Question 1

A 5-year-old patient with a history of chronic otitis media complains of severe unilateral ear pain that worsens at night. The pain has progressively worsened over the past 3 days. Your examination reveals tenderness, erythema, and swelling below the right ear, and diminished hearing on the right. Which of the following is a likely diagnosis?

Accepted Answer

A)   Sinus infection
B)   Skull fracture
C)   Mastoiditis
D)   Foreign body C

Question 2

Which of the following conditions can cause upper airway obstruction?

Accepted Answer

A)   Behcet's syndrome
B)   Influenza
C)   Epiglottitis
D)   Thrush C

Question 3

To examine if there is an intact gag reflex, ask the patient to say "ah" as you observe the:

Accepted Answer

A)   Movement of the uvula to the left
B)   Movement of the uvula to the right
C)   Tongue extension in the midline
D)   Upward movement of the uvula in the midline D

Question 4

Nasal discharge of green-yellow mucus, pharyngitis, and otitis media commonly indicate:

Accepted Answer

A)   Allergic rhinitis
B)   Viral infection
C)   Bacterial infection
D)   Nasal polyps

Question 5

Rheumatic heart disease is a complication that can arise from which type of infection?

Accepted Answer

A)   Epstein-Barr virus
B)   Diptheria
C)   Group A beta Hemolytic streptococcus
D)   Streptococcus pneumoniae

Question 6

Which microorganism is the most common cause of peritonsillar abscess?

Accepted Answer

A)   Epstein-Barr virus
B)   Streptococcus pneumoniae
C)   Mycoplasma
D)   Group A beta Hemolytic streptococcus

Question 7

Which microorganism is the most common cause of tonsillitis in adolescents?

Accepted Answer

A)   Epstein-Barr virus
B)   Streptococcus pneumoniae
C)   Mycoplasma
D)   Group A beta Hemolytic streptococcus

Question 8

A patient complains of fever, fatigue, and pharyngitis. On physical examination there is pronounced cervical lymphadenopathy. Which of the following diagnostic tests should be considered?

Accepted Answer

A)   Mono spot
B)   Strep test
C)   Throat culture
D)   All of the above

Question 9

A 26-year-old female who gave birth 1 month ago presents with sudden development of fever, neck pain, sore throat with dysphagia, and radiation of pain to the ear. Which of the following conditions is most important to consider?

Accepted Answer

A)   Diptheria
B)   Epiglottitis
C)   Thyroiditis
D)   Otitis media

Question 10

Which of the following symptoms is common with acute otitis media?

Accepted Answer

A)   Bulging tympanic membrane
B)   Bright light reflex of tympanic membrane
C)   Increased tympanic membrane mobility
D)   All of the above

Question 11

An 86-year-old patient who wears a hearing aid complains of poor hearing in the affected ear. In addition to possible hearing aid malfunction, this condition is often due to:

Accepted Answer

A)   Acoustic neuroma
B)   Cerumen impaction
C)   Otitis media
D)   Ménière's disease

Question 12

With inspection of the mouth and buccal mucosa, Stensen's duct can be seen on the:

Accepted Answer

A)   Underside of the tongue
B)   Buccal mucosa opposite the lower molars
C)   Buccal mucosa opposite the upper molars
D)   Soft palate

Question 13

Thrush occurs as white patches surrounded by erythematous tissue in oral mucosa. The microorganism that causes this is:

Accepted Answer

A)   Candida
B)   Herpes simplex 1
C)   Coxsackie virus
D)   Herpes zoster

Question 14

Presbycusis is the hearing impairment that is associated with:

Accepted Answer

A)   Physiological aging
B)   Ménière's disease
C)   Cerumen impaction
D)   Herpes zoster

Question 15

Epistaxis can be a symptom of:

Accepted Answer

A)   Over-anticoagulation
B)   Hematological malignancy
C)   Cocaine abuse
D)   All of the above

Question 16

Which disorder commonly presents with vesicular or ulcerated painful lesions with an erythema and a yellow base typically on the oral mucosa?

Accepted Answer

A)   Aphthous ulcer
B)   Herpes simplex 1
C)   Coxsackie viral infection
D)   All of the above

Question 17

Hand, foot, and mouth disease often causes vesicular lesions on the palms, soles of the feet, and oral mucosa. The microorganism that causes this disease is:

Accepted Answer

A)   Herpes zoster
B)   Herpes simplex 1
C)   Coxsackie virus
D)   Candida

Question 18

On physical examination of a 1-year-old patient, you note abnormal placement of the ears, hypertelorism, and strabismus. These are often signs of:

Accepted Answer

A)   Genetic conditions
B)   Deafness
C)   Birth injury
D)   Physical abuse

Question 19

Ear pain related to tenderness over the auricle and ear canal is most commonly related to:

Accepted Answer

A)   Excessive exposure to noise
B)   Cerumen impaction
C)   Otitis externa
D)   Ménière's disease

Question 20

A condition that presents as painless, raised white patches on the oral mucosa that predisposes the patient to squamous cell carcinoma is:

Accepted Answer

A)   Candida
B)   Lichen planus
C)   Coxsackie virus
D)   Leukoplakia

Exam 6: Ear, Nose, Mouth, and Throat