NR603 CEA Prep: HEENT questions and
verified answers (MULTIPLE CHOICES)
AND RATIONALES|GET IT 100%
ACCURATE!!
Your patient has been diagnosed with a detached retina. What treatment is least likely to be curative? -
CORRECT ANSWERS Lens replacement
A 51-year-old male patient presents to the urgent care with a unilateral injected cornea and nausea. He
reports visual acuity changes and light sensitivity. Which of the following is not included in your
differential? - CORRECT ANSWERS Chalazion
Rationale: Chalazion is a blocked meibomian gland that is not associated with visual acuity changes, light
sensitivity, or an injected cornea. Digoxin toxicity is commonly associated with halos around eyes with
nausea but does not have any mechanism to explain the injected cornea. Cluster headaches also share
the erythema, unilateral pain/pathology.
A patient presents with blood present in the anterior portion of their eye covering the lower half of their
iris. With which of the following diagnoses is this most consistent? - CORRECT ANSWERS
Hyphema
Rationale: Hyphema is defined as red blood cells in the anterior portion of the eye between the cornea
and iris. Subconjunctival hemorrhage is commonly mistaken for this and is a hemorrhage lateral to the
iris in the conjunctiva of the eye. Globe rupture does not present with such specific findings unless
hyphema is also included in the trauma, and acute angle glaucoma is not associated with blood in the
anterior vitreous; however, hyphema may lead to this if the trabecular network were to get clogged. For
this reason, close follow up is required for these patients.
Initial management for a patient with dry eyes should include: - CORRECT ANSWERS
Preservative-free lubricative eye drops
, Which antibiotic is appropriate for initial treatment of sinusitis? - CORRECT ANSWERS
amoxicillin/clavulanic acid (Augmentin)
The medical term for nosebleed is which of the following? - CORRECT ANSWERS Epistaxis
You are following up with a 24-year-old male patient who was recently in a motor vehicle collision at a
high rate of speed. A CT head is performed revealing a pyramidal fracture involving the lateral walls of
the maxillary sinuses and inferior orbital rim. Which classification of fracture is this? - CORRECT
ANSWERS Le Fort II
Rationale: Le Fort II fracture lines pass through the posterior alveolar ridge, lateral walls of maxillary
sinuses, inferior orbital rim, and nasal bones
Which of the following is not a common symptom of Meniere's disease? - CORRECT ANSWERS
Photophobia
Rationale: The classic triad of Meniere's disease is vertigo, tinnitus, and hearing loss.
The patient you just saw in urgent care is being admitted for strep viridans endocarditis. Which of the
following does the prudent nurse practitioner considered the most possible source of the illness? -
CORRECT ANSWERS Perioral abscess seen on maxillofacial bone CT scan this admission
Your 62-year-old patient with diabetes and COPD has been diagnosed with acute angle glaucoma after
presenting to the clinic with complaints of acute unilateral eye pain with decreased unilateral visual
acuity and a hazy cornea. Which of the following topical medications should be avoided? - CORRECT
ANSWERS timolol
Which of the following microorganisms are most frequently associated with acute bacterial rhino-
sinusitis? - CORRECT ANSWERS Streptococcus pneumoniae and Haemophilus influenzae
verified answers (MULTIPLE CHOICES)
AND RATIONALES|GET IT 100%
ACCURATE!!
Your patient has been diagnosed with a detached retina. What treatment is least likely to be curative? -
CORRECT ANSWERS Lens replacement
A 51-year-old male patient presents to the urgent care with a unilateral injected cornea and nausea. He
reports visual acuity changes and light sensitivity. Which of the following is not included in your
differential? - CORRECT ANSWERS Chalazion
Rationale: Chalazion is a blocked meibomian gland that is not associated with visual acuity changes, light
sensitivity, or an injected cornea. Digoxin toxicity is commonly associated with halos around eyes with
nausea but does not have any mechanism to explain the injected cornea. Cluster headaches also share
the erythema, unilateral pain/pathology.
A patient presents with blood present in the anterior portion of their eye covering the lower half of their
iris. With which of the following diagnoses is this most consistent? - CORRECT ANSWERS
Hyphema
Rationale: Hyphema is defined as red blood cells in the anterior portion of the eye between the cornea
and iris. Subconjunctival hemorrhage is commonly mistaken for this and is a hemorrhage lateral to the
iris in the conjunctiva of the eye. Globe rupture does not present with such specific findings unless
hyphema is also included in the trauma, and acute angle glaucoma is not associated with blood in the
anterior vitreous; however, hyphema may lead to this if the trabecular network were to get clogged. For
this reason, close follow up is required for these patients.
Initial management for a patient with dry eyes should include: - CORRECT ANSWERS
Preservative-free lubricative eye drops
, Which antibiotic is appropriate for initial treatment of sinusitis? - CORRECT ANSWERS
amoxicillin/clavulanic acid (Augmentin)
The medical term for nosebleed is which of the following? - CORRECT ANSWERS Epistaxis
You are following up with a 24-year-old male patient who was recently in a motor vehicle collision at a
high rate of speed. A CT head is performed revealing a pyramidal fracture involving the lateral walls of
the maxillary sinuses and inferior orbital rim. Which classification of fracture is this? - CORRECT
ANSWERS Le Fort II
Rationale: Le Fort II fracture lines pass through the posterior alveolar ridge, lateral walls of maxillary
sinuses, inferior orbital rim, and nasal bones
Which of the following is not a common symptom of Meniere's disease? - CORRECT ANSWERS
Photophobia
Rationale: The classic triad of Meniere's disease is vertigo, tinnitus, and hearing loss.
The patient you just saw in urgent care is being admitted for strep viridans endocarditis. Which of the
following does the prudent nurse practitioner considered the most possible source of the illness? -
CORRECT ANSWERS Perioral abscess seen on maxillofacial bone CT scan this admission
Your 62-year-old patient with diabetes and COPD has been diagnosed with acute angle glaucoma after
presenting to the clinic with complaints of acute unilateral eye pain with decreased unilateral visual
acuity and a hazy cornea. Which of the following topical medications should be avoided? - CORRECT
ANSWERS timolol
Which of the following microorganisms are most frequently associated with acute bacterial rhino-
sinusitis? - CORRECT ANSWERS Streptococcus pneumoniae and Haemophilus influenzae
