EENT - PRIMARY CARE EXAM QUESTIONS AND ANSWERS WITH
COMPLETE SOLUTIONS GRADED A++
A 32 year-old female presents complaining of spiking fevers. She was seen four
weeks ago with a complaint of left ear pain and was treated for otitis media. She
continues to have symptoms, but now has pain behind the ear. On examination
you note left post auricular tenderness and erythema. Which of the following is
the treatment of choice in this patient?
IV antibiotics
Mastoidectomy
IV steroids
Topical antibiotic drops to EAC
IV antibiotics
A patient complains of a new onset of floaters and a grey veil in one part of their
vision in the right eye. They have a history of myopia. What would be the best
next step?
Artificial tears
Panretinal photocoagulation (PRP)
Peripheral LASER iridotomy
Dilation of eye to view retina and vitreous
Dilation of eye to view retina and vitreous
,Which of the following is a potential complication of a traumatic hyphema?
retinal detachment
glaucoma
cataract formation
chronic conjunctivitis
glaucoma
A patient is seen in follow-up after initial treatment for a corneal abrasion of the
left eye. Physical examination reveals a white necrotic area around the corneal
crater and a small amount of grey exudate. Which of the following is the most
appropriate next step?
Continue treatment with topical ophthalmic ointment.
Continue observation of the healing corneal abrasion.
Immediately refer the patient to an ophthalmologist for further care.
Recommend hospital admission for initiation of parenteral antibiotics
Immediately refer the patient to an ophthalmologist for further care.
A 30 year-old presents with swollen right upper eyelid. On examination the lid is
swollen, red, and very painful. Which of the following is the most likely
diagnosis?
Dacryocystitis
Entropion
,Blepharitis
Hordeolum
Hordeolum
A 12 year-old presents with complaint of both eyes "watering." He also complains
of sinus congestion and sneezing for two weeks. On exam vital signs are T-38°C,
P80/minute, and RR-20/minute. The eyes reveal mild conjunctival injection
bilaterally, clear watery discharge, and no matting. Pupils are equal, round, and
reactive to light and accommodation. The extraocular movements are intact. The
funduscopic exam shows normal disc and vessels. The TMs are normal and the
canals are clear. The nasal mucosa is boggy, with clear rhinorrhea. Which of the
following is the most helpful pharmacologic agent?
Artificial tears
Tobramycin drops
Erythromycin ointment
Naphazoline (Naphcon-A) drops (topical antihistamine)
Naphazoline (Naphcon-A) drops (topical antihistamine)
A 13 year-old boy with leukemia presents with epistaxis for 2 hours. The bleeding
site appears to be from Kiesselbach's area. The most appropriate intervention is
Electrocautery of the bleeding site.
Silver nitrate application.
, Posterior nasal packing.
Intranasal petrolatum gauze.
Intranasal petrolatum gauze.
A 13 year-old girl presents with a .5 round, rubbery swelling on her upper eyelid
with only mild erythema and no drainage. All of the lashes appear normal. There
is no conjunctival injection. The most likely diagnosis is:
Sty
Chalazion
Entropion
Ectropion
Scleritis
Chalazion
A 15 year-old girl is hit in the right eye by a golf ball. There is swelling and
ecchymosis of the orbit. She complains of double vision. The right eye does not
move with downward gaze or right lateral gaze. Which of the following diagnostic
tests will provide the most accurate information regarding this injury?
Facial x-ray
Schiotz tonometry
Fluorescein angiography
Slit lamp biomicroscopy
Facial x-ray
COMPLETE SOLUTIONS GRADED A++
A 32 year-old female presents complaining of spiking fevers. She was seen four
weeks ago with a complaint of left ear pain and was treated for otitis media. She
continues to have symptoms, but now has pain behind the ear. On examination
you note left post auricular tenderness and erythema. Which of the following is
the treatment of choice in this patient?
IV antibiotics
Mastoidectomy
IV steroids
Topical antibiotic drops to EAC
IV antibiotics
A patient complains of a new onset of floaters and a grey veil in one part of their
vision in the right eye. They have a history of myopia. What would be the best
next step?
Artificial tears
Panretinal photocoagulation (PRP)
Peripheral LASER iridotomy
Dilation of eye to view retina and vitreous
Dilation of eye to view retina and vitreous
,Which of the following is a potential complication of a traumatic hyphema?
retinal detachment
glaucoma
cataract formation
chronic conjunctivitis
glaucoma
A patient is seen in follow-up after initial treatment for a corneal abrasion of the
left eye. Physical examination reveals a white necrotic area around the corneal
crater and a small amount of grey exudate. Which of the following is the most
appropriate next step?
Continue treatment with topical ophthalmic ointment.
Continue observation of the healing corneal abrasion.
Immediately refer the patient to an ophthalmologist for further care.
Recommend hospital admission for initiation of parenteral antibiotics
Immediately refer the patient to an ophthalmologist for further care.
A 30 year-old presents with swollen right upper eyelid. On examination the lid is
swollen, red, and very painful. Which of the following is the most likely
diagnosis?
Dacryocystitis
Entropion
,Blepharitis
Hordeolum
Hordeolum
A 12 year-old presents with complaint of both eyes "watering." He also complains
of sinus congestion and sneezing for two weeks. On exam vital signs are T-38°C,
P80/minute, and RR-20/minute. The eyes reveal mild conjunctival injection
bilaterally, clear watery discharge, and no matting. Pupils are equal, round, and
reactive to light and accommodation. The extraocular movements are intact. The
funduscopic exam shows normal disc and vessels. The TMs are normal and the
canals are clear. The nasal mucosa is boggy, with clear rhinorrhea. Which of the
following is the most helpful pharmacologic agent?
Artificial tears
Tobramycin drops
Erythromycin ointment
Naphazoline (Naphcon-A) drops (topical antihistamine)
Naphazoline (Naphcon-A) drops (topical antihistamine)
A 13 year-old boy with leukemia presents with epistaxis for 2 hours. The bleeding
site appears to be from Kiesselbach's area. The most appropriate intervention is
Electrocautery of the bleeding site.
Silver nitrate application.
, Posterior nasal packing.
Intranasal petrolatum gauze.
Intranasal petrolatum gauze.
A 13 year-old girl presents with a .5 round, rubbery swelling on her upper eyelid
with only mild erythema and no drainage. All of the lashes appear normal. There
is no conjunctival injection. The most likely diagnosis is:
Sty
Chalazion
Entropion
Ectropion
Scleritis
Chalazion
A 15 year-old girl is hit in the right eye by a golf ball. There is swelling and
ecchymosis of the orbit. She complains of double vision. The right eye does not
move with downward gaze or right lateral gaze. Which of the following diagnostic
tests will provide the most accurate information regarding this injury?
Facial x-ray
Schiotz tonometry
Fluorescein angiography
Slit lamp biomicroscopy
Facial x-ray
