PANCE – HEENT Exam with all Correct & 100% Verified
Answers |Latest Version |Already Graded A+
Your 21 year old patient is complaining of a feeling of a "foreign-body sensation" in their eye, but
nothing is there. She wears contacts.
What is the likely dx?
(chalazion, corneal abrasion, hordeolum) ✔Correct Answer-corneal abrasion
This disorder of the eye presents with redness and irritation, fever, sore throat, cough and
*decreased visual acuity*.
What is the likely dx?
conjunctivitis, uveitis, keratitis ✔Correct Answer-keratitis (note the decreased visual acuity is not
usu. present in conjunctivitis)
What a serious consequence of untreated otitis media in the pediatric patient?
(conjunctivitis, meningitis, mastoiditis, sepsis) ✔Correct Answer-mastoiditis
Usu. caused by minor trauma such as from a fingernail, contact lens, eyelash or foreign body. Patient
will present with pain and sensation of a foreign body and it can be accompanied by photophobia,
tearing, injection and blepharospam. ✔Correct Answer-Corneal abrasion
Patient presents w/ a corneal abrasion. What should you do before examining or treating?
✔Correct Answer-record visual acuity
Slit lamp examination of the eye reveals an epithelial defect but a clear cornea. What is the likely dx?
✔Correct Answer-corneal abrasion
What is the treatment for a corneal abrasion? ✔Correct Answer-topical anesthetic will provice
immediate relief, but will retard healing.
-saline irrigation - antibiotic ointment (gentamicin)
patch for no longer than 24hrs
daily f/u
Patient presens to your clinic with pain, photophobia an tearing. Examination reveals circumcorneal
injection and watery to purulent discharge. Fluorescein staining will reveal a dense corneal infiltrate
with overlying epithelial defect. Dx?
(corneal abrasian, blehpariits, corneal ulcer) ✔Correct Answer-Corneal ulcer
How should you treat a corneal ulcer? ✔Correct Answer-REFER TO OPTHALMOLOGIST
stain lesion and culture
Avoid this treatment in a corneal ulcer because they will cause further tissue loss and increase risk of
perforation ✔Correct Answer-topical steroids
, This disorder of the eye may be age related or secondary to the toxic effects of drugs such as
chloroquine or phenothiazine.* It is the leading cause of irreversible central visual loss.* ✔Correct
Answer-Macular degeneration
Prevalence of age related macular degeneration increases after what age ✔Correct Answer-50
Cholorquine or phenothiazine are drugs that can cause this disorder of the eye. ✔Correct Answer-
macular degeneration
In macular degeneration, drusten deposits are found in the ____ membrane, leading to degenerative
changes, loss of nutritional supply, atrophy and neovascular degeneration. ✔Correct Answer-
bruchen
What is the chief clinical feature of macular degeneration? ✔Correct Answer-gradual loss of central
vision
The phenomenon of wavy or distorted vision and can be measured with an amsler grid. ✔Correct
Answer-metamorphopsia
What is the treatment for macular degeneration? ✔Correct Answer-no effective treatment, if
detected early laser therapy or intravitreal injections of monoclonal antibody drugs may slow
progression
These supplments can reduce the progression of macular degeneration. ✔Correct Answer-
vitamins, antioxidants, zinc, copper and omega 3 fatty acids
Defined as an increased intraocular pressure w/ optic nerve damage. ✔Correct Answer-Glaucoma
Any impediment to the flow of aqeuous humor through the trabecular meshwork and canal of
schlemm will increase pressure in the anterior chamber in Glaucoma.
T or F ✔Correct Answer-T
What type of glaucoma is most common? ✔Correct Answer-open angle
affects ppl > 40 and african americans
This is an opthalmic emergency characterized by painful eye and loss of vision. Physical exam will
reveal circumlimbal injection, steamy cornea, fixed mid-dilated pupil, decreased visual acuity and
tearing. ✔Correct Answer-Angle closure glaucoma
This is a chronic, asymptomatic and potentially blinding dz that effects 2% of the population. causes
defects in the peripheral visual field and increased cup to disc ratios. Patients typically aysmptomatic
until late in disease. ✔Correct Answer-Open angle glaucoma
Elevated IOP without optic disc damage is known as... ✔Correct Answer-ocular hypertension
What is the treatment for angle-closure glaucoma ✔Correct Answer-Refer to optho immediately.
Start IV acetazolamide, and topic timolol and osmototic diuresis (mannitol)
- mydriatics should NOT be administered to patients
optimal treatemnt is via laser or surgical iridotomy
Answers |Latest Version |Already Graded A+
Your 21 year old patient is complaining of a feeling of a "foreign-body sensation" in their eye, but
nothing is there. She wears contacts.
What is the likely dx?
(chalazion, corneal abrasion, hordeolum) ✔Correct Answer-corneal abrasion
This disorder of the eye presents with redness and irritation, fever, sore throat, cough and
*decreased visual acuity*.
What is the likely dx?
conjunctivitis, uveitis, keratitis ✔Correct Answer-keratitis (note the decreased visual acuity is not
usu. present in conjunctivitis)
What a serious consequence of untreated otitis media in the pediatric patient?
(conjunctivitis, meningitis, mastoiditis, sepsis) ✔Correct Answer-mastoiditis
Usu. caused by minor trauma such as from a fingernail, contact lens, eyelash or foreign body. Patient
will present with pain and sensation of a foreign body and it can be accompanied by photophobia,
tearing, injection and blepharospam. ✔Correct Answer-Corneal abrasion
Patient presents w/ a corneal abrasion. What should you do before examining or treating?
✔Correct Answer-record visual acuity
Slit lamp examination of the eye reveals an epithelial defect but a clear cornea. What is the likely dx?
✔Correct Answer-corneal abrasion
What is the treatment for a corneal abrasion? ✔Correct Answer-topical anesthetic will provice
immediate relief, but will retard healing.
-saline irrigation - antibiotic ointment (gentamicin)
patch for no longer than 24hrs
daily f/u
Patient presens to your clinic with pain, photophobia an tearing. Examination reveals circumcorneal
injection and watery to purulent discharge. Fluorescein staining will reveal a dense corneal infiltrate
with overlying epithelial defect. Dx?
(corneal abrasian, blehpariits, corneal ulcer) ✔Correct Answer-Corneal ulcer
How should you treat a corneal ulcer? ✔Correct Answer-REFER TO OPTHALMOLOGIST
stain lesion and culture
Avoid this treatment in a corneal ulcer because they will cause further tissue loss and increase risk of
perforation ✔Correct Answer-topical steroids
, This disorder of the eye may be age related or secondary to the toxic effects of drugs such as
chloroquine or phenothiazine.* It is the leading cause of irreversible central visual loss.* ✔Correct
Answer-Macular degeneration
Prevalence of age related macular degeneration increases after what age ✔Correct Answer-50
Cholorquine or phenothiazine are drugs that can cause this disorder of the eye. ✔Correct Answer-
macular degeneration
In macular degeneration, drusten deposits are found in the ____ membrane, leading to degenerative
changes, loss of nutritional supply, atrophy and neovascular degeneration. ✔Correct Answer-
bruchen
What is the chief clinical feature of macular degeneration? ✔Correct Answer-gradual loss of central
vision
The phenomenon of wavy or distorted vision and can be measured with an amsler grid. ✔Correct
Answer-metamorphopsia
What is the treatment for macular degeneration? ✔Correct Answer-no effective treatment, if
detected early laser therapy or intravitreal injections of monoclonal antibody drugs may slow
progression
These supplments can reduce the progression of macular degeneration. ✔Correct Answer-
vitamins, antioxidants, zinc, copper and omega 3 fatty acids
Defined as an increased intraocular pressure w/ optic nerve damage. ✔Correct Answer-Glaucoma
Any impediment to the flow of aqeuous humor through the trabecular meshwork and canal of
schlemm will increase pressure in the anterior chamber in Glaucoma.
T or F ✔Correct Answer-T
What type of glaucoma is most common? ✔Correct Answer-open angle
affects ppl > 40 and african americans
This is an opthalmic emergency characterized by painful eye and loss of vision. Physical exam will
reveal circumlimbal injection, steamy cornea, fixed mid-dilated pupil, decreased visual acuity and
tearing. ✔Correct Answer-Angle closure glaucoma
This is a chronic, asymptomatic and potentially blinding dz that effects 2% of the population. causes
defects in the peripheral visual field and increased cup to disc ratios. Patients typically aysmptomatic
until late in disease. ✔Correct Answer-Open angle glaucoma
Elevated IOP without optic disc damage is known as... ✔Correct Answer-ocular hypertension
What is the treatment for angle-closure glaucoma ✔Correct Answer-Refer to optho immediately.
Start IV acetazolamide, and topic timolol and osmototic diuresis (mannitol)
- mydriatics should NOT be administered to patients
optimal treatemnt is via laser or surgical iridotomy
