EENT - NP CERTIFICATION,
FITZGERALD. EXAM 2025 QUESTIONS
AND ANSWERS
A. suppurative conjunctivitis - ANS a 19 y/o man presents with a cc of a red, irritated rt eye
for the past 48 hrs with eyelids that were stuck together this morning when he awoke. exam
reveals injected palpebral and bulbar conjunctiva and reactive pupils; vision screen with the
Snellen chart eval reveals 2-/30 in the right eye, left eye and both eyes; and purulent eye
discharge in on the right. this presentation is most consistent with:
a. suppurative conjunctivitis
b. viral conjunctivitis
c. allergic conjunctivitis
d. mechanical injury
c. allergen - ANS a 19 y/o woman presents with a complaint of bilaterally itchy, red eyes with
tearing that occurs intermittently throughout the year and is often accompanied by a rope-like
eye discharge and clear nasal discharge. this is most consistent with conjunctival inflammation
caused by a)n):
a. bacterium
b. virus
c. allergen
d. injury
d. pseudomonas aeruginosa - ANS common causative organisms of acute suppurative
conjunctivitis include all of the following except:
a. staphylococcus aureus
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,b. haemophilus influenzae
c. streptococcus pneumoniae
d. pseudomonas aeruginosa
c. polymyxin - ANS txment options in suppurative conjunctivitis include all of the following
ophthalmic preparations except:
a. polymyxin B plus trimethroprim
b. levofloxacin
c. polymyxin
d. azithromycin
d. corticosteroid ophthalmic drops - ANS txment options in acute and recurrent allergic
conjunctivitis include all of the following except:
a. cromolyn ophthalmic drops
b. oral antihistamines
c. ophthalmological antihistamines
d. corticosteroid ophthalmic drops
b. adenovirus - ANS the most common virological cause of conjunctivitis is:
a. coronavirus
b. adenovirus
c. rhinovirus
d. human papillomavirus
d. no antibiotic txment needed - ANS txment of viral conjunctivitis can include:
a. moxifloxacin ophthalmic drops
b. polymyxin B ophthalmic drops
c. oral acyclovir
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,d. no antibiotic txment needed
c. localized nasal mucosa trauma - ANS anterior epistaxis is usually caused by:
a. hypertension
b. bleeding d/o
c. localized nasal mucosa trauma
d. a foreign body
c. firm pressure to the area superior to the nasal alar cartilage - ANS first-line intervention
for anterior epistaxis includes:
a. nasal packing
b. application of topical thrombin
c. firm pressure to the area superior to the nasal alar cartilage
d. chemical cauterization
b. HTN - ANS the most common clinical finding in pts with severe or refractory epistaxis is:
a. type 2 DM
b. HTN
c. acute bacterial sinusitis
d. anemia
a. initiating systemic prothrombotic txment - ANS a 22 y/o man with recurrent epistaxis
episodes fails to respond to simple pressure. alternative approaches include all of the following
EXCEPT:
a. initiating systemic prothrombotic txment
b. nasal packing
c. chemical cautery
d. topical antifibrinolytic agents
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, b. purulent eye discharge - ANS all of the following are components of the classic
ophthalmogical emergency except:
a. eye pain
b. purulent eye discharge
c. red eye
d. new onset change in visual acuity
c. angle-closure glaucoma - ANS mrs. murphy is a 58 y/o woman presenting with a suddent
left-sided headache that is most painful in her left eye. her vision is blurred and the left pupil is
sltly dilated and poorly reactive. the left conjunctiva is markedly injected, and the eyeball is
firm. vision screen with the Snellen chart is 20/30 OD and 20/90 OS. the most likely dx is:
a. unilateral herpetic conjunctivitis
b. open angle glaucoma
c. angle-closure glaucoma
d. anterior uveitis
a. prompt referral to an ophthalmologist - ANS in caring for mrs. murphy, who is dx with
angle-closure glaucoma, the most appropriate next action is:
a. prompt referral to an ophthalmologist
b. to provide analgesia and repeat the evaluation when the pt is more comfortable
c. instill a corticosteroid ophthalmic solution
d. patch the eye and arrange for f/u in 24 hrs
d. anterior uveitis - ANS a 48 yo man presents with a new-onset rt eye vision change
accompanied by dull pain, tearing, and photophobia. the rt pupil is small, irregular, and poorly
reactive. vision testing obtained by using the Snellen chart is 20/30 left eye and 20/80 rt eye.
the most likely dx is:
a. unilateral herpetic conjunctivitis
b. open angle glaucoma
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FITZGERALD. EXAM 2025 QUESTIONS
AND ANSWERS
A. suppurative conjunctivitis - ANS a 19 y/o man presents with a cc of a red, irritated rt eye
for the past 48 hrs with eyelids that were stuck together this morning when he awoke. exam
reveals injected palpebral and bulbar conjunctiva and reactive pupils; vision screen with the
Snellen chart eval reveals 2-/30 in the right eye, left eye and both eyes; and purulent eye
discharge in on the right. this presentation is most consistent with:
a. suppurative conjunctivitis
b. viral conjunctivitis
c. allergic conjunctivitis
d. mechanical injury
c. allergen - ANS a 19 y/o woman presents with a complaint of bilaterally itchy, red eyes with
tearing that occurs intermittently throughout the year and is often accompanied by a rope-like
eye discharge and clear nasal discharge. this is most consistent with conjunctival inflammation
caused by a)n):
a. bacterium
b. virus
c. allergen
d. injury
d. pseudomonas aeruginosa - ANS common causative organisms of acute suppurative
conjunctivitis include all of the following except:
a. staphylococcus aureus
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,b. haemophilus influenzae
c. streptococcus pneumoniae
d. pseudomonas aeruginosa
c. polymyxin - ANS txment options in suppurative conjunctivitis include all of the following
ophthalmic preparations except:
a. polymyxin B plus trimethroprim
b. levofloxacin
c. polymyxin
d. azithromycin
d. corticosteroid ophthalmic drops - ANS txment options in acute and recurrent allergic
conjunctivitis include all of the following except:
a. cromolyn ophthalmic drops
b. oral antihistamines
c. ophthalmological antihistamines
d. corticosteroid ophthalmic drops
b. adenovirus - ANS the most common virological cause of conjunctivitis is:
a. coronavirus
b. adenovirus
c. rhinovirus
d. human papillomavirus
d. no antibiotic txment needed - ANS txment of viral conjunctivitis can include:
a. moxifloxacin ophthalmic drops
b. polymyxin B ophthalmic drops
c. oral acyclovir
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,d. no antibiotic txment needed
c. localized nasal mucosa trauma - ANS anterior epistaxis is usually caused by:
a. hypertension
b. bleeding d/o
c. localized nasal mucosa trauma
d. a foreign body
c. firm pressure to the area superior to the nasal alar cartilage - ANS first-line intervention
for anterior epistaxis includes:
a. nasal packing
b. application of topical thrombin
c. firm pressure to the area superior to the nasal alar cartilage
d. chemical cauterization
b. HTN - ANS the most common clinical finding in pts with severe or refractory epistaxis is:
a. type 2 DM
b. HTN
c. acute bacterial sinusitis
d. anemia
a. initiating systemic prothrombotic txment - ANS a 22 y/o man with recurrent epistaxis
episodes fails to respond to simple pressure. alternative approaches include all of the following
EXCEPT:
a. initiating systemic prothrombotic txment
b. nasal packing
c. chemical cautery
d. topical antifibrinolytic agents
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, b. purulent eye discharge - ANS all of the following are components of the classic
ophthalmogical emergency except:
a. eye pain
b. purulent eye discharge
c. red eye
d. new onset change in visual acuity
c. angle-closure glaucoma - ANS mrs. murphy is a 58 y/o woman presenting with a suddent
left-sided headache that is most painful in her left eye. her vision is blurred and the left pupil is
sltly dilated and poorly reactive. the left conjunctiva is markedly injected, and the eyeball is
firm. vision screen with the Snellen chart is 20/30 OD and 20/90 OS. the most likely dx is:
a. unilateral herpetic conjunctivitis
b. open angle glaucoma
c. angle-closure glaucoma
d. anterior uveitis
a. prompt referral to an ophthalmologist - ANS in caring for mrs. murphy, who is dx with
angle-closure glaucoma, the most appropriate next action is:
a. prompt referral to an ophthalmologist
b. to provide analgesia and repeat the evaluation when the pt is more comfortable
c. instill a corticosteroid ophthalmic solution
d. patch the eye and arrange for f/u in 24 hrs
d. anterior uveitis - ANS a 48 yo man presents with a new-onset rt eye vision change
accompanied by dull pain, tearing, and photophobia. the rt pupil is small, irregular, and poorly
reactive. vision testing obtained by using the Snellen chart is 20/30 left eye and 20/80 rt eye.
the most likely dx is:
a. unilateral herpetic conjunctivitis
b. open angle glaucoma
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