EENT Actual Exam Latest

EENT Actual Exam Latest Update Questions and Correct Answers Rated A+ 65-year-old man complaining of a sudden unilateral vision loss which he describes as "a curtain or dark cloud lowering over my eye." This was preceded by small moving flashing lights, and floaters. The fundoscopic exam reveals a detached superior retina. MLD? - ANSWER-Retinal Detachment

What is the *MC type* of retinal detachment? -ANSWER- *Rhegmatogenous* retinal detachment

Pt complains of seeing *flashing lights* and *constant floaters* which has then progressed to *unilateral peripheral vision loss* like a *curtain* is pulled over the pt's eye. The pt said there is *NO pain* or redness. What is ML dx? -ANSWER-Retinal detachment

If pt with *Retinal detachment* has *further flashing lights or floaters LASTING more than seconds* what should you do? -ANSWER-send to *ED*

What will you see on fundoscopy in a pt with *retinal detachment*? - ANSWER-retinal tear (tissue flapping

in vitreous humor like grey cloud)

Retinal detachment begins as progressive *UNILATERAL* peripheral vision loss, then becomes? -ANSWER-*Central* vision loss

What eye disorders have *central vision loss* present? (peripheral vision intact) -ANSWER-1. *Macular Degeneration*

• Optic Neuritis (central scotoma)
• Retinal Detachment (can become central)

What eye disorders are associated with *loss of color vision*? - ANSWER-1. *Optic Neuritis* (marked)

• Macular Degeneration (detail & color)
• Cataracts (yellowing/fading)

Pt with a medical hx of *HTN & DM* comes in complaining of *sudden onset vision loss in ONE eye upon waking* with *NO associated pain*.What is ML dx? -ANSWER-*Central RVO*

What eye disorders are associated with "curtain vision loss"? - ANSWER-1. *Amaurosis Fugax*

• *Retinal Detachment*

"the *fugative detached* the *curtain* from the stage"

What eye disorder is associated with *SUDDEN* floaters that are *increasing in severity*? -ANSWER-*Vitreous Hemorrhage*

What eye disorder is associated with *CONSTANT* floaters & *flashing lights*? -ANSWER-*Retinal Detachment*

What eye disorders are associated with "tunnel vision"? (*central* vision *present* /*peripheral* vision *loss*) -ANSWER-1. Glaucoma

• Retinitis Pigmentosa

Non-ischemic or ischemic Central RVO:

good vision, *RAPD absent*, fewer hemorrhages, cotton- wool spots, may resolve -ANSWER-Non-ischemic

Non-ischemic or ischemic Central RVO:

severe vision loss, *RAPD +,* extensive hemorrhage, cotton-woolspots -ANSWER-Ischemic

Symptomatic difference between Central Vein and Central Artery

occlusion? -ANSWER-*VEIN*: *Vision loss 1st thing in the MORNING*

*ARTERY*: *SUDDEN + PROFOUND* unilateral *vision loss*

*Prognosis better in those with *(good/poor)* visual acuity (20/60 or better) than in those with *(good/poor)* acuity (20/200 or higher) - ANSWER-good; poor

What are some causes of *central RAO*? -ANSWER-*emboli from carotid MC*, cardiogenic emboli 2nd (young), thrombosis (*A-Fib pts*), vasculitis, temporal arteritis *(GCA)*, SCD, trauma

Pt with a hx of *A fib* comes in complaining of *unilateral sudden, profound vision loss* with NO pain? What is ML dx? -ANSWER- Central RAO

What will be seen under *fundoscopy* in a pt with *Central RAO*? - ANSWER--*pale retina*, cherry red macula -boxcar appearance of retinal vessels (segmentation) -emboli seen along the retinal artery or its branches -*NO HEMORRHAGES SEEN UNDER OPHTHALMOSCOPE (diff from RVO)*

What may *central RAO* be preceded by? -ANSWER-*Amaurosis fugax*

What are some tx options for central RAO? -ANSWER-CO2 rebreathing, 100% O2 NC, *ocular massage (5-15s of pressure)*,