ENT Boards Questions Exam With Complete Solutions
A 26-year-old female presents with a whitish coating on her tongue and lips. When you
attempt 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? - ANSWER Oral thrush-wet mount KOH
prep
A 63-year-old male presents with an asymptomatic lesion in his mouth that was
discovered by his dentist at a check-up. It is ill marginated with pigment ranging from
medium brown to black. Parts of the lesion are raised. What is the next appropriate step
in management? - ANSWER Oral Cancer-Biopsy
A 60-year-old male 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
plaque from the mucosa with a tongue depressor. What is the most likely diagnosis? -
ANSWER Oral Leukoplakia
A 45-year-old male presents with purulent discharge from his right ear for three weeks.
He states that despite being treated by his family doctor for an ear infection one month
ago, the problem continues to get worse. Upon exam, you note purulent discharge in the
ear canal, an erythemic tympanic membrane, and a possible perforation. What
pathogen is most likely to culture positive? - ANSWER Chronic Otitis
Media-Pseudomonas
Recurrent episodes of vertigo, fluctuating low-frequency sensorineural hearing loss,
tinnitus and aural fullness in the affected ear. The vertigo typically lasts hours, not
minutes or days. This is characteristic of what disease? - ANSWER Meiniere's
Your patient is a 64-year-old male was found to have an opacity on his lens and
decreased visual acuity. What is the most likely diagnosis? - ANSWER Cataract
Your patient is a 23-year-old female who is a contact lens wearer. She presents with an
injected right conjunctiva. She has no foreign body sensation or photophobia. There is
no uptake of the stain and slit lamp exam is otherwise normal. What eye drops are the
, most ideal for this patient - ANSWER Ciloxin-Covers pseudomonas
Your patient is a 34-year-old male that has had maxillary sinus pressure and purulent
drainage for 3 weeks. The patient has had a history of anaphylaxis with penicillin. What
is the most appropriate antibiotic choice? - ANSWER Bactrim
Your patient is a 64-year-old female that presents with gradual onset of peripheral
bilateral vision loss over the last year. What is the most likely diagnosis? - ANSWER
Open Angle Glaucoma
Your patient is a 54 year old male that presents with a runny nose and cough. The patent
is also complaining of vertigo, tinnitus, and right sided hearing loss. What is the most
likely diagnosis? - ANSWER Labyrinthitis
What are risk factors for barotrauma? (3) - ANSWER Diving, flying, blast injuries
What diagnosis is associated with a painless granuloma of the internal Meibomian
sebaceous glands - ANSWER Chalazion
A patient presents with an orbital floor fracture and complains of diplopia with an
upward gaze what type of muscle entrapment should you be concerned about? -
ANSWER Inferior rectus muscle
An elderly white female presents with central vision loss what is the most likely
diagnosis? - ANSWER Macular Degeneration
What are common fundoscopic findings of diabetic retinopathy? - ANSWER Cotton Wool
Spots, Hard Exudates, Dot blood hemorrhage, neovascularizations
What are common fundoscopic findings of hypertensive retinopathy? - ANSWER Arterial
narrowing, AV nicking, flame shaped hemorrhages, cotton wool spots, papilledema
(malignant HTN)
A 26-year-old female presents with a whitish coating on her tongue and lips. When you
attempt 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? - ANSWER Oral thrush-wet mount KOH
prep
A 63-year-old male presents with an asymptomatic lesion in his mouth that was
discovered by his dentist at a check-up. It is ill marginated with pigment ranging from
medium brown to black. Parts of the lesion are raised. What is the next appropriate step
in management? - ANSWER Oral Cancer-Biopsy
A 60-year-old male 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
plaque from the mucosa with a tongue depressor. What is the most likely diagnosis? -
ANSWER Oral Leukoplakia
A 45-year-old male presents with purulent discharge from his right ear for three weeks.
He states that despite being treated by his family doctor for an ear infection one month
ago, the problem continues to get worse. Upon exam, you note purulent discharge in the
ear canal, an erythemic tympanic membrane, and a possible perforation. What
pathogen is most likely to culture positive? - ANSWER Chronic Otitis
Media-Pseudomonas
Recurrent episodes of vertigo, fluctuating low-frequency sensorineural hearing loss,
tinnitus and aural fullness in the affected ear. The vertigo typically lasts hours, not
minutes or days. This is characteristic of what disease? - ANSWER Meiniere's
Your patient is a 64-year-old male was found to have an opacity on his lens and
decreased visual acuity. What is the most likely diagnosis? - ANSWER Cataract
Your patient is a 23-year-old female who is a contact lens wearer. She presents with an
injected right conjunctiva. She has no foreign body sensation or photophobia. There is
no uptake of the stain and slit lamp exam is otherwise normal. What eye drops are the
, most ideal for this patient - ANSWER Ciloxin-Covers pseudomonas
Your patient is a 34-year-old male that has had maxillary sinus pressure and purulent
drainage for 3 weeks. The patient has had a history of anaphylaxis with penicillin. What
is the most appropriate antibiotic choice? - ANSWER Bactrim
Your patient is a 64-year-old female that presents with gradual onset of peripheral
bilateral vision loss over the last year. What is the most likely diagnosis? - ANSWER
Open Angle Glaucoma
Your patient is a 54 year old male that presents with a runny nose and cough. The patent
is also complaining of vertigo, tinnitus, and right sided hearing loss. What is the most
likely diagnosis? - ANSWER Labyrinthitis
What are risk factors for barotrauma? (3) - ANSWER Diving, flying, blast injuries
What diagnosis is associated with a painless granuloma of the internal Meibomian
sebaceous glands - ANSWER Chalazion
A patient presents with an orbital floor fracture and complains of diplopia with an
upward gaze what type of muscle entrapment should you be concerned about? -
ANSWER Inferior rectus muscle
An elderly white female presents with central vision loss what is the most likely
diagnosis? - ANSWER Macular Degeneration
What are common fundoscopic findings of diabetic retinopathy? - ANSWER Cotton Wool
Spots, Hard Exudates, Dot blood hemorrhage, neovascularizations
What are common fundoscopic findings of hypertensive retinopathy? - ANSWER Arterial
narrowing, AV nicking, flame shaped hemorrhages, cotton wool spots, papilledema
(malignant HTN)
