2026 SOLVED QUESTIONS GRADED A+
● What are classic symptoms and exam findings of sinusitis? Answer:
Purulent nasal discharge, facial pain/pressure, nasal obstruction, fever;
sinus tenderness and decreased transillumination.
● How is sinusitis diagnosed and treated? Answer: Clinical diagnosis;
imaging not routine; tx supportive (NSAIDs, saline, decongestants);
antibiotics (amoxicillin or doxycycline) if severe or >10 days.
● What is allergic rhinitis and how does it present? Answer: IgE-
mediated nasal inflammation with sneezing, rhinorrhea, nasal
congestion, itchy eyes; pale boggy mucosa; allergic shiners.
● How is allergic rhinitis treated? Answer: Allergen avoidance,
antihistamines, intranasal corticosteroids, cromolyn, saline washes;
immunotherapy for refractory cases.
● What are aphthous ulcers and where do they occur? Answer: Painful
recurrent ulcers on non-keratinized oral mucosa (buccal/labial); yellow-
gray base with erythematous halo.
● How are aphthous ulcers managed? Answer: Supportive care; topical
corticosteroids; short oral steroid taper for severe cases.
, ● What is blepharitis and what causes it? Answer: Chronic eyelid
margin inflammation due to seborrhea, staph/strep, or Meibomian gland
dysfunction.
● How is blepharitis treated? Answer: Lid hygiene with warm
compresses and diluted baby shampoo; topical antibiotics if infected.
● What is a cholesteatoma and why is it dangerous? Answer: Trapped
squamous epithelium in middle ear causing bone erosion; leads to
painless otorrhea, hearing loss, dizziness.
● How is cholesteatoma treated? Answer: Surgical excision.
● What are the major types of conjunctivitis and key differences?
Answer: Viral: watery discharge, adenovirus, preauricular LAD;
Bacterial: purulent discharge, eyes "glued" shut; Allergic: itching and
bilateral redness.
● How is conjunctivitis treated? Answer: Viral supportive; bacterial
topical antibiotics; emphasize hygiene.
● What is a corneal abrasion and how does it present? Answer:
Superficial corneal epithelial defect from trauma; causes pain,
photophobia, tearing, foreign body sensation.