EENT Practice Test Questions Answers

Which of the following test results would suggest conductive hearing loss in the right ear?
(Note: AC = air conduction, BC = bone conduction.)

2) A 55-year-old female presents to her PCP with complaints of decreased hearing and fullness in the right ear. The patient acknowledges a smoking history but denies any prior history of ear infections and has otherwise felt well. Examination reveals a dull tympanic membrane with loss of bony landmarks and an amber fluid behind the TM. The left ear is normal. What is the most appropriate next step?

3) Cetirizine is commonly used to treat which of the following?

4) Hordeola are typically caused by which of the following?

5) A 12-year-old male with a history of asthma presents to his PCP with complaints of sinus congestion, runny nose, and facial pain. Physical examination reveals a mostly occluded nasal cavity on the right side because of obstruction by large grapelike masses. What would be an expected finding under the patient’s allergy list?

6) A 48-year-old man presents with a vascular, triangular, elevated conjunctival mass encroaching on his cornea. Which of the following is the most appropriate diagnosis?

7) A 55-year-old woman with diabetes presents with pain in the right ear associated with drainage. Examination reveals an occluded ear canal with purulent drainage. What is the most likely etiology of the infection?

8) It is March, and a 7-year-old boy presents with his father to the emergency room complaining of sore throat, fever, and vomiting that started suddenly 5 hours ago. Examination reveals a fever of 102.7°F, 4+ tonsils with purulent exudate, beefy red uvula, and anterior cervical lymphadenopathy. What is the most common cause and appropriate treatment of the child’s condition?

9) A 45-year-old female presents to her PCP with painful swelling under the right mandible that started suddenly. The pain is worse with eating and is associated with fever and decreased saliva. Examination reveals tender submandibular swelling and purulent discharge from the submandibular salivary gland. What is the most likely diagnosis?

10) A 3-year-old boy presents with his mother, who states that the child has been sleeping poorly, pulling at his ear, and complaining of pain in the right ear. She also states that he has been getting over a cold for the past week. Physical examination reveals a fever of 102ºF and a bulging tympanic membrane. Based on the patient’s history and physical examination, which of the following is the most appropriate diagnosis?

11) A 3-year-old boy presents with his mother at the emergency room with the complaint of fever, sore throat, and drooling. Examination reveals a toxic-appearing child who is sitting and leaning forward with his head extended, jaw thrust forward, and drooling. Which of the following is NOT an appropriate diagnostic tool?

12) A Snellen Chart may be used in the evaluation of eye trauma to assess which of the following?

13) Which of the following disorders is likely to be characterized by episodic vertigo, tinnitus, ear pressure, and hearing impairment?

14) Each of the following pathogens is a common cause of bacterial conjunctivitis EXCEPT

15) Which of the following refers to a glandular disorder that characteristically manifests as dry mouth and dry eyes?

16) Which of the following diagnostic procedures is used to identify the pathogen Treponema pallidum?

17) A 73-year-old Caucasian male with hypertension, hyperlipidemia, and 50 packs/year history of smoking presents with a chief complaint of decreased visual acuity on reading, which has been gradual. He also complains of a blind spot in his center of vision. Which of the following is the most appropriate diagnosis?

18) A 23-year-old female presents to her PCP with the complaint of progressive hearing loss in the right ear over the past year. She denies vertigo or tinnitus. Family history is significant for early hearing loss. Examination reveals a normal TM and external ear canal. Weber’s test lateralizes to the right ear. What is the most likely diagnosis?

19) A 35-year-old male presents to his PCP with the complaint of vertigo, hearing loss, and high-pitched tinnitus. Examination of the head and neck is normal; however, referral for audiogram reveals severe hearing loss in the right ear with a normal audiogram on the left. What is the most likely diagnosis?

20) A 12-year-old male with a history of asthma presents to his PCP with complaints of sinus congestion, runny nose, and facial pain. Physical examination reveals a mostly occluded nasal cavity on the right side because of obstruction by large grapelike masses. What medication would be inappropriate to give this patient?

21) A 27-year-old female presents with watery eyes, sneezing, stuffy nose, and sinus pressure. She says she also has an itchy throat and post-nasal drip. The patient confirms that she has a reoccurrence of these symptoms every spring. Examination reveals pale, boggy nasal mucosa and mild erythema of the posterior pharynx. Which of the following would be the most appropriate diagnosis?