Heent

Question 1

What is open angle glaucoma?

Answer 1

90% of glaucoma cases experience slow clogging of the drainage canals, resulting in increased eye pressure

Slow progression

Question 2

What is macular degeneration?

Answer 2

Atrophic “dry form “most common, less severe.
Gradual damage to pigment of macula “central vision “results in severe visual loss or blindness

Exudative “wet form”

Question 3

What test can people use to check for macular degeneration?

Answer 3

Amsler grid

Question 4

To study “older patient complains of acute onset of severe frontal headache and severe eye pain was blurred vision and increased hearing. Patient seen halos around lights. What is the disease?

Answer 4

Parmer angle closure glaucoma patient needs to go to ER

Question 5

What is herpes keratitis?

What are the signs and symptoms?

Answer 5

herpetic rash on the side of the temple or tip of the nose that affects the trigeminal nerve five.

Symptoms are pain, photophobia, blurred vision.

Patient should go to ER or ophthalmologist stat.

Question 6

Where is torus palatinus?

Answer 6

It is a bony prominence on the roof of the mouth. This is normal

Question 7

What changes would you see in a patient’s throat who has diphtheria?

What other symptoms of the patient have?

Answer 7

Yellow -grey color pseudomembrane that is hard to remove in the back your throat. Other symptoms sore throat, fever, Bullneck, dysphasia and horses.

Question 8

What is a cholesteatoma

Answer 8

Cauliflower growth on tempanic membrane Very foul smelling your discharge. Patient can have hearing loss

Question 9

What should you assess if you’re concerned about herpes keratitis?

And what would be the findings?

Answer 9

A fluorescent dye I scan. You’ll find fernlike wines on corneal surface

Question 10

What is hairy leukoplakia?

Answer 10

White spots on the lateral aspect of tongue. Caused by Epstein-Barr virus.

Can be found in patients with HIV

Question 11

What is leukoplakia?

Answer 11

Bright white plaque caused by chronic irritation. Can be oral cancer.

Question 12

What is a hordeolum we are compared to a chalazon

Answer 12

Hordeolum is a stu infection of the hair follicle on the eyelid.

Chalazon: inflammation of the meibomian gland.

Question 13

What is a penguecula?

What causes it?

Answer 13

Yellow triangular thickening of the bulbar conjunctiva “White part” on inner or outer margins of cornea. Caused by UV light damage to collagen.

Question 14

What is a pterygium?

Answer 14

Your triangular sickening coming from the corner of the eye. Due to UV damage to collagen

Can treat with low dose optic steroids or referred to ENT for removal

Question 15

Where is anterior uveitis?

How do you treat?

Answer 15

Appears like a red eye but increased tearing and complaint of red sore eyes.

Higher risk with autoimmune disorders

Treat with steroids and referral to ophthalmologist

Question 16

What is sjogren’s syndrome

Answer 16

Dry eyes and dry oral Macosa

Can be linked with autoimmune disorder.

Question 17

What is bullous myringitis?

Answer 17

Blister present on tympanic membrane treat as bacteria AOM.

Question 18

What causes mono nuclear’s is?

What is the tetrad of symptoms of mono nuclear us?

Answer 18

Epstein-Barrvirus from the herpes family

Fatigue, fever, pharyngitis, lymphadenopathy posterior cervical nodes are most common.

Question 19

What is conductive hearing loss versus sensorineural loss?

Answer 19

Conductive hearing loss and balls external canal and middle ear:’s room and impaction etc. sensorineural hearing loss is the inner ear and eighth cranial nerve. Presbycusis, noise exposure,Ménière’s disease, trauma, tumors

sensorineural: AC greater than BC in both ears

Conductive: batter BC greater than AC

Question 20

What are signs and symptoms of retinal detachment?

Answer 20

Flashing lights, floaters, decreased visual acuity and metamorphopsia (Metamorphopsia is a type of distorted vision in which a grid of straight lines appears wavy and parts of the grid may appear blank. People with this condition often first notice this when looking at mini-blinds in their home.)

Question 21

What is a Fukuda test?

Answer 21

A marching step test which a directional drift is usually toward affected ear in Ménière’s disease

Question 22

A cutaneous reaction nearly always occurs with the use of amoxicillin in the presence of which infection?

Answer 22

Epstein-Barr virus

Question 23

What are symptoms of acute angle-closure or narrow angle glacoma?

What are the assessment findings?

Answer 23

Acute blockage of drainage canals.

Headache, nausea, vomiting, halos around lights, decreased vision.

Assessment: mid dilated pupils oval shape, cornea cloudy. Funduscopic reveals cupping of optic nerve. Increase IOP.