The Daily PANCE PANRE Question 49

A 35-year-old male complains of acute left eye pain immediately after he struck a nail with a hammer. On examination, you note that the left pupil is elliptical. What diagnostic test/procedure will most likely confirm your diagnostic suspicion? fluorescein staining of the eye pressing on the globe to assess intraocular pressure an X-ray of the orbits testing the extraocular eye muscles having the patient finger count Answer:C X-ray of the orbits This patient struck a nail (think metal splinter), pain was immediate (as the splinter entered his eye). His pupil is elliptical, indicating penetration of the globe. He needs X-ray of the globe to look for the metal splinter.Fluoresceinstaining is for a corneal abrasion - it should not be done if the globe is penetrated Know Your NCCPAContent Blueprint Ocularforeign bodies arecovered inNCCPA ContentBlueprint EENT (9%) Learn more about ocular foreign bodiesand study these107 ENT PANCE and PANRE Flashcards Note: * This is part of the Daily PANCE and PANRE in your inbox email series: 60 days of PANCE and PANRE Questions and Answers delivered directly to your inbox. It is a great and fun way to learn! If you haven't already, you can sign up for FREE by clicking Here. Help support The PA Life for FREE! This is provided as an opportunity for anyone who appreciates this email series to help support it painlessly. If you are going to be purchasing anything from Amazon.com (books, school supplies, etc.) simply start your next Amazon.com purchase by clicking here... it's a free way for you to help support the cause! Just click over to Amazon.com then, when you make your purchase, Amazon will send a portion of the proceeds to The Physician Assistant Life. The money goes toward paying for one-time and ongoing costs (like equipment, hosting, backup services, etc.). Thank you for supporting the site and keeping this content free! If you are studying for the PANCE or the PANRE I recommend thesereview books Your review was excellent and helped me pass my PANRE Last month. Thank you Melissa Beck RPAC Just stumbled upon your website and am so relieved!! I have an hours drive each way to work daily and visit several facilities in the course of a day.   I am so happy I can utilize audio as well as all of the other references you provide! Thank you for your effort in pulling this all together. Cant wait to get started! Taking your advice and picking a date now! Maggie McKnight PA-C Just letting you know I PASSED my boards. Thank you so so very much for the advise. 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PA-C I love your site and think that it is the most enjoyable studying resource that I have use so far! David Ortega Endahl, PA-C Im a PA student graduating in December and taking my PANCE about 4 weeks from now. Your website has become one of my favorite study tools, so thanks for all your work in putting that together! Caitlin Anderson, PA-S The Daily PANCE PANRE Question 49 A 35 year-old male complains of acute left eye pain immediately after he struck a nail with a hammer. On examination, you note that the left pupil is elliptical. What diagnostic test/procedure will most likely confirm your diagnostic suspicion? A. flourescein staining of the ey B. pressing on the globe to assess intraocular pressure C. an X-ray of the orbits D. testing the extra-ocular eye muscles E. having the patient finger count Answer:C, an X-ray of the orbits This patient struck a nail (think metal splinter), pain was immediate (as the splinter entered his eye). His pupil is elliptical, indicating penetration of the globe. He needs X-ray of the globe to look for the metal splinter. Flouroscein staining is for a corneal abrasion - it should not be done if the globe is penetrated Help Support The Physician Assistant Life for FREE! This is provided as an opportunity for anyone who appreciates this email series to help support it painlessly. If you are going to be purchasing anything from Amazon.com (books, school supplies, etc.) simply start your next Amazon.com purchase byclicking here... it's a free way for you to help support the cause! Justclick over to Amazon. Then, when you make your purchase, Amazon will send a portion of the proceeds to The Physician Assistant Life. The money goes toward paying for one-time and ongoing costs (like equipment, hosting, backup services, etc.). Thank you for supporting the site and keeping this content free! If you are studying for the PANCE or the PANRE I recommend theseReview Books.