Physician Assistant Eyes, Ears, Nose and Throat (EENT) 2

Question 1

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?

Accepted Answer

Fixed, mid-dilated pupil with a hazy cornea

Answer

Acute angle-closure glaucoma causes a mid-dilated nonreactive pupil, corneal edema, and markedly elevated intraocular pressure.

Question 2

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?

Accepted Answer

Central retinal artery occlusion

Answer

Central retinal artery occlusion produces retinal whitening with a cherry-red macula, often from an embolic source.

Question 3

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?

Accepted Answer

Emergent ophthalmology referral

Answer

These symptoms indicate retinal detachment, an ophthalmologic emergency requiring prompt repair to preserve vision.

Question 4

A patient with a vesicular rash on the forehead also has vesicles on the tip of the nose. What does this finding predict?

Accepted Answer

Increased risk of ocular involvement

Answer

Hutchinson sign reflects nasociliary nerve involvement and strongly predicts herpes zoster ophthalmicus with eye complications.

Question 5

Fluorescein staining reveals a branching dendritic ulcer on the cornea. Which medication should be avoided?

Accepted Answer

Topical corticosteroids

Answer

Topical steroids can worsen HSV epithelial keratitis and lead to corneal perforation.

Physician Assistant Practice Test

Physician Assistant Practice Test

Physician Assistant Eyes, Ears, Nose and Throat (EENT) 2