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FM EORE EENT Review | 100+ Questions with Answers | MED311 | Sinusitis, Otitis, Vertigo, Vision Loss

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This expert-verified document includes over 100 high-yield multiple-choice questions and answers specifically designed for the Family Medicine End of Rotation Exam (EORE) in Eyes, Ears, Nose, and Throat (EENT) for the 2025 academic year. Tailored for students in MED311 or equivalent family medicine/clinical skills rotations, it covers the most tested EENT presentations in primary care. Each question reinforces diagnostic criteria, clinical features, and evidence-based management of EENT disorders, with a focus on conditions seen frequently in both outpatient and urgent care settings. Major topics include: Pharyngitis: Centor criteria, treatment to prevent rheumatic fever and PSGN, diphtheria signs Sinusitis: Differentiation of acute vs. chronic bacterial and viral etiologies, imaging, and antibiotic use Otitis externa/media: Clinical findings, pathogens, treatment nuances including for swimmers and diabetics Eye disorders: Blepharitis, conjunctivitis (bacterial, viral, allergic), corneal abrasions/ulcers, glaucoma (open and closed angle), hyphema, and retinal emergencies Vertigo and Hearing loss: Peripheral vs. central vertigo, Meniere's disease, labyrinthitis, tinnitus, and Dix-Hallpike findings Nasal and oral conditions: Allergic rhinitis, epistaxis (Kiesselbach's plexus), nasal polyps, peritonsillar abscess, aphthous ulcers Vision-threatening emergencies: Retinal detachment, central retinal artery and vein occlusion, macular degeneration, papilledema Salivary gland pathology: Sialadenitis, parotitis, and Sjögren syndrome relevance Eyelid and conjunctival disorders: Hordeolum, chalazion, entropion, ectropion, pterygium vs. pinguecula This document is ideal for: Physician Assistant (PA) students taking the Family Medicine EORE Medical students (MD/DO) on clinical rotations or Step 2 prep Nursing and Nurse Practitioner (NP) students in primary care Foreign medical graduates preparing for US-based clinical exams Pre-clinical students reviewing for OSCEs and NBME exams The content is clinically focused, with fast recall formats, symptom comparisons, treatment algorithms, and clear criteria definitions—perfect for reinforcing knowledge during rotation prep or rapid review before exams. Keywords: EENT, family medicine, sinusitis, otitis media, conjunctivitis, pharyngitis, vertigo, labyrinthitis, glaucoma, macular degeneration, retinal detachment, peritonsillar abscess, allergic rhinitis, epistaxis, sialadenitis, corneal abrasion, hyphema, papilledema, tinnitus, blepharitis, nasal polyps, vision loss, sore throat

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Institution
Family Medicine
Course
Family medicine

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FM EORE EENT 2025 Expert Verified |
Ace the Test



Pharyngitis - 🧠 ANSWER ✔✔- MCC is viral or allergies


- Centor criteria (Exudate, anterior adenopathy, fever, no cough)

- Grey membrane = corynebacterium diptheriae

- 2-3 (rapid strep), 4 (treat empirically)

- *Penicillin*, cephalosporin, macrolide, clindamycin

- Reason to treat is to prevent rheumatic fever and streptococcal

glomerulonephritis


Acute sinusitis - 🧠 ANSWER ✔✔- MCC is viral


- Bacterial causes include strep pneumoniae, h. flu, moraxela catarrhalis

, - Nasal congestion, nasal discharge, tooth pain, facial pain/pressure worse

w/ bending forward

- Viral <10 days

- Bacterial >10 days, purulent nasal discharge, unilateral tooth pain, high

fever, and double worsening

- *NSAIDs*, saline irrigation, *decongestants*, topical glucocorticoids

- Amoxicillin/clavulanic acid (*Augmentin*)

- Doxycycline or fluoroquinolone if penicillin allergy


Chronic sinusitis - 🧠 ANSWER ✔✔- >12wks


- Evaluate w/ CT or endoscopic exam of sinuses

- Culture if persistent infection

- Treat w/ 3 weeks Augmentin or clindamycin

- Add oral glucocorticoids and intranasal spray


Aphthous ulcers - 🧠 ANSWER ✔✔- "Canker sore"


- Round yellow-green ulcer w/ red halo

- Located on buccal mucosa

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Institution
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Family medicine

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