EENT final (

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

a) CN XI

b) CN X

c) CN VIII

d) CN V

c) CN VIII

Using the pt to tightly close their eyes tests which CN?

a) CN III

b) CN V

c) CN VII

d) CN Xi

c) CNVII

Asking a person to clench their teeth while you palpate for bilateral symmetry of their master muscles tests which CN?

a) CN V

b) CN VII

c) CN IX

d) CN XI

a) CN V

Which of the following causes pitting of the nails?

a) Iron deficiency anaemia

b) Psoriasis

c) Hypothyroidism

d) Hyperthyroidism

b) psoriasis

Which of the following nail signs suggests subacute bacterial endocarditis?

a) Red lunula

b) Onycholysis

c) 80% white, 20% pink

d) Splinter hemorrhages

d) Splinter hemorrhages

Koilonychia is caused by which of the following?

a) Iron deficiency anemia

b) Psoriasis

c) Hyperthyroidism

d) Renal failure

a) Iron deficiency anemia

Which of the following is a synonym for an epidermoid cyst?

a) Erosion

b) Pustule

c) Furuncle

d) Wen

d) Wen

An asian individual discovers a blue brown, irregularly shaped lesion, with melted chocolate-like boarders, in his nail bed. Which of the following conditions do you suspects?

a) Verruca vulgaris

b) Tinea unglum

c) Wilson's disease

d) Melanoma

d) Melanoma

Direct pupillary reflex is intact on the right, the consensual reflex to the left is absent. Which is the most likely lesion?

a) Right CN II

b) Right CN III

c) Left CNII

d) Left CN III

d) left CNIII

Which of the following causes erysipelas?

a) autoimmunity

b) sun-exposure

c) Streptococcus

d) HPV

c) Streptococcus

Associated with Psoriasis, this sign is present when picking off a psoriatic scala causes pin-prick bleeding (the lesion looks like it is "oozing" blood)

a) Auspitz sign

b) Nikolasky sign

c) Wickam's sign

d) Koebner's sign

a) Auspitz sign

"Red or brown dots" (throbbed capillaries) are pathognomonic for the benign epithelial hyperplasia caused by the Human Papilloma Virus

a) Molluscum contagiosum

b) Erysipelas

c) Lichen Simplex

d) Verruca vulgaris

d) verruca vulgaris

What is the red macular rash commonly found in warm, moist areas such as under the breast or between the legs?

a) candida albicans

b) candida intertrigo

c) Impetigo

d) Tinea corporis

b) Candida intertrigo

Rat-bite necrosis at the fingertips and tapering "Madonna's fingers" are associated with what condition?

a) Scleroderma

b) Basal cell carcinoma

c) Pemphigus vulgaris

d) Seborrheic Keratosis

a) Scleroderma

If you burn the tip of your tongue, which cranial nerve carries the pain sensation to the brain?

a) CN IV

b) CN V

c) CN VII

d) CN IX

b) CN V

What is the term for a blister that is larger than 2cm, filled with serous fluid?

a) vesicle

b) Ulcer

c) Bulla

d) Pustule

c) Bulla

Which of the following is associated with red lunulas?

a) Heart failure

b) Wilson's disease

c) Early renal failure

d) Hepatic cirrhosis

a) Heart failure

Which of the following nail findings is associated with nail fungus?

a) Onycholysis

b) Splinter haemorrhages

c) 80% white, 20% pink

d) koilonychia

b) Onycholysis

What would you suspect about a lymph node that is enlarged, hard and immovable?

a) normal

b) infected

c) cancerous

d) calcfied

c) cancerous

What is the skin condition starts with a "herald patch" that is followed 1-2 weeks later by a generalised symmetrical rash of smaller lesions on the abdomen, chest and back? On the back it appears in a christmas tree pattern

a) pityriasis rosea

b) Rosacea

c) Atopic eczema

d) Folliculitis

a) Pityriasis rosea

Your pt looks up and when they look down there is a strip of sclera visible between the its and upper eyelid. which of the following conditions do you suspect?

