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HEENT Practice Exam Latest Updates 2024/2025
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HEENT Practice Exam Latest Updates 2024/2025
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HEENT Practice Exam Latest Updates2024/2025
A 14 year old female presents to your office with a sudden onset of unilateral red
eye. She reports a foreign body sensation and has watery to serous discharge.
Which of the following is not true about this condition?
a) it is the MCC of conjunctivitis
b) she can continue to wear contacts during treatment
c) this will self resolve in 10-12 days
d) this is highly contagious, so take precautions not to spread to others ANS✔✔ b)
she can continue to wear contacts during treatment
This is a case of adenoviral conjunctivitis
A 35 year old female who is sexually active presents to your office with
mucopurulent discharge from the eye that is stringy and thick. She also has a
foreign body sensation and photophobia. She has a history of cervicitis and PID.
Physical exam reveals a palpable preauricular LN and diffuse hyperemia. She also
has lid swelling, slight ptosis, and a marked tarsal follicular response. What is her
most likely diagnosis?
a) adult inclusion conjunctivitis
b) trachoma
c) adenoviral conjunctivitis
d) foreign body in the eye
BONUS: What are the 3 most common organisms in bacterial conjunctivitis? ANS✔✔
a) adult inclusion conjunctivitis
BONUS: staph aureus, H flue, and strep pneumo
,Tx: azithromycin, treat sexual contacts
Which of the following is not a part of SAFE efforts from WHO to eradicate
trachoma?
a) surgery
b) antibiotics (azithromycin)
c) facial cleanliness
d) education ANS✔✔ d) education
E should stand for environmental improvement
trachoma is the leading infectious cause of irreversible blindnss worldwide caused
by chlamydia
Which of the following is the test of choice for a patient with profuse purulent
exudate from the eye described as a "waterfall of pus"?
a) tissue culture
b) skin allergy testing
c) NAAT
d) clinical dx
BONUS: what is the treatment of this condition? ANS✔✔ c) NAAT
BONUS: tx chlamydia with azithromycin 1g orally, ceftriaxone 250mg IV,
cirpofloxacin eye ointment 4x daily, and saline irrigation 4x daily
Which of the following is not a treatment option for moderate to severe allergic
conjunctivitis?
a) topical mast cell stabilizers
,b) topical histamine H1 receptor agonists
c) oral antihistamines
d) exposure to cooler climates ANS✔✔ b) topical histamine H1 receptor agonists
This should be ANTAGONISTS
With these pts, you should see itching, tears with strings of discharge, and
hyperemia
The types of vernal keratosis (large cobblestone papillae on upper tarsal
conjunctiva) and atopic keratoconjunctivitis (abnormalities of both tarsal
conjunctiva)
Which of the following are you most likely to see in a patient who has been
diagnosed with posterior blepharitis?
a) pouting of the meibomian glands
b) crusting on the eyelid margins
c) collarettes on the eyelid margins
d) affects the outside from of the eyelid at the eyelash base ANS✔✔ a) pouting of
the meibomian glands
You will also likely see telangiectasis along the posterior lid margin
All other options are consistent with anterior blepharitis
Which of the following diagnoses is best described as a hard, nontender swelling on
the upper lid?
a) internal hordeolum
b) anterior blepharitis
, c) posterior blepharitis
d) chalazion ANS✔✔ d) chalazion
Hordeolum (styes) are often swollen and tender
tip: extneral hordeolum is a gland of zeis infection
Which of the following tests is the best way to diagnose keratoconjunctivitis sicca?
a) fluorescein stain dye
b) rose bengal slit lamp
c) schirmer test
d) corneal scraping ANS✔✔ c) schirmer test
A 16 year old contact lens wearing patient returns from iceland, where he swam in
the baltic sea waters. He complains today of unilateral ocular pain and is extremly
sensitive to light. The sx wax and wane over time and a PE reveals ring shaped
stromal infiltrates. Which of the following is the most likely diagnosis?
a) bacterial keratitis
b) parasitic keratitis
c) viral keratitis
d) allergic keratitis
BONUS: what is the treatment? ANS✔✔ b) parasitic keratitis
BONUS: topical anti-infective agents such as biguanide (duration is 6 months to a
year)
Which of the following is the hallmark sign seen with herpes simplex keratitis?
a) small branching epithelial dendrites
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