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HEENT ROSH REVIEW QUESTIONS AND ANSWERS | 100% PASS

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HEENT ROSH REVIEW QUESTIONS AND ANSWERS | 100% PASS A 28-year-old woman presents with intense pain, tearing, and ocular foreign body sensation in both eyes that began yesterday. She denies any trauma, past medical problems, or contact lens use and reports that she works as ski patrol for a loca...

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  • September 15, 2024
  • 19
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • ROSH
  • ROSH
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, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM



HEENT ROSH REVIEW QUESTIONS
AND ANSWERS | 100% PASS


A 28-year-old woman presents with intense pain, tearing, and ocular foreign body

sensation in both eyes that began yesterday. She denies any trauma, past medical

problems, or contact lens use and reports that she works as ski patrol for a local resort.

Her physical examination is significant for bilateral decreased visual acuity, injected

conjunctiva, and diffuse punctuate corneal lesions with a discrete superior border. Her

pupils are equal, round, and reactive to light. Given this patient's clinical presentation,

which of the following is the most likely diagnosis? - Answer✔️✔️-Ultraviolet ketartitis


What is another name for ultraviolet keratitis and how is it caused? - Answer✔️✔️-This

patient has ultraviolet keratitis, also known as snow blindness. This is a radiation burn

that occurs when an individual comes in close contact with an ultraviolet-ray-containing

light source. It may be caused by sun lamps, tanning booths, or exposure to intense

reflected sunlight, particularly in high-altitude environments

How will flouresence staining present with ultraviolet keratitis? - Answer✔️✔️-Fluorescein

staining reveals superficial punctate epithelial surface irregularities, which usually cover

the entire surface of the cornea. This condition is usually referred to as superficial

punctate keratitis (SPK)

What is the treatment for ultraviolet keratitis? - Answer✔️✔️-Treatment consists of

flushing the eye for several minutes with water or saline solution and prescribing a


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, ©SOPHIABENNETT EXAM SOLUTIONS_2024/2025 Tuesday, September 3, 2024 10:30 AM


short-acting cycloplegic agent for pain management. The use of ophthalmic antibiotics

has not been shown to improve healing. While oral pain medications are often needed,

topical anesthetics should be avoided due to an increased risk of corneal ulceration.

What is episcleritis and how is it caused? - Answer✔️✔️-Episcleritis (B) is a common,

benign inflammatory condition of the episclera and most often occurs in young adults. It

is usually idiopathic but may be associated with systemic conditions such as diabetes

mellitus, systemic lupus erythematosus, rheumatoid arthritis, and inflammatory bowel

disease. Patients typically complain of a foreign body sensation, mild pain, photophobia,

and lacrimation. The condition is usually self-limiting.

What is iritis? - Answer✔️✔️-Iritis (C), also known as anterior uveitis, is an inflammation

of the anterior portions of the uvea (iris, ciliary body, and choroid). It is often idiopathic

but may be associated with systemic diseases such as rheumatoid arthritis, sarcoidosis,

Reiter syndrome, and tuberculosis.

How do cycloplegics work? - Answer✔️✔️-They relax ciliary muscle spasm and prevent

contraction of the iris, reducing pupillary photoresponse.

What is leukoplakia? - Answer✔️✔️-Leukoplakia is a premalignant white patch or plaque

that may eventually progress to an ulcer or mass. It is a pre-malignant oral lesion. The

biggest risk factors are tobacco and alcohol use.

If oral leukoplakia is persistent for more than 2 weeks what is required? - Answer✔️✔️-If

oral leukoplakia persists for more than 2 weeks, biopsy and treatment is required.

What is the 5-year survival rate for oral cancer? - Answer✔️✔️-50-55%.




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