a) Horner's syndrome

b) Myasthenia gravis

c) Grave's disease

d) Hashimoto's thyroiditis

c) Grave's disease

Which of then following could causes a corneal abrasion?

a) Entropion

b) Ectropion

c) Hordeolum

d) Chalazion

a) Entropion

Which of the following is associated with Keratoconjunctive Sicca (Sjorgen's)

a) Ophthalmoparesis

b) Xerostomia

c) Ptyalism

d) Anisocoria

b) Xerostomia

Blue sclerae and decreased hearing are accepted with what condition?

a) Osteogenesis imperfecta

b) Iron deficiency anemia

c) Wilson's disease

d) Cardiac failure

a) Osteogenesis imperfecta

Which of the following is true about the Adie's/tonic pupil?

a) Mitic + irregular

b) Mydriatic + sluggish light reflex

c) Pupils are PERRLA

d) Hyperactive to light

b) Mydriatic + sluggish light reflex

When is arcus senilis clinically significant?

a) always

b) when it fully encircles the Iris

c) In pts. > 65yrs old

d) In pts. <40 years old

d) in pts. <40 years old

Which of the following is not visualised during an otoscopic examination?

a) Malleus

b) Cone of light

c) Incus

d) Stapes

d) Stapes

Which of the following can grow across the cornea and obstruct vision?

a) Pinguecula

b) Pterygium

c) Hordeolum

d) Chalazion

b) Pterygium

Which of the following is associated with cataracts?

a) cupping of the disk

b) disruption of the red reflex

c) Flame hemorrhages

d) increased intracranial pressure

b) disruption of the red reflex

Which of the following is associated with glaucoma?

a) cupping of the disk

b) disruption of the red reflex

c) Flame hemorrhages

d) Papilledema

a) cupping of the disk

Which of the following is associated with hypertensive retinopathy?

a) cupping of the disk

b) Disruption of the red reflex

c) Flame hemorrhages

d) papilledema

c) Flame hemorrhages

A pt reports a sudden onset of numerous floaters and seeing sparks of light followed by vision loss " like a shade coming down" What do you suspect?

a) Closed angle glaucoma

b) Optic nerve atrophy

c) Retinal detachment

d) Hypertensive retinopathy

c) Retinal detachment

Amber brown fluid behind the tympanic membrane is associated with what?

a) Acute serous otitis media

b) Acute suppurative Otitis media

c) Chronic serous otitis media

d) Chronic suppurative otitis media

a) Acute serous otitis media

Which of the following has an abrupt, painful onset?

a) Cataracts

b) Macular degeneration

c) Closed angle glaucoma

d) Hypertensive retinopathy

c) closed angle glaucoma

What is the name for yellow communal-like dots that commonly appear around the fovea?

a) Dot hemorrhages

b) Microaneurysms

c) Cotton wool patches

d) Drusen bodies

d) Drusen bodies

Excessive growth of the bony lining of the ear canal that causes a lump in the ear canal?

a) Cauliflower ear

b) Gouty tophi

c) Otitis externa

d) Exostosis

d) Exostosis

Which of the following is not associated with Acute Toxic labyrinthitis?

a) Vertigo

b) Hearing loss

c) Unilateral sore throat

d) Loss of balance

c) unilateral sore throat

T/F

There is a red reflex in the eyes and the ears

True

A single enlarged nodule in the thyroid gland is most suggestive of which condition?

a) Hashimoto's disease

b) Grave's disease

c) Thyrotoxicosis

d) Malignancy

d) Malignancy

Which condition is described as erythematous papule and plaques covered with silver scales found primarily on the extensors surfaces of the body?

a) Lichen Planus

b) Psoriasis

c) Pityriasis

d) Atopic eczema

b) Psoriasis

which of the following is true about arterio-venous nicking seen in the eye?

a) wider space between vein and artery

b) Broader arterial light stripe

c) Vein narrows before crossing artery

d) Dilation of vein at arterio-venous crossing

a) Wider space between vein and artery

If you notice redness and swelling near the medial cants of the eye and pressing on the lacrimal sac causing pus to extrude through the puncture, what do you suspect?

