3P EXAM ( 2026) QUESTIONS AND
VERIFIED RATIONALIZED ANSWERS, 100%
GUARANTEE PASS
herpes keratitis - correct answer-cause: herpes simplex virus or shingles
symptoms: abrupt eye pain, blurred vision, tearing, vesicles on temporal side
dx: fluorescein dye with fern like lesion
tx: ophthalmologist or ER
corneal abrasion - correct answer-
symptoms: abrupt pain, abrasion that is round/irregular, foreign body sensation
dx: fluorescein dye to r/u herpes keratitis
tx: erythromycin ointment QID 3-5 days, DONT PATCH THE EYE
alternatives meds: sulfacetamide, cipro, ofloxacin
acute angle-closure glaucoma - correct answer-
s/s: acute onset of eye pain, double vision, headache, nausea/vomiting, cloudy cornea, pupil dilated a
nd does not react to light
normal ICP: 8-21, AAG= >21
tx: ER stat
papilledema - correct answer-
s/s: optic disc swelling w/ blurred edges d/t increase ICP secondary to bleed, tumor, pseudo tumor
tx: ER
primary open angle glaucoma - correct answer-
s/s: CN 2, gradual vision changes, peripheral vision first then central
tx: IOP- elevated: ophthalmologist, medications: BB- timolol, and xalantan prostaglandin
Cataracts - correct answer-s/s: night vision, glare w/ driving at night or alot of sun
,screen: red reflex absent from affected eye, normal reddish/orange glow
Macular Degeneration - correct answer-
s/s: painless loss of vision where straight lines appear curved, peripheral vision is preserved
tx: amsler grid and refer to ophthalmologist
retinal detachement - correct answer-s/s: flashes of light, looking through curtain, painless
tx: ER
dacryocystitis - correct answer-def:z infxz ofz lacrimalz sacz fromz blockage
s/s:z thickz discharge,z pain,z redness,z swelling,z warmth
tx:z lacrimalz sacz massage:z downwardz towardz mouthz 2-3z timesz perz day,z systemicz abxz 7-10z days
allergicz rhinitisz -z correctz answer-def:z inflammatoryz changes,z seasonalz orz daily
s/s:z congestionz w/z clearz mucus,z itchyz nose,z sneezing,z coughz thatz isz worsez whenz lyingz down,z blue/pale
boggyz turbinates
tx:z nasalz steroidz f/bz antihistamine,z decongestant,z avoidingz triggers
epistaxis:z nosebleedz -z correctz answer-def:z anteriorz nosez bleed
tx:z blowz theirz nose,z tipz forward,z decongestantz nasal
Meneire'sz Diseasez -z correctz answer-s/s:z triadz =z dizziness,z tinnitus,zhearingz loss
mnemonic:z VASTz =z vertigo,z auralz fullness,z sensorineuralz loss,z tinnitus
tx:z supportive,z antihistamine,z antiemetics
Acousticz Neuromaz -z correctz answer-s/s:z yearsz 30-
60,z gradualz hearingz lossz onez side,z sensorineuralz lossz w/z tinnituszandz facialz numbness
dx:z MRI:z benginz tumor
tx:z surgery
,z
cholesteatomaz -z correctz answer-
s/s:z cauliflowerz insidez thez ear,z foulz smell,z hearingz loss,z erodez bonez =z CNz 7
tx:z surgery
BattlezSign:z Basilarz Skullz Fracturez -z correctz answer-
s/s:z parietalz bonez fracture,z raccoonz eyes,z bruisingz behindz thez mastoid,z drainagez fromz nose/ear
tx:z ER
Benignz Paroxysmalz Positionalz Vertigoz BPPVz -z correctz answer-
s/s:z vertigoz fromz suddenzmovements,z losez balance,z falls
dx:z GOLDz STANDARD:z Dix-Hallpike
tx:z Epleyz Maneuverz byz PT
vestibularz neuritis/labryinthitisz -z correctz answer-cause:z viralz infxz orz inflammation
s/s:z severez vertigoz w/z n/vz forz 1-2z daysz thenz lessen,z tinnitus,z sensorineuralz loss
tx:z zofran,z methylprednisolonez taper
Acutez OtitiszMedia:z AOMz -z correctz answer-cause:z strepz pneumo
s/s:z unilateralz earz pain,z popping/muffledz hearing,z fever,z TMz rupture-
blood/pusz onz pillow,z TMz redz andz bulging,z TMz immobile
Tx:z amoxicillin,z recentz ABXz usez =z augmentin,z cephalosporin
Penicillinz allergy:z Typez 1:z levofloxacin,z doxcycline.z Typez 2:z 3z generationzofz cef
hearingz test:z conductivez hearingz loss,z Weber-lateralz toz badz ear,z Rinnez BCz >z AC
