HEENT Advance Assessment COMPLETE
QUESTIONS & SOLUTIONS(GRADED A)
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
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
QUESTIONS & SOLUTIONS(GRADED A)
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
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
