The Daily PANCE and PANRE Extended Edition: Question 48

You diagnose a patient with shingles involving the trigeminal nerve. Since there is involvement of the tip of the nose, you examine her thoroughly to exclude concurrent involvement of the:

  1. tympanic membrane
  2. cornea
  3. nasal septum
  4. contralateral pinna
  5. ipsilateral epitrochlear node

Answer: B

Cornea

This is Hutchinson's sign and suggests an involvement of the cornea with herpes. Ophthalmologic referral is indicated. (Fluorescein staining would show a dendritic lesion on the cornea).

Know Your Content Blueprint

The Daily PANCE and PANRE

Get 60 days of PANCE and PANRE Multiple Choice Board Review Questions delivered daily to your inbox. It's 100% FREE and 100% Awesome!

You have Successfully Subscribed!