HEENT

Question 1

Most common type of nosebleed

Answer 1

Anterior epistaxis

Question 2

Excessive epistaxis refractory to packing or pressure

Answer 2

Posterior epistaxis

Question 3

Most common malignancy in the larynx

Answer 3

Squamous cell carcinoma >90%

Question 4

Chronic bilateral inflammation of the eyelids

Answer 4

Blepharitis

Question 5

Acute eyelid granuloma

Answer 5

Hordeolum

Question 6

Chronic eyelid granuloma

Answer 6

Chalazion

Question 7

Most aggressive thyroid cancer

Answer 7

Anaplastic carcinoma

Question 8

Chronic sinusitis at how many weeks

Answer 8

12 weeks

Question 9

Episodic vertigo with fluctuating hearing loss

Answer 9

Meniere’s Disease

Question 10

Diagnostic test for BPV

Answer 10

Dix Halpike

Question 11

Tx maneuver for BPV

Answer 11

Eppley

Question 12

Tx for Meniere’s disease

Answer 12

Salt restriction and diuretics, benzos only in severe cases

Question 13

Which class of drugs can cause sensory hearing loss

Answer 13

Loop diuretics

Question 14

Is leukoplakia cancer?

Answer 14

No it is a sign of an immunocompromised state

Question 15

Etiology of Meniere’s disease

Answer 15

Excessive endolymph in the labyrinth

Question 16

MIR findings of Meniere’s disease

Answer 16

None, normal MRI

Question 17

Innervation of CN IV

Answer 17

Superior Oblique (SO)

Question 18

Damage to CN IV causes

Answer 18

defective downward and inward gaze. SO is rarely injured alone

Question 19

Innervation of CN VI

Answer 19

Lateral Rectus (LR)

Question 20

Damage to CN VI causes?

Answer 20

(Esotropia) Inward gaze toward the nose. LR is often damaged alone in trauma. Maximal isotropic when gazing laterally with affected eye

Question 21

Presentation of laryngeal cancer

Answer 21

Chronic hoarseness and anterior cervical lymphadenopathy.

Question 22

Presentation of CN III damage

Answer 22

• Downward and temporal gaze
• Ptosis
• Mydriasis (pupil dilation)

Question 23

Chemotherapeutic agent most likely to cause sensorineural hearing loss

Answer 23

Cisplatin

Question 24

Sensorineural hearing loss Weber test lateralizes to which side?

Answer 24

Good side

Question 25

Conductive hearing loss, Weber test lateralizes to which side?

Answer 25

Affected side

Question 26

Definitive tx for Acute angle closure Glaucoma

Answer 26

Bilateral iridotomy . If occurring in one eye the contralateral is at greater risk, so bilateral is performed

Question 27

Management for pediatric peritonsilar/ pharyngeal abscess

Answer 27

IV ABX and surgical consult

Question 28

The outward turning of typically the lower eyelid in older people

Answer 28

Ectropion | - surgical repair if excessive tearing

Question 29

White, cloudy fluid or pus in the anterior chamber

Answer 29

Hypopion | - Typically follows a fungal infection

Question 30

Hemorrhage into the anterior chamber

Answer 30

Hyphema

Question 31

Periauricular adenopathy

Answer 31

Adenovirus

Question 32

Roseola is which HV

Answer 32

HV 6

Question 33

Tx for corneal abrasion due to contact lenses

Answer 33

Cipro drops 0.3% | - They cover for pseudomonas

Question 34

Brief episodic unilateral blindness

Answer 34

Amaurosis Fugax - Associated with carotid disease - Tx with ASA