ENT Practice Questions & Answers. 100% Accurate, rated A
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ENT
ENT Practice Questions & Answers. 100% Accurate, rated A
A 25-year-old HIV positive male with pain associated with his gums. He has also noted bleeding of his gums when he brushes his teeth. On physical exam, you observe a bright erythematous line along the gingival margin. - -Gingivitis
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ENT Practice Questions & Answers.
100% Accurate, rated A
A 25-year-old HIV positive male with pain associated with his gums. He has also noted bleeding of his
gums when he brushes his teeth. On physical exam, you observe a bright erythematous line along the
gingival margin. - ✔✔-Gingivitis
A 22-year-old complaining of a painful sore for 2 days. He denies any alcohol or tobacco use and
otherwise feels fine. The examination is significant for a 2-mm round ulceration with a yellow-gray
center surrounded by a red halo on the left buccal mucosa - ✔✔-Apthous ulcers
A 3-week-old infant with decreased appetite and a rash in her mouth. On physical exam, you note white
plaques on her tongue that scrape off with a tongue depressor and bleed slightly. Potassium hydroxide
(KOH) preparation of the scrapings demonstrates budding yeasts with hyphae. - ✔✔-Oral candidiasis
A 33-year-old HIV-positive female presents with her second episode of oral thrush in the past 2 months.
Her current CD4 count is 75. - ✔✔-Oral candidiasis
A 51-year-old male patient who underwent extraction of the mandibular right third molar. Seven days
after the surgery, the patient developed facial edema, fever, intraoral purulent discharge and extreme
local pain. Infectious cavities in the right and left submandibular, pterygomandibular and pharyngeal
regions were observed on computed tomography scans. - ✔✔-Deep neck infection
A 3-year-old who is brought into the emergency room by her parents. The child has had a high fever,
sore throat, and stridor. She has a muffled voice and is sitting up on the stretcher drooling while leaning
forward with her neck extended. The patients parents are adamantly against vaccinations, claiming that
they are a "government conspiracy." You order a lateral neck x-ray, which shows a swollen epiglottis. -
✔✔-Epiglottitis
A 17-year-old female complaining of a painful rash on her cheek. She says that it has come and gone a
few times before and that she usually can feel itching and a tingling discomfort before a break out of the
, lesions. On physical exam, you observe clusters of small, tense vesicles on an erythematous base. - ✔✔-
Oran herpes simplex
A 27-year-old mezzo-soprano who states that she developed acute hoarseness 2 days ago. Prior to that,
she had a cold, the symptoms of which are improving. There is no history of smoking or other tobacco
use. She is very worried as she has an upcoming performance 3 days from now. - ✔✔-Laryngitis
A 19-year-old male who you are seeing for follow-up from the urgent care where he was seen 2 days
earlier with a sore throat. The patient is febrile (102°F), has a muffled (hot potato) voice, and extreme
difficulty opening his mouth (trismus). He opens it just far enough for you to note uvular deviation. -
✔✔-Peritonsillar abscess
A 7-year-old boy is brought to his pediatrician for evaluation of a sore throat. The sore throat began 4
days ago and has progressively worsened. Associated symptoms include subjective fever, pain with
swallowing, and fatigue. The patient denies cough or rhinorrhea. Vital signs are as follows: T 101.4 F, HR
88, BP 115/67, RR 14, and SpO2 99%. Physical examination is significant for purulent tonsillar exudate;
no cervical lymphadenopathy is noted. - ✔✔-Acute pharyngitis
A 39-year-old female complaining of episodic left-sided jaw pain and swelling. The symptoms are
typically aggravated by eating or by the anticipation of eating. Over the last 2-days, the patient has been
experiencing worsening pain, redness, and fever. On physical exam, the left salivary gland is exquisitely
tender. High-resolution noncontrast computed tomography (CT) scanning reveals a left-sided salivary
gland stone. - ✔✔-Sialadenitis
An 11-year-old boy with malaise and swelling of his face. He has no significant past medical history, but
it is documented in his chart that his mother declined the recommended standard immunizations for
children because of personal beliefs. Vital signs are stable with the exception of a mild fever. In addition
to the facial swelling, physical exam is also notable for swelling around the testes. There are no rashes. -
✔✔-Parotitis
A 13-year-old boy with clear fluid discharge from his nose for 2 days duration. This has also been
associated with sneezing. On nasal exam, the mucosa and turbinates appear edematous and slightly
bluish, he has swollen dark circles under his eyes, and a transverse nasal crease. - ✔✔-Allergic rhinitis
A 34-year-old previously healthy male with complaints of facial pressure and rhinorrhea for the past 3
weeks. The patient reports that several weeks prior, he had a "common cold" which resolved. However,
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