EENT Sample Quiz.docx

EENT Sample Quiz.docx - 6-4 A 45-year-old man comes in with...

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6-4. A 45-year-old man comes in with acute eye pain that occurred suddenly while grinding a metal sculpture without safety goggles. His vital signs and visual acuity are normal. Eyes are grossly normal except for redness in the affected eye and mild photophobia after topical anesthesia. What is the most appropriate diagnostic test and treatment for the following slit-lamp exam findings? (A) If you see injected conjunctiva, quiet anterior chamber, a positive Seidel test on fluorescein stain, you should get a computed tomography (CT) to rule out intraocular foreign body, give intravenous antibiotics, a tetanus booster, and request an ophthalmology consultation. (B) If you see injected conjunctiva, quiet anterior chamber and a punctate corneal abrasion in the temporal inferior quadrant on fluorescein stain with a negative Seidel test, you should give a tetanus booster, treat with topical antibiotics, and obtain an ophthalmology consult in 24 hours.
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