HEENT: Practice Questions With 100% Verified Solutions | 2025
1. A 40-year-old man Acute angle-closure glaucoma
presents with an acute
onset of severe left Acute Angle-Closure Glaucoma
eye pain and blurry vi- Patient will be entering a dark room or movie theater
sion. He was watch- Acute unilateral painful vision loss, vomiting, and seeing halos around
ing a movie in the the- lights
ater prior to the onset PE will show cloudy cornea and fixed mid-dilated pupil
of his symptoms. Left Testing will show IOP ( > 21 mm Hg)
eye examination re- Treatment is topical beta-blockers, topical alpha-agonists, carbonic anhy-
veals redness, dilated drase inhibitors, mioticsIridotomy is definitive treatment, but not used for
pupil, steamy cornea, initial management
and no pupillary light
response. His right
eye is otherwise nor-
mal. Intraocular pres-
sure measurement in
his left eye reads 50
mm Hg. Which of the
following is the most
likely diagnosis?
Acute angle-closure
glaucoma
Acute anterior uveitis
Acute conjunctivitis
Acute keratitis
2. A 54-year-old woman C. Meniere disease
comes to the emer-
gency department be- Think of Meniere disease when a patient presents with recurrent episodes
cause of vertigo for of rotatory vertigo associated with hearing loss,
the past 20 minutes. aural fullness, and
She has a one-year tinnitus.
, HEENT: Practice Questions With 100% Verified Solutions | 2025
history of attacks of
vertigo, left ear full- Meniere disease, also known as endolymphatic
ness, left ear hear- hydrops, is an idiopathic disorder of the inner ear associated with in-
ing loss, and tinni- creased endolymphatic pressure.
tus. One month ago,
she was treated with
oral steroids by anoth-
er physician and her
symptoms improved.
She has subsequent-
ly had three more
vertigo attacks with
similar symptoms in
her left ear. Physi-
cal examination shows
Rinne and Weber tests
are consistent with
sensorineural hearing
loss in the left ear. No
nystagmus is present.
Which of the following
is the most likely diag-
nosis?
A. Benign paroxysmal
positional vertigo
B. Labyrinthitis
C. Meniere disease
D. Otitis Media
E. Vestibular Neuroni-
tis
3. Retinal detachment
, HEENT: Practice Questions With 100% Verified Solutions | 2025
is visualized on
fundoscopic crinkling
of retinal tissue and
changes in vessel di-
rection.
4. is the sep- Retinal detachment
aration of neurosen-
sory layer of reti-
na from outermost
pigmented epithelium
leading to vision loss.
5. Retinal detachment Peripheral
usually presents with
defects in the (cen-
tral/peripheral) visual
field.
6. Most of the cases of Rhegmatogenous
retinal detachment
are
(rhegmatoge-
nous/non-rheg-
matogenous).
7. (Myopia/Hyperme- Myopia
tropia) is a risk factor
for the development
of retinal detachment.
8. floaters
, HEENT: Practice Questions With 100% Verified Solutions | 2025
The most common
manifestation of pos-
terior vitreous detach-
ment is the presence
of in the visu-
al field.
9. Retinal detachment is unilateral.
usually (unilateral/bi-
lateral).
10. A 66-year-old man E. Retinal detachment
comes to the emer-
gency department be- Retinal detachment occurs when the intra-ocular pressure from the vit-
cause of vision reous humor falls, causing the neural and pigment epithelial layers to
changes. About 2 separate. Symptoms include a sudden flash of light at the time of the initial
hours ago, he experi- detachment, great increase in the number of floats in the
enced a sudden flash visual field, and vision loss spreading like "a curtain falling." Slit-lamp
of light followed by examination can show the actual
many floaters in his detachment. This is an opthalmologic emergency requiring immediate
right eye. His visu- treatment. If untreated, permanent vision loss may occur. Risk factors of
al disturbances have retinal detachment include a history of cataract surgery, human immun-
since progressed to a odeficiency virus infection, glaucoma, and eye neoplasm.
