
eye redness.
-Result of bacterial infection, or other issue
-Ulcerative:
-The chronicity of blepharitis is punctuated by intermittent exacerbations.
-Secondary infections are common in ulcerative form-
(Staphlococcus aureus)
Nonulcerative Blepharitis - ✔️✔️-Due to Seborrhea, Trisomy 21, Psoriasis, ezema,
allergies and lice infestations.
-Contributing factors: expousure to chemicals or environmental irritants, contact lenses.
Ulcerative - ✔️✔️-Involves the lash follicle and the meibomian glands of the eyelid.
-May be pustules at the base of the hair follicles that may crust and bleed.
-Lashes become thin and break easily.
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, ©PREP4EXAMS@2024 [REAL-EXAM-DUMPS] Monday, July 29, 2024 12:15 PM
Presentation of Blepharitis - ✔️✔️-Red eyes
-Gritty sensation
-Burning sensation
-Excessive tearing
-Itchy eyelids
-Red, swollen eyelids
-Crusting or matting of eyelashes in the morning
-Flaking or scaling of the eyelid skin
-Light sensitivity
-Blurred vision
Objective - ✔️✔️-Use gloves to palpate the lid margins and lid for masses and palpate for
preauricular lymphadenopathy.
Clinical Examination and Dx - ✔️✔️-History should include questions about symptom
duration, smoking, allergens, contact lenses, and use of retinoids, which may provoke
or exacerbate symptoms.
-A history of acne, rosacea, or eczema should be evaluated (usually nonulcerative
blepharitis).
-Clinical Exam: Visual Acuity
-Culture and Sensitivity (If discharge).
-Diagnosis is based on the patient's history and physical examination findings.
-There are no confirmatory diagnostic tests or laboratory. investigations.
-Underlying Causes: Staphylococcal infection, seborrheic dermatitis, rosacea, contact
allergy
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