Physician Assistant Eyes, Ears, Nose and Throat (EENT)

Question 1

A 6-year-old has ear pain, fever and a bulging, erythematous tympanic membrane with decreased mobility. What is the first-line antibiotic?

Accepted Answer

Amoxicillin

Answer

Acute otitis media is treated first with high-dose amoxicillin. Alternatives such as amoxicillin-clavulanate or cephalosporins are used for treatment failure or recent amoxicillin exposure.

Question 2

A patient with sudden painless 'curtain-like' vision loss and new floaters most likely has which condition?

Accepted Answer

Retinal detachment

Answer

Retinal detachment classically causes floaters, flashes and a curtain-like visual field defect without pain. It is an ophthalmologic emergency.

Question 3

A 60-year-old presents with severe eye pain, halos around lights, a fixed mid-dilated pupil and a hard, red eye. What is the diagnosis?

Accepted Answer

Acute angle-closure glaucoma

Answer

Acute angle-closure glaucoma causes sudden pain, halos, nausea, a mid-dilated nonreactive pupil and very high intraocular pressure. It needs emergent ophthalmology care.

Question 4

Which organism is the most common cause of bacterial pharyngitis, and what is the first-line treatment?

Accepted Answer

Group A Streptococcus; penicillin

Answer

Group A beta-hemolytic Streptococcus causes the most common bacterial pharyngitis. Penicillin or amoxicillin is first-line, and treatment prevents rheumatic fever.

Question 5

A patient has recurrent vertigo episodes lasting seconds, triggered by head turning, with a positive Dix-Hallpike test. What is the best initial treatment?

Accepted Answer

Epley maneuver

Answer

This is benign paroxysmal positional vertigo. The canalith repositioning (Epley) maneuver is first-line treatment.

Physician Assistant Practice Test

Physician Assistant Practice Test

Physician Assistant Eyes, Ears, Nose and Throat (EENT)