EENT 1

A 44 year old male presents with vertigo, low frequency hearing loss, tinnitus and aural fullness. Meniere’s disease is diagnosed. In addition to meclizine for symptomatic relief, which of the following medications may be added?

A 62-year-old man has bronchogenic squamous cell carcinoma in the apex of his left lung. Which of the following is the most likely complication to occur in this patient?

A 72-year-old woman who has diabetes mellitus has a 1 week history of increasing right ear pain with otorrhea. Malignant otitis externa is diagnosed. Which of the following is the most likely infecting organism?

A 44-year-old female presents shortly after starting a new medication complaining of pain and swelling in her gums. Inspection find significant gingival hypertrophy. Which of the following is the most likely causative agent?

A mother presents with her seven-year-old concerned about a mass which is arisen on his neck. She is gravely concerned about thyroid disorder. She states the mass occurred approximately 2 weeks after a mild upper respiratory infection and has persisted since. Examination finds a small, soft, round midline mass just below the hyoid. You note the mass to be mildly fluctuant. The mass moves upward with protrusion of the patient’s tongue. Which of the following is the most likely diagnosis?

A 28-year-old male presents to the emergency room with pain and difficulty opening his jaw. Which of the following is not a potential diagnosis?

A 30-year-old patient presents complaining of the room “spinning”. She has no other complaints. Which of the following exams is most specific for the diagnosis of benign positional vertigo?

Which of the following is true in relation to children when considering dysfunction of the eustachian tube?

A 32-year-old scuba diver presents to the office concerned about four days of pain, decreased hearing and slightly bloody drainage from his left ear after returning from a dive trip to the Bahamas. Physical exam finds an erythematous tympanic membrane with a small area of perforation and serous discharge. Which of the following is the most likely diagnosis?

A seven-year-old boy presents to the office with severe pain to his right ear which is become progressively worse over the last 14 days. The patient’s mother states that he is not eaten in the last 24 hours, feels very fatigued and has had a fever. Physical exam finds a sick appearing child and otoscopic exam finds signs of acute otitis media. You note that the patient’s right ear is significantly protruded when compared to his left and he has significant pain on percussion of the mastoid process. Which of the following is the best diagnostic tool for this patient?

A 50-year-old man complains of pain in his right ear that has not responded to treatment for an otitis externa. Nodes are present at the cranial base. Neck has full range of motion, no tenderness on palpation. What tentative diagnosis would you make?

A common chronic infectious resulting from tooth-adherent cariogenic bacteria, primarily Streptococcus Mutans, which metabolize sugars to produce acid, demineralizing the tooth structure over time is called?

A 30-year-old female comes into the office complaining of a sore throat and difficulty swallowing. She appears ill and has no medication allergies. Physical examination and diagnostic studies confirm a bacterial tonsillitis. You suspect the organism causing the tonsillitis is Streptococcus pyogenes. Which of the following would be the best choice of treatment for this organism?

The organism most likely to cause epiglottitis is:

Which immunoglobulin is responsible for the mediated response in the nasal mucosa for allergic rhinitis?

Which of the following is a life-threatening disease due to an extensive cellulitis?

Which of the following conditions is most likely to become cancerous?

What type of retinal detachment is characterized by a break in the retina that allows the vitreous fluid to leak, causing the detachment?

A 75-year-old man is first seen with the complaint of a sudden, painless, unilateral loss of vision in the right eye that lasted for approximately 30 minutes. On examination, a cherry red spot is seen at the fovea, with a “box car” appearance to the veins visualized on funduscopic examination as well as some cotton wool patches in the same general area. He is only able to count the number of fingers held up to test visual acuity. What is the most likely diagnosis?

Which of the following problems does not increase the risk of cataracts?

A 68-year-old male patient who was recently treated for pneumonia comes to the clinic complaining of a sudden loss of hearing in his right ear. He also presents with pain and pressure.  Based on his symptoms, what is the most likely etiology of his hearing loss?

A 16-year-old girl is brought to the clinic by her mother. She complains of throat pain and difficulty swallowing. She has low-grade fever and swollen and tender lymph nodes in the neck. You suspect streptococcal laryngitis. Which of the following diagnostic tests can be used to accurately confirm this diagnosis in as little time as possible?

A 57-year-old female patient arrives at the clinic complaining of vertigo-related symptoms such as dizziness, hearing loss, nausea, vomiting, and tinnitus. After her examination, she is determined to be suffering from Meniere’s disease. Based on this information, what form of vertigo is she experiencing?

A mother brings her 2½-year-old son to the clinic because he has swollen salivary glands, a fever, testicular discomfort and aching muscles and joints. When asked if her son had received his routine childhood vaccines, she said no. The mother said she is against vaccines because she believes they cause autism. She believes childhood infections are “a normal part of growing up,” and that vaccines are unnecessary. The patient’s current condition is most likely a result of having missed which vaccination?

A 42-year-old female patient is suffering from an apparent infection that is causing a fever, sore throat, and a general feeling of malaise. She is unsure of her current vaccination status. Her examination reveals a tenacious gray membrane covering her tonsils and pharynx. The membrane is not affecting her ability to breath. What is the first and most important form of treatment for this condition?

You are treating a 12-year-old male patient with peritonsillar cellulitis and abscess. You’ve administered the basic treatment, but you think he might require a tonsillectomy. Which of the following conditions would be an absolute indication for tonsillectomy?

A 12-year-old boy comes to the clinic with his mother. He complains of left ear pain and itching. Upon examination, you find a small amount of yellow drainage from the ear canal. His temperature is 98.4°F. He says he swims every day because he is on the swim team. What is this patient’s most likely diagnosis?

A 24-year-old male comes to the office complaining of pain in the cheekbones, upper teeth, and under the eyes. The pain worsens when the patient is upright and improves when he is reclining. He also complains of halitosis. He has clear nasal discharge, and a fever of 100.5°F. What is the most likely diagnosis?

A 2-year-old boy is brought into the clinic by his mother. He is crying and his right nostril is bleeding slightly. The mother states the boy was playing quietly by himself in the playroom when he suddenly began to cry. She investigated, and stated she found him holding his nose, screaming, “Ow!” She noticed blood and mucus coming from his nostril. When the mother asked what had happened, the boy would not answer her. What procedure would you be most likely to perform based on your observations?

A young female patient is believed to be suffering from pharyngitis and is exhibiting a tender anterior cervical adenopathy, a 100.2°F fever, pharyngoton-sillar exudates, and a persistent cough. How many of the four Centor criteria is the patient presenting?