EENT 2

In evaluation of a patient, you note the MRI reports bilateral acoustic neuromas. Which of the following is the most likely underlying disorder?

A 24-year-old male presents complaining of dark, tea colored urine for the past three days. The patient is an otherwise healthy young man whose only history includes a pharyngitis which he recovered from two weeks ago. Urinalysis is performed, and shows the presence of red blood cell casts. Which of the following laboratory tests would be most useful in diagnosing this patient?

A 24-year-old female presents with excruciating pain to her left ear and what she describes as a “yellow discharge” for the last five days. Inspection of the external canal finds macerated tissue with a yellowish discharge consistent with a severe bacterial otitis externa. Despite multiple attempts, you are unable to visualize the tympanic membrane. You are able to place an otowick. In addition to oral antibiotics, which of the following would be an appropriate treatment choice?

A 15-year-old boy who has asthma is advised to use an inhalation spacer device when inhaling medication. Using the spacer will decrease the incidence of which of the following?

A 73 year old male presents with a painful lump on his eyelid. Inspection finds the picture below. Which of the following in the most likely diagnosis?

A 24 year old patient presents with mild irritation of his eyelids at the base of his eyelashes. Exam finds the picture below. Surrounding areas are unaffected and the conjunctiva are clear. Which if the following disorders is likely to be associated with this eyelid disorder?

The presence of which of the following differentiates allergic rhinitis from vasomotor rhinitis?

A 40-year-old man has recently diagnosed cluster headaches. During a headache, which of the following is least likely to be noted on examination?

A 33-year-old man has a 2 day history of vertigo and nausea. The onset of nystagmus during which of the following maneuvers is most compatible with a diagnosis of benign positional vertigo?

A 25-year-old woman in her first trimester of pregnancy has acute sinusitis. Which of the following is the preferred antibiotic therapy?

A mother brings her 5-year-old child to the office due to excessive tearing, photophobia, and irritation to the left eye. On examination, the conjunctiva is hyperemic, the visual acuity and corneal sensation in the left eye are decreased, and a dendritic ulcer is seen. Which of the following is the most likely diagnosis?

A 45-year-old woman is first seen with a mucosal-covered, pale, edematous mass in the right nostril. The mass is small. Which initial line of treatment is best?

A 50-year-old multiple sclerosis patient complained of a unilateral vision loss that developed suddenly after leaving work a week ago. She also states that she saw everything in black and white at the time she lost the vision in her right eye. The patient now believes the vision in her eye has improved somewhat. On physical examination, she has pain on moving the eye for extraocular movements, a Marcus Gunn pupil is noted, and the optic nerve appears normal at this time. The patient most likely has which of the following problems?

Debilitating dizziness lasting 24 to 48 hours with the feeling that everything is moving and accompanied by nausea and vomiting, sensorineural hearing loss, and tinnitus can be present in what disease process?

Name the organism that infects the cornea in bacterial keratitis, particularly in contact lens wearers.

A mechanism that should not be used when removing a foreign body from the ear is:

If a child has had multiple cases of otitis media, you should check for what type of anemia?

What disease process presents with the hallmark dendritic corneal lesion on examination?

A 75-year-old man with a medical history of hypertension is hospitalized for aspiration pneumonia. By day 5 of his hospitalization, he feels better but complains of hearing loss. Which of the following medications is most likely to be the etiology of his new symptoms?

Which of the following is a clinical characteristic of necrotizing ulcerative gingivitis?

A 25-year-old male undergoing treatment for an inner ear infection presents with additional symptoms, resulting in a diagnosis of mastoiditis. Treatment with IV antibiotics has proven ineffective. Which course of treatment would you prescribe for further treatment of this condition?

A 22-year-old female who is undergoing treatment for an inner ear infection presents with increased fever along with pain and redness around the outside of the ear. Based on the patient’s history and presentation, which of the following is the most likely diagnosis?

A 35-year-old male presents prior to going on a cruise vacation. He states he suffers from terrible motion sickness and vertigo. Which of the following treatment options would you prescribe to lessen his symptoms while on vacation?

Centor Criteria were established in order to quickly diagnose the presence of streptococcal pharyngitis in adult patients who presented to an urban emergency room complaining of a sore throat. Which of the following accurately describe Centor Criteria indicating streptococcal infection?

The X-ray image known as a Water’s view is useful in diagnosing which of the following conditions?

A 44-year-old female presents with pain in the inner ear as a result of an airplane flight. She states she flies on a regular basis for her job. You diagnose this patient with barotraumas. Which of the following practices would you advise this patient to perform during an airplane flight?

A 28-year-old male presents with several painful open sores on the inside of the mouth and upper throat. Which of the following is the most appropriate diagnosis?

A 29-year-old female presents with complaints of abnormal tastes, difficulty opening her mouth, dry mouth, and facial pain while eating. Physical examination revealed swelling in front of the ears and below the jaw. Based on the patient’s history and physical examination, which of the following is the most appropriate diagnosis?

A 48-year-old female presents with dizziness, hearing loss, and drainage of the left ear. Examination of the ear revealed a type of skin cyst in the middle ear. Based on this examination, which of the following is the proper diagnosis?

Which of the following describes painful, recurring lesions on the oral mucosa that appear yellow or white with an erythematous border?