HEENT 2023 Exam Questions with Correct Answers

HEENT 2023 Exam Questions with Correct Answers Which of the following eye conditions may be prevented with the use of vitamins C and E, beta carotene, and zinc? (objective 2) - Answer-macular degeneration A patient has a history of chronic ear infections and presents to your office with hearing loss and otorrhea. The patients hearing field is verified and shows conductive hearing loss. Gentle lavage of the ear is performed with minimal cerumen removed. There is no acute otitis media noted. Appropriate antibiotic therapy is given, and the patient fails to respond. Which of the following is the most likely cause for this presentation? (objective 2) - Answer-presbycusis A 50 year old male presents with acute pain in his right ear which occurred three days after he started to develop cold symptoms. He denies drainage from the ear. He has not been swimming. He has not been around anyone who has similar symptoms. He denies sore throat or dysphagia. He denies eye pain or itchiness. Physical exam reveals an afebrile male who is nontoxic in appearance. Examination of the right ear reveals the right tympanic membrane to be erythematous with poor mobility on pneumatic otoscopy. The rest of the auditory canal is unremarkable. Which of the following is the treatment of choice? (objective 2) - Answer-Amoxicillin . A 6 year old male presents to the clinic with fever and earache. He has just finished a course of unsuccessful amoxicillin. On physical examination the right tympanic membrane appears injected. Which of the following is the most appropriate pharmacologic therapy? (objective 2) - Answer-Cefaclor (Ceclor) A patient is admitted to the hospital with a severe sore throat. The patient recently had acute necrotizing gingivitis and is diagnosed with having Vincent angina. Which of the following is the causative organism for this condition? (objective 2) - Answer-Anaerobes . A 69 year old male who smokes and drinks, has rotten teeth, has a hard, fixed 4 cm mass in his left neck. The mass is just medial to and in front of the sternomastoid muscle, at the level of the upper notch of the thyroid cartilage. It has been there for at least 6 months, and it is growing. Which of the following is the most appropriate next step in diagnosis? (objective 2) - Answer-Panendoscopy (triple endoscopy) and mucosal biopsies A 20 year old pregnant female is experiencing rapidly progressive hearing loss. Several relatives have developed deafness prior to age 25 years. Otoscopic examination shows normal tympanic membranes bilaterally. Hearing test shows a conductive hearing loss, with one ear being affected more severely than the other. Which of the following diagnosis is most likely? (objective 2) - Answer-Otosclerosis