a) Dacroadenitis

b) Dacrocystitis

c) Xanthelasma

d) Chalazion

b) Dacrocystitis

A 26 year old complains of diffuse, steady, "bandlike" occipital headaches that are worst at the end of the day and during stressful times at work. Which of the following would not be part of appropriate management of the individual?

a) emergency referral

b) Cervical adjustments

c) Regular massages

d) Daily mediation

a) emergency referral

What would you suspect if a pt reported a stiff neck with the worst headache of my life?

a) classic migraine

b) tension headache

c) temporal arteritis

d) subarachnoid haemorrhage

d) subarachnoid haemorrhage

which of the following headache characteristic would raise suspicion of a tumor or raised intrathecal pressure?

a) visual prodrome, such as flashing lights

b) Knifelike and occurs at the same time every day

c) slowly increases in intensity and frequency

d) most prominent at the end of a stressful day

c) slow increases in intensity and frequency

which type of headache is preceded by a visual or other type of prodrome?

a) Classic migraine

b) Common migraine

c) Tension headache

d) Cluster headache

a) Classic migraine

A 70 year old who reports a headache over one eye should be examined for sign of?

a) Alcoholism

b) Migraines

c) Temporal arteritis

d) Cluster headaches

c) Temporal arteritis

Autonomic phenomena, such as ipsilateral eye tearing and facial flushing are associated with which of the following?

a) Migraine headaches

b) Temporal arteritis

c) Cluster headaches

d) Tension headaches

c) cluster headaches

People with classic migraines often report and childhood history of which of the following?

a) multiple fractures

b) motion sickness

c) arteriovenous malformation

d) Eczema

b) motion sickness

Which of the following causes a cherry red macula?

a) Central venous occlusion

b) central artery occlusion

c) increased intracranial pressure

d) Increased intracoccular pressure

b) central artery occlusion

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

a) Xanthelasma

b) Detached retina

c) cupping of the disk

d) papilloedema

b) detached retina

If someone had a brain tumour which of the following would be the most diagnostic finding on the fundoycopic exam?

a) Papilloedema

b) Flame haemorrhages

c) Drusen bodies

d) Cupping of the disk

a) papilloedema

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

a) Increased intraocular pressure

b) Tertiary syphilis

c) Macular degeneration

d) Arteriosclerosis

d) Arteriosclerosis

Which of the following findings would be most likely if someone had a unilateral excess accumulation of cerumen?

a) sound goes to the bad ear on Weber test

b) sound goes to the good ear on Weber test

c) Bad ear 2:1 ration air conduction: bone conduction on Rinne's test

d) Bad ear shorter than 20second count on mastoid process on Rinne test

a) Sound goes to the bad ear on Weber test

The confrontation test is most helpful in discovering deficits associated with:

a) CN III

b) CN VI

c) Glaucoma

d) Cataracts

d) Glaucoma

The pt protrudes his tongue and it deviates to the right. This suggests a lesion of:

a) left XII

b) Right XII

c) Left X

d) Right X

b) Right XII

A narrowed cone of light suggests which of the following?

a) Inflamed Eustachian tube

b) acute suppurative Ostitis media

c) Chronis Otitis media

d) Keratosis obturans

a) Inflamed Eustachian tube

Swollen, pale, bluish nasal mucosa and thin watery discharge suggests which of the following?

a) Coryza

b) Allergic rhinitis

b) Rhinitis medicamentosa

c) Rhinophyma

b) Allergic rhinitis

What are rhythmic uncontrollable movements of the eyes called?

a) Strabismus

b) Exophthalmos

c) Nystagmus

d) Xerophthalmia

Nystagmus

What is the groove between the upper lip and the underside of the nose called?

a) Philtrum

b) Nares

c) Columella

d) Bridge

a) Philtrum

Which of the turbinates in not visualised during a nasoscopic examination?

