©THEBRIGHTSTARS 2024
HEENT Advance Assessment Exam
Questions With Correct Answers.
Conjunctivitis causes impaired vision. T/F - answer✔False: vision changes is a red flag finding
What are some physical findings of a foreign body on the eye? - answer✔"rust ring"
appearance of dark specs against iris, red eye, sensation of something in the eye, photophobia,
tearing, frequent eye rubbing
What are the 3 most commons pathogens of conjunctivitis? - answer✔Streptococcus
pneumoniae, H. influenza, Staph. aureus
What are the top 4 differential diagnosis of conjunctivitis? - answer✔FB in eye, Corneal
abrasion, Dacrycocysitis, Uveitis/scleritis/iritis
What diagnostic study is used for FB of eye and corneal abrasion? - answer✔Fluorescein with
slit or woods lamp
If there is a confirmed corneal abrasion, what must provider do next during physical assessment?
- answer✔Evert the eyelid to make sure there is no FB
If the woods lamp and fluorescein turn green to an particular area, what does this indicate? -
answer✔Corneal abrasion or FB
What eye disorder is seen in those with Graves disease? - answer✔Exophthalmos
What does 20/40 mean during a visual acuity test? - answer✔at 20 feet the patient can read
print that a person with normal vision could read at 40 feet.
What is dacryocysitis? - answer✔infection of the lacrimal sac secondary to obstruction
What would you see in a CBC in some diagnosed with dacryocysitis? - answer✔Leukocytosis
These listed physical findings are seen in what eye disorder...central redness, pupil affected is
smaller, visual acuity is decreased and photophobia is present, pain is moderate and aching -
answer✔Iritis
What is the most common inflammation of the eye lid disorder? - answer✔Blepharitis
T/F: Blepharitis is unilateral and painful. - answer✔False: bilateral and painless
, ©THEBRIGHTSTARS 2024
A granulomatous reaction in the meibomian gland on the tarsal plate of the eye lid is called? -
answer✔Chalazion
A chalazion is usually painless correct? - answer✔Yes
What are 3 differential diagnosis of a chalazion? - answer✔Hordeolum, Blephritis, embedded
foreign body
This disorder usually acutely manifests as a palpable indurated area, with pus and surrounding
edema, unilateral with localized pain? - answer✔Hordeolum (sty)
During the weber test lateralization with to the better ear describes what kind of hearing loss? -
answer✔Sensorineural
T/F: conductive hearing loss consists of issues with the middle ear and external auditory canal? -
answer✔True
Risk factors such as allergies, Eustachian tube obstruction, heredity are common in what kind of
hearing loss? - answer✔Conductive
Hearing seems to improve in noisy environments with SNHL. T/F - answer✔False - CHL
What are some diagnostic studies for hearing loss? - answer✔Weber, Rinne, audiometry,
whisper test
What is a significant physical finding of otitis media? - answer✔Immobility of the TM
List some risk factors for AOM? - answer✔- Children younger than 6
- attends daycare
- first episode < 12 months
- second hand smoke
- allergic rhinitis
- bottling while laying supine
What are 4 differential diagnosis of AOM? - answer✔Otitis Externa, Cholesteatoma, cerumen
impaction, mastoiditis
What key diagnostic study is used to DX Otitis Media with effusion? - answer✔pneumatic
otoscopy
What is the most common pathogen of otitis externa? - answer✔Pseudomonas
What is the most significant physical finding of otitis externa? - answer✔pain with movement
of the pinna
HEENT Advance Assessment Exam
Questions With Correct Answers.
Conjunctivitis causes impaired vision. T/F - answer✔False: vision changes is a red flag finding
What are some physical findings of a foreign body on the eye? - answer✔"rust ring"
appearance of dark specs against iris, red eye, sensation of something in the eye, photophobia,
tearing, frequent eye rubbing
What are the 3 most commons pathogens of conjunctivitis? - answer✔Streptococcus
pneumoniae, H. influenza, Staph. aureus
What are the top 4 differential diagnosis of conjunctivitis? - answer✔FB in eye, Corneal
abrasion, Dacrycocysitis, Uveitis/scleritis/iritis
What diagnostic study is used for FB of eye and corneal abrasion? - answer✔Fluorescein with
slit or woods lamp
If there is a confirmed corneal abrasion, what must provider do next during physical assessment?
- answer✔Evert the eyelid to make sure there is no FB
If the woods lamp and fluorescein turn green to an particular area, what does this indicate? -
answer✔Corneal abrasion or FB
What eye disorder is seen in those with Graves disease? - answer✔Exophthalmos
What does 20/40 mean during a visual acuity test? - answer✔at 20 feet the patient can read
print that a person with normal vision could read at 40 feet.
What is dacryocysitis? - answer✔infection of the lacrimal sac secondary to obstruction
What would you see in a CBC in some diagnosed with dacryocysitis? - answer✔Leukocytosis
These listed physical findings are seen in what eye disorder...central redness, pupil affected is
smaller, visual acuity is decreased and photophobia is present, pain is moderate and aching -
answer✔Iritis
What is the most common inflammation of the eye lid disorder? - answer✔Blepharitis
T/F: Blepharitis is unilateral and painful. - answer✔False: bilateral and painless
, ©THEBRIGHTSTARS 2024
A granulomatous reaction in the meibomian gland on the tarsal plate of the eye lid is called? -
answer✔Chalazion
A chalazion is usually painless correct? - answer✔Yes
What are 3 differential diagnosis of a chalazion? - answer✔Hordeolum, Blephritis, embedded
foreign body
This disorder usually acutely manifests as a palpable indurated area, with pus and surrounding
edema, unilateral with localized pain? - answer✔Hordeolum (sty)
During the weber test lateralization with to the better ear describes what kind of hearing loss? -
answer✔Sensorineural
T/F: conductive hearing loss consists of issues with the middle ear and external auditory canal? -
answer✔True
Risk factors such as allergies, Eustachian tube obstruction, heredity are common in what kind of
hearing loss? - answer✔Conductive
Hearing seems to improve in noisy environments with SNHL. T/F - answer✔False - CHL
What are some diagnostic studies for hearing loss? - answer✔Weber, Rinne, audiometry,
whisper test
What is a significant physical finding of otitis media? - answer✔Immobility of the TM
List some risk factors for AOM? - answer✔- Children younger than 6
- attends daycare
- first episode < 12 months
- second hand smoke
- allergic rhinitis
- bottling while laying supine
What are 4 differential diagnosis of AOM? - answer✔Otitis Externa, Cholesteatoma, cerumen
impaction, mastoiditis
What key diagnostic study is used to DX Otitis Media with effusion? - answer✔pneumatic
otoscopy
What is the most common pathogen of otitis externa? - answer✔Pseudomonas
What is the most significant physical finding of otitis externa? - answer✔pain with movement
of the pinna
