EENT Midterm Practice Questions

When an individual looks up, then looks straight ahead, if there is a strip of sclera visible between the iris and upper eyelid, which of the following is most likely?

Graves disease

Which of the following would present with a full "stopped up" feeling ear and retracted tympanic membrane?

Blocked eustachian tube

When a tuning fork is placed on the top of the patients head, if they hear the sound louder on the side that was longer on the finger rub test, which of the following is a likely underlying cause of the hearing loss?

Acoustic neuroma

Which of the following tests is most helpful in diagnosing glaucoma?

Confrontation

Which of the following describes the findings with Adie's/ tonic pupil?

Mydriatic pupil + slow light reflex

Which of the following describes the most likely eye examination findings for an individual with Argyll Robertson pupils? The pupils are:

Miotic, irregular, they do not react to light, they accommodate

Which of the following could cause a corneal abrasion?

Entropion

Redness and swelling near the medial canthus of the eye along with presence of pus coming through the punctum when the lacrimal sac is present would suggest which of the following?

Dacryocystitis

Excessive growth of the bony lining of the ear canal that causes a lump in the ear canal best describes which of the following?

Exostosis

Asking if an individual can feel an ice cube on the anterior portion of their tongue tests which cranial nerve?

CN V

A patient protrudes their tongue and it deviates to the left. This suggests a lesion of

which cranial nerve?

CN Left 12

Which of the following is most likely to create hard, non tender nodules in the pinna of the ear?

Gouty tophi

The cover/uncover test is useful to detect which of the following conditions?

Nystagmus

An individual opens their mouth as wide as possible and the distance is approximately 2

finger width. This would suggest the movement of the TMJ is _____

Decreased

When is arcus senilis clinically significant?

In patients under 40 years old

Which of the following is not a serious potential complication of untreated impetigo

Cellulitis

What are the main treatment goals for xfosis vulgaris

Hydration, lubrication, keratolysis

Which of the following conditions is characterized by white patches due to destruction of melanocytes

Vitiligo

If a black or asian individual develops melanoma, which of the following is a likely

location?

Nail beds

For suspected melanoma, which of the following management options is most appropriate?

Biopsy and removal

Surfers are most prone to developing...

Exostosis

A 6yo child has an oval patch of hair loss with inflames skin on side of their head. To

confirm it is tines capital, which of the following tests would be used?

Tzanck smear

A fine lingual tremor suggests which of the following?

Thyrotoxicosis

During routine examination of an overweight 50yo. There is an oval mass approximately 3cm to 5cm over the left scapula

Lipoma

Atopic dermatitis is associated with ____

IgE

What is the most common complication following shingles?

Postherpetic neuralgia

Increase of what hormone is associated with spider angiomas?

Estrogen

Scarlet fever causes finding in the mouth?

Strawberry tongue

A 64yo reports with a headache and general malaise. They mention myalgia...

Herpes simplex

The rupture of a vesicle results in a moist, depressed area of the dermis called a ____

Erosion

If a patient has a CN III lesion, which of the following would be an associated finding?

Anhydrosis of ipsilateral face

Which of the following is NOT typically pruritic?

Vitiligo

If a person has a velvety hyperpigmentation of the skin mainly in the areas of skin folds

such as the back of the neck and axilla, what underlying condition is likely?

Diabetes mellitus

To determine an individual's risk of developing melanoma, which of the following...

Did you ever have blistering suburbs as a kid

Which of the following shaving tips can help prevent folliculitis?

Use an electric razor

The primary treatment of lymes disease is____

Antibiotics

What is the most common distribution of basal cell carcinoma?

Face

The most common precursor for basal cell carcinoma...

Actinic keratosis

Which of the following would indicate proliferation diabetic neuropathy?

Dot hemorrhages

Which of the following is NOT a symptom of peritonsillar abscess

Sudden onset of diffuse sore throat

Which of the following recommendations would be least beneficial for an individual with atopic dermatitis?

Take more hot, soapy baths

Which of the following would be most helpful in differentiating contact dermatitis from other...

Recently started using a new laundry detergent

Although seborrheic keratoses are typically benign, a sudden onset of multiple lesions may indicate...

GI adenocarcinoma

Hemangiomas of infancy occur most commonly on the

Head and neck

What would be a serious clinical implication of splinter hemorrhages under the nails?

Subacute bacterial endocarditis

Which of the following conditions develops the most rapidly when susceptible individuals are exposed to the sun?

Solar urticaria

Cauliflower ear tends to result from which of the following?

Healed hematomas

What are the main treatment goals for ichthyosis vulgaris?

Hydration, lubrication, keratolysis

Pruritus refers to skin conditions that are...

Itchy

Psoriasis is commonly associated with which of the following nail findings?

Pitting and/or onycholysis

Which nasal condition is frequently associated with a history of allergies?

Polyps

which of the following would be most likely to cause angular stomatitis?