a) Superior

b) Middle

c) Inferior

d) b and C

a) superior

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

a) Erysipelas

b) Actinic Keratosis

c) Basal cell carcinoma

d) Rosacea

d) Rosacea

Nasal Polyps most commonly arise from which meatus?

a) Superior

b) Middle

c) Inferior

d) B and C

b) middle

Which of the following is least likely to cause nasal septal perforation?

a) Trauma

b) surgery

c) intranasal use of cocaine

d) Oral ingestion of acetominephine

d) oral ingestion of acetominephine

Gingival hyperplasia is a red flag for which of the following

a) Herpes simplex

b) Syphillis

c) Vitamin C deficiency

d) Leukemia

d) Leukemia

Which of the following causes swollen gums that bleed easily?

a) Aphthous ulcers

b) Hairy leukoplakia

c) Scurvy

d) Vitamin D deficiency

c) Scurvy

which of the following is true about torus palatinus?

a) it is malignant

b) it is benign

c) it arises from congenital syphilis

d) it arises from herpes simplex

b) it is benign

Strawberry tongue is associated with which of the following?

a) migratory glossitis

b) HIV/AIDS

c) Diabetes

d) Scarlet fever

d) Scarlet fever

Which of the following is the breath odour associated with renal failure?

a) Halitosis

b) Fetor oris

c) Acetone

d) Ammonia

d) Ammonia

Which of the following is associated with increased risk for colon cancer?

a) Cheilosis

b) Sjogren's syndrome

c) Peutz-Jegher's syndrome

d) Actinic cheilitis

c) Peutz-Jegher's sundrome

What are small, white, painful ulcerations that develop in the mouth due to stress, trauma, or allergies called?

a) Herpes simplex

b) Aphthous ulcers

c) Fordyce's spots

d) Koplik spots

b) Aphthous ulcers

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

a) Syphillis

b) Riboflavin deficiency

c) Scarlet fever

d) UV radiaion

b) Riboflavin deficiency

Which of the following would be most likely to causes cheilosis?

a) Syphillis

b) Ill-fitting dentures

c) UV light exposure

d) Sjogren's syndrome

b) ill fitting dentures

Which of the following causes a blue-gray line along the gums?

a) Copper

b) Bismuth

c) Silner

d) Magnesium

b) Bismuth

Fever is typically associated with which of the following?

a) Coryza

b) Allergic rhinitis

c) Rhinitis medicamentosa

d) Rhonophyma

a) Coryza

Which of the following does a fine lingual tremor suggest?

a) scarlet fever

b) mycoses

c) Thyrotoxicosis

d) Hashimato's

c) Thyrotoxicosis

Which of the following may be a sequela of untreated strep throat?

a) Hepatic cirrhosis

b) Heart valve damage

c) Colon cancer

d) Meziere's disease

b) heart valve damage

Which of the following does not apply to Qunisy throat?

a) unilateral sore throat

b) unilateral ear pain

c) deviated uvula

d) vertigo

d) vertigo

Which of the following is a cause of saddle nose?

a) rhinitis medicamentosa

b) Rosacea

c) congenital syphilis

d) Intranasal cocaine use

c) congenital syphilis

Hutchinson's teeth are associated with which of the following?

a) Labial carcinoma

b) Congenital syphilis

c) Riboflavin deficiency

d) Peutz-jegher's syndrome

b) congenital syphilis

Your pt who smokes and has worked for the past 25yeas as a landscaper, develops an ulceration on his lower lip that persists for 3 weeks. what do you suspect?

a) Cheilosis

b) Rhapades

c) Aphthous ulcer

d) Labial carcinoma

d) Labial carcinom

What would you suspect on palpating a lymph node what is enlarged, boggy, tender and moveable?

a) normal

b) cancerous

c) Calcified

d) Infection

d) infection

What of the following would be least likely too cause ptosis of the eye lid?

a) Myasthenia travis

b) CN III lesion

c) Grave's disease

d) Horner's syndrome

c) Grave's disease

Ability to ducted a wisp of cotton against the cornea of the eye is a function of which CN?

a) CN II

b) CN III

c) CN V

d) CN VII

c) CN V