CHAPTER 4: EENT QUESTIONS WITH DETAILED VERIFIED
AND 100% ACCURATE ANSWERS
A 19-year-old man presents with a chief complaint of a red, irritated
right eye for the past 48 hours with eyelids that were "stuck together"
this morning when he awoke. Examination reveals injected palpebral
and bulbar conjunctiva and reactive pupils; vision screen with the
Snellen chart evaluation reveals 20/30 in the right eye (OD), left eye
(OS), and both eyes (OU) and purulent eye discharge on the right. This
presentation is most consistent with:
A. suppurative conjunctivitis.
B. viral conjunctivitis.
C. allergic conjunctivitis.
D. mechanical injury. Correct Answers A
A 19-year-old woman presents with a complaint of bilaterally itchy, red
eyes with tearing that occurs intermittently throughout the year and is
often accompanied by a rope-like eye discharge and clear nasal
discharge. This is most consistent with conjunctival inflammation
caused by:
A. a bacterium.
B. a virus.
C. an allergen.
D. an injury. Correct Answers C
Common causative organisms of acute suppurative conjunctivitis
include all of the following except:
A. Staphylococcus aureus.
,B. Haemophilus influenzae.
C. Streptococcus pneumoniae.
D. Pseudomonas aeruginosa. Correct Answers D
Treatment options in suppurative conjunctivitis include all of the
following ophthalmic preparations except:
A. polymyxin B plus trimethoprim.
B. levofloxacin.
C. polymyxin.
D. azithromycin. Correct Answers C
Treatment options in acute and recurrent allergic conjunctivitis include
all of the following except:
A. cromolyn ophthalmic drops.
B. oral antihistamines.
C. ophthalmological antihistamines.
D. corticosteroid ophthalmic drops. Correct Answers D
The most common virological cause of conjunctivitis is:
A. coronavirus.
B. adenovirus.
C. rhinovirus.
D. human papillomavirus. Correct Answers B
,Treatment of viral conjunctivitis can include:
A. moxifloxacin ophthalmic drops.
B. polymyxin B ophthalmic drops.
C. oral acyclovir.
D. no antibiotic therapy. Correct Answers D
Anterior epistaxis is usually caused by:
A. hypertension.
B. bleeding disorders.
C. localized nasal mucosa trauma.
D. a foreign body. Correct Answers C
First-line intervention for anterior epistaxis includes:
A. nasal packing.
B. application of topical thrombin.
C. firm pressure to the area superior to the nasal alar cartilage.
D. chemical cauterization. Correct Answers C
The most common clinical finding in patients with severe or refractory
epistaxis is:
A. type 2 diabetes mellitus.
B. hypertension.
C. acute bacterial sinusitis.
, D. anemia. Correct Answers B
A 22-year-old man with recurrent epistaxis episodes fails to respond to
simple pressure. Alternative approaches include all of the following
except:
A. initiating systemic prothrombotic therapy.
B. nasal packing.
C. chemical cautery.
D. topical antifibrinolytic agents. Correct Answers A
All of the following are components of the classic ophthalmological
emergency except:
A. eye pain.
B. purulent eye discharge.
C. red eye.
D. new-onset change in visual acuity. Correct Answers B
Mrs. Murphy is a 58-year-old woman presenting with a sudden left-
sided headache that is most painful in her left eye. Her vision is blurred,
and the left pupil is slightly dilated and poorly reactive. The left
conjunctiva is markedly injected, and the eyeball is firm. Vision screen
with the Snellen chart is 20/30 OD and 20/90 OS. The most likely
diagnosis is:
A. unilateral herpetic conjunctivitis.
B. open-angle glaucoma.
AND 100% ACCURATE ANSWERS
A 19-year-old man presents with a chief complaint of a red, irritated
right eye for the past 48 hours with eyelids that were "stuck together"
this morning when he awoke. Examination reveals injected palpebral
and bulbar conjunctiva and reactive pupils; vision screen with the
Snellen chart evaluation reveals 20/30 in the right eye (OD), left eye
(OS), and both eyes (OU) and purulent eye discharge on the right. This
presentation is most consistent with:
A. suppurative conjunctivitis.
B. viral conjunctivitis.
C. allergic conjunctivitis.
D. mechanical injury. Correct Answers A
A 19-year-old woman presents with a complaint of bilaterally itchy, red
eyes with tearing that occurs intermittently throughout the year and is
often accompanied by a rope-like eye discharge and clear nasal
discharge. This is most consistent with conjunctival inflammation
caused by:
A. a bacterium.
B. a virus.
C. an allergen.
D. an injury. Correct Answers C
Common causative organisms of acute suppurative conjunctivitis
include all of the following except:
A. Staphylococcus aureus.
,B. Haemophilus influenzae.
C. Streptococcus pneumoniae.
D. Pseudomonas aeruginosa. Correct Answers D
Treatment options in suppurative conjunctivitis include all of the
following ophthalmic preparations except:
A. polymyxin B plus trimethoprim.
B. levofloxacin.
C. polymyxin.
D. azithromycin. Correct Answers C
Treatment options in acute and recurrent allergic conjunctivitis include
all of the following except:
A. cromolyn ophthalmic drops.
B. oral antihistamines.
C. ophthalmological antihistamines.
D. corticosteroid ophthalmic drops. Correct Answers D
The most common virological cause of conjunctivitis is:
A. coronavirus.
B. adenovirus.
C. rhinovirus.
D. human papillomavirus. Correct Answers B
,Treatment of viral conjunctivitis can include:
A. moxifloxacin ophthalmic drops.
B. polymyxin B ophthalmic drops.
C. oral acyclovir.
D. no antibiotic therapy. Correct Answers D
Anterior epistaxis is usually caused by:
A. hypertension.
B. bleeding disorders.
C. localized nasal mucosa trauma.
D. a foreign body. Correct Answers C
First-line intervention for anterior epistaxis includes:
A. nasal packing.
B. application of topical thrombin.
C. firm pressure to the area superior to the nasal alar cartilage.
D. chemical cauterization. Correct Answers C
The most common clinical finding in patients with severe or refractory
epistaxis is:
A. type 2 diabetes mellitus.
B. hypertension.
C. acute bacterial sinusitis.
, D. anemia. Correct Answers B
A 22-year-old man with recurrent epistaxis episodes fails to respond to
simple pressure. Alternative approaches include all of the following
except:
A. initiating systemic prothrombotic therapy.
B. nasal packing.
C. chemical cautery.
D. topical antifibrinolytic agents. Correct Answers A
All of the following are components of the classic ophthalmological
emergency except:
A. eye pain.
B. purulent eye discharge.
C. red eye.
D. new-onset change in visual acuity. Correct Answers B
Mrs. Murphy is a 58-year-old woman presenting with a sudden left-
sided headache that is most painful in her left eye. Her vision is blurred,
and the left pupil is slightly dilated and poorly reactive. The left
conjunctiva is markedly injected, and the eyeball is firm. Vision screen
with the Snellen chart is 20/30 OD and 20/90 OS. The most likely
diagnosis is:
A. unilateral herpetic conjunctivitis.
B. open-angle glaucoma.
