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EENT; SMARTY PANCE EXAM WITH DETAILED QUESTIONS AND VERIFIED ANSWERS
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A child presents with high fever & sore throat. What findings suggest epiglottitis?Croupy cough & drooling: the four D's dysphagia, dysphonia, drooling, and
distress
What is a normal finding in a Weber test?
Sound is heard equally in both ears when a vibrating tuning fork is placed on
the mid forehead
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What is diagnosed by use of the cover/uncover test?
Strabismus: misalignment of the eyes, causing one eye to deviate inward esotropia,
toward the nose, or outward exotropia, while the other eye remains focused.
A man complains that something flew into his eye. Fluorescein stain reveals a tiny
pinpoint uptake in the area of the corneal injection. Diagnostic test?
X-ray orbits
A patient complains of loss of hearing in his left ear, ringing in the ear with
occasional dizziness. There is unilateral left- sided sensorineural hearing loss and a
diminished corneal reflex. Diagnostic study?
MRI with contrast aka Gadolinium is used when imaging tumors in major body
organs like your brain or in your central nervous system.
,A student complains of sudden onset of severe dizziness, nausea and vomiting
without hearing loss or tinnitus. She has had a recent cold. Diagnosis?
Vestibular neuritis
A child has purulent, foul-smelling nasal discharge for 3 days. He is afebrile. Left
nare is clear; there is a considerable amount of purulent exudate from the right nare;
a bright reflection of light is noticed. Diagnosis?
Nasal foreign body
A man complains of flashing lights behind his eye followed by sudden loss of vision,
stating that it was "like a curtain across the eye." On funduscopic exam, the retina
appears to be out of focus. Diagnosis?
Retinal detachment: Patients complain of flashes of light or floaters that occur
during traction on the retina as it detaches
An old lady complains of headache & left eye pain that started yesterday as a dull
ache & now throbs with nausea and vomiting. The left pupil is mid-dilated,
nonreactive, the cornea is hazy & a ciliary flush is noted. Diagnosis?
Acute glaucoma: this can present with abdominal complaints
What is a good marker for the development of diabetic retinopathy & clinically-
significant macular edema?
Proteinuria
, A common cause of conductive hearing loss is:
impacted cerumen
A student splashed sodium hydroxide into her right eye. She rinsed her eye out for 5
minutes in the lab. First step?
Flush the eye with two liters of saline
A boy presents with right ear pain & fever. Exam is notable for pain & a bulging
tympanic membrane. Etiology?
Strep pneumo, Moraxella & H flu are the 3 predominant bacteria that cause otitis
media.
A man presents with epistaxis with a history of hypertension. After applying pressure
for 15 minutes a bilateral anterior pack is placed. Bleeding persists in the posterior
oropharynx. Next step?
Insert a posterior balloon pack
A woman complains of sneezing, watery nasal discharge, a nonproductive cough &
sore throat. She has fatigue & difficulty breathing because of her stuffy nose.
Treatment?
Pseudoephedrin aka Sudafed: A decongestant will relieve the nasal congestion
and stuffy nose symptoms.
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