Hypersalivation

If an individual has blue lunulas, what finding is likely when examining their eyes?

kayser-Fleischer rings

A diffuse, scattered cone of light would suggest which of the following?

Bulging tympanic membrane

A cherry red macula in an adult suggests which of the following?

Retinal artery occlusion

Which of the following would be most likely to cause an inspection finding of tracheal deviation?

Atelactasis

When testing an individuals hearing, the patient can hear the finger rub past their

outstretched fingertips on the left and they can....

21 seconds on mastoid, 30 seconds in the air

An individual cannot feel a wisp of cotton when it touches their left eye. This suggests a lesion of which of the following cranial nerves?

V

For the weber test, the examiner strikes the tuning fork and places it:

On top of the patients head

If an individual has conduction hearing loss, on weber test they will hear the sound:

Louder on the short side from rub test

When assessing pupillary reflexes, which of the following lesions is most likely if the

direct response is absent on the right but there is....

Right CN III

What does a lymph node that is enlarged, boggy, tender and moveable suggest?

Infection

When palpation of the trachea reveals lack of side to side mobility, it raises concern of possible:

Malignancy

Which of the following describes identifying characteristics of a cancerous lymph node?

Hard and non moveable

The romberg test is one part of the evaluation of which cranial nerve?

VIII

Virchows node may be found in the ___ region and signifies possible___

Left supraclavicular; metastatic cancer

A lesion of which cranial nerve is most likely if an individual is instructed to look straight

ahead and one of their eyes deviates laterally?

III

On the rinne test, the patient hears the tuning fork for 31 seconds in the air compared to 22 seconds....

Excessive cerumen

When testing an individual's hearing, on the right the patient can hear the sound to the

fingertips of their....on the weber test the sound localizes...

10 seconds on the mastoid; 20 seconds in the air

Which of the following could cause absence of the red reflex on fundoscopic exam?

a. Detached retina

Which of the following is most suspicious for thyroid cancer?

A single enlarged nodule in the thyroid gland

Polyps in the ear are a possible result from which of the following?

Otitis externa

If a person has horners syndrome, they would exhibit a miotic pupil, ipsilateral

anhydrosis, and which of the following?

Ptosis of the eyelid

Which of the following causes swollen gums that bleed easily?

Vitamin C deficiency

Which of the following suggests a maxillary sinus infection?

Toothache

Which of the following describes arterio-venous nicking seen in the eye?

Wider space between vein and artery

On the weber test,if the sound is louder on the short side from the finger rub test, which of the following is a likely cause of the....?

Excessive cerumen

Which of the following would be a likely underlying cause of springiness and floating

when the nail roots are palpated?

Lung cancer

Congenital syphilis may cause which of the following nasal conditions?

Saddle nose

Which of the following causes copper and silver wiring to be seen in the eye?

Arteriosclerosis

A difference between an excoriation and a fissure is?

A fissure extends to the dermis

If a patient has a cranial nerve III lesion, which of the following would be.G an associated finding?

Mydriatic pupil

Gingival hyperplasia is a red flag for which of the following?

Leukemia

The amsler grid is used to help diagnose which of the following conditions?

Macular degeneration

Sialolithiasis is suspected when an individual reports what symptoms?

Intermittent submandibular swelling

Large amount of drusen bodies around the macula would suggest what conditions?

Macular degeneration

An individual reports a sudden onset of numerous visual floaters and sparks of light followed by vision loss "like a shade coming across my.....

Retinal detachment

Which of the following causes a smooth tongue (atrophic glossitis)?

Riboflavin deficiency

What is a depressed, moist loss of part of the epidermis following rupture of a vesicle

called?

Erosion

Rhinophyma is believed to be an extreme form of what skin condition?

Rosacea

If someone had a brain tumor causing increased intracranial pressure, which of the following would be the most diagnostic finding on the......?

Papilledema

Rhinitis medicamentosa is associated with which of the following?

Medicated nose drops

Untreated strep throat puts an individual at higher risk for which of the following?

Heart valve damage

Onycholysis is likely to result from fungus, psoriasis or which of the following?

Trauma

What is the term for a lesion that is flat, non-palpable, and measures less than 1 cm in

diameter?

Macule

Koilonychia is caused by which of the following underlying conditions?

Iron deficiency anemia

To palpate the thyroid gland, the examiners middle finger should be placed adjacent to which of the following landmarks

Cricoid cartilage

Discovering a lymph node in the left supraclavicular fossa that is enlarged, hard, non moveable suggest which of the following conditions?

GI metastasis

An individual reports diplopia when trying to read a book. Which of the following examination findings would suggest a cranial nerve IV lesion as a possible cause of diplopia?

One eye cannot look down and in

If tapping the area of the patients parotid gland produces ipsilateral facial spas, ordering a blood test for which of the following would be most appropriate

Hypocalcemia