EENT final exam study guide Questions
With Complete Solutions!!!
Otoscopic exams of case P and case O depict 2 different types of otitis media. Pneumatic
otoscopy reveals immobile TM in both cases which 2 TM features do most strongly support the
diagnosis of otitis media? Select 2 answers. - ANS A) impaired translucency of the TM
B) color (translucent or red)
C) TM position (retracted or bulging) *
D) immobility of the TM*
(CASE B) (Q 1/2)A 22 month old male has received chiropractic care for six months. The pt has
had history of B/L COME for the past 6 months. Current fear exam reveals B/L retracted,
immobile TM and clear ME effusion with air bubbles B/L. Temp 98.9*F. Current screening
reveals delayed language development. The audiometry report shows conductive hearing loss
of 30dB B/L. How should the DC manage the case at this time? - ANS A) immediate
transport via ambulence to the ER
B) prompt referal to an ENT specialist*
C) independent management by chiropractor for another 6 months without referal
(Case B) (Q 2/2) After properly implemented management by the DC, what subsequent
treatment is indicated? - ANS A) continued independent chiropractic management for 3-6
months
B) antibiotic drug therapy
C) surgical insertion of tympanostomy (PE) tubes*
(Case P) (Q 1/2) what condition presents with cupping of the optic disc? - ANS A) systemic
HTN
B) open-angle Glaucoma*
C) macular degeneration
D) diabetic retinopathy
(Case P) (2/2) what test is used to diagnose case p? - ANS A) fasting blood glucose
B) Ct of the orbits
C) blood pressure assesment
D) ocular tomometry*
(Case A) (1/3) Emma, a 16-month-old female, is brought to the office by her mother. History of
present illness; Emma has had a cold for 3 days, with runny nose and cough, last night she
developed a fever and increased fussiness. The girl refused to eat and only wants her
, bottle.According to the mother, last night Emma woke up crying and was inconsolable until she
was given Advil for her fever and finally was able to go back to sleep. Mother says that Emma
acted like this 3 months ago when she had an ear infection, and she is worried that her
daughter might have another one. Past medical Hx: AOM 4 months ago; resolved with
treatment. Meds: ibuprofen for fever. Allergies: no known allergy in addition to AOM, what
concomitant illness is most likely based on this child's current presentation? - ANS A) viral
URTI*
B) Acute labyrinthitis
C) Acute frontal sinusitis
D) cleft palate
(Case A) (2/3) what finding does the DC need to look for in Emma's ear to confirm the diagnosis
of AOM? - ANS A) erythematous and edematious EAM
B) Retraction pocket of pars flaccida
C) bulging TM*
D) tympanosclerosis
(Case A) (3/3) Otoscopy of Emma's affected ear reveals central TM perfusion and mucopurulent
otorrhea. How should the DC manage this case? - ANS A) Independent management of
the DC without referral
B) prompt referral to ENT specialist*
C) immediate ambulence transport to closest neurosurgical trauma center
3 of the following statements are correct. Select the incorrect statement. - ANS A) OME
often follows an episode of AOM
B) OME presents with retracted TM
C) OME is a bacterial ME infection*
D) OME does not benefit from antibiotics
Fill in the blanks by selecting one choice below ___________ is defined as the accumulation of
middle ear effusion behind an intact TM without signs or symptoms of acute infection and is one
of the most common causes of _____ among children in the US, potentially leading to
__________ disabilities. - ANS A) OME, Conductive hearing loss, learning*
B) AOM, Sensorineural hearing loss, cognitive
C) AOM, ear infection, neurological
What diagnosis correlates with the presentation below? A 5 year old female with a 2-day history
of intense earache, fever, and fatigue. There is U/L yellow/thick ME effusion ad increased ME
pressure. The TM on the affected side is red, bulging and ruptured. There is fluid draining of the
outer ear canal. - ANS A) OME
B) AOM
C) Chronic OME
D) AOM with TM perfusion
With Complete Solutions!!!
Otoscopic exams of case P and case O depict 2 different types of otitis media. Pneumatic
otoscopy reveals immobile TM in both cases which 2 TM features do most strongly support the
diagnosis of otitis media? Select 2 answers. - ANS A) impaired translucency of the TM
B) color (translucent or red)
C) TM position (retracted or bulging) *
D) immobility of the TM*
(CASE B) (Q 1/2)A 22 month old male has received chiropractic care for six months. The pt has
had history of B/L COME for the past 6 months. Current fear exam reveals B/L retracted,
immobile TM and clear ME effusion with air bubbles B/L. Temp 98.9*F. Current screening
reveals delayed language development. The audiometry report shows conductive hearing loss
of 30dB B/L. How should the DC manage the case at this time? - ANS A) immediate
transport via ambulence to the ER
B) prompt referal to an ENT specialist*
C) independent management by chiropractor for another 6 months without referal
(Case B) (Q 2/2) After properly implemented management by the DC, what subsequent
treatment is indicated? - ANS A) continued independent chiropractic management for 3-6
months
B) antibiotic drug therapy
C) surgical insertion of tympanostomy (PE) tubes*
(Case P) (Q 1/2) what condition presents with cupping of the optic disc? - ANS A) systemic
HTN
B) open-angle Glaucoma*
C) macular degeneration
D) diabetic retinopathy
(Case P) (2/2) what test is used to diagnose case p? - ANS A) fasting blood glucose
B) Ct of the orbits
C) blood pressure assesment
D) ocular tomometry*
(Case A) (1/3) Emma, a 16-month-old female, is brought to the office by her mother. History of
present illness; Emma has had a cold for 3 days, with runny nose and cough, last night she
developed a fever and increased fussiness. The girl refused to eat and only wants her
, bottle.According to the mother, last night Emma woke up crying and was inconsolable until she
was given Advil for her fever and finally was able to go back to sleep. Mother says that Emma
acted like this 3 months ago when she had an ear infection, and she is worried that her
daughter might have another one. Past medical Hx: AOM 4 months ago; resolved with
treatment. Meds: ibuprofen for fever. Allergies: no known allergy in addition to AOM, what
concomitant illness is most likely based on this child's current presentation? - ANS A) viral
URTI*
B) Acute labyrinthitis
C) Acute frontal sinusitis
D) cleft palate
(Case A) (2/3) what finding does the DC need to look for in Emma's ear to confirm the diagnosis
of AOM? - ANS A) erythematous and edematious EAM
B) Retraction pocket of pars flaccida
C) bulging TM*
D) tympanosclerosis
(Case A) (3/3) Otoscopy of Emma's affected ear reveals central TM perfusion and mucopurulent
otorrhea. How should the DC manage this case? - ANS A) Independent management of
the DC without referral
B) prompt referral to ENT specialist*
C) immediate ambulence transport to closest neurosurgical trauma center
3 of the following statements are correct. Select the incorrect statement. - ANS A) OME
often follows an episode of AOM
B) OME presents with retracted TM
C) OME is a bacterial ME infection*
D) OME does not benefit from antibiotics
Fill in the blanks by selecting one choice below ___________ is defined as the accumulation of
middle ear effusion behind an intact TM without signs or symptoms of acute infection and is one
of the most common causes of _____ among children in the US, potentially leading to
__________ disabilities. - ANS A) OME, Conductive hearing loss, learning*
B) AOM, Sensorineural hearing loss, cognitive
C) AOM, ear infection, neurological
What diagnosis correlates with the presentation below? A 5 year old female with a 2-day history
of intense earache, fever, and fatigue. There is U/L yellow/thick ME effusion ad increased ME
pressure. The TM on the affected side is red, bulging and ruptured. There is fluid draining of the
outer ear canal. - ANS A) OME
B) AOM
C) Chronic OME
D) AOM with TM perfusion
