HEENT 2022 100% solved questions
Which of the following eye conditions may be prevented with the use of vitamins C and E, beta carotene, and zinc? (objective 2) Correct Answer: macular degeneration
A patient has a
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HEENT 2022 100% solved questions
Which of the following eye conditions may be prevented with the use of vitamins C and E, beta carotene, and zinc? (objective 2) Correct 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) Correct 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) Correct 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) Correct 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) Correct 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) Correct 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) Correct Answer: Otosclerosis
A 19 year old female consults an allergist about constant nasal stuffiness. She has a variety of pets in her house including fish, dogs, and a cat. Screening tests demonstrate blood elevations of eosinophils and IgE. Extensive skin testing demonstrates marked sensitivity to cat dandruff. Which of the following is her preferred treatment for her cat allergy? (objective 2) Correct Answer: Get rid of the cat
A 54 year old male presents with "ringing in his ears," a feeling of "spinning," and a progressive loss of hearing in his left ear. He states that this all began a while ago with a slight feeling of unsteadiness as well as an "annoying ringing." He did not go to the doctor initially because he thought he was going crazy, but now his wife is getting worried that the television needs to be much louder and that he constantly says "What?" when she speaks to him on his left side. He denies any chronic medical conditions, does not take any medications, and does not drink alcohol. Examination reveals nystagmus, but no other abnormalities. Which of the following is the most likely diagnosis? (objective 2) Correct Answer: *Meniere disease*
Trabeculectomy may be used in the surgical management of which of the following conditions? (objective 2) Correct Answer: glaucoma
A 59 year old male is seen because of chronic, intractable sinusitis. The decision is made to treat the patient surgically, with evacuation of sinus contents and dilation of the sinus ostia. The material removed is sent routinely for pathologic examination. An unexpected finding is the presence of fungal with broad, nonseptate, irregularly shaped hyphae. Subsequent review of the patient's chart reveals a long history of poorly controlled diabetes mellitus. Which of the following is the most likely causative organism? (objective 2) Correct Answer: Rhizopus
A 24 year old female presents to her healthcare provider with a dilated right eye and a complaint that she can not read a lunch menu with the same eye. Which of the following drugs is most likely responsible for her symptoms? (objective 2) Correct Answer: scopolamine (scopace)
A pilot working for a major commercial airline suffers from hay fever. Which of the following drugs would be most suitable for the pilot during working hours? (objective 2) Correct Answer: fexofenadine (allegra)
Which of the following is the most common precipitant of a hairy tongue? (objective 2) Correct Answer: dehydration
Which of the following symptoms typically associated with Wegener granulomatosis? (objective 2) Correct Answer: recurrent upper respiratory tract symptoms
Which of the following oral lesions is most likely to be associated with oral cancer? (objective 2) Correct Answer: erythroplakia
. A newborn infant is in respiratory distress in the delivery room and requires several attempts at resuscitation because of difficulty breathing and frequent cyanosis. The health care provider notes that during the crying, the infant's breathing improves and breath and heart sounds normalize. Direct laryngoscopy is unremarkable as well. Deep inspirations by the neonate are ineffective. Which of the following is the most effective intervention? (objective 2) Correct Answer: insert an endotracheal tube
Which of the following is the most common cause of sensorineural hearing loss in the adult population? (objective 2) Correct Answer: presbycusis
A 73 year old obese female presents to the emergency room because of a painful right eye. The pain came on suddenly as she was preparing dinner and was accompanied by severely blurred vision, nausea, and one episode of vomiting. Examination reveals an extremely tender eye with a hazy cornea and a partially dilated and fixed pupil. The left eye is normal. Which of the following is the most likely diagnosis? (objective 2) Correct Answer: acute glaucoma
Removing an impacted mandibular third molar may cause lasting numbness of the tip of the tongue. The loss of general sensation is caused by damage to the-(objective 2) Correct Answer: lingual nerve
A 60 year old alcoholic with a 50 pack year history of smoking presents with hoarseness and dysphagia. Physical examination reveals cervical lymphadenopathy. Laryngoscopy reveals an ulcerated nodule on the laryngeal surface. Which of the following is the most likely diagnosis? (objective 2) Correct Answer: squamous cell carcinoma
A 75 year old female presents to the primary care office with gradual decrease in her vision. She, also, complains that she has difficulty driving because of the glare that she sees from the oncoming car's headlights. Regarding her eye history, her only pertinent history is that she intermittently has used 1% prednisolone odium phosphate ophthalmic solution for up to 6 weeks because of recurrent keratitis once the infection was controlled. Her last episode required extended treatment because there was delayed healing that was noted in the epithelium. Which of the following clinical complications of this ocular topical steroid use is most likely to have occurred? (objective 2) Correct Answer: cataracts
A patient presents to the office with severe throat pain. Examination reveals small vesicles on the soft palate and uvula that form shallow white ulcers. Which of the following is the most
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