Otitisz Mediaz w/z effusionz -z correctz answer-
s/s:z painless,z followz AOMz d/tz rhinitis,zclearz fluidz inz earz w/z pressurez resultingz inz hearingz loss.z TMz notz r
e
dz orz bulging
tx:z treatz likez allergies,z supportivez therapy,z oralz decongestant,z steroidz nasalz spray
Hearingz test:z Weber:z lateralz toz affectedz ear,z Rinnez BC>AC
Otitisz Externaz -z correctz answer-cause:z pseudomonaszaeruginosa
,z
s/s:z red/swollenz earz canalzthatz isz tender,z externalz earz pain,z green,z itching,z hearingz loss
tx:z topicalz steroidz andz antibiotic:zCortisporinzorz Ciproz earz drops,z NSAID,z keepingz outz ofzwater
hearingz test:z Weber:z lateralz toz affectedz ear,z Rinne:z BC>AC
presbycusisz -z correctz answer-
s/s:z sensorineuralz hearingz lossz w/oz lateralization,z innerz ear,z agingz adultz andz highz frequency
acutez bacterialz rhinosinusitisz -z correctz answer-cause:z strepz pnuemo,z H.z influenzae,z viral
s/sz URIz forz longerz thanz 10zdays,z unilateralz facialz pain/fullness,z purulentz nasalz drip.z Transilluminate:z dull
erz onzaffectedz side
tx:z augmentin,z nasalz irrigation,z nasalz steroids,z NSAID
Penicillinz allergy:z levofloxaxinz orzdoxy
infectiousz mononucleosisz -z correctz answer-cause:z Epsteinz barz virus
s/s:z sorez throatz w/z whitez exudate,z posteriorz lymphadenopathy,z fatiguez forz severalz weeks,z rash,z hepato
megaly,z splenomegaly
Triad:z fever,z sorez throat,z lymphadenopathy
dx:z monospot
tx:z symptomatic,z rest,z ABz US
strepz andz mono=z givez macrolide
oralz leukoplakiaz -z correctz answer-def:z whitez patchesz onz tongue
tx:z referz toz ENTz forz biopsy
Sialolithiasisz -z correctz answer-
s/s:z painz lumpz onz submandibularz gland,z painz w/z eating,z calculiz orzsalivaryz stones
aphthousz stomatitisz -z correctz answer-s/s:z painfulz shallowz ulcersz 7-10z daysz onz tongue/cheek
tx:z magicz mouthwash:z steroid,z lidocaine,z benadryl
VERIFIED RATIONALIZED ANSWERS, 100%
GUARANTEE PASS
herpes keratitis - correct answer-cause: herpes simplex virus or shingles
symptoms: abrupt eye pain, blurred vision, tearing, vesicles on temporal side
dx: fluorescein dye with fern like lesion
tx: ophthalmologist or ER
corneal abrasion - correct answer-
symptoms: abrupt pain, abrasion that is round/irregular, foreign body sensation
dx: fluorescein dye to r/u herpes keratitis
tx: erythromycin ointment QID 3-5 days, DONT PATCH THE EYE
alternatives meds: sulfacetamide, cipro, ofloxacin
acute angle-closure glaucoma - correct answer-
s/s: acute onset of eye pain, double vision, headache, nausea/vomiting, cloudy cornea, pupil dilated a
nd does not react to light
normal ICP: 8-21, AAG= >21
tx: ER stat
papilledema - correct answer-
s/s: optic disc swelling w/ blurred edges d/t increase ICP secondary to bleed, tumor, pseudo tumor
tx: ER
primary open angle glaucoma - correct answer-
s/s: CN 2, gradual vision changes, peripheral vision first then central
tx: IOP- elevated: ophthalmologist, medications: BB- timolol, and xalantan prostaglandin
Cataracts - correct answer-s/s: night vision, glare w/ driving at night or alot of sun
,screen: red reflex absent from affected eye, normal reddish/orange glow
Macular Degeneration - correct answer-
s/s: painless loss of vision where straight lines appear curved, peripheral vision is preserved
tx: amsler grid and refer to ophthalmologist
retinal detachement - correct answer-s/s: flashes of light, looking through curtain, painless
tx: ER
dacryocystitis - correct answer-def:z infxz ofz lacrimalz sacz fromz blockage
s/s:z thickz discharge,z pain,z redness,z swelling,z warmth
tx:z lacrimalz sacz massage:z downwardz towardz mouthz 2-3z timesz perz day,z systemicz abxz 7-10z days
allergicz rhinitisz -z correctz answer-def:z inflammatoryz changes,z seasonalz orz daily
s/s:z congestionz w/z clearz mucus,z itchyz nose,z sneezing,z coughz thatz isz worsez whenz lyingz down,z blue/pale
boggyz turbinates
tx:z nasalz steroidz f/bz antihistamine,z decongestant,z avoidingz triggers
epistaxis:z nosebleedz -z correctz answer-def:z anteriorz nosez bleed
tx:z blowz theirz nose,z tipz forward,z decongestantz nasal
Meneire'sz Diseasez -z correctz answer-s/s:z triadz =z dizziness,z tinnitus,zhearingz loss
mnemonic:z VASTz =z vertigo,z auralz fullness,z sensorineuralz loss,z tinnitus
tx:z supportive,z antihistamine,z antiemetics
Acousticz Neuromaz -z correctz answer-s/s:z yearsz 30-
60,z gradualz hearingz lossz onez side,z sensorineuralz lossz w/z tinnituszandz facialz numbness
dx:z MRI:z benginz tumor
tx:z surgery
,z
cholesteatomaz -z correctz answer-
s/s:z cauliflowerz insidez thez ear,z foulz smell,z hearingz loss,z erodez bonez =z CNz 7
tx:z surgery
BattlezSign:z Basilarz Skullz Fracturez -z correctz answer-
s/s:z parietalz bonez fracture,z raccoonz eyes,z bruisingz behindz thez mastoid,z drainagez fromz nose/ear
tx:z ER
Benignz Paroxysmalz Positionalz Vertigoz BPPVz -z correctz answer-
s/s:z vertigoz fromz suddenzmovements,z losez balance,z falls
dx:z GOLDz STANDARD:z Dix-Hallpike
tx:z Epleyz Maneuverz byz PT
vestibularz neuritis/labryinthitisz -z correctz answer-cause:z viralz infxz orz inflammation
s/s:z severez vertigoz w/z n/vz forz 1-2z daysz thenz lessen,z tinnitus,z sensorineuralz loss
tx:z zofran,z methylprednisolonez taper
Acutez OtitiszMedia:z AOMz -z correctz answer-cause:z strepz pneumo
s/s:z unilateralz earz pain,z popping/muffledz hearing,z fever,z TMz rupture-
blood/pusz onz pillow,z TMz redz andz bulging,z TMz immobile
Tx:z amoxicillin,z recentz ABXz usez =z augmentin,z cephalosporin
Penicillinz allergy:z Typez 1:z levofloxacin,z doxcycline.z Typez 2:z 3z generationzofz cef
hearingz test:z conductivez hearingz loss,z Weber-lateralz toz badz ear,z Rinnez BCz >z AC
Otitisz Mediaz w/z effusionz -z correctz answer-
s/s:z painless,z followz AOMz d/tz rhinitis,zclearz fluidz inz earz w/z pressurez resultingz inz hearingz loss.z TMz notz r
e
dz orz bulging
tx:z treatz likez allergies,z supportivez therapy,z oralz decongestant,z steroidz nasalz spray
Hearingz test:z Weber:z lateralz toz affectedz ear,z Rinnez BC>AC
Otitisz Externaz -z correctz answer-cause:z pseudomonaszaeruginosa
,z
s/s:z red/swollenz earz canalzthatz isz tender,z externalz earz pain,z green,z itching,z hearingz loss
tx:z topicalz steroidz andz antibiotic:zCortisporinzorz Ciproz earz drops,z NSAID,z keepingz outz ofzwater
hearingz test:z Weber:z lateralz toz affectedz ear,z Rinne:z BC>AC
presbycusisz -z correctz answer-
s/s:z sensorineuralz hearingz lossz w/oz lateralization,z innerz ear,z agingz adultz andz highz frequency
acutez bacterialz rhinosinusitisz -z correctz answer-cause:z strepz pnuemo,z H.z influenzae,z viral
s/sz URIz forz longerz thanz 10zdays,z unilateralz facialz pain/fullness,z purulentz nasalz drip.z Transilluminate:z dull
erz onzaffectedz side
tx:z augmentin,z nasalz irrigation,z nasalz steroids,z NSAID
Penicillinz allergy:z levofloxaxinz orzdoxy
infectiousz mononucleosisz -z correctz answer-cause:z Epsteinz barz virus
s/s:z sorez throatz w/z whitez exudate,z posteriorz lymphadenopathy,z fatiguez forz severalz weeks,z rash,z hepato
megaly,z splenomegaly
Triad:z fever,z sorez throat,z lymphadenopathy
dx:z monospot
tx:z symptomatic,z rest,z ABz US
strepz andz mono=z givez macrolide
oralz leukoplakiaz -z correctz answer-def:z whitez patchesz onz tongue
tx:z referz toz ENTz forz biopsy
Sialolithiasisz -z correctz answer-
s/s:z painz lumpz onz submandibularz gland,z painz w/z eating,z calculiz orzsalivaryz stones
aphthousz stomatitisz -z correctz answer-s/s:z painfulz shallowz ulcersz 7-10z daysz onz tongue/cheek
tx:z magicz mouthwash:z steroid,z lidocaine,z benadryl
