NR 661 Ears, Eyes, Nose, and Throat
(EENT) Exam 2025| Actual Exam
Questions and Correct Answers
Question 1: A 30-year-old male diagnosed with non-allergic rhinitis. Finding more likely in non-
allergic rhinitis than allergic rhinitis:
A) Nasal congestion triggered by environmental allergens
B) Persistent symptoms without seasonal variation
C) Positive skin prick test
D) Elevated IgE levels
Correct Answer: B) Persistent symptoms without seasonal variation
Explanation: Non-allergic rhinitis causes persistent nasal symptoms (e.g., congestion) triggered
by irritants (e.g., smoke, temperature changes), not allergens, unlike allergic rhinitis, which is
seasonal and IgE-mediated.
Question 2: A 12-year-old female with tonsillar exudate, fever, sore throat, negative throat swab
for Streptococcus. True statement:
A) Antibiotics are still indicated
B) Viral pharyngitis is likely
C) Repeat swab in 48 hours
D) Immediate tonsillectomy required
Correct Answer: B) Viral pharyngitis is likely
Explanation: Negative streptococcal swab in a child with pharyngitis suggests a viral etiology
(e.g., adenovirus, EBV), which is more common than bacterial causes.
Question 3: Usual age for vision screening in young children:
A) 1–2 years
B) 3–5 years
,C) 6–8 years
D) 9–10 years
Correct Answer: B) 3–5 years
Explanation: AAP recommends vision screening starting at age 3–5 years to detect amblyopia,
strabismus, or refractive errors.
Question 4: Epstein-Barr virus is responsible for:
A) Bacterial vaginosis
B) Infectious mononucleosis
C) Acute otitis media
D) Chancroid
Correct Answer: B) Infectious mononucleosis
Explanation: EBV causes infectious mononucleosis, characterized by fever, pharyngitis, and
lymphadenopathy.
Question 5: Most effective single maintenance medication for allergic rhinitis:
A) Oral antihistamine
B) Intranasal corticosteroid
C) Decongestant
D) Leukotriene receptor antagonist
Correct Answer: B) Intranasal corticosteroid
Explanation: Intranasal corticosteroids (e.g., fluticasone) are the most effective maintenance
therapy for allergic rhinitis, per ARIA guidelines.
Question 6: Conjunctivitis (Definition):
A) Inflammation of the cornea
B) Inflammation of the conjunctiva
C) Retinal detachment
D) Lens opacity
, Correct Answer: B) Inflammation of the conjunctiva
Explanation: Conjunctivitis is inflammation of the conjunctiva, often due to infection, allergy,
or irritants.
Question 7: Age where thrush is unusual:
A) 1 month
B) 6 months
C) 2 years
D) 6 years
Correct Answer: D) 6 years
Explanation: Thrush (oral candidiasis) is common in infants but unusual in healthy children by
age 6 due to mature immune systems.
Question 8: Severe toothache with heat/cold sensitivity, visible pus. Termed:
A) Dental caries
B) Periapical abscess
C) Gingivitis
D) Periodontitis
Correct Answer: B) Periapical abscess
Explanation: A periapical abscess causes severe toothache with sensitivity and visible pus due
to infection at the tooth root.
Question 9: Duration of antibiotic treatment for a 6-year-old with acute otitis media:
A) 3 days
B) 5–7 days
C) 10 days
D) 14 days
Correct Answer: C) 10 days
Explanation: AAP recommends 10 days of antibiotics (e.g., amoxicillin) for acute otitis media
in children <6 years for optimal resolution.
(EENT) Exam 2025| Actual Exam
Questions and Correct Answers
Question 1: A 30-year-old male diagnosed with non-allergic rhinitis. Finding more likely in non-
allergic rhinitis than allergic rhinitis:
A) Nasal congestion triggered by environmental allergens
B) Persistent symptoms without seasonal variation
C) Positive skin prick test
D) Elevated IgE levels
Correct Answer: B) Persistent symptoms without seasonal variation
Explanation: Non-allergic rhinitis causes persistent nasal symptoms (e.g., congestion) triggered
by irritants (e.g., smoke, temperature changes), not allergens, unlike allergic rhinitis, which is
seasonal and IgE-mediated.
Question 2: A 12-year-old female with tonsillar exudate, fever, sore throat, negative throat swab
for Streptococcus. True statement:
A) Antibiotics are still indicated
B) Viral pharyngitis is likely
C) Repeat swab in 48 hours
D) Immediate tonsillectomy required
Correct Answer: B) Viral pharyngitis is likely
Explanation: Negative streptococcal swab in a child with pharyngitis suggests a viral etiology
(e.g., adenovirus, EBV), which is more common than bacterial causes.
Question 3: Usual age for vision screening in young children:
A) 1–2 years
B) 3–5 years
,C) 6–8 years
D) 9–10 years
Correct Answer: B) 3–5 years
Explanation: AAP recommends vision screening starting at age 3–5 years to detect amblyopia,
strabismus, or refractive errors.
Question 4: Epstein-Barr virus is responsible for:
A) Bacterial vaginosis
B) Infectious mononucleosis
C) Acute otitis media
D) Chancroid
Correct Answer: B) Infectious mononucleosis
Explanation: EBV causes infectious mononucleosis, characterized by fever, pharyngitis, and
lymphadenopathy.
Question 5: Most effective single maintenance medication for allergic rhinitis:
A) Oral antihistamine
B) Intranasal corticosteroid
C) Decongestant
D) Leukotriene receptor antagonist
Correct Answer: B) Intranasal corticosteroid
Explanation: Intranasal corticosteroids (e.g., fluticasone) are the most effective maintenance
therapy for allergic rhinitis, per ARIA guidelines.
Question 6: Conjunctivitis (Definition):
A) Inflammation of the cornea
B) Inflammation of the conjunctiva
C) Retinal detachment
D) Lens opacity
, Correct Answer: B) Inflammation of the conjunctiva
Explanation: Conjunctivitis is inflammation of the conjunctiva, often due to infection, allergy,
or irritants.
Question 7: Age where thrush is unusual:
A) 1 month
B) 6 months
C) 2 years
D) 6 years
Correct Answer: D) 6 years
Explanation: Thrush (oral candidiasis) is common in infants but unusual in healthy children by
age 6 due to mature immune systems.
Question 8: Severe toothache with heat/cold sensitivity, visible pus. Termed:
A) Dental caries
B) Periapical abscess
C) Gingivitis
D) Periodontitis
Correct Answer: B) Periapical abscess
Explanation: A periapical abscess causes severe toothache with sensitivity and visible pus due
to infection at the tooth root.
Question 9: Duration of antibiotic treatment for a 6-year-old with acute otitis media:
A) 3 days
B) 5–7 days
C) 10 days
D) 14 days
Correct Answer: C) 10 days
Explanation: AAP recommends 10 days of antibiotics (e.g., amoxicillin) for acute otitis media
in children <6 years for optimal resolution.
