Eyes, Ears, Nose and Throat (EENT) Flashcards
7 cards from real Physician Assistant practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Eyes, Ears, Nose and Throat (EENT) flashcards as text
Most cases of anterior epistaxis originate from which structure?
Answer: Kiesselbach plexus
Kiesselbach plexus on the anterior nasal septum is the source of about 90% of nosebleeds.
Which presentation most strongly supports acute bacterial rather than viral rhinosinusitis?
Answer: Symptoms improving then worsening again after day 5–6
Persistent symptoms beyond 10 days, severe onset, or 'double worsening' suggest bacterial sinusitis.
After nasal trauma, a teenager has a tender, bluish, fluctuant swelling of the nasal septum. What is the most appropriate management?
Answer: Incision and drainage with nasal packing
Septal hematoma must be drained promptly to prevent cartilage necrosis, abscess, and saddle-nose deformity.
Which is the most effective single-agent maintenance therapy for moderate persistent allergic rhinitis?
Answer: Intranasal corticosteroid
Intranasal corticosteroids are the most effective monotherapy for allergic rhinitis, including nasal congestion.
A patient reports worsening nasal congestion after using oxymetazoline spray twice daily for 3 weeks. What is the diagnosis?
Answer: Rhinitis medicamentosa
Rebound congestion from topical decongestant use beyond 3 days defines rhinitis medicamentosa.
A patient in diabetic ketoacidosis develops facial pain, nasal congestion, and a black necrotic eschar on the nasal turbinate. What is the most likely diagnosis?
Answer: Rhinocerebral mucormycosis
Mucormycosis is an angioinvasive fungal infection in DKA patients requiring emergent debridement and amphotericin B.
A patient has asthma, bilateral nasal polyps, and bronchospasm after taking ibuprofen. What is this condition called?
Answer: Aspirin-exacerbated respiratory disease (Samter triad)
Samter triad combines asthma, nasal polyposis, and NSAID/aspirin sensitivity due to leukotriene overproduction.
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