HEENT Practice Exam|| CORRECT QUESTIONS &
ANSWERS|| LATEST UPDATE 2024|| VERIFIED
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 - 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? - 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 - 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? - 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 - 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 - 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 - 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
ANSWERS|| LATEST UPDATE 2024|| VERIFIED
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 - 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? - 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 - 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? - 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 - 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 - 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 - 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
