GNMP EENT Final Study Guide Questions
With Complete Solutions
B12 deficiency, pernicious anemia.
early red tipped, later the entire tongue Correct Answers What
type of glossitis is this?
Define acute vs chronic laryngitis? Correct Answers
Inflammation of the laryngeal mucosa, typically causing voice
disturbances.
Acute: abrupt, self-limited, vocal misuse, toxins, infections,
allergies, meds.
Chronic: >3weeks. Refer for eval. associated with GERD,
cancer, A.I, papilloma. Meds, toxins/irritants, allergies.
Describe the Centor Criteria and what actions should be taken.
Correct Answers Tonsillar exudate.
Tender, anterior cervical LAO.
No cough.
Fever: >100.4F
Age:
3-14 =1 point
15-45 = 0 points
45+ = -1 points
0-1: testing/treatment not indicated.
2: perform RADT
3-4: perform testing
,4: test and treat
Differentiate migraine from sinus HA. Correct Answers
Migraine: Facial pain, fullness, N/V, no fever, congestion, clear
discharge, sensitivity to light/noise, worse activity.
HA: pain, pressure fullness, less nausea, fever, congestion, thick
nasal discharge, fetid odor, aching upper teeth, worsening
bending forward to lying.
Geographic tongue.
Denuded smooth and irregular. Associated with atrophy and
celiac. Correct Answers What types of glossitis is this?
Hepar sulph:
What conditions is it appropriate for?
Describe the symptoms. Correct Answers Symptoms:
Eruptions and glandular swellings, chilliness, splinter like pain,
,craves sour, anguish/thoughts of suicide. Sore, ulcerated,
aphthous ulcers, smell of old cheese, sneezing, hay fever, throat
sensitive.
Conditions: Iritis, otitis externa, tonsillitis.
How would you differentiate epitaxis from CSF rhinorrhea?
Correct Answers CSF rhinorrhea: clear watery or serous nasal
discharge. Can be bloody. Refer to ER.
Epitaxis: bloody w/o watery/serous discharge.
How would you differentiate hairy tongue, hairy leukoplakia,
oral leukoplakia, lichen planus, and candida? Correct Answers
Hairy tongue: parallel vertical patches, black brown, green, pink.
Hairy leukoplakia: Lateral, mouth floor palate, buccal mucosa,
white, non-painful.
Oral leukoplakia: pre-cancerous lesion. Can't be scraped off.
located on the floor of the mouth, ventral/lateral tongue, soft
palate, uvula. Associated with smoking and alcohol use.
Lichen planus: lace-like pattern, non-painful, may bleed.
Candida: white, curd-like or cottony patches or plaques. Will
rub off with scraping.
How would you evaluate a patient for a potential foreign body?
Correct Answers Cautious eval.
X-ray.
Endoscopy.
How would you work up a patient for nasal polyps? Correct
Answers Standard is CT of maxillofacial area
, Flexible nasopharyngoscope in children
Sweat test for C.F in children under 10
Allergy testing
nasal smear for Eos
If a adolescent male comes in with a new onset of unilateral
nasal congestion what should you make sure you rule out?
Correct Answers Nasopharyngeal angiofibroma.
Iron deficiency.
Pale and smooth enlarged tongue. Correct Answers What type
of glossitis is this?
Kai Bichomicum:
What conditions is it appropriate for?
Describe the symptoms. Correct Answers Symptoms: Thick,
ropy, greenish-yellow nasal discharge. Pressure and pain at root
of nose.
Conditions: sinusitis, nasal polyps.
Know appropriate diagnostic for different nasal conditions?
(endoscopy, X-ray, CT, MRI) Correct Answers Nasal
endoscopy: polyps, septal tumors, chronic sinusitis.
X-ray: acute sinusitis
CT: gold standard for Chronic, recurrent, or fungal sinusitis.
Tumor, polyp, fracture, abscess. Better than X-ray for detecting
bone and tissue changes
MRI: fungal sinusitis or tumor. less commonly used.
