Eyes, Ears, Nose and Throat (EENT) Flashcards
7 cards from real Physician Assistant practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Eyes, Ears, Nose and Throat (EENT) flashcards as text
A 62-year-old woman presents with sudden severe eye pain, headache, nausea, and halos around lights after entering a dark theater. Which exam finding is most expected?
Answer: Fixed, mid-dilated pupil with a hazy cornea
Acute angle-closure glaucoma causes a mid-dilated nonreactive pupil, corneal edema, and markedly elevated intraocular pressure.
A 70-year-old man with atrial fibrillation reports sudden painless complete vision loss in one eye; fundoscopy shows a pale retina with a cherry-red spot. What is the diagnosis?
Answer: Central retinal artery occlusion
Central retinal artery occlusion produces retinal whitening with a cherry-red macula, often from an embolic source.
A patient describes new floaters, flashes of light, and a curtain descending over the visual field of one eye. What is the most appropriate next step?
Answer: Emergent ophthalmology referral
These symptoms indicate retinal detachment, an ophthalmologic emergency requiring prompt repair to preserve vision.
A patient with a vesicular rash on the forehead also has vesicles on the tip of the nose. What does this finding predict?
Answer: Increased risk of ocular involvement
Hutchinson sign reflects nasociliary nerve involvement and strongly predicts herpes zoster ophthalmicus with eye complications.
Fluorescein staining reveals a branching dendritic ulcer on the cornea. Which medication should be avoided?
Answer: Topical corticosteroids
Topical steroids can worsen HSV epithelial keratitis and lead to corneal perforation.
A soft contact lens wearer presents with a painful red eye and a white corneal infiltrate. Which organism is the most important to cover?
Answer: Pseudomonas aeruginosa
Contact lens–associated keratitis requires coverage for Pseudomonas, typically with a topical fluoroquinolone and no eye patching.
Which finding best distinguishes orbital cellulitis from preseptal (periorbital) cellulitis?
Answer: Pain with extraocular movements and proptosis
Ophthalmoplegia, painful eye movements, and proptosis indicate infection posterior to the orbital septum.
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