EENT practice questions with correct
answers
The patient is a 51 year-old stay-at-home mother who presented to the ED with severe R
brow, R cheek and R eye pain/pressure that started 2-3 hrs prior. She also noticed blurry
vision from that eye and rainbow-colored halos around lights around the same time.
Accompanying symptoms include acute nausea. She has vomited twice since feeling the eye
pain. Denies prior episodes. Denies flashes, floaters or diplopia.
what is your DDX list and plan? - ** VERIFIED ANSWERS **✔✔acute narrow angle
glaucoma vs CNS tumor
Plan: refer to ophthalmology
42-year-old female presents after finding a firm, painless bump in her right eyelid. On
examination, you note a 6 mm mass within the tarsus (thin sheet of fibrous connective
tissue which supports the edge of each eyelid) of the right eye. The skin is freely movable
over the mass. The remainder of the ophthalmoscopic examination is unremarkable
Most likely diagnosis? - ** VERIFIED ANSWERS **✔✔chalazion
On physical examination, a triangular shaped thickening of the conjunctiva is noted on the
lateral aspect pointing toward the iris. What is the most likely diagnosis? - ** VERIFIED
ANSWERS **✔✔pterygium
Which of the following best describes an acute non-infectious granulomatous inflammation
of the meibomian gland? - ** VERIFIED ANSWERS **✔✔chalazion
, The presence of which of the following differentiates corneal ulcer from conjunctivitis? - **
VERIFIED ANSWERS **✔✔ciliary injection
Which of the following best describes a pinguecula? - ** VERIFIED ANSWERS
**✔✔Yellow, triangular nodule in the bulbar conjunctiva
A 61-year-old Caucasian male university professor presents with loss of vision in his left eye
that began yesterday morning and has become progressively worse. The patient describes
the sensation that a curtain was coming up over his affected eye and this curtain is now
affecting his center vision. In addition, 7 days ago the patient noticed what he described as
flashing lights on the left and noticed subsequent floaters. The patient has no pain, diplopia,
halos, metamorphopsia or other symptoms. The patient reports having cataract surgery in
his left eye 3 weeks ago.
Past Ocular History:
Cataract surgery L eye, 3 weeks ago; no other history of surgery, trauma, amblyopia or
strabismus.
what is on your differential list and then what is the most likely diagnosis? - ** VERIFIED
ANSWERS **✔✔DDX list: Retinal detachment vs Retinitis pigmentosa vs Macular
degeneration vs Retinopathy
Most likely retinal detachment
17-year-old male is accidentally struck in the right eye while playing football. He complains
of severe pain behind the eye as well as double vision. On examination, he has
exophthalmos and cannot move his right eye upward. Which of the following is the most
appropriate course of action at this time? - ** VERIFIED ANSWERS **✔✔Immediate
referral to ophthalmologist
Which of the following presents with a white pupil and absence of the red reflex? - **
VERIFIED ANSWERS **✔✔retinoblastoma
answers
The patient is a 51 year-old stay-at-home mother who presented to the ED with severe R
brow, R cheek and R eye pain/pressure that started 2-3 hrs prior. She also noticed blurry
vision from that eye and rainbow-colored halos around lights around the same time.
Accompanying symptoms include acute nausea. She has vomited twice since feeling the eye
pain. Denies prior episodes. Denies flashes, floaters or diplopia.
what is your DDX list and plan? - ** VERIFIED ANSWERS **✔✔acute narrow angle
glaucoma vs CNS tumor
Plan: refer to ophthalmology
42-year-old female presents after finding a firm, painless bump in her right eyelid. On
examination, you note a 6 mm mass within the tarsus (thin sheet of fibrous connective
tissue which supports the edge of each eyelid) of the right eye. The skin is freely movable
over the mass. The remainder of the ophthalmoscopic examination is unremarkable
Most likely diagnosis? - ** VERIFIED ANSWERS **✔✔chalazion
On physical examination, a triangular shaped thickening of the conjunctiva is noted on the
lateral aspect pointing toward the iris. What is the most likely diagnosis? - ** VERIFIED
ANSWERS **✔✔pterygium
Which of the following best describes an acute non-infectious granulomatous inflammation
of the meibomian gland? - ** VERIFIED ANSWERS **✔✔chalazion
, The presence of which of the following differentiates corneal ulcer from conjunctivitis? - **
VERIFIED ANSWERS **✔✔ciliary injection
Which of the following best describes a pinguecula? - ** VERIFIED ANSWERS
**✔✔Yellow, triangular nodule in the bulbar conjunctiva
A 61-year-old Caucasian male university professor presents with loss of vision in his left eye
that began yesterday morning and has become progressively worse. The patient describes
the sensation that a curtain was coming up over his affected eye and this curtain is now
affecting his center vision. In addition, 7 days ago the patient noticed what he described as
flashing lights on the left and noticed subsequent floaters. The patient has no pain, diplopia,
halos, metamorphopsia or other symptoms. The patient reports having cataract surgery in
his left eye 3 weeks ago.
Past Ocular History:
Cataract surgery L eye, 3 weeks ago; no other history of surgery, trauma, amblyopia or
strabismus.
what is on your differential list and then what is the most likely diagnosis? - ** VERIFIED
ANSWERS **✔✔DDX list: Retinal detachment vs Retinitis pigmentosa vs Macular
degeneration vs Retinopathy
Most likely retinal detachment
17-year-old male is accidentally struck in the right eye while playing football. He complains
of severe pain behind the eye as well as double vision. On examination, he has
exophthalmos and cannot move his right eye upward. Which of the following is the most
appropriate course of action at this time? - ** VERIFIED ANSWERS **✔✔Immediate
referral to ophthalmologist
Which of the following presents with a white pupil and absence of the red reflex? - **
VERIFIED ANSWERS **✔✔retinoblastoma