With Complete Solutions
B12 deficiency, pernicious anemia.
early red tipped, later the entire tongue Correct Answers What
type of glossitis is this?
Define acute vs chronic laryngitis? Correct Answers
Inflammation of the laryngeal mucosa, typically causing voice
disturbances.
Acute: abrupt, self-limited, vocal misuse, toxins, infections,
allergies, meds.
Chronic: >3weeks. Refer for eval. associated with GERD,
cancer, A.I, papilloma. Meds, toxins/irritants, allergies.
Describe the Centor Criteria and what actions should be taken.
Correct Answers Tonsillar exudate.
Tender, anterior cervical LAO.
No cough.
Fever: >100.4F
Age:
3-14 =1 point
15-45 = 0 points
45+ = -1 points
0-1: testing/treatment not indicated.
2: perform RADT
3-4: perform testing
,4: test and treat
Differentiate migraine from sinus HA. Correct Answers
Migraine: Facial pain, fullness, N/V, no fever, congestion, clear
discharge, sensitivity to light/noise, worse activity.
HA: pain, pressure fullness, less nausea, fever, congestion, thick
nasal discharge, fetid odor, aching upper teeth, worsening
bending forward to lying.
Geographic tongue.
Denuded smooth and irregular. Associated with atrophy and
celiac. Correct Answers What types of glossitis is this?
Hepar sulph:
What conditions is it appropriate for?
Describe the symptoms. Correct Answers Symptoms:
Eruptions and glandular swellings, chilliness, splinter like pain,
,craves sour, anguish/thoughts of suicide. Sore, ulcerated,
aphthous ulcers, smell of old cheese, sneezing, hay fever, throat
sensitive.
Conditions: Iritis, otitis externa, tonsillitis.
How would you differentiate epitaxis from CSF rhinorrhea?
Correct Answers CSF rhinorrhea: clear watery or serous nasal
discharge. Can be bloody. Refer to ER.
Epitaxis: bloody w/o watery/serous discharge.
How would you differentiate hairy tongue, hairy leukoplakia,
oral leukoplakia, lichen planus, and candida? Correct Answers
Hairy tongue: parallel vertical patches, black brown, green, pink.
Hairy leukoplakia: Lateral, mouth floor palate, buccal mucosa,
white, non-painful.
Oral leukoplakia: pre-cancerous lesion. Can't be scraped off.
located on the floor of the mouth, ventral/lateral tongue, soft
palate, uvula. Associated with smoking and alcohol use.
Lichen planus: lace-like pattern, non-painful, may bleed.
Candida: white, curd-like or cottony patches or plaques. Will
rub off with scraping.
How would you evaluate a patient for a potential foreign body?
Correct Answers Cautious eval.
X-ray.
Endoscopy.
How would you work up a patient for nasal polyps? Correct
Answers Standard is CT of maxillofacial area
, Flexible nasopharyngoscope in children
Sweat test for C.F in children under 10
Allergy testing
nasal smear for Eos
If a adolescent male comes in with a new onset of unilateral
nasal congestion what should you make sure you rule out?
Correct Answers Nasopharyngeal angiofibroma.
Iron deficiency.
Pale and smooth enlarged tongue. Correct Answers What type
of glossitis is this?
Kai Bichomicum:
What conditions is it appropriate for?
Describe the symptoms. Correct Answers Symptoms: Thick,
ropy, greenish-yellow nasal discharge. Pressure and pain at root
of nose.
Conditions: sinusitis, nasal polyps.
Know appropriate diagnostic for different nasal conditions?
(endoscopy, X-ray, CT, MRI) Correct Answers Nasal
endoscopy: polyps, septal tumors, chronic sinusitis.
X-ray: acute sinusitis
CT: gold standard for Chronic, recurrent, or fungal sinusitis.
Tumor, polyp, fracture, abscess. Better than X-ray for detecting
bone and tissue changes
MRI: fungal sinusitis or tumor. less commonly used.
