HEENT-Dunphy/lecture notes Exam
Questions and Answers with Verified
Solutions | Latest Updated 2026
What is the most common s. pneumoniae
bacterial
cause of otitis media?
What are some differences in viral- watery discharge, matting unusual;
discharge from viral vs bacterial contagious 1-2 weeks
conjunctivitis? bacterial yellow/thick/purulent with matting
what are red eye red flags? flashing lights/photopsias (retina problem)
resulting acute onset of double vision or floaters
in emergency referral severe pain with eye movement (optic
neuritis)
photophobia (uveitis)
concurrent vesicle on face/lips/nose (HZO)
injury with foreign body
new onset vision changes
new onset blurry vision with halos and
headache
(acute angle closure glaucoma)
What is conductive hearing loss? unilateral loss of low tones; AC<BC
cx: fluid behind TM, cerumenosis, foreign
body,
otitis, tumors, perf TM, cholesteotoma
, what is sensorineural hearing slow onset, usu bilateral, loss of high
loss? frequency
tones
cx: ototoxic drugs, hereditary, aging,
malformation,
inner ear, loud noise injury
Patients who wear contacts are at infectious keratosis- infection of the cornea
increased r/f what? happens when pts wear their contacts
during the
night and with poor contact hygiene
may need strong drops- fluoroquinolones
How do you treat bacterial erythromycin 0.5%
conjunctivitis?
How do you treat viral Refresh eye drops
conjunctivitis? no antibiotics
What is a chalazion? swelling of an oil gland on the eyelid
(Meibomian
gland)
painless typically
inversion of the eyelid with redness and
swelling
How is a Chalazion treated? warm compress over the eye
eye hygiene-water/baby shampoo 1:1 BID
do not pop can cx infection
no eye make up or contacts
Questions and Answers with Verified
Solutions | Latest Updated 2026
What is the most common s. pneumoniae
bacterial
cause of otitis media?
What are some differences in viral- watery discharge, matting unusual;
discharge from viral vs bacterial contagious 1-2 weeks
conjunctivitis? bacterial yellow/thick/purulent with matting
what are red eye red flags? flashing lights/photopsias (retina problem)
resulting acute onset of double vision or floaters
in emergency referral severe pain with eye movement (optic
neuritis)
photophobia (uveitis)
concurrent vesicle on face/lips/nose (HZO)
injury with foreign body
new onset vision changes
new onset blurry vision with halos and
headache
(acute angle closure glaucoma)
What is conductive hearing loss? unilateral loss of low tones; AC<BC
cx: fluid behind TM, cerumenosis, foreign
body,
otitis, tumors, perf TM, cholesteotoma
, what is sensorineural hearing slow onset, usu bilateral, loss of high
loss? frequency
tones
cx: ototoxic drugs, hereditary, aging,
malformation,
inner ear, loud noise injury
Patients who wear contacts are at infectious keratosis- infection of the cornea
increased r/f what? happens when pts wear their contacts
during the
night and with poor contact hygiene
may need strong drops- fluoroquinolones
How do you treat bacterial erythromycin 0.5%
conjunctivitis?
How do you treat viral Refresh eye drops
conjunctivitis? no antibiotics
What is a chalazion? swelling of an oil gland on the eyelid
(Meibomian
gland)
painless typically
inversion of the eyelid with redness and
swelling
How is a Chalazion treated? warm compress over the eye
eye hygiene-water/baby shampoo 1:1 BID
do not pop can cx infection
no eye make up or contacts
