Clinical Medicine I Exam 1 UPDATED ACTUAL QUESTIONS AND CORRECT ANSWERS

Clinical Medicine I Exam 1 UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Cerumen Impaction - CORRECT ANSWER Conductive hearing loss + can't see TM



Otitis Externa - CORRECT ANSWER Tragus/pinna tenderness ('swimmer's ear')



Auricular Hematoma - CORRECT ANSWER 'Cauliflower ear' in wrestlers/boxers



Acute Otitis Media (AOM) - CORRECT ANSWER Bulging, erythematous TM + post-
URI in kids



Chronic Otitis Media - CORRECT ANSWER TM perforation + persistent purulent
otorrhea



Tympanic Membrane Perforation - CORRECT ANSWER Sudden pain → relief +
otorrhea



Cholesteatoma - CORRECT ANSWER White mass behind TM + chronic otorrhea



Otosclerosis - CORRECT ANSWER Progressive conductive HL, young women, better
hearing in noise



Eustachian Tube Dysfunction - CORRECT ANSWER Ear fullness + popping/crackling
with swallowing



BPPV - CORRECT ANSWER Brief vertigo with head movement + positive Dix-
Hallpike

, Acoustic Neuroma - CORRECT ANSWER Unilateral sensorineural hearing loss +
tinnitus



Labyrinthitis - CORRECT ANSWER Acute vertigo + hearing loss (often after viral
URI)



Ménière's Disease - CORRECT ANSWER Episodic vertigo + tinnitus + fluctuating
SNHL + aural fullness



Tinnitus - CORRECT ANSWER Phantom ringing/buzzing noise without source



Mastoiditis - CORRECT ANSWER Postauricular erythema/swelling + protruding
auricle



Ear Foreign Body - CORRECT ANSWER Kids + severe discomfort if insect



Nose Foreign Body - CORRECT ANSWER Unilateral foul-smelling nasal discharge



Osteoma (EAC) - CORRECT ANSWER Solitary, pedunculated bony growth



Exostoses (EAC) - CORRECT ANSWER Multiple, bilateral, broad-based ('surfer's
ear')



Glomus Tympanicum - CORRECT ANSWER Pulsatile tinnitus (vascular middle-ear
tumor)



Nasal Polyps - CORRECT ANSWER Bilateral obstruction + anosmia (asthma/aspirin
link)



Inverted Papilloma - CORRECT ANSWER Unilateral nasal mass + risk of SCC