EENT EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED GRADED A++
A 19 yo man c/o a red irritated R eye x 48 hours with eyelids that were stuck
together this morning. Exam reveals injected palpebral and bulbar conjunctiva
and reactive pupils. Vision 20/30 in all eyes. pururlent discharge noted on R. This
presentation is most consistent with:
A. suppurative conj
B. viral conj
C. allergic conj
D. mechanical injury
A
A 190 yo woman presents with c/o bilat, 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:
virus
Common organisms that cause acute suppurative conjunctivitis include all of the
following except:
A. Staph aureus
,B. H. influenza
C. Strep pneumonia
D. P. aeruginosa
D
Treatment options in SC include all of the following ophthalmic preparations
except:
A. polymyxin B plus trimethoprim
B. levofloxacin
C. polymyxin
D. azithromycin
C
Treatment options in acute or recurrent allergic conjunctivitis include all of the
following except:
A. cromolyn ophthalmic drops
B. oral antihistamines
C. opthalmological anthistamines
D. corticosteroid ophthalmic drops
D
The most common viral cause of conjunctivitis is:
adenovirus
,Treatment of viral conjunctivitis can include:
A. moxy drops
B. polymyxin B drops
C. oral acyclovir
D. no antibiotic therapy
D
Anterior epistaxis is usually caused by:
localized trauma
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
C
The most common clinical finding in patients with severe or refractory epistaxis
is:
hypertension
A 22 yo man with recurrent epistaxis episodes fails to respond to simple
pressure. Alternative approaches include all of the following except:
A. systemic prothrombic therapy
B. nasal packing
, C. chemical cautery
D. topical antifibrinolytic agents
A
All of the following are components of the classic opthalmological emergency
except:
A. eye pain
B. purulent eye discharge
C. red eye
D. new onset change in visual acuity
B
Mrs. Murphy is a 58 yo woman with a sudden L sided HA that is most painful in
her L eye. Her vision is blurred and the L pupil is slightly dilated and poorly
reactive. The L conjunctiva is markedly injected and the eyeball is firm. Vision is
20/30 OD and 20/90 OS. The most likely diagnosis is:
angle closure glaucoma
In caring for Mrs. Murphy, the most appropriate next action is:
prompt referral to an opthalmologist
A 48 yo man presents with a new onset R eye vision change accompanied by dull
pain, tearing, and photophobia. The R pupil is small, irregular, and poorly
reactive. Vision is 20/30 OS and 20/80 OD. The most likely diagnosis is:
COMPLETE SOLUTIONS VERIFIED GRADED A++
A 19 yo man c/o a red irritated R eye x 48 hours with eyelids that were stuck
together this morning. Exam reveals injected palpebral and bulbar conjunctiva
and reactive pupils. Vision 20/30 in all eyes. pururlent discharge noted on R. This
presentation is most consistent with:
A. suppurative conj
B. viral conj
C. allergic conj
D. mechanical injury
A
A 190 yo woman presents with c/o bilat, 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:
virus
Common organisms that cause acute suppurative conjunctivitis include all of the
following except:
A. Staph aureus
,B. H. influenza
C. Strep pneumonia
D. P. aeruginosa
D
Treatment options in SC include all of the following ophthalmic preparations
except:
A. polymyxin B plus trimethoprim
B. levofloxacin
C. polymyxin
D. azithromycin
C
Treatment options in acute or recurrent allergic conjunctivitis include all of the
following except:
A. cromolyn ophthalmic drops
B. oral antihistamines
C. opthalmological anthistamines
D. corticosteroid ophthalmic drops
D
The most common viral cause of conjunctivitis is:
adenovirus
,Treatment of viral conjunctivitis can include:
A. moxy drops
B. polymyxin B drops
C. oral acyclovir
D. no antibiotic therapy
D
Anterior epistaxis is usually caused by:
localized trauma
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
C
The most common clinical finding in patients with severe or refractory epistaxis
is:
hypertension
A 22 yo man with recurrent epistaxis episodes fails to respond to simple
pressure. Alternative approaches include all of the following except:
A. systemic prothrombic therapy
B. nasal packing
, C. chemical cautery
D. topical antifibrinolytic agents
A
All of the following are components of the classic opthalmological emergency
except:
A. eye pain
B. purulent eye discharge
C. red eye
D. new onset change in visual acuity
B
Mrs. Murphy is a 58 yo woman with a sudden L sided HA that is most painful in
her L eye. Her vision is blurred and the L pupil is slightly dilated and poorly
reactive. The L conjunctiva is markedly injected and the eyeball is firm. Vision is
20/30 OD and 20/90 OS. The most likely diagnosis is:
angle closure glaucoma
In caring for Mrs. Murphy, the most appropriate next action is:
prompt referral to an opthalmologist
A 48 yo man presents with a new onset R eye vision change accompanied by dull
pain, tearing, and photophobia. The R pupil is small, irregular, and poorly
reactive. Vision is 20/30 OS and 20/80 OD. The most likely diagnosis is:
