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Your patient has been diagnosed with a detached retina. What treatment is least likely to be
curative? ✔Correct Answer-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 Answer-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 Answer-
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 Answer-Preservative-free
lubricative eye drops
Which antibiotic is appropriate for initial treatment of sinusitis? ✔Correct
Answer-amoxicillin/clavulanic acid (Augmentin)
The medical term for nosebleed is which of the following? ✔Correct Answer-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
Answer-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 Answer-
Photophobia
Rationale: The classic triad of Meniere's disease is vertigo, tinnitus, and hearing loss.