PANCE ACTUAL EXAM 2026/2027 TEST | WITH COMPREHENSIVE
QUESTIONS AND VERIFIED ANSWERS | GRADED A+
Your 21 year old patient is complaining of a feeling of a "foreign-body sensation" in their eye, but
nothing is there. She wears contacts.
What is the likely dx?
(chalazion, corneal abrasion, hordeolum) - ANSWER corneal abrasion
This disorder of the eye presents with redness and irritation, fever, sore throat, cough and
*decreased visual acuity*.
What is the likely dx?
conjunctivitis, uveitis, keratitis - ANSWER keratitis (note the decreased visual acuity is not usu.
present in conjunctivitis)
What a serious consequence of untreated otitis media in the pediatric patient?
(conjunctivitis, meningitis, mastoiditis, sepsis) - ANSWER mastoiditis
Usu. caused by minor trauma such as from a fingernail, contact lens, eyelash or foreign body. Patient
will present with pain and sensation of a foreign body and it can be accompanied by photophobia,
tearing, injection and blepharospam. - ANSWER Corneal abrasion
Patient presents w/ a corneal abrasion. What should you do before examining or treating? - ANSWER
record visual acuity
Slit lamp examination of the eye reveals an epithelial defect but a clear cornea. What is the likely dx?
- ANSWER corneal abrasion
What is the treatment for a corneal abrasion? - ANSWER topical anesthetic will provice immediate
relief, but will retard healing.
-saline irrigation - antibiotic ointment (gentamicin)
, patch for no longer than 24hrs
daily f/u
Patient presens to your clinic with pain, photophobia an tearing. Examination reveals circumcorneal
injection and watery to purulent discharge. Fluorescein staining will reveal a dense corneal infiltrate
with overlying epithelial defect. Dx?
(corneal abrasian, blehpariits, corneal ulcer) - ANSWER Corneal ulcer
How should you treat a corneal ulcer? - ANSWER REFER TO OPTHALMOLOGIST
stain lesion and culture
Avoid this treatment in a corneal ulcer because they will cause further tissue loss and increase risk of
perforation - ANSWER topical steroids
This disorder of the eye may be age related or secondary to the toxic effects of drugs such as
chloroquine or phenothiazine.* It is the leading cause of irreversible central visual loss.* - ANSWER
Macular degeneration
Prevalence of age related macular degeneration increases after what age - ANSWER 50
Cholorquine or phenothiazine are drugs that can cause this disorder of the eye. - ANSWER macular
degeneration
In macular degeneration, drusten deposits are found in the ____ membrane, leading to degenerative
changes, loss of nutritional supply, atrophy and neovascular degeneration. - ANSWER bruchen
What is the chief clinical feature of macular degeneration? - ANSWER gradual loss of central vision
The phenomenon of wavy or distorted vision and can be measured with an amsler grid. - ANSWER
metamorphopsia
What is the treatment for macular degeneration? - ANSWER no effective treatment, if detected early
laser therapy or intravitreal injections of monoclonal antibody drugs may slow progression
QUESTIONS AND VERIFIED ANSWERS | GRADED A+
Your 21 year old patient is complaining of a feeling of a "foreign-body sensation" in their eye, but
nothing is there. She wears contacts.
What is the likely dx?
(chalazion, corneal abrasion, hordeolum) - ANSWER corneal abrasion
This disorder of the eye presents with redness and irritation, fever, sore throat, cough and
*decreased visual acuity*.
What is the likely dx?
conjunctivitis, uveitis, keratitis - ANSWER keratitis (note the decreased visual acuity is not usu.
present in conjunctivitis)
What a serious consequence of untreated otitis media in the pediatric patient?
(conjunctivitis, meningitis, mastoiditis, sepsis) - ANSWER mastoiditis
Usu. caused by minor trauma such as from a fingernail, contact lens, eyelash or foreign body. Patient
will present with pain and sensation of a foreign body and it can be accompanied by photophobia,
tearing, injection and blepharospam. - ANSWER Corneal abrasion
Patient presents w/ a corneal abrasion. What should you do before examining or treating? - ANSWER
record visual acuity
Slit lamp examination of the eye reveals an epithelial defect but a clear cornea. What is the likely dx?
- ANSWER corneal abrasion
What is the treatment for a corneal abrasion? - ANSWER topical anesthetic will provice immediate
relief, but will retard healing.
-saline irrigation - antibiotic ointment (gentamicin)
, patch for no longer than 24hrs
daily f/u
Patient presens to your clinic with pain, photophobia an tearing. Examination reveals circumcorneal
injection and watery to purulent discharge. Fluorescein staining will reveal a dense corneal infiltrate
with overlying epithelial defect. Dx?
(corneal abrasian, blehpariits, corneal ulcer) - ANSWER Corneal ulcer
How should you treat a corneal ulcer? - ANSWER REFER TO OPTHALMOLOGIST
stain lesion and culture
Avoid this treatment in a corneal ulcer because they will cause further tissue loss and increase risk of
perforation - ANSWER topical steroids
This disorder of the eye may be age related or secondary to the toxic effects of drugs such as
chloroquine or phenothiazine.* It is the leading cause of irreversible central visual loss.* - ANSWER
Macular degeneration
Prevalence of age related macular degeneration increases after what age - ANSWER 50
Cholorquine or phenothiazine are drugs that can cause this disorder of the eye. - ANSWER macular
degeneration
In macular degeneration, drusten deposits are found in the ____ membrane, leading to degenerative
changes, loss of nutritional supply, atrophy and neovascular degeneration. - ANSWER bruchen
What is the chief clinical feature of macular degeneration? - ANSWER gradual loss of central vision
The phenomenon of wavy or distorted vision and can be measured with an amsler grid. - ANSWER
metamorphopsia
What is the treatment for macular degeneration? - ANSWER no effective treatment, if detected early
laser therapy or intravitreal injections of monoclonal antibody drugs may slow progression
