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EENT - PRIMARY CARE EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS 100% VERIFIED

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EENT - PRIMARY CARE EXAM QUESTIONS AND ANSWERS WITH COMPLETE SOLUTIONS 100% VERIFIED Terms in this set (90) 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

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3/23/25, 8:55 EENT - Primary Care Flashcards |
AM
EENT - PRIMARY CARE EXAM QUESTIONS AND ANSWERS WITH COMPLETE
SOLUTIONS 100% VERIFIED
Terms in this set (90)


A 32 year-old female presents complaining IV antibiotics
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
A patient complains of a new onset of Dilation of eye to view retina and vitreous
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

Which of the following is a potential glaucoma
complication of a traumatic hyphema?


retinal detachment
glaucoma
cataract formation
chronic conjunctivitis




1/27

,3/23/25, 8:55 EENT - Primary Care Flashcards |
AM
A patient is seen in follow-up after initial Immediately refer the patient to an ophthalmologist for further care.
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


A 30 year-old presents with swollen Hordeolum
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




2/27

, 3/23/25, 8:55 EENT - Primary Care Flashcards |
AM
A 12 year-old presents with complaint of Naphazoline (Naphcon-A) drops (topical antihistamine)
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)

A 13 year-old boy with leukemia Intranasal petrolatum gauze.
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.
A 13 year-old girl presents with a .5 round, Chalazion
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




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