HEENT Practice Exam with all Correct & 100% Verified
Answers |Actual Complete Exam |Already Graded A+
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 ✔Correct Answer-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? ✔Correct Answer-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 ✔Correct Answer-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? ✔Correct Answer-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 ✔Correct Answer-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 ✔Correct Answer-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 ✔Correct Answer-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 ✔Correct Answer-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? ✔Correct Answer-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
b) hutchinson sign
c) stromal infiltrates
d) whiteish grey patch on the eye ✔Correct Answer-a) small branching epithelial dendrites
Tx: refer to ophthalmology, give antivirals to shorten dz course, manage aggressively
Which of the following is not consistent with the diagnosis of varicella zoster virus opthalmicus?
a) vesicles at the tip of the nose
b) prodrome of forehead tingling and intesnse pain to light touch
c) unilateral maculopapular rash evolveing into vesicles and pustules along the dermatome
d) rash on the ear ✔Correct Answer-d) rash on the ear
This would be consistent with ramsay hunt syndrome
Tx: valacyclovir or famiciclovir
Which of the following are you most likely to find in a patient with fungal keratitis?
a) scattered, fine, punctate corneal damage
b) yellowish slightly raised thickening of the conjunctiva on the sclera
c) satellite lesions
d) opaque appearing eye ✔Correct Answer-c) satellite lesions
this is a clinical dx
Which of the following diagnoses is most consistent with a gradual and painless onset of
cloudy/blurry vision. These patients have a glare (especially with bright lights and driving at night)
and report halos around the lights.
a) open angle glaucoma
b) cataracts
c) episcleritis
d) pterygium ✔Correct Answer-b) cataracts
The procedure of choice is phacoemulsification
A 46 year old patient with known rhematoid arthritis presents today with unilateral redness and
inflammation of the left eye. She complains it hurts to look at the light and her pain is constant,
deep, boring, and pulsating. The pain awakens her from sleep. Which of the following is the likely
diagnosis?
a) scleritis
b) episcleritis
c) anterior uveitis
d) glaucoma
BONUS: what does a bluish hue of the sclera suggest? ✔Correct Answer-a) scleritis
Answers |Actual Complete Exam |Already Graded A+
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 ✔Correct Answer-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? ✔Correct Answer-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 ✔Correct Answer-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? ✔Correct Answer-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 ✔Correct Answer-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 ✔Correct Answer-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 ✔Correct Answer-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 ✔Correct Answer-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? ✔Correct Answer-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
b) hutchinson sign
c) stromal infiltrates
d) whiteish grey patch on the eye ✔Correct Answer-a) small branching epithelial dendrites
Tx: refer to ophthalmology, give antivirals to shorten dz course, manage aggressively
Which of the following is not consistent with the diagnosis of varicella zoster virus opthalmicus?
a) vesicles at the tip of the nose
b) prodrome of forehead tingling and intesnse pain to light touch
c) unilateral maculopapular rash evolveing into vesicles and pustules along the dermatome
d) rash on the ear ✔Correct Answer-d) rash on the ear
This would be consistent with ramsay hunt syndrome
Tx: valacyclovir or famiciclovir
Which of the following are you most likely to find in a patient with fungal keratitis?
a) scattered, fine, punctate corneal damage
b) yellowish slightly raised thickening of the conjunctiva on the sclera
c) satellite lesions
d) opaque appearing eye ✔Correct Answer-c) satellite lesions
this is a clinical dx
Which of the following diagnoses is most consistent with a gradual and painless onset of
cloudy/blurry vision. These patients have a glare (especially with bright lights and driving at night)
and report halos around the lights.
a) open angle glaucoma
b) cataracts
c) episcleritis
d) pterygium ✔Correct Answer-b) cataracts
The procedure of choice is phacoemulsification
A 46 year old patient with known rhematoid arthritis presents today with unilateral redness and
inflammation of the left eye. She complains it hurts to look at the light and her pain is constant,
deep, boring, and pulsating. The pain awakens her from sleep. Which of the following is the likely
diagnosis?
a) scleritis
b) episcleritis
c) anterior uveitis
d) glaucoma
BONUS: what does a bluish hue of the sclera suggest? ✔Correct Answer-a) scleritis
