NM703 EENT Exam Questions with Revised
Answers| Verified 100% Correct
Hordeolum History and Clinical presention - ✔✔Swollen SINGLE gradually emerging
red bump on the eyelid
Gritty scratchy sensation
Sensitivity to light, tearing, tenderness on the eyelid
Hordeolum management - ✔✔Self limiting
Spont clear in 1-2 weeks
Frequent warm moist compresses 3-4times a day
Light gentle message
lid hygiene with baby soap
Refer to ophthalmologist if I&D needed or not resolved in a week
Chalazion - ✔✔Chronic sterile lipogranulomatous inflammatory lesion of the
meibomian gland. Lipogranuloma caused by the blockage in the meibomian gland or oil
gland that lubricates the eyes. gradually localized enlarged nodule where glands are
located near the eyelash
Chalazion history and clinical presentation - ✔✔Hard nontender module found on the
mid portion of the eyelids away from the lid border
May develop on lid margin with lid tenderness pain and swelling
eyelid tenderness increasing tearing
Gradually enlarged node on the eyelid, sensitivity to light pain and pressure if pressing
against cornea
Chalazion management - ✔✔25-50% self limiting
, Spontaneous improvement 1-3 months with conservative treatment
frequent warm, moist compress to liquify glandular secretions
Gentle message to express impacted secretions
Refer to opthamologist for corticosteroid inject or I&D if needed
Abox not indicated
Viral conjunctivitis - ✔✔Inflammation of the conjunctiva or the transparent mucosal
tissue that lines the eye and inner surface of the eyelids
Generally caused by adenovirus type 3
Frequent association with URI
Highly contagious
Viral Conjunctivitis History and clinical presentation - ✔✔Red eye (From corners
inward)
Excessive watering
Itching
Watery discharge
Photophobia
Foreign body or gritty sensation
Begins in one eye and spreads to the other
Abrupt onset
50% may have tender preauricular nodes
Generally self limiting with symptoms worsening 3-5days and resolution by 14 days
Viral Conjunctivitis Management - ✔✔Self limiting and usually last 5-14days
Treatment is supportive for symptoms relief
Answers| Verified 100% Correct
Hordeolum History and Clinical presention - ✔✔Swollen SINGLE gradually emerging
red bump on the eyelid
Gritty scratchy sensation
Sensitivity to light, tearing, tenderness on the eyelid
Hordeolum management - ✔✔Self limiting
Spont clear in 1-2 weeks
Frequent warm moist compresses 3-4times a day
Light gentle message
lid hygiene with baby soap
Refer to ophthalmologist if I&D needed or not resolved in a week
Chalazion - ✔✔Chronic sterile lipogranulomatous inflammatory lesion of the
meibomian gland. Lipogranuloma caused by the blockage in the meibomian gland or oil
gland that lubricates the eyes. gradually localized enlarged nodule where glands are
located near the eyelash
Chalazion history and clinical presentation - ✔✔Hard nontender module found on the
mid portion of the eyelids away from the lid border
May develop on lid margin with lid tenderness pain and swelling
eyelid tenderness increasing tearing
Gradually enlarged node on the eyelid, sensitivity to light pain and pressure if pressing
against cornea
Chalazion management - ✔✔25-50% self limiting
, Spontaneous improvement 1-3 months with conservative treatment
frequent warm, moist compress to liquify glandular secretions
Gentle message to express impacted secretions
Refer to opthamologist for corticosteroid inject or I&D if needed
Abox not indicated
Viral conjunctivitis - ✔✔Inflammation of the conjunctiva or the transparent mucosal
tissue that lines the eye and inner surface of the eyelids
Generally caused by adenovirus type 3
Frequent association with URI
Highly contagious
Viral Conjunctivitis History and clinical presentation - ✔✔Red eye (From corners
inward)
Excessive watering
Itching
Watery discharge
Photophobia
Foreign body or gritty sensation
Begins in one eye and spreads to the other
Abrupt onset
50% may have tender preauricular nodes
Generally self limiting with symptoms worsening 3-5days and resolution by 14 days
Viral Conjunctivitis Management - ✔✔Self limiting and usually last 5-14days
Treatment is supportive for symptoms relief
