HEENT Exam - Findings and Significance

Question 1

AC twice as long as BC

Answer 1

normal

Question 2

AC/BC are both decreased in one ear

Answer 2

Nerve conduction disease

Question 3

BC > AC with Rinne test

Answer 3

Serous otitis media

Question 4

Bilateral dilated pupils

Answer 4

Cocaine, barbiturate or amphetamine abuse

Question 5

Bilateral pinpoint pupils

Answer 5

Heroin use

Question 6

Bilateral swollen optic discs (papilledema)

Answer 6

Raised intracranial pressure; brain tumor

Question 7

Blue sclera in infant with many fractures

Answer 7

Osteogensis imperfecta

Question 8

Blurred margins of macula or pigmentation

Answer 8

Macular degeneration

Question 9

Copper or silver wiring of retinal arterioles

Answer 9

Hypertensive retinopathy

Question 10

Cupped optic disc

Answer 10

Chronic glaucoma

Question 11

Enlarged tongue (macroglossia)

Answer 11

Hypothyroidism in infants

Question 12

exophthalmos

Answer 12

Hyperthyroidism or orbital tumor

Question 13

Flame hemorrhages and dots (microaneurysms)

Answer 13

Diabetic retinopathy

Question 14

Foul purulent unilateral nasal discharge

Answer 14

Sinusitis or foreign body in nose

Question 15

Goiter with brittle dry course hair

Answer 15

myxedema (hypothyroidism)

Question 16

Goiter with exophthalmos or tachycardia

Answer 16

Graves disease

Question 17

Gray ring around cornea (arcus senilis)

Answer 17

hyperlipidemia

Question 18

Hears better in one ear with Weber test

Answer 18

Problem with one of the ears

Question 19

Large head in child with open fontanelles

Answer 19

hydrocephalus

Question 20

Lid lag

Answer 20

hyperthyroidism

Question 21

Loss of red pupil light reflex

Answer 21

Cataract or neuroblastoma

Question 22

Loss of outer third of eyebrow

Answer 22

hypothyroidism or leprosy

Question 23

Midline neck mass moves with tongue

Answer 23

thyroglossal cyst

Question 24

Midline bony mass in the hard palate

Answer 24

Torus palatinus

Question 25

Mucopurulent discharge from ear

Answer 25

Otitis media

Question 26

Nasal septum perforation

Answer 26

Cocaine abuse

Question 27

Pale conjunctiva

Answer 27

anemia

Question 28

Periorbital edema

Answer 28

cellulitis, cavernous sinus thrombosis

Question 29

Painful boil on the margin of the eyelid

Answer 29

External style (hordeolum)

Question 30

Painful red eye with purulent discharge

Answer 30

conjunctivitis

Question 31

Painful eye with circumcorneal redness

Answer 31

iritis

Question 32

Painful red eye with tense eyeball

Answer 32

Acute glaucoma

Question 33

Painless boil on the inside of an eyelid

Answer 33

Internal style (chalazion)

Question 34

Pain on pulling the ear up and backwards

Answer 34

Otitis externa

Question 35

Pale swollen bluish nasal mucosae

Answer 35

Chronic allergies

Question 36

Ptosis: bilateral

Answer 36

Myasthenia gravis, Lambert Eaton syndrome

Question 37

Ptosis: unilateral

Answer 37

Horner’s syndrome

Question 38

Puffy eyelids, especially in the mornings.

Answer 38

Renal dysfunction

Question 39

Pupil accommodates but does not react to light

Answer 39

Argyll Robertson pupil (tertiary syphilis)

Question 40

Pupil is dilated and reacts poorly to light

Answer 40

Adie’s pupil

Question 41

Pupil is small and constricted (miosis)

Answer 41

Horner’s syndrome

Question 42

Red bulging tympanic membrane

Answer 42

Otitis media

Question 43

Retracted tympanic membrane

Answer 43

Eustachian tube blockage

Question 44

Scales on eyebrows

Answer 44

seborrheic dermatitis

Question 45

Swollen itching eyelids

Answer 45

blepharitis

Question 46

Tophus on helix of ear

Answer 46

Chronic gout

Question 47

Tongue- beef red color

Answer 47

Vitamin B12 deficiency

Question 48

Tongue - magenta color

Answer 48

Riboflavin deficiency

Question 49

Tongue - pale

Answer 49

Iron deficiency

Question 50

Triangular fleshy growth in medial side of sclera

Answer 50

Pterygium

Question 51

Turned in eyelids

Answer 51

entropion

Question 52

Turned out eyelids

Answer 52

ectropion

Question 53

Unilateral swollen tonsil with severe sore throat

Answer 53

Peritonsillar abscess

Question 54

Yellow thickening of the bulbar conjunctiva

Answer 54

Pinguecula

Question 55

Vertigo with healing loss and tinnitus

Answer 55

Meniere’s disease

Question 56

Xerophthalmia

Answer 56

Vitamin A deficiency

Question 57

Yellow sclera

Answer 57

Jaundice (icterus) or carotenemia

Question 58

Yellow plaque in upper medial eyelid

Answer 58

Xanthelasma (hyperlipidemia)