peripheral loss of vi-
sion that is spreading
to the rest of his visu-
al field. His past med-
ical history is signifi-
cant for type 2 dia-
betes mellitus and bi-
lateral cataracts which
were corrected surgi-
1. A 40-year-old man Acute angle-closure glaucoma
presents with an acute
onset of severe left Acute Angle-Closure Glaucoma
eye pain and blurry vi- Patient will be entering a dark room or movie theater
sion. He was watch- Acute unilateral painful vision loss, vomiting, and seeing halos around
ing a movie in the the- lights
ater prior to the onset PE will show cloudy cornea and fixed mid-dilated pupil
of his symptoms. Left Testing will show IOP ( > 21 mm Hg)
eye examination re- Treatment is topical beta-blockers, topical alpha-agonists, carbonic anhy-
veals redness, dilated drase inhibitors, mioticsIridotomy is definitive treatment, but not used for
pupil, steamy cornea, initial management
and no pupillary light
response. His right
eye is otherwise nor-
mal. Intraocular pres-
sure measurement in
his left eye reads 50
mm Hg. Which of the
following is the most
likely diagnosis?
Acute angle-closure
glaucoma
Acute anterior uveitis
Acute conjunctivitis
Acute keratitis
2. A 54-year-old woman C. Meniere disease
comes to the emer-
gency department be- Think of Meniere disease when a patient presents with recurrent episodes
cause of vertigo for of rotatory vertigo associated with hearing loss,
the past 20 minutes. aural fullness, and
She has a one-year tinnitus.
, HEENT: Practice Questions With 100% Verified Solutions | 2025
history of attacks of
vertigo, left ear full- Meniere disease, also known as endolymphatic
ness, left ear hear- hydrops, is an idiopathic disorder of the inner ear associated with in-
ing loss, and tinni- creased endolymphatic pressure.
tus. One month ago,
she was treated with
oral steroids by anoth-
er physician and her
symptoms improved.
She has subsequent-
ly had three more
vertigo attacks with
similar symptoms in
her left ear. Physi-
cal examination shows
Rinne and Weber tests
are consistent with
sensorineural hearing
loss in the left ear. No
nystagmus is present.
Which of the following
is the most likely diag-
nosis?
A. Benign paroxysmal
positional vertigo
B. Labyrinthitis
C. Meniere disease
D. Otitis Media
E. Vestibular Neuroni-
tis
3. Retinal detachment
, HEENT: Practice Questions With 100% Verified Solutions | 2025
is visualized on
fundoscopic crinkling
of retinal tissue and
changes in vessel di-
rection.
4. is the sep- Retinal detachment
aration of neurosen-
sory layer of reti-
na from outermost
pigmented epithelium
leading to vision loss.
5. Retinal detachment Peripheral
usually presents with
defects in the (cen-
tral/peripheral) visual
field.
6. Most of the cases of Rhegmatogenous
retinal detachment
are
(rhegmatoge-
nous/non-rheg-
matogenous).
7. (Myopia/Hyperme- Myopia
tropia) is a risk factor
for the development
of retinal detachment.
8. floaters
, HEENT: Practice Questions With 100% Verified Solutions | 2025
The most common
manifestation of pos-
terior vitreous detach-
ment is the presence
of in the visu-
al field.
9. Retinal detachment is unilateral.
usually (unilateral/bi-
lateral).
10. A 66-year-old man E. Retinal detachment
comes to the emer-
gency department be- Retinal detachment occurs when the intra-ocular pressure from the vit-
cause of vision reous humor falls, causing the neural and pigment epithelial layers to
changes. About 2 separate. Symptoms include a sudden flash of light at the time of the initial
hours ago, he experi- detachment, great increase in the number of floats in the
enced a sudden flash visual field, and vision loss spreading like "a curtain falling." Slit-lamp
of light followed by examination can show the actual
many floaters in his detachment. This is an opthalmologic emergency requiring immediate
right eye. His visu- treatment. If untreated, permanent vision loss may occur. Risk factors of
al disturbances have retinal detachment include a history of cataract surgery, human immun-
since progressed to a odeficiency virus infection, glaucoma, and eye neoplasm.
peripheral loss of vi-
sion that is spreading
to the rest of his visu-
al field. His past med-
ical history is signifi-
cant for type 2 dia-
betes mellitus and bi-
lateral cataracts which
were corrected surgi-
