HEENT

Question 1

viral conjunctivitis vs bacterial conjunctivitis

Answer 1

a

Question 2

allergic conjunctivitis

Answer 2

a

Question 3

corneal ulcer

Answer 3

opacified, white corneal infiltrate, red eye with purulent drainage

IMMEDIATE REFERRAL

Question 4

glaucoma

Answer 4

a

Question 5

acute iritis

Answer 5

a

Question 6

Otitis media

Answer 6

an effusion with fluid in middle ear
most frequent office visit in children and adults

• URI / Allergic Rhinitis
• Tobacco Use
• Otalgia, fever, irritability, anorexia

Diagnostic Testing: otoscopy exam

Question 7

otitis external

Answer 7

a

Question 8

mastoiditis

Answer 8

a

Question 9

Sinusitis

Answer 9

Diagnostics:

clinical exam
follow up: nasal endoscopy, sinus culture, CT sinuses, Xray

Question 10

rhinitis

Answer 10

a

Question 11

Strep pharyngitis / sore throat

Answer 11

rapid antigen for strep, throat culture, serum monospot for EBV, PCR for group A strep

Question 12

viral pharyngitis

Answer 12

a

Question 13

epiglottitis

Answer 13

emergent

drooling dysphagia restlessness difficulty speaking cant lie down

Question 14

angle closure glaucoma

Answer 14

painful red eye, hazy cornea, dilated fixed pupil with elevated pressure

IMMEDIATE REFERRAL

Question 15

Squamous Cell carcinoma

Answer 15

usually painless, firm ulceration or raised lesion, lymphadenopathy with oral cancer usually immobile nodes that are non-tender