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Rosh Review-HEENT Exam Questions with 100% Correct Answers

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Rosh Review-HEENT Exam Questions with 100% Correct Answers 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? - Answer️️ -...

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  • September 15, 2024
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  • 2024/2025
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Rosh Review-HEENT Exam Questions
with 100% Correct Answers
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? - Answer✔️✔️-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?




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


Patient can have colored halos around lights nausea, vomiting, diaphoresis also. -

Answer✔️✔️-Angle-closure glaucoma

What most commonly presents with loss of peripheral vision with no other complaints? -

Answer✔️✔️-Open-angle glaucoma

What angle is closed in closed angle glaucoma? - Answer✔️✔️-Anterior chamber is

narrowed



intraocular pressure is acutely elevated >21 mmHG



pressure builds on optic nerve leading to loss of vision

Treatment for closed angle glaucoma? - Answer✔️✔️-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

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


What nerve is damaged with glaucoma? - Answer✔️✔️-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)? - Answer✔️✔️-

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? - Answer✔️✔️-Acute

narrow angle closure glaucoma

What are diagnostics for acute closed angle glaucoma? - Answer✔️✔️-Increased

intraocular pressure >21 by Tonometry



Cupping of optic nerve

What is slow, bilateral, peripheral vision loss? - Answer✔️✔️-Open angle glaucoma

What presents with tunnel vision? - Answer✔️✔️-Open angle glaucoma

What is management of Open angle glaucoma? - Answer✔️✔️-Prostaglandin analogs 1st

line: Latanoprost

What is primary glaucoma? - Answer✔️✔️-Open angle

What is most common form of glaucoma? - Answer✔️✔️-Open angle glaucoma

What presents with unilateral ocular pain/redness/photophobia with excessive tearing

(no discharge)? - Answer✔️✔️-Anterior Uveitis (Iritis)

What is most common cause of Uveitis Iritis? - Answer✔️✔️-Idiopathic

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