HEENT PANCE review questions and
Answers A+ Guide
A 26 year old female presents with a whitish coating on her
tongue and lips. When you attempt to to rub the plaque with a
tongue depressor, a small amount of bleeding is noted from the
oral mucosa. Her past medical history includes asthma. What
diagnostic test would you perform to confirm your diagnosis? -
correct answers✅✅A wet mount potassium hydroxide prep
The history and physical are consistent with oral thrush. A wet
mount potassium hydroxide preparation will reveal fungal spores
and nonseptated mycelia
A 63 y/o male presents w/ an asymptomatic lesion in his mouth
that was discovered by his dentist at a checkup. It is ill
marginalized with pigment ranging from medium brown to black.
Parts of the lesion are raised. What is the next appropriate step in
management? - correct answers✅✅Biopsy
Oropharyngeal melanoma is characterized by varying pigment
occurring in an irregularly shaped lesion. Although this is a rarely
occurring melanoma, a biopsy should be done and any pigmented
oral lesion should be excised. Areas which are raised within the
lesions usually indicated sites of invasions.
A 60 y/o man presents with complaints of irritation and a white
plaque on his tongue. He denies pain. During physical exam you
are unable to remove the white plate form the mucosa with a
tongue depressor. What is the most likely diagnosis, represented
as follows? - correct answers✅✅Oral leukoplakia
,HEENT PANCE review questions and
Answers A+ Guide
Oral leukoplakia can't be removed like oral thrush can. It is
considered a premalignant lesion and the chance of
transformation into oral squamous cell carcinoma is 0-20%. More
common in smokers and pets should limit alcohol consumption.
Regular review of lesion to detect any possible malignant changes
early and improve the prognosis.
A 45 y/o male presenting w/ purulent discharge from his right ear
for 3 weeks. He states that despite being treated by his family
doctor for an ear infection 1 month ago, the problem continues to
get worse. Upon exam, you not purulent discharge in the ear
canal, an erythematous TM, and a possible perforation. What are
the pathogens that most likely to culture positive? - correct
answers✅✅Pseudomonas
The clinical vignette describes a chronic otitis media. Pathogens
that culture from these infections are usually pseudomonas,
proteus, or s. Aureus
A 38 y/o woman comes to your office with a 1 year history of
episodic dizziness, tinnitus in both ears, a feeling of aural fullness,
and HL. The symptoms come on every 1 or 2 weeks and usually
last for 12 hours. N/V is present. When asked to describe the
dizziness , the patient says, "the world is spinning." On PE, the pt
has horizontal nystagmus. The slow phase of the nystagmus is to
the left and the rapid phase is to the right. Audiograms reveal
bilateral SNHL in the low frequencies. What is the most likely
diagnosis in this pt? - correct answers✅✅Meniere disease
, HEENT PANCE review questions and
Answers A+ Guide
The characteristic pattern of vertigo lasting a matter of hours as
well as SNHL must be present; aural fullness or buzzing tinnitus
should also be present
Your pt is a 64 y/o man was found to have an opacity on his lens
and decreased visual acuity. Which of the following is the most
likely diagnosis? - correct answers✅✅Cataract
This is a defect in the lens
Your pt is a 23 y/o female who is a CTL wearers. She presents w/
an infected right conjunctiva. She has not FB sensation or
photophobia. There is no uptake of the stain and slit lamp is
otherwise normal. Which eye drop are the most ideal for this pt? -
correct answers✅✅Ciloxan
CTL wearers are prove to getting bacterial infxns especially
pseudomonas of the eye. Ciloxan has the best pseudomonas
coverage.
Your pt is a 34 y/o male that has had maxillary sinus pressure and
purulent draining for 3 weeks. The pt has has a hx of anaphylaxis
w/ penicillin. Which of the following is the most appropriate
antibiotic choice? - correct answers✅✅Bactrim
Answers A+ Guide
A 26 year old female presents with a whitish coating on her
tongue and lips. When you attempt to to rub the plaque with a
tongue depressor, a small amount of bleeding is noted from the
oral mucosa. Her past medical history includes asthma. What
diagnostic test would you perform to confirm your diagnosis? -
correct answers✅✅A wet mount potassium hydroxide prep
The history and physical are consistent with oral thrush. A wet
mount potassium hydroxide preparation will reveal fungal spores
and nonseptated mycelia
A 63 y/o male presents w/ an asymptomatic lesion in his mouth
that was discovered by his dentist at a checkup. It is ill
marginalized with pigment ranging from medium brown to black.
Parts of the lesion are raised. What is the next appropriate step in
management? - correct answers✅✅Biopsy
Oropharyngeal melanoma is characterized by varying pigment
occurring in an irregularly shaped lesion. Although this is a rarely
occurring melanoma, a biopsy should be done and any pigmented
oral lesion should be excised. Areas which are raised within the
lesions usually indicated sites of invasions.
A 60 y/o man presents with complaints of irritation and a white
plaque on his tongue. He denies pain. During physical exam you
are unable to remove the white plate form the mucosa with a
tongue depressor. What is the most likely diagnosis, represented
as follows? - correct answers✅✅Oral leukoplakia
,HEENT PANCE review questions and
Answers A+ Guide
Oral leukoplakia can't be removed like oral thrush can. It is
considered a premalignant lesion and the chance of
transformation into oral squamous cell carcinoma is 0-20%. More
common in smokers and pets should limit alcohol consumption.
Regular review of lesion to detect any possible malignant changes
early and improve the prognosis.
A 45 y/o male presenting w/ purulent discharge from his right ear
for 3 weeks. He states that despite being treated by his family
doctor for an ear infection 1 month ago, the problem continues to
get worse. Upon exam, you not purulent discharge in the ear
canal, an erythematous TM, and a possible perforation. What are
the pathogens that most likely to culture positive? - correct
answers✅✅Pseudomonas
The clinical vignette describes a chronic otitis media. Pathogens
that culture from these infections are usually pseudomonas,
proteus, or s. Aureus
A 38 y/o woman comes to your office with a 1 year history of
episodic dizziness, tinnitus in both ears, a feeling of aural fullness,
and HL. The symptoms come on every 1 or 2 weeks and usually
last for 12 hours. N/V is present. When asked to describe the
dizziness , the patient says, "the world is spinning." On PE, the pt
has horizontal nystagmus. The slow phase of the nystagmus is to
the left and the rapid phase is to the right. Audiograms reveal
bilateral SNHL in the low frequencies. What is the most likely
diagnosis in this pt? - correct answers✅✅Meniere disease
, HEENT PANCE review questions and
Answers A+ Guide
The characteristic pattern of vertigo lasting a matter of hours as
well as SNHL must be present; aural fullness or buzzing tinnitus
should also be present
Your pt is a 64 y/o man was found to have an opacity on his lens
and decreased visual acuity. Which of the following is the most
likely diagnosis? - correct answers✅✅Cataract
This is a defect in the lens
Your pt is a 23 y/o female who is a CTL wearers. She presents w/
an infected right conjunctiva. She has not FB sensation or
photophobia. There is no uptake of the stain and slit lamp is
otherwise normal. Which eye drop are the most ideal for this pt? -
correct answers✅✅Ciloxan
CTL wearers are prove to getting bacterial infxns especially
pseudomonas of the eye. Ciloxan has the best pseudomonas
coverage.
Your pt is a 34 y/o male that has had maxillary sinus pressure and
purulent draining for 3 weeks. The pt has has a hx of anaphylaxis
w/ penicillin. Which of the following is the most appropriate
antibiotic choice? - correct answers✅✅Bactrim
