EENT EXAM/ ACTUAL EXAM LATEST
EXAMS 2023-2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A 30 year old male has been diagnosed with non-allergic rhinitis. What
finding is more likely in non-allergic rhinitis than allergic rhinitis?
Older age of symptom onset
Male gender
Post nasal drip
Sneezing - CORRECT ANSWER Older age of symptom onset
Explanation:
Non-allergic rhinitis, often called vasomotor rhinitis, is very common in
the US. It is typically diagnosed and differentiated from allergic rhinitis
by history. Although both conditions may co-exist in patients, non-
allergic rhinitis typically has onset after age 20 years. Allergic rhinitis
typically presents prior to age 20 years. The most common symptoms
associated with non-allergenic rhinitis are nasal congestion and post-
nasal drip. It is predominantly reported in females. Common
precipitants of non-allergic rhinitis symptoms can occur with exposure
,to spicy foods, cigarette smoke, strong odors, perfumes, and alcohol
consumption. This is frequently treated with topical azelastine.
The throat swab done to identify Streptococcal infection was negative in
a 12 year-old female with tonsillar exudate, fever, and sore throat. What
statement is true regarding this?
A second swab should be done to repeat the test.
The patient does not have Strept throat.
The patient probably has mononucleosis.
A second swab should be collected and sent to microbiology. - CORRECT
ANSWER A second swab should be collected and sent to microbiology.
Explanation:
A second swab is collected, but it is not used to repeat the test. The
second swab is sent to microbiology for culture. The sensitivity varies in
office Strept tests. Some are as low as 50% and a second swab should
be collected. If beta-hemolytic Strept organisms are grown out, then
the patient can be diagnosed with Streptococcal infection
What is the usual age for vision screening in young children?
2 years
3 years
4 years
,5 years - CORRECT ANSWER 3 years
Explanation:
Initial vision screening should take place at 3 years of age. If the child is
not cooperative, screening should be attempted 6 months later. If the
child is still not cooperative at 3.5 years, it should be attempted at 4
years. Generally, children are cooperative at 4 years of age. The usual
vision of a 3 year-old is 20/50
Epstein-Barr virus is responsible for:
mononucleosis.
the most common cause of pharyngitis.
most teenage cases of pharyngitis.
viral pharyngitis in young children. - CORRECT ANSWER
mononucleosis.
Explanation:
Infectious mononucleosis is caused by Epstein-Barr virus (EBV). This
commonly affects adolescents but can affect various age groups. The
most prominent feature of mononucleosis is fever, fatigue and
pharyngitis.
A patient with environmental allergies presents to your clinic. She takes
an oral antihistamine every 24 hours. What is the most effective single
maintenance medication for allergic rhinitis?
, Antihistamine
Decongestant
Intranasal glucocorticoids
Leukotriene blockers - CORRECT ANSWER Intranasal glucocorticoids
Explanation:
These agents are particularly effective in the treatment of nasal
congestion and would be a good choice for the patient in this scenario.
Intranasal glucocorticoids are effective in relieving nasal congestion,
discharge, itching, and sneezing. A trial of stopping the oral
antihistamine could be tried in this patient. Symptoms would determine
whether the antihistamine should be resumed.
Conjunctivitis:
produces blurred vision in the affected eye.
usually begins as a viral infection.
produces anterior cervical lymphadenopathy.
is common in patients who are nearsighted. - CORRECT ANSWER
usually begins as a viral infection.
Explanation:
Conjunctivitis or "pink eye" usually begins as a viral infection. As the
conjunctiva becomes irritated, the eye is rubbed and fingers introduce
bacteria. A secondary bacterial infection develops. Conjunctivitis
produces a red (or pink) eye, but should never produce blurred vision. A
patient with a red eye and blurred vision should be referred to
EXAMS 2023-2024 ACTUAL EXAM
QUESTIONS AND CORRECT DETAILED
ANSWERS (VERIFIED ANSWERS)
|ALREADY GRADED A+
A 30 year old male has been diagnosed with non-allergic rhinitis. What
finding is more likely in non-allergic rhinitis than allergic rhinitis?
Older age of symptom onset
Male gender
Post nasal drip
Sneezing - CORRECT ANSWER Older age of symptom onset
Explanation:
Non-allergic rhinitis, often called vasomotor rhinitis, is very common in
the US. It is typically diagnosed and differentiated from allergic rhinitis
by history. Although both conditions may co-exist in patients, non-
allergic rhinitis typically has onset after age 20 years. Allergic rhinitis
typically presents prior to age 20 years. The most common symptoms
associated with non-allergenic rhinitis are nasal congestion and post-
nasal drip. It is predominantly reported in females. Common
precipitants of non-allergic rhinitis symptoms can occur with exposure
,to spicy foods, cigarette smoke, strong odors, perfumes, and alcohol
consumption. This is frequently treated with topical azelastine.
The throat swab done to identify Streptococcal infection was negative in
a 12 year-old female with tonsillar exudate, fever, and sore throat. What
statement is true regarding this?
A second swab should be done to repeat the test.
The patient does not have Strept throat.
The patient probably has mononucleosis.
A second swab should be collected and sent to microbiology. - CORRECT
ANSWER A second swab should be collected and sent to microbiology.
Explanation:
A second swab is collected, but it is not used to repeat the test. The
second swab is sent to microbiology for culture. The sensitivity varies in
office Strept tests. Some are as low as 50% and a second swab should
be collected. If beta-hemolytic Strept organisms are grown out, then
the patient can be diagnosed with Streptococcal infection
What is the usual age for vision screening in young children?
2 years
3 years
4 years
,5 years - CORRECT ANSWER 3 years
Explanation:
Initial vision screening should take place at 3 years of age. If the child is
not cooperative, screening should be attempted 6 months later. If the
child is still not cooperative at 3.5 years, it should be attempted at 4
years. Generally, children are cooperative at 4 years of age. The usual
vision of a 3 year-old is 20/50
Epstein-Barr virus is responsible for:
mononucleosis.
the most common cause of pharyngitis.
most teenage cases of pharyngitis.
viral pharyngitis in young children. - CORRECT ANSWER
mononucleosis.
Explanation:
Infectious mononucleosis is caused by Epstein-Barr virus (EBV). This
commonly affects adolescents but can affect various age groups. The
most prominent feature of mononucleosis is fever, fatigue and
pharyngitis.
A patient with environmental allergies presents to your clinic. She takes
an oral antihistamine every 24 hours. What is the most effective single
maintenance medication for allergic rhinitis?
, Antihistamine
Decongestant
Intranasal glucocorticoids
Leukotriene blockers - CORRECT ANSWER Intranasal glucocorticoids
Explanation:
These agents are particularly effective in the treatment of nasal
congestion and would be a good choice for the patient in this scenario.
Intranasal glucocorticoids are effective in relieving nasal congestion,
discharge, itching, and sneezing. A trial of stopping the oral
antihistamine could be tried in this patient. Symptoms would determine
whether the antihistamine should be resumed.
Conjunctivitis:
produces blurred vision in the affected eye.
usually begins as a viral infection.
produces anterior cervical lymphadenopathy.
is common in patients who are nearsighted. - CORRECT ANSWER
usually begins as a viral infection.
Explanation:
Conjunctivitis or "pink eye" usually begins as a viral infection. As the
conjunctiva becomes irritated, the eye is rubbed and fingers introduce
bacteria. A secondary bacterial infection develops. Conjunctivitis
produces a red (or pink) eye, but should never produce blurred vision. A
patient with a red eye and blurred vision should be referred to
