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Exam (elaborations)

Clinical Medicine (MED430) | 43 Exam Questions on HEENT, Pulmonary, COPD, Asthma, CF

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This document features 43 high-yield, exam-style questions and answers tailored for the MED430 Clinical Medicine course, focusing on the HEENT (Head, Eyes, Ears, Nose, and Throat) and Pulmonary systems. Each question is based on clinical scenarios that challenge the student to apply diagnostic reasoning and therapeutic decision-making in realistic patient presentations. Topics covered in the HEENT section include otitis media, otitis externa, viral conjunctivitis, epiglottitis, aphthous ulcers, Ludwig’s angina, maxillary sinusitis, and hearing-related conditions like otosclerosis and acoustic neuroma. The Pulmonary section explores critical pathologies such as COPD, chronic bronchitis, asthma, cystic fibrosis, bronchiectasis, and related complications including bronchiolitis and Kartagener’s syndrome. The content emphasizes symptom recognition, pathophysiological mechanisms, diagnostic imaging signs (e.g., thumb sign, tram-track markings), and standard treatments like antibiotics, antifungals, I&D, oxygen therapy, and enzyme supplementation. Ideal for students preparing for: Clinical medicine exams (MBBS, MD, DO) USMLE Step 2, COMLEX, or NCLEX Physician assistant (PA) and nursing programs International medical graduates (IMGs) revising for licensing exams With its concise format and clinical depth, this resource supports targeted revision, case-based learning, and high-stakes exam preparation. Keywords: clinical medicine, MED430, HEENT, pulmonary, exam questions, otitis media, asthma, COPD, cystic fibrosis, bronchiectasis, sinusitis, epiglottitis, quinsy, Meniere syndrome, cerumen impaction, aphthous ulcer, tympanocentesis, conductive hearing loss, acoustic neuroma, kartagener syndrome, stridor, URTI, CF treatment

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Institution
Clinical Medicine
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Clinical Medicine

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Uploaded on
December 30, 2025
Number of pages
9
Written in
2025/2026
Type
Exam (elaborations)
Contains
Questions & answers

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Clinical Medicine - HEENT + Pulmonary
2025/2026 Exam Questions and Answers
| A+ Score Assured



A 21 year old patient presents to you with a palpable nodule on the upper

eyelid that he noticed when he awoke this morning. The patient admits to

tolerable pain and no vision loss. What is the most likely causative

pathogen? - 🧠 ANSWER ✔✔Staphylococcus aureus (patient has

hordeolum)

A 67 year old patient presents to you with complaints of her lower eyelid

being inverted. What treatment option(s) are available for this patient if she

wants her eyelid to go back to normal? - 🧠 ANSWER ✔✔Surgical repair

(patient has entropion)

, A 27 year old patient presents to you with a unilateral red eye after

vacationing down in Florida. During the physical examination you notice a

tender preauricular lymph node on the same side. The patient complains of

excessive watery discharge since this morning. What is the most likely

diagnosis? - 🧠 ANSWER ✔✔Viral conjunctivitis


A 34 year old patient presents to you complaining that the room feels like

it's spinning periodically throughout the day. At first, the patient thought it

was just from sitting and standing, but then noticed it happening at random

throughout the week. It got so serious that the patient fell today before

leaving for work. What is the patient suffering from? - 🧠 ANSWER

✔✔Meniere syndrome


A 7 year old patient presents to you complaining of left ear pain. The

patient was noncompliant when assessing his hearing ability. Through

otoscopy you discover a bulging tympanic membrane. What is the most

likely cause of this patient's complaint? - 🧠 ANSWER ✔✔URI (patient has

otitis media).

A 9 year old patient suffering from chronic allergies has a prominent nose

crease. What is the cause of this? - 🧠 ANSWER ✔✔Chronic rhinitis

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