EENT EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS VERIFIED GRADED A++
A 4 year-old child presents with a rapid onset of high fever and extremely sore
throat. Which of the following findings are suggestive of the diagnosis of
epiglottitis?
Croupy cough and drooling
Which of the following are normal findings in a Weber test?
Sound is heard equally in both ears when a vibrating tuning fork is placed on the mid
forehead
Which of the following is diagnosed by use of the cover/uncover test?
Strabismus
A 32 year-old carpenter complains of right eye irritation all day after driving a
metal stake into the ground with his hammer. He states that "something flew into
my eye." Visual acuity is 20/20. Pupils are equal, round, reactive to light and
accommodation. Extraocular movements are intact. There is minimal right
corneal injection. No foreign body is noted with lid eversion. Fluorescein stain
reveals a tiny pinpoint uptake in the area of the corneal injection. Which of the
following is the most appropriate diagnostic test at this stage?
X-ray orbits
A 45 year-old male complains of loss of hearing in his left ear. He also complains
of ringing in the ear, and has had occasional dizziness. On exam, there is
,unilateral left- sided sensorineural hearing loss and a diminished corneal reflex.
Neuro exam is otherwise normal. TMs are normal, and canals are clear. Neck is
supple, without adenopathy. Oropharynx is normal. Of the following, the best
diagnostic study to identify the cause of this patient's complaints is
gadolinium-enhanced MRI
A 23 year-old graduate student presents with sudden onset of severe dizziness,
with nausea and vomiting for the past couple of hours. She denies hearing loss
or tinnitus. She has had a recent cold. Which of the following is the most likely
diagnosis?
Vestibular neuronitis
A 4 year-old boy presents with purulent, foul-smelling nasal discharge for three
days. He has not had any other symptoms of respiratory illness, cough, wheeze,
or fever. His activity level and appetite has been normal. On exam, he is afebrile.
TM's have normal light reflex, canals are clear. Left nare is clear; there is
considerable amount of purulent exudate from the right nare, and a bright
reflection of light is noticed. Oropharynx is without inflammation or exudate.
Neck is supple, without lymphadenopathy. Lungs are clear, with equal breath
sounds and no wheezing. Heart has regular rhythm without murmurs. Which of
the following is the most likely diagnosis?
Nasal foreign body
A 59 year-old male complains of "flashing lights behind my eye" followed by
sudden loss of vision, stating that it was "like a curtain across my eye." He
denies trauma. He takes Glucophage for his diabetes mellitus and atenolol for his
, hypertension. He has no other complaints. On funduscopic exam, the retina
appears to be out of focus. Which of the following is the most likely diagnosis?
Retinal detachment
A 64 year-old woman complains of headache and left eye pain for about a day.
She says it started yesterday as a dull ache and now is throbbing. She also
complains of nausea and vomiting, which she attributes to the popcorn she ate at
the movie theater yesterday afternoon. On exam, the left pupil is mid-dilated and
nonreactive. The cornea is hazy. A ciliary flush is noted. Which of the following is
the most likely diagnosis?
Acute glaucoma
Which of the following is the most common cause of adult blindness in the USA?
Diabetes mellitus
The most common cause of conductive hearing loss is
impacted cerumen
An 18 year-old college student took her goggles off in the chemistry lab while she
was washing her glassware from an experiment she had just completed. She
thinks the beaker had contained sodium hydroxide, and it splashed into her right
eye. She rinsed her eye out for about five minutes in the lab. Which of the
following is the most appropriate first step?
Flush the eye with two liters saline
A 6-year-old previously healthy boy is brought to the emergency department for
right ear pain. His mother states he has been pulling at his ear for the past 2 days
and has complained of discomfort. She states he felt warm but has not taken his
COMPLETE SOLUTIONS VERIFIED GRADED A++
A 4 year-old child presents with a rapid onset of high fever and extremely sore
throat. Which of the following findings are suggestive of the diagnosis of
epiglottitis?
Croupy cough and drooling
Which of the following are normal findings in a Weber test?
Sound is heard equally in both ears when a vibrating tuning fork is placed on the mid
forehead
Which of the following is diagnosed by use of the cover/uncover test?
Strabismus
A 32 year-old carpenter complains of right eye irritation all day after driving a
metal stake into the ground with his hammer. He states that "something flew into
my eye." Visual acuity is 20/20. Pupils are equal, round, reactive to light and
accommodation. Extraocular movements are intact. There is minimal right
corneal injection. No foreign body is noted with lid eversion. Fluorescein stain
reveals a tiny pinpoint uptake in the area of the corneal injection. Which of the
following is the most appropriate diagnostic test at this stage?
X-ray orbits
A 45 year-old male complains of loss of hearing in his left ear. He also complains
of ringing in the ear, and has had occasional dizziness. On exam, there is
,unilateral left- sided sensorineural hearing loss and a diminished corneal reflex.
Neuro exam is otherwise normal. TMs are normal, and canals are clear. Neck is
supple, without adenopathy. Oropharynx is normal. Of the following, the best
diagnostic study to identify the cause of this patient's complaints is
gadolinium-enhanced MRI
A 23 year-old graduate student presents with sudden onset of severe dizziness,
with nausea and vomiting for the past couple of hours. She denies hearing loss
or tinnitus. She has had a recent cold. Which of the following is the most likely
diagnosis?
Vestibular neuronitis
A 4 year-old boy presents with purulent, foul-smelling nasal discharge for three
days. He has not had any other symptoms of respiratory illness, cough, wheeze,
or fever. His activity level and appetite has been normal. On exam, he is afebrile.
TM's have normal light reflex, canals are clear. Left nare is clear; there is
considerable amount of purulent exudate from the right nare, and a bright
reflection of light is noticed. Oropharynx is without inflammation or exudate.
Neck is supple, without lymphadenopathy. Lungs are clear, with equal breath
sounds and no wheezing. Heart has regular rhythm without murmurs. Which of
the following is the most likely diagnosis?
Nasal foreign body
A 59 year-old male complains of "flashing lights behind my eye" followed by
sudden loss of vision, stating that it was "like a curtain across my eye." He
denies trauma. He takes Glucophage for his diabetes mellitus and atenolol for his
, hypertension. He has no other complaints. On funduscopic exam, the retina
appears to be out of focus. Which of the following is the most likely diagnosis?
Retinal detachment
A 64 year-old woman complains of headache and left eye pain for about a day.
She says it started yesterday as a dull ache and now is throbbing. She also
complains of nausea and vomiting, which she attributes to the popcorn she ate at
the movie theater yesterday afternoon. On exam, the left pupil is mid-dilated and
nonreactive. The cornea is hazy. A ciliary flush is noted. Which of the following is
the most likely diagnosis?
Acute glaucoma
Which of the following is the most common cause of adult blindness in the USA?
Diabetes mellitus
The most common cause of conductive hearing loss is
impacted cerumen
An 18 year-old college student took her goggles off in the chemistry lab while she
was washing her glassware from an experiment she had just completed. She
thinks the beaker had contained sodium hydroxide, and it splashed into her right
eye. She rinsed her eye out for about five minutes in the lab. Which of the
following is the most appropriate first step?
Flush the eye with two liters saline
A 6-year-old previously healthy boy is brought to the emergency department for
right ear pain. His mother states he has been pulling at his ear for the past 2 days
and has complained of discomfort. She states he felt warm but has not taken his
