Rosh Review-HEENT Questions With 100% Correct Answers.

A 49-year-old woman presents with a neck mass. On examination, a firm nontender, 3-cm thyroid nodule is felt. TSH, T3, and T4 levels are all normal. - Fine Needle Aspiration! Thyroid Nodule A 55-year-old man presents with intermittent vertigo, tinnitus, and progressive hearing loss over the last 4 years. There is no facial numbness. Based on the most likely diagnosis, what will an MRI of the head most likely show? - NO MRI ABNORMALITIES MENIERES! Caused by excess endolymph in the labyrinth A 55-year-old man presents with sudden onset of decreased vision and pain in his right eye, He reports vomiting twice prior to presentation. Examination reveals normal extraocular motions and a mid position pupil that does not react to light. What management should be pursued? - Timolol Drops A 55-year-old mechanic complains of irritation in his right eye lasting for 2 days. On direct visualization you see a small, dark foreign body on the periphery of the cornea and are able to remove it without complications. However, there is a patch of reddish-brown discoloration extending several millimeters around the area where the foreign body had been. Which one of the following is most appropriate for this patient? - Tx: Prompt referral Corneal foreign body Rust ring caused by medalA 73-year-old man presents with painless vision loss in the right eye. Which of the following on funduscopic examination is most characteristic of central retinal vein occlusion? - Retinal hemorrhages The impaired bloodflow can increase pressure causing retinal hemorrhages and the classic "blood and thunder" appearance on funduscopic examination. Also can have tortuous/dilated vein appearance A yellow-green fluorescence seen during Wood's lamp examination can detect early infection of which bacterium? - Pseudomonas, common in contact lens wearers. Barotitis media, barotrauma, or ear popping, are all names for? Tx? - Eustachian tube dysfunction! Condition that occurs when tube does not open properly during swallowing or yawning. Can be seen on airplanes Tx: Chewing Gum Multiple swallows and exhalation through closed nostrils Refractory: analgesics, oral antihistamines and nasal decongestants or steroids. OXYMETAZOLINE! is an over-the-counter nasal spray decongestant.Can an MRI be used to identify intraocular foreign bodies? - If the foreign body is metallic, an MRI is contraindicated because it can dislodge the foreign body and damage surrounding tissue! Examination reveals a whitish, wedge-shaped mass growing from the medial side of the left eyeball extending onto the cornea. There is no associated erythema, blisters or vesicles. Which of the following is the most likely diagnosis? - Pterygium How do you diagnose and treat Iritis (Uveitis)? - Ophthamalmoscopy and slit lamp examination will reveal ciliary injection (LIMBIC FLUSH), consensual photophobia, INFLAMMATORY CELLS AND FLARE within aqueous How long does it take for patient to have angioedema reaction? What is most common offending agent? Tx? - within the first month of therapy initiation, however, can occur after 10 years of using therapy also Most common offending agent: ACEI! Occurs due to increased levels of Bradykinin! Tx: Supportive In a patient with otitis media, the development of which sign is an indication for emergent myringotomy? - Acute facial paralysis Name a potentially life-threatening infection of the auditory external canal which spreads to the soft tissues and to the skull base? - Malignant Otitis Externa