NURS 5433 Family 2: Module 1 EENT Exam Prep
Questions and Answers
1. Bacterial Conjunctivitis
Question: What are the three most common causative organisms for bacterial
conjunctivitis?
Answer (Highlighted): Streptococcus pneumoniae, Haemophilus influenzae,
Staphylococcus aureus
Rationale: These pathogens are the leading causes in both pediatric and adult
populations.
2. Allergic Conjunctivitis
Question: A 19-year-old presents with itchy, red eyes, tearing, rope-like discharge, and
clear nasal drainage. What is the most likely diagnosis?
Answer (Highlighted): Allergic conjunctivitis
Rationale: Chronic, seasonal symptoms with rope-like discharge and associated rhinitis
point to allergic etiology.
3. Treatment of Allergic Conjunctivitis
Question: What is the first-line treatment for allergic conjunctivitis?
Answer (Highlighted): Topical antihistamine or corticosteroid ophthalmic drops
Rationale: These reduce inflammation and histamine-mediated symptoms.
4. Viral Conjunctivitis
Question: What is the recommended treatment for viral conjunctivitis?
Answer (Highlighted): Supportive care; no antibiotic drops needed
Rationale: Viral conjunctivitis is self-limiting; antibiotics are ineffective.
5. Otitis Media
Question: What is the most common causative organism of acute otitis media in
children?
Answer (Highlighted): Streptococcus pneumoniae
Rationale: Responsible for the majority of pediatric ear infections.
6. Sinusitis
Question: What is the first-line antibiotic for acute bacterial sinusitis in adults?
Answer (Highlighted): Amoxicillin-clavulanate
Rationale: Provides coverage against common pathogens including H. influenzae and
M. catarrhalis.
7. Pharyngitis
Question: What is the gold standard diagnostic test for Group A Streptococcal
pharyngitis?
Answer (Highlighted): Throat culture
Rationale: While rapid antigen detection tests are common, culture remains the
, definitive diagnostic method.
8. Epistaxis
Question: What is the most common site of anterior epistaxis?
Answer (Highlighted): Kiesselbach’s plexus (Little’s area)
Rationale: Rich vascular supply makes this site prone to bleeding.
9. Otitis Externa
Question: What is the hallmark symptom of otitis externa (“swimmer’s ear”)?
Answer (Highlighted): Pain with manipulation of the tragus or pinna
Rationale: Distinguishes external ear infection from otitis media.
10. Tympanic Membrane
Question: What is the normal color and position of the tympanic membrane?
Answer (Highlighted): Pearly gray, translucent, slightly concave
Rationale: Normal findings help differentiate infection or effusion.
11. Mastoiditis
Question: What is the most serious complication of untreated otitis media?
Answer (Highlighted): Mastoiditis
Rationale: Infection can spread to mastoid bone, requiring urgent treatment.
12. Sinusitis Duration
Question: Acute bacterial sinusitis is suspected when symptoms persist beyond how
many days?
Answer (Highlighted): 10 days
Rationale: Viral sinusitis usually resolves within 7–10 days.
13. Rhinosinusitis
Question: What is the most common viral cause of acute rhinosinusitis?
Answer (Highlighted): Rhinovirus
Rationale: Accounts for the majority of viral sinus infections.
14. Strep Pharyngitis
Question: What clinical feature is most predictive of Group A Streptococcus pharyngitis?
Answer (Highlighted): Absence of cough
Rationale: Centor criteria emphasize absence of cough, fever, tonsillar exudates, and
tender anterior cervical nodes.
15. Tonsillitis
Question: What is the first-line antibiotic for streptococcal tonsillitis?
Answer (Highlighted): Penicillin V or Amoxicillin
Rationale: Narrow-spectrum coverage is effective and preferred.
16. Peritonsillar Abscess
Question: What is the hallmark sign of peritonsillar abscess?
Answer (Highlighted): “Hot potato” voice and uvular deviation
Questions and Answers
1. Bacterial Conjunctivitis
Question: What are the three most common causative organisms for bacterial
conjunctivitis?
Answer (Highlighted): Streptococcus pneumoniae, Haemophilus influenzae,
Staphylococcus aureus
Rationale: These pathogens are the leading causes in both pediatric and adult
populations.
2. Allergic Conjunctivitis
Question: A 19-year-old presents with itchy, red eyes, tearing, rope-like discharge, and
clear nasal drainage. What is the most likely diagnosis?
Answer (Highlighted): Allergic conjunctivitis
Rationale: Chronic, seasonal symptoms with rope-like discharge and associated rhinitis
point to allergic etiology.
3. Treatment of Allergic Conjunctivitis
Question: What is the first-line treatment for allergic conjunctivitis?
Answer (Highlighted): Topical antihistamine or corticosteroid ophthalmic drops
Rationale: These reduce inflammation and histamine-mediated symptoms.
4. Viral Conjunctivitis
Question: What is the recommended treatment for viral conjunctivitis?
Answer (Highlighted): Supportive care; no antibiotic drops needed
Rationale: Viral conjunctivitis is self-limiting; antibiotics are ineffective.
5. Otitis Media
Question: What is the most common causative organism of acute otitis media in
children?
Answer (Highlighted): Streptococcus pneumoniae
Rationale: Responsible for the majority of pediatric ear infections.
6. Sinusitis
Question: What is the first-line antibiotic for acute bacterial sinusitis in adults?
Answer (Highlighted): Amoxicillin-clavulanate
Rationale: Provides coverage against common pathogens including H. influenzae and
M. catarrhalis.
7. Pharyngitis
Question: What is the gold standard diagnostic test for Group A Streptococcal
pharyngitis?
Answer (Highlighted): Throat culture
Rationale: While rapid antigen detection tests are common, culture remains the
, definitive diagnostic method.
8. Epistaxis
Question: What is the most common site of anterior epistaxis?
Answer (Highlighted): Kiesselbach’s plexus (Little’s area)
Rationale: Rich vascular supply makes this site prone to bleeding.
9. Otitis Externa
Question: What is the hallmark symptom of otitis externa (“swimmer’s ear”)?
Answer (Highlighted): Pain with manipulation of the tragus or pinna
Rationale: Distinguishes external ear infection from otitis media.
10. Tympanic Membrane
Question: What is the normal color and position of the tympanic membrane?
Answer (Highlighted): Pearly gray, translucent, slightly concave
Rationale: Normal findings help differentiate infection or effusion.
11. Mastoiditis
Question: What is the most serious complication of untreated otitis media?
Answer (Highlighted): Mastoiditis
Rationale: Infection can spread to mastoid bone, requiring urgent treatment.
12. Sinusitis Duration
Question: Acute bacterial sinusitis is suspected when symptoms persist beyond how
many days?
Answer (Highlighted): 10 days
Rationale: Viral sinusitis usually resolves within 7–10 days.
13. Rhinosinusitis
Question: What is the most common viral cause of acute rhinosinusitis?
Answer (Highlighted): Rhinovirus
Rationale: Accounts for the majority of viral sinus infections.
14. Strep Pharyngitis
Question: What clinical feature is most predictive of Group A Streptococcus pharyngitis?
Answer (Highlighted): Absence of cough
Rationale: Centor criteria emphasize absence of cough, fever, tonsillar exudates, and
tender anterior cervical nodes.
15. Tonsillitis
Question: What is the first-line antibiotic for streptococcal tonsillitis?
Answer (Highlighted): Penicillin V or Amoxicillin
Rationale: Narrow-spectrum coverage is effective and preferred.
16. Peritonsillar Abscess
Question: What is the hallmark sign of peritonsillar abscess?
Answer (Highlighted): “Hot potato” voice and uvular deviation
