EENT EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED GRADED A++
Acute Bacterial Rhinosinusitis
1. What is this?
2. Most common etiology of sinusitis if it is not bacterial, is ________.
3. What are the two of the four most common sinus sites to be infected?
4. Presentation or Symptoms of ARBS (Bacterial!)
5. Suggestive clue of ABRS
6. Goal of Rhinosinusitis
1. Inflammation of the paranasal sinuses
2. Viral
3. Frontal and Maxillary (ethmoidal and sphenoidal are the smallest).
4. Nasal congestion, purulent nasal discharge, pressure worse with bending forward,
maxillary tooth discomfort
5. Symptoms of greater than 10 days without clinical improvement.
6. Relieve stuffiness and promote drainage!
A 20-year-old female patient with nasal congestion and purulent nasal discharge
has not improved after 7 days of conservative management. She is otherwise
healthy and has not had recent antibiotics. How should she be managed today?
1. She should be started on amoxicillin today.
,2. She should be started on amoxicillin in 10 days.
3. If no PCN allergy, amox-clav is appropriate.
4. She doesn't need treatment if she is immunocompetent
1. She should be started on Amoxicillin today.
Amoxicillin is first-line presentation for symptoms like these.
A 20-year-old female patient with nasal congestion and purulent nasal discharge
has not improved after 7 days of conservative management. She is otherwise
healthy and has not had recent antibiotics. She is allergic to PCN. How should
she be managed today? .
1. She could be started on doxycycline today.
2. Ask what reaction she had when taking PCN.
3. A fluoroquinolone is appropriate.
4. She can take a cephalosporin.
5. A macrolide could be prescribed today.
2. Ask what reaction she had when taking PCN.
Who is at risk for the presence of a pneumococcal resistance organism?
The presence of such an organism will make us move from amoxicillin to
______________.
1. Recent ABX exposure and Immunocompromised People
amoxicillin-clavulanic acid.
,Duration of ABX
1. Duration of ABX is usually between how many days?
1. 5-7 Days
When should noticeable improvement occur (after antibiotic initiation) after
treatment of ABRS?
1. 24 hours
2. 48 hours
3. 72 hours
4. 3-5 days
72 Hours
A patient with sinusitis has developed fever 102F and apparent periorbital
cellulitis. What is the imaging study of choice?
1. Sinus ultrasound
2. CT scan
3. MRI
4. Sinus films
CT Scan
CT Scan W CONTRAST are able to assess for
Contrast is ordered because it helps clinicians determine
Air fluid levels, mucosal edema
the surrounding tissue
, Orbital Cellulitis:
1. Symptoms
2. Management
1. Bulging eyes and limited EOM
2. Refer to ED
Pharyngitis/Tonsillitis
1. What is this?
2. The most worrisome etiology? Most common etiology?
3. Group A strep usually goes away even when untreated. But why do we give
antibiotics still?
1. An acute inflammation of the pharynx/tonsils
2. Group A Strep; Viruses
3. To prevent Group A strep sequelae
The most common cause of acute pharyngitis in children is:
1. S. pyogenes
2. H. influenzae
3. M. pneumoniae
4. Respiratory viruses
4
A 20-year-old patient presents with. complaints of a sore throat and cough that
began this orning. His oral temperature is 101.2. He has the following laboratory
results. What is his most likely diagnosis?
1. Group A Streptococcus
COMPLETE SOLUTIONS VERIFIED GRADED A++
Acute Bacterial Rhinosinusitis
1. What is this?
2. Most common etiology of sinusitis if it is not bacterial, is ________.
3. What are the two of the four most common sinus sites to be infected?
4. Presentation or Symptoms of ARBS (Bacterial!)
5. Suggestive clue of ABRS
6. Goal of Rhinosinusitis
1. Inflammation of the paranasal sinuses
2. Viral
3. Frontal and Maxillary (ethmoidal and sphenoidal are the smallest).
4. Nasal congestion, purulent nasal discharge, pressure worse with bending forward,
maxillary tooth discomfort
5. Symptoms of greater than 10 days without clinical improvement.
6. Relieve stuffiness and promote drainage!
A 20-year-old female patient with nasal congestion and purulent nasal discharge
has not improved after 7 days of conservative management. She is otherwise
healthy and has not had recent antibiotics. How should she be managed today?
1. She should be started on amoxicillin today.
,2. She should be started on amoxicillin in 10 days.
3. If no PCN allergy, amox-clav is appropriate.
4. She doesn't need treatment if she is immunocompetent
1. She should be started on Amoxicillin today.
Amoxicillin is first-line presentation for symptoms like these.
A 20-year-old female patient with nasal congestion and purulent nasal discharge
has not improved after 7 days of conservative management. She is otherwise
healthy and has not had recent antibiotics. She is allergic to PCN. How should
she be managed today? .
1. She could be started on doxycycline today.
2. Ask what reaction she had when taking PCN.
3. A fluoroquinolone is appropriate.
4. She can take a cephalosporin.
5. A macrolide could be prescribed today.
2. Ask what reaction she had when taking PCN.
Who is at risk for the presence of a pneumococcal resistance organism?
The presence of such an organism will make us move from amoxicillin to
______________.
1. Recent ABX exposure and Immunocompromised People
amoxicillin-clavulanic acid.
,Duration of ABX
1. Duration of ABX is usually between how many days?
1. 5-7 Days
When should noticeable improvement occur (after antibiotic initiation) after
treatment of ABRS?
1. 24 hours
2. 48 hours
3. 72 hours
4. 3-5 days
72 Hours
A patient with sinusitis has developed fever 102F and apparent periorbital
cellulitis. What is the imaging study of choice?
1. Sinus ultrasound
2. CT scan
3. MRI
4. Sinus films
CT Scan
CT Scan W CONTRAST are able to assess for
Contrast is ordered because it helps clinicians determine
Air fluid levels, mucosal edema
the surrounding tissue
, Orbital Cellulitis:
1. Symptoms
2. Management
1. Bulging eyes and limited EOM
2. Refer to ED
Pharyngitis/Tonsillitis
1. What is this?
2. The most worrisome etiology? Most common etiology?
3. Group A strep usually goes away even when untreated. But why do we give
antibiotics still?
1. An acute inflammation of the pharynx/tonsils
2. Group A Strep; Viruses
3. To prevent Group A strep sequelae
The most common cause of acute pharyngitis in children is:
1. S. pyogenes
2. H. influenzae
3. M. pneumoniae
4. Respiratory viruses
4
A 20-year-old patient presents with. complaints of a sore throat and cough that
began this orning. His oral temperature is 101.2. He has the following laboratory
results. What is his most likely diagnosis?
1. Group A Streptococcus
