EENT 6

A woman has an acute infection of an eyelid diagnosed as a hordeolum. Which of the following is the most likely infecting organism?

A 32-year-old African American man is at increased risk to develop which of the following disorders?

Two weeks after an upper respiratory infection, a 30-year-old man suddenly has vertigo and nausea, but no visual disturbance or headache. Blood pressure is 130/70 mmHg in his left arm sitting and 136/74 mmHg standing. Exam shows an alert man who has nystagmus on right horizontal gaze. Auditory acuity is diminished in the left ear. Weber test lateralizes to the right ear. Air conduction is longer than bone conduction bilaterally. Finger-to-nose and heel-to-shin testing are normal. Which of the following is the most likely diagnosis?

Which of the following is true regarding an acute chemical splash to the eye?

A patient presents with a nontender, painless, nodule involving a meibomian gland. Which of the following is the most likely diagnosis?

A 56-year-old man suddenly has diplopia associated with pain in the eye and supraorbital area. Examination shows cranial nerve VI palsy. Which of the following is the most likely underlying cause?

A 44 year old male is found to have a cup to disk ratio of 0.7 on routine funduscopic exam. Tonometry finds a pressure of 22 mmHg. Which of the following is the most likely diagnosis?

A 14-year-old girl has a 2 day history of fever and intense sore throat. Blood pressure 90/72 mm Hg, pulse 102/min, and oral temperature 101 degrees F. Examination shows pharyngeal erythema and palatal petechiae. Posterior cervical and axillary nodes are felt bilaterally. Which of the following is the most likely diagnosis?

A 54-year-old female presents after being struck in her right eye by a blunt object earlier today. Visual acuity is 20/40 in the left eye and 20/100 in the right eye. Physical exam demonstrates hemorrhaging into the anterior chamber of the right eye. Schiotz tonometry measures 13 mmHg in the left eye and 18mmHg in the right eye. Which of the following are the most appropriate next steps in the management of this patient?

A 34-year-old woman has newly diagnosed multiple sclerosis. She is most likely to have which of the following eye disorders?

Which of the following could be used in the treatment of open-angle glaucoma?

Which of the following is appropriate for management of Ménière’s syndrome?

Which of the following procedures is indicated in the diagnosis of corneal abrasion?

Which of the following is a physical examination finding for carcinoma of the tongue?

A 3-year-old toddler presents to the emergency department with a sudden onset of fever, difficulty swallowing, and drooling. Physical examination shows soft stridor and inspiratory retractions. Which of the following tests is the most likely to confirm the diagnosis?

From what location does an anterior nosebleed most frequently bleed?

Hearing loss characterized by a loss of high-pitched sounds, with a Weber test lateralizing to the unimpaired ear and AC>BC on Rinne testing, is called:

A 75-year-old woman presents with scales attached to her eyelashes. Her eyes are red and swollen. You notice her eyebrows have some greasy scaling as well. What is the most likely diagnosis?

A 60-year-old patient visits your office with complaints of a post nasal drip, headache, sinus pressure, coughing, and loss of smell. This has been going on for four months. He has been treated before with antibiotics, but it seems to return within a week after completing the antibiotics. What do you want to do next?

A 45-year-old man who works in a factory complains of recent hearing loss in his right ear. He states he wears hearing protection at work, but has not always been compliant. He does not remember a particular event where there was a loud noise near him. On exam, you find the right ear occluded with cerumen which is improved upon removal. What else would you expect to find if you are tentatively looking at a conductive hearing loss?

Which of the following is considered to be one of the main causative organisms for acute otitis media?

In diabetic retinopathy, what would you expect to see on fundoscopic exam in the nonproliferative type?

The presence of which of the following on examination of a 32-year-old man that has asthma is most likely to be associated with aspirin-induced wheezing?

A 6-year-old child in moderate respiratory distress is brought to the ER and is noted to have mild drooling and a low-grade fever. The mother of the child relates that he has had a sore throat and difficulty swallowing for the past few days. Today he started complaining of dyspnea. There is no history to suggest foreign body aspiration. Vital signs are stable except for a tympanic temperature of 101.2° F. Slight stridor is noted on lung auscultation. Which of the following is the best next step to confirm your suspected diagnosis?

A 27-year-old male presents with acute onset of copious, purulent discharge from both eyes. Gram stain showed presence of Neisseria gonorrhoeae. You diagnose this patient with bacterial conjunctivitis. Which of the following is the proper course of treatment?

A 44-year-old female reports having had gradual decrease in vision, episodes of double vision, and reduced color perception. Examination reveals translucent, yellow discoloration of the lens. Based on the patient’s presentation and examination, which of the following is the most appropriate diagnosis?

A 45-year-old male presents with pterygium encroaching on the cornea and interfering with vision. What would be the most appropriate course of treatment for this patient?

A 30-minute eye flush with water or normal saline is the proper clinical intervention for which of the following ocular disorders?

A 12-year-old girl presents with eye symptoms.You diagnose this patient with orbial cellulitis. Which of the following treatment options is indicated for this disorder?

Which advice would you give to a patient if he or she is concerned about developing cataracts?