EENT Knowledge Checks

From the eye conditions lecture material, there are external eye conditions that can be caused by inflamed/infected/blocked meibomian glands, what are they (choose all that apply)?

Group of answer choices

Chalazion

Hordeolum

Blepharitis

Entropion

Chalazion

Hordeolum

Blepharitis

A chalazion is typically more painful for a patient than a hordeolum.

Group of answer choices

True

False

False

A patient with blepharitis presents to your office. In your follow up questions for your patient you will want to know about any current or on-going conditions including rosacea, seborrheic dermatitis, oily skin, dry eyes and what other conditions (choose all that apply)?

Group of answer choices

Dandruff

Corneal abrasion

Diabetic retinopathy

Allergies

Macular degeneration

Dandruff

Allergies

What is the correct flow of the aqueous humor through the eye?

Group of answer choices

Ciliary body to posterior chamber to pupil then anterior chamber through trabeculae to scleral venous sinus (canal of Schlemm) and exit through the vein

Ciliary body to posterior chamber to anterior chamber through trabeculae to scleral venous sinus (canal of Schlemm) and exit through the vein

Ciliary body to anterior chamber to pupil then posterior chamber through trabeculae to scleral venous sinus (canal of Schlemm) and exit through the vein

Ciliary body to posterior chamber to pupil then anterior chamber through trabeculae to scleral venous sinus (canal of Schlemm) and exit through the vein

A 29 y.o. female patient presents to your office with the complaint, "There's a painful bump on my eyelid". She says the painful red bump has been on the upper lid of her left eye for the past 2 days. She first noticed mild tenderness and swelling, which has since worsened to a 5/10 pain. The area is now more swollen, red, and tender to touch. She feels a localized nodule near the lash line. She denies any trauma, significant eye discharge, vision changes, or fever. She has had a similar issue once before, which resolved on its own. She wears makeup daily and occasionally sleeps without removing it.

Based on this patient presentation, what is your diagnosis and treatment?

Group of answer choices

Stye (hordeolum). Once the area forms a head it can be cleaned with an alcohol pad, lanced, and drained by the patient.

Chalazion. Refer for surgical drainage

Stye (hordeolum). Apply clean, warm washcloth compress severa

Stye (hordeolum). Apply clean, warm washcloth compress several times a day until stye comes to a head and opens. If this is a recurring condition or worsens referral for antibiotic ointment may be needed.

Xanthelasmas are slightly raised, yellowish, well‐circumscribed plaques on the nasal portion of one or both eyelids. Patients presenting with xanthelasmas may also have other conditions such as diabetes, obesity, and what other type of disorders?

Group of answer choices

Adrenal disorders

Renal disorders

Lipid disorders

Neurological disorders

Lipid disorders

With a patient presentation of exophthalmos, what two findings might we identify on patient examination?

Goiter

Lightening of the limbus

Lid lag

Pitting edema

Goiter

Lid lag

Subconjunctival hemorrhage becomes serious when there is pain associated with it. Then is should be an immediate referral to the ophthalmologist.

Group of answer choices

True

False

True

Dacryocystitis, an infection of the lacrimal duct, is usually secondary to dacryostenosis.

Group of answer choices

True

False

True

Scleritis is uncommon, it may cause aching pain and blurred vision. Patient's should see eye doctor if symptoms are present and corticosteroid eye drops may be prescribed.

Group of answer choices

True

False

True

-Scleritis is uncommon, but is the more serious between scleritis and episcleritis, which will typically resolve on its own.

Match the following refraction term with the correct focal point placement: Myopia, Hyperopia, Astigmatism

Focal point lands at multiple points

Focal point lands in front of the retina

Focal point lands behind the retina

Focal point lands at multiple points: Astigmatism

Focal point lands in front of the retina: Myopia

Focal point lands behind the retina: Hyperopia

Cataracts are associated with aging as the proteins in the lens begin to clump together. What other factors discussed in lecture can accelerate cataracts (choose all that apply)?

Group of answer choices

Alcoholism

Long-term exposure to sun (not wearing sunglasses)

Corticosteroid medications

Diabetes Mellitus

Alcoholism

Long-term exposure to sun (not wearing sunglasses)

Corticosteroid medications

Diabetes Mellitus

A 46 y.o. male patient presents to your office for his weekly visit and mentions, "I notice I have to hold things farther away to read them." Upon follow up questioning you find out, he has had gradual difficulty with near vision, especially when reading fine print, over the past 6-9 months. He notices it more in dim lighting or when tired. He finds himself holding his phone or books farther away to see clearly. He denies any eye pain, double vision, or major changes in distance vision. He has not worn corrective lenses in the past.

WHAT IS YOUR DIAGNOSIS?

Group of answer choices

Presbyopia

Corneal Abrasion

Myopia

Hyperopia

Presbyopia

It is the irregularities in the shape of the cornea or lens with astigmatism that cause blurry or distorted vision.

Group of answer choices

True

False

True

Which of the following is the most common cause of blindness in one eye?

Group of answer choices

Amblyopia

Retinal detachment

Macular degeneration

Glaucoma

Amblyopia

Good nutrition, exercise, and supplementation with antioxidant vitamins can help prevent or slow progression of which of the following eye conditions? Please select all that apply.

Group of answer choices

Cataracts

Diabetic Retinopathy

Closed Angle Glaucoma

Amblyopia

Retinal detachment

Macular degeneration

Cataracts

Diabetic Retinopathy

Macular degeneration

What is the most appropriate follow up for a 30 year old patient who presents with corneal arcus?

Group of answer choices

Urgent Care referral

Treat with medicated eye drops

CT image series of the head

Lab work follow up

Lab work follow up

- to assess lipids

Which type of glaucoma comes on rapidly, produces eye pain with blurred vision, and requires emergency correction?

Group of answer choices

Closed angle glaucoma

Open angle glaucoma

Closed angle glaucoma

Which TWO of the following conditions present with formation of abnormal vessels that grow over the retina and leak blood? Please pick 2 answers below.

Group of answer choices

Non-proliferative diabetic retinopathy

Proliferative diabetic retinopathy

Dry macular degeneration

Wet macular degeneration

Proliferative diabetic retinopathy

Wet macular degeneration

What part of the eye produces aqueous humor?

Group of answer choices

The lens

The iris

The ciliary body

The choroid layer

The ciliary body