Clinical Medicine I Exam 1 UPDATED
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Cerumen Impaction - CORRECT ANSWER Conductive hearing loss + can't see TM
Otitis Externa - CORRECT ANSWER Tragus/pinna tenderness ('swimmer's ear')
Auricular Hematoma - CORRECT ANSWER 'Cauliflower ear' in wrestlers/boxers
Acute Otitis Media (AOM) - CORRECT ANSWER Bulging, erythematous TM + post-
URI in kids
Chronic Otitis Media - CORRECT ANSWER TM perforation + persistent purulent
otorrhea
Tympanic Membrane Perforation - CORRECT ANSWER Sudden pain → relief +
otorrhea
Cholesteatoma - CORRECT ANSWER White mass behind TM + chronic otorrhea
Otosclerosis - CORRECT ANSWER Progressive conductive HL, young women, better
hearing in noise
Eustachian Tube Dysfunction - CORRECT ANSWER Ear fullness + popping/crackling
with swallowing
BPPV - CORRECT ANSWER Brief vertigo with head movement + positive Dix-
Hallpike
, Acoustic Neuroma - CORRECT ANSWER Unilateral sensorineural hearing loss +
tinnitus
Labyrinthitis - CORRECT ANSWER Acute vertigo + hearing loss (often after viral
URI)
Ménière's Disease - CORRECT ANSWER Episodic vertigo + tinnitus + fluctuating
SNHL + aural fullness
Tinnitus - CORRECT ANSWER Phantom ringing/buzzing noise without source
Mastoiditis - CORRECT ANSWER Postauricular erythema/swelling + protruding
auricle
Ear Foreign Body - CORRECT ANSWER Kids + severe discomfort if insect
Nose Foreign Body - CORRECT ANSWER Unilateral foul-smelling nasal discharge
Osteoma (EAC) - CORRECT ANSWER Solitary, pedunculated bony growth
Exostoses (EAC) - CORRECT ANSWER Multiple, bilateral, broad-based ('surfer's
ear')
Glomus Tympanicum - CORRECT ANSWER Pulsatile tinnitus (vascular middle-ear
tumor)
Nasal Polyps - CORRECT ANSWER Bilateral obstruction + anosmia (asthma/aspirin
link)
Inverted Papilloma - CORRECT ANSWER Unilateral nasal mass + risk of SCC
ACTUAL QUESTIONS AND CORRECT
ANSWERS
Cerumen Impaction - CORRECT ANSWER Conductive hearing loss + can't see TM
Otitis Externa - CORRECT ANSWER Tragus/pinna tenderness ('swimmer's ear')
Auricular Hematoma - CORRECT ANSWER 'Cauliflower ear' in wrestlers/boxers
Acute Otitis Media (AOM) - CORRECT ANSWER Bulging, erythematous TM + post-
URI in kids
Chronic Otitis Media - CORRECT ANSWER TM perforation + persistent purulent
otorrhea
Tympanic Membrane Perforation - CORRECT ANSWER Sudden pain → relief +
otorrhea
Cholesteatoma - CORRECT ANSWER White mass behind TM + chronic otorrhea
Otosclerosis - CORRECT ANSWER Progressive conductive HL, young women, better
hearing in noise
Eustachian Tube Dysfunction - CORRECT ANSWER Ear fullness + popping/crackling
with swallowing
BPPV - CORRECT ANSWER Brief vertigo with head movement + positive Dix-
Hallpike
, Acoustic Neuroma - CORRECT ANSWER Unilateral sensorineural hearing loss +
tinnitus
Labyrinthitis - CORRECT ANSWER Acute vertigo + hearing loss (often after viral
URI)
Ménière's Disease - CORRECT ANSWER Episodic vertigo + tinnitus + fluctuating
SNHL + aural fullness
Tinnitus - CORRECT ANSWER Phantom ringing/buzzing noise without source
Mastoiditis - CORRECT ANSWER Postauricular erythema/swelling + protruding
auricle
Ear Foreign Body - CORRECT ANSWER Kids + severe discomfort if insect
Nose Foreign Body - CORRECT ANSWER Unilateral foul-smelling nasal discharge
Osteoma (EAC) - CORRECT ANSWER Solitary, pedunculated bony growth
Exostoses (EAC) - CORRECT ANSWER Multiple, bilateral, broad-based ('surfer's
ear')
Glomus Tympanicum - CORRECT ANSWER Pulsatile tinnitus (vascular middle-ear
tumor)
Nasal Polyps - CORRECT ANSWER Bilateral obstruction + anosmia (asthma/aspirin
link)
Inverted Papilloma - CORRECT ANSWER Unilateral nasal mass + risk